Pixel-wise derivation of pulmonary regurgitation index could influence clinical decision: A phase-contrast MR imaging study on patients with repaired tetralogy of Fallot.

Abstract:

PURPOSE:Regurgitant fraction (RF) measured from 2D phase-contrast MRI has been used as a standard to quantitate the degree of pulmonary regurgitation and serves as a determinant indicator of prognosis for tetralogy of Fallot after surgical repair. This study demonstrated the potential underestimate of RF using the conventional definition and its impact on clinical decision when backward flow occurred during systolic periods. METHODS:Quantitative flow parameters, including forward flow volume (FFV), backward flow volume (BFV), and RF were estimated by two approaches: One derived from conventional ROI-averaged curve (bulk quantity) and the other in a pixel-wise manner to spatially reflect inhomogeneous flow profile (pixel-wise quantity). Eccentricity at systolic peak (Eccsys) was adopted as an index reflecting spatial flow inhomogeneity. RESULTS:Flow parameters derived from ROI-averaged curves on main pulmonary artery were significantly smaller than that of pixel-wise measurement (P<0.001). Difference between RFbulk and RFpx for the group of Eccsys > 0.3 appears greater compared to the group with Eccsys < 0.3. Thirteen out of 68 RF values (19%) were underrated while using bulk analysis. CONCLUSIONS:The spatial-related flow parameters showed more consistency with the qualitative flow profile pattern for pulmonary arteries, and could be a decisive complement for diagnostic classification.

journal_name

Eur J Radiol

authors

Wu PH,Chung HW,Wu MT,Ko CW

doi

10.1016/j.ejrad.2017.05.027

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

46-51

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(17)30206-1

journal_volume

93

pub_type

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