Does respiratory self-gating improve the reliability of hemodynamic parameters computed from 4D flow cardiac MRI in healthy volunteers?
Respiratory self-gating is required during 4D flow MRI to prevent underestimation and variability of hemodynamic parameters in the aorta.
The hemodynamic parameters from 4D flow datasets have shown promising diagnostic value in different cardiovascular pathologies. However, the behavior of these parameters can be affected when the 4D flow data are corrupted by respiratory motion. The purpose of this work was to perform a quantitative comparison between hemodynamic parameters computed from 4D flow cardiac MRI both with and without respiratory self-gating. We considered 4D flow MRI data from 15 healthy volunteers (10 men and 5 women, 30.40 ± 6.23 years of age) that were acquired at 3T. Using a semiautomatic segmentation process of the aorta, we obtained the hemodynamic parameters from the 4D flow MRI, with and without respiratory self-gating. A statistical analysis, using the Wilcoxon signed-rank test and Bland–Altman, was performed to compare the hemodynamic parameters from both acquisitions. We found that the calculations of the hemodynamic parameters from 4D flow data that were acquired without respiratory self-gating showed underestimated values in the aortic arch, and the descending and diaphragmatic aorta. We also found a significant variability of the hemodynamic parameters in the ascending aorta of healthy volunteers when comparing both methods. The 4D flow MRI requires respiratory compensation to provide reliable calculations of hemodynamic parameters.
Denecken et al. (Mon,) studied this question.