MR phase-shift velocity mapping successfully quantified flow velocities, demonstrating a peak early diastolic mitral flow of 68 +/- 12 cm/s in healthy volunteers.
Observational (n=15)
Can MR phase-shift velocity mapping accurately measure mitral and pulmonary venous flow velocity compared to Doppler echocardiography?
MR phase-shift velocity mapping is a feasible noninvasive technique for evaluating time-related flow velocity patterns and quantifying mitral and pulmonary venous blood flow velocity.
Mitral and pulmonary venous flows are important indexes in the evaluation of left ventricular diastolic function and in the assessment of mitral valve disease. We used MR phase-shift velocity mapping to measure mitral and pulmonary venous flow velocity in 10 healthy volunteers and mitral flow velocity in 5 patients with mitral valve stenosis. Normal mitral flow shows two positive peaks: one during early ventricular diastole and the other during atrial contraction. Peak mitral flow velocity (mean +/- SD) in early diastole was 68 +/- 12 cm/s and during atrial contraction 39 +/- 10 cm/s. The ratio of peak mitral flow velocity in early diastole to that during atrial contraction was 1.9 +/- 0.6. In patients with mitral valve stenosis, the initial high flow velocity persisted through diastole. Peak mitral flow velocity of patients with mitral valve stenosis correlated well with values obtained from Doppler echocardiography. Pulmonary venous flow showed two positive peaks: one during ventricular systole and the other in ventricular diastole. A small backflow during atrial contraction was noticed. Peak systolic velocity in the right lower pulmonary vein was 47 +/- 11 cm/s, peak diastolic velocity was 40 +/- 9 cm/s, and peak backflow velocity was 14 +/- 3 cm/s. Magnetic resonance velocity mapping is a noninvasive technique for the evaluation of time-related flow velocity patterns and for quantitative measurement of mitral and pulmonary venous blood flow velocity.
Mohiaddin et al. (Fri,) conducted a observational in Mitral valve stenosis (n=15). MR phase-shift velocity mapping was evaluated on Mitral and pulmonary venous flow velocity. MR phase-shift velocity mapping successfully quantified flow velocities, demonstrating a peak early diastolic mitral flow of 68 +/- 12 cm/s in healthy volunteers.