Variability of splanchnic blood flow measurements using MR velocity mapping under fasting and post-prandial conditions--comparison with echo-Doppler.

Abstract:

BACKGROUND/AIMS:The aim was to study the reproducibility of magnetic resonance velocity mapping, when measuring portal vein and superior mesenteric artery blood flow, under fasting and post-prandial conditions. Magnetic resonance flow measurements for the portal vein were compared with echo-Doppler measurements in the right portal vein. METHODS:Eight healthy volunteers were studied on two occasions, separated by 1 week. Blood flow in the portal vein and superior mesenteric artery was measured repeatedly under basal fasting conditions. On one occasion measurements were also made after a meal. Every magnetic resonance measurement was followed by an echo-Doppler measurement in the right portal vein. Correlations between flow values were calculated using Pearson's r. Variability components were assessed using ANOVA. RESULTS:Intra-individual variability was approximately 7% for portal vein flow measurements using magnetic resonance velocity mapping. This variability did not increase after 1 h, 1 week and after a meal. Values of flow measured in the portal vein and superior mesenteric artery using magnetic resonance velocity mapping correlated well (r = 0.80, p < 0.001). Fasting portal flow as measured with magnetic resonance velocity mapping was 1.2 l/min (range 0.96-1.6 l/min). Variability in echo-Doppler measurements was comparable to the variability of magnetic resonance velocity mapping, and flow measurements obtained with the two techniques correlated well (r = 0.74; p < 0.001). CONCLUSIONS:Magnetic resonance velocity mapping accurately measures blood flow in the portal vein with low variability and should be preferred when absolute flow values are necessary. Echo-Doppler measurement of the right portal vein has a low variability and can be used to study changes in flow.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Lycklama à Nijeholt GJ,Burggraaf K,Wasser MN,Schultze Kool LJ,Schoemaker RC,Cohen AF,de Roos A

doi

10.1016/s0168-8278(97)80045-1

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

298-304

issue

2

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(97)80045-1

journal_volume

26

pub_type

临床试验,杂志文章,随机对照试验
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