Why the study?
The study aimed to evaluate the accuracy of ultrasound vector flow imaging (V Flow) by investigating differences between V Flow and pulsed wave Doppler relative to phase contrast magnetic resonance imaging for quantitative blood flow measurements in common carotid arteries.
Does high-frame-rate ultrasound vector flow imaging provide more accurate quantitative blood flow measurements in the common carotid artery compared to pulsed wave Doppler, using PC-MRI as a reference?
Does high-frame-rate ultrasound vector flow imaging provide more accurate quantitative blood flow measurements in the common carotid artery compared to pulsed wave Doppler, using PC-MRI as a reference?
High-frame-rate ultrasound vector flow imaging provides more accurate quantitative blood flow measurements in the common carotid artery than conventional pulsed wave Doppler when compared to PC-MRI.
Supports V Flow over PW for carotid flow quantification; leaves open routine adoption pending prospective validation.
V Flow is commercially developed by high-frame-rate ultrasound vector flow imaging. Compared to conventional color Doppler, V Flow is angle-independent and is capable of measuring both the magnitude and the direction of blood flow velocities. This paper aims to investigate the differences between V Flow and pulsed wave Doppler (PW) relative to phase contrast magnetic resonance imaging (PC-MRI), for the quantitative measurements of blood flow in common carotid arteries (CCA) and, consequently, to evaluate the accuracy of the new technique, V Flow. Sixty-four CCAs were measured using V Flow, PW, and PC-MRI. The maximum velocities, time-averaged mean (TAMEAN) velocities, and volume flow were measured using different imaging technologies. The mean error with standard deviation (Std), the median of absolute errors, and the r-values between V Flow and PC-MRI results for the maximum velocity, the TAMEAN velocity, and the volume flow measurements are {9.40% ± 14.91%; 11.84%; 0.84}, {21.52% ± 14.46%; 19.28%; 0.86}, and {-2.80% ± 14.01%; 10.38%; 0.7}, respectively, and are {53.44% ± 29.68%; 49.79%; 0.74}, {27.83% ± 31.60%; 23.83; 0.71}, and {21.01% ± 29.64%; 25.48%; 0.34}, respectively, for those between PW and PC-MRI. The boxplot, linear regression and Bland-Altman plots were performed for each comparison, which illustrated that the results measured via V Flow rather than via PW agreed more closely with those measured via PC-MRI.
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Du et al. (2022) studied this question.
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