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Independent validation of metric optimized gating for fetal cardiovascular phase-contrast flow imaging.

TitleIndependent validation of metric optimized gating for fetal cardiovascular phase-contrast flow imaging.
Publication TypeJournal Article
Year of Publication2019
AuthorsBidhult, S., Töger J., Heiberg E., Carlsson M., Arheden H., Aletras A. H., & Hedström E.
JournalMagn Reson Med
Volume81
Issue1
Pagination495-503
Date Published2019 01
ISSN1522-2594
KeywordsAlgorithms, Aorta, Thoracic, Blood Flow Velocity, Cardiac-Gated Imaging Techniques, Cardiovascular System, Female, Fetal Heart, Heart Rate, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Observer Variation, Phantoms, Imaging, Pregnancy, Prenatal Diagnosis, Pulsatile Flow, Reproducibility of Results, Umbilical Veins
Abstract

PURPOSE: To validate metric optimized gating phase-contrast MR (MOG PC-MR) flow measurements for a range of fetal flow velocities in phantom experiments. 2) To investigate intra- and interobserver variability for fetal flow measurements at an imaging center other than the original site.METHODS: MOG PC-MR was compared to timer/beaker measurements in a pulsatile flow phantom using a heart rate (∼145 bpm), nozzle diameter (∼6 mm), and flow range (∼130-700 mL/min) similar to fetal imaging. Fifteen healthy fetuses were included for intra- and interobserver variability in the fetal descending aorta and umbilical vein.RESULTS: Phantom MOG PC-MR flow bias and variability was 2% ± 23%. Accuracy of MOG PC-MR was degraded for flow profiles with low velocity-to-noise ratio. Intra- and interobserver coefficients of variation were 6% and 19%, respectively, for fetal descending aorta; and 10% and 17%, respectively, for the umbilical vein.CONCLUSION: Phantom validation showed good agreement between MOG and conventionally gated PC-MR, except for cases with low velocity-to-noise ratio, which resulted in MOG misgating and underestimated peak velocities and warranted optimization of sequence parameters to individual fetal vessels. Inter- and intraobserver variability for fetal MOG PC-MR imaging were comparable to previously reported values.

DOI10.1002/mrm.27392
Alternate JournalMagn Reson Med
PubMed ID30159933
PubMed Central IDPMC6282515
Grant List20160554 / / Swedish Heart and Lung Foundation / International
/ / Swedish Research Council / International
/ / Medical Faculty at Lund University / International
/ / Region of Skåne, and the Greek General Secretariat for Research and Development via an Excellence grant / International
/ / Medical Faculty at Lund University, and Region of Skåne / International
/ / Greek General Secretariat for Research and Development via an Excellence grant / International

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