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September 10, 2025

Editorial for “4D Flow MRI Velocity and Turbulence Mapping in Mild Valvular Heart Disease”

JWJos J.M. WestenbergCardiac Imaging HLHildo J. LambCardiac Imaging

Key Points

4D flow MRI techniques enhance visualization of velocity and turbulence in patients with valvular heart disease.
Key advancements include more accurate mapping of blood flow, as evidenced by improved imaging methodologies.
The editorial presents insights on new approaches in cardiovascular imaging, focusing on patient outcomes in valvular conditions.
Implications for clinical practice suggest that enhanced imaging may enable better diagnosis and monitoring of heart valve diseases.

Abstract

Journal of Magnetic Resonance ImagingEarly View EDITORIAL Editorial for "4D Flow MRI Velocity and Turbulence Mapping in Mild Valvular Heart Disease" This article relates to: 4D Flow MRI Velocity and Turbulence Mapping in Mild Valvular Heart Disease Tamara Bianchessi, Chiara Trenti, Carl-Johan Carlhäll, Tino Ebbers, Jan Engvall, Farkas Vanky, Federica Viola, Petter Dyverfeldt, Journal of Magnetic Resonance Imaging First Published online: August 20, 2025 Jos J. M. Westenberg, Jos J. M. Westenberg orcid.org/0000-0003-1946-1715 Cardio Vascular Imaging Group (CVIG), Department of Radiology, Leiden University Medical Center, Leiden, the NetherlandsSearch for more papers by this authorHildo J. Lamb, Corresponding Author Hildo J. Lamb email protected orcid.org/0000-0002-6969-2418 Cardio Vascular Imaging Group (CVIG), Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands Correspondence: Hildo J. Lamb (email protected)Search for more papers by this author Jos J. M. Westenberg, Jos J. M. Westenberg orcid.org/0000-0003-1946-1715 Cardio Vascular Imaging Group (CVIG), Department of Radiology, Leiden University Medical Center, Leiden, the NetherlandsSearch for more papers by this authorHildo J. Lamb, Corresponding Author Hildo J. Lamb email protected orcid.org/0000-0002-6969-2418 Cardio Vascular Imaging Group (CVIG), Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands Correspondence: Hildo J. Lamb (email protected)Search for more papers by this author First published: 20 August 2025 https://doi.org/10.1002/jmri.70089Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookxLinkedInRedditWechatBluesky No abstract is available for this article. References 1A. Demirkiran, P. van Ooij, J. J. M. Westenberg, et al., "Clinical Intra-Cardiac 4D Flow CMR: Acquisition, Analysis, and Clinical Applications," European Heart Journal Cardiovascular Imaging 23, no. 2 (2022): 154–165. 10.1093/ehjci/jeab112 Web of Science® Google Scholar 2G. Soulat, M. B. Scott, B. D. Allen, et al., "Association of Regional Wall Shear Stress and Progressive Ascending Aorta Dilation in Bicuspid Aortic Valve," JACC: Cardiovascular Imaging 15, no. 1 (2022): 33–42. 10.1016/j.jcmg.2021.06.020 Web of Science® Google Scholar 3S. D. Roes, S. Hammer, R. J. van der Geest, et al., "Flow Assessment Through Four Heart Valves Simultaneously Using 3-Dimensional 3-Directional Velocity-Encoded Magnetic Resonance Imaging With Retrospective Valve Tracking in Healthy Volunteers and Patients With Valvular Regurgitation," Investigative Radiology 44, no. 10 (2009): 669–675. 10.1097/RLI.0b013e3181ae99b5 Web of Science® Google Scholar 4M. J. P. van Hout, J. F. Juffermans, H. J. Lamb, et al., "Ascending Aorta Curvature and Flow Displacement Are Associated With Accelerated Aortic Growth at Long-Term Follow-Up: A MRI Study in Marfan and Thoracic Aortic Aneurysm Patients," International Journal of Cardiology, Heart & Vasculature 13, no. 38 (2021): 100926. Google Scholar 5P. Dyverfeldt, A. Sigfridsson, J. P. Kvitting, and T. Ebbers, "Quantification of Intravoxel Velocity Standard Deviation and Turbulence Intensity by Generalizing Phase-Contrast MRI," Magnetic Resonance in Medicine 56, no. 4 (2006): 850–858. 10.1002/mrm.21022 CAS PubMed Web of Science® Google Scholar 6J. P. Kvitting, P. Dyverfeldt, A. Sigfridsson, et al., "In Vitro Assessment of Flow Patterns and Turbulence Intensity in Prosthetic Heart Valves Using Generalized Phase-Contrast MRI," Journal of Magnetic Resonance Imaging 31, no. 5 (2010): 1075–1080. 10.1002/jmri.22163 CAS PubMed Web of Science® Google Scholar 7S. Petersson, P. Dyverfeldt, R. Gårdhagen, M. Karlsson, and T. Ebbers, "Simulation of Phase Contrast MRI of Turbulent Flow," Magnetic Resonance in Medicine 64, no. 4 (2010): 1039–1046. 10.1002/mrm.22494 CAS PubMed Web of Science® Google Scholar 8P. Dyverfeldt, J. P. Kvitting, C. J. Carlhäll, et al., "Hemodynamic Aspects of Mitral Regurgitation Assessed by Generalized Phase-Contrast MRI," Journal of Magnetic Resonance Imaging 33, no. 3 (2011): 582–588. 10.1002/jmri.22407 PubMed Web of Science® Google Scholar 9P. Dyverfeldt, M. D. Hope, E. E. Tseng, and D. Saloner, "Magnetic Resonance Measurement of Turbulent Kinetic Energy for the Estimation of Irreversible Pressure Loss in Aortic Stenosis," JACC: Cardiovascular Imaging 6, no. 1 (2013): 64–71. 10.1016/j.jcmg.2012.07.017 PubMed Web of Science® Google Scholar 10Bianchessi, et al., "4D Flow MRI Velocity and Turbulence Mapping in Mild Valvular Heart Disease," Journal of Magnetic Resonance Imaging (2025): Dummy reference for the paper editorialized, https://doi.org/10.1002/jmri.70087. 10.1002/jmri.70087 Google Scholar Early ViewOnline Version of Record before inclusion in an issue ReferencesRelatedInformation

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