Valve and great vessel stenosis: assessment with MR jet velocity mapping.

Abstract:

:For measurement of poststenotic jet velocities with magnetic resonance (MR) imaging, the authors reduced the echo time (TE) of the field even-echo rephasing (FEER) velocity mapping sequence from 14.0 to 3.6 msec, so minimizing the problem of MR signal loss from turbulent fluid. In vitro use of rotating disk and stenotic flow phantoms confirmed that the 3.6-msec TE sequence enables accurate measurement of jet velocities of up to 6.0 m/sec (r = .996). Peak jet velocity measurements were made with MR imaging in 36 patients with stenosis of native heart valves (n = 9), conduits (n = 19), or Fontan connections (n = 2) or with aortic coarctation (n = 6). Peak velocity measurements made with MR imaging agreed well with measurements made with Doppler ultrasound (US), which were available in 18 cases (standard deviation = 0.2 m/sec). Velocity mapping with fast-echo MR imaging is likely to have considerable importance as a noninvasive means of locating and evaluating stenoses, particularly at sites inaccessible to US, but care must be taken to prevent errors caused by malalignment, signal loss, phase wrap, or partial-volume effects.

journal_name

Radiology

journal_title

Radiology

authors

Kilner PJ,Firmin DN,Rees RS,Martinez J,Pennell DJ,Mohiaddin RH,Underwood SR,Longmore DB

doi

10.1148/radiology.178.1.1984310

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

229-35

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

178

pub_type

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