Comparison of Four-Dimensional Flow MRI, Two-Dimensional Phase-Contrast MRI and Echocardiography in Transposition of the Great Arteries.
Advanced cardiac imaging
Congenital heart disease
Magnetic resonance imaging
Transposition of the great arteries
Journal
Pediatric cardiology
ISSN: 1432-1971
Titre abrégé: Pediatr Cardiol
Pays: United States
ID NLM: 8003849
Informations de publication
Date de publication:
24 Jul 2023
24 Jul 2023
Historique:
received:
27
03
2023
accepted:
09
07
2023
medline:
25
7
2023
pubmed:
25
7
2023
entrez:
24
7
2023
Statut:
aheadofprint
Résumé
Pulmonary artery (PA) stenosis is a common complication after the arterial switch operation (ASO) for transposition of the great arteries (TGA). Four-dimensional flow (4D flow) CMR provides the ability to quantify flow within an entire volume instead of a single plane. The aim of this study was to compare PA maximum velocities and stroke volumes between 4D flow CMR, two-dimensional phase-contrast (2D PCMR) and echocardiography. A prospective study including TGA patients after ASO was performed between December 2018 and October 2020. All patients underwent echocardiography and CMR, including 2D PCMR and 4D flow CMR. Maximum velocities and stroke volumes were measured in the main, right, and left PA (MPA, LPA, and RPA, respectively). A total of 39 patients aged 20 ± 8 years were included. Maximum velocities in the MPA, LPA, and RPA measured by 4D flow CMR were significantly higher compared to 2D PCMR (p < 0.001 for all). PA assessment by echocardiography was not possible in the majority of patients. 4D flow CMR maximum velocity measurements were consistently higher than those by 2D PCMR with a mean difference of 65 cm/s for the MPA, and 77 cm/s for both the RPA and LPA. Stroke volumes showed good agreement between 4D flow CMR and 2D PCMR. Maximum velocities in the PAs after ASO for TGA are consistently lower by 2D PCMR, while echocardiography only allows for PA assessment in a minority of cases. Stroke volumes showed good agreement between 4D flow CMR and 2D PCMR.
Identifiants
pubmed: 37488239
doi: 10.1007/s00246-023-03238-2
pii: 10.1007/s00246-023-03238-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
Références
Brickner ME, Hillis LD, Lange RA (2000) Congenital heart disease in adults. Second of two parts. N Engl J Med 342:334–342
doi: 10.1056/NEJM200002033420507
pubmed: 10655533
Ruys TP, Van der Bosch AE, Cuypers JAAE, Wistenburg M, Helbing WA, Bogers AJJC et al (2013) Long term outcome and quality of life after arterial switch operation: a prospective study with a historical comparison. Congenit Heart Dis 8(3):203–210
doi: 10.1111/chd.12033
pubmed: 23350828
Choi BS, Kwon BS, Kim BG, Bae EJ, Noh CI, Choi JY et al (2010) Long-term outcomes after an arterial switch operation for simple complete transposition of the great arteries. Korean Circ J 40(1):23–30
doi: 10.4070/kcj.2010.40.1.23
pubmed: 20111649
pmcid: 2812794
Morgan CT, Mertens L, Grotenhuis HB, Yoo SJ, Seed M, Grosse-Wortmann L (2017) Understanding the mechanism for branch pulmonary artery stenosis after the arterial switch operation for transposition of the great arteries. Eur Heart J Cardiovasc Imaging 18(2):180–185. https://doi.org/10.1093/ehjci/jew046
doi: 10.1093/ehjci/jew046
pubmed: 27025515
Baumgartner H, De Backer J, Babu-Narayan SV, Budts W, Chessa M, Diller GP et al (2020) ESC Guidelines for the management of adult congenital heart disease. Eur Heart J. https://doi.org/10.1093/eurheartj/ehaa554
doi: 10.1093/eurheartj/ehaa554
pubmed: 33184662
Summers PE, Holdsworth DW, Nikolov HN, Rutt BK, Drangova M (2005) Multisite trial of MR flow measurement: phantom and protocol design. J Magn Reson Imaging 21:620–631
doi: 10.1002/jmri.20311
pubmed: 15834913
Van Ooij P, Powell AL, Potters WV, Carr JC, Markl M, Barker AJ (2016) Reproducibility and interobserver variability of systolic blood flow velocity and 3D wall shear stress derived from 4D flow MRI in the healthy aorta. J Magn Reson Imaging 43:236–248
doi: 10.1002/jmri.24959
pubmed: 26140480
R Core Team (2020) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/
Wickham H (2016) Ggplot2: Elegant graphics for data analysis. Springer, New York. https://ggplot2.tidyverse.org
Gabbour M, Schnell S, Jarvis K, Schnell S, Rose M, Carr J et al (2016) 4-D flow magnetic resonance imaging: blood flow quantification compared to 2-D phase-contrast magnetic resonance imaging and Doppler echocardiography. J Cardiovasc Magn Reson 18(1):59. https://doi.org/10.1186/s12968-016-0276-8
doi: 10.1186/s12968-016-0276-8
Rose MJ, Jarvis K, Chowdhary V, Barker AJ, Allen BD, Robinson JD et al (2016) Efficient method for volumetric assessment of peak blood flow velocity using 4D flow MRI. J Magn Reson Imaging. https://doi.org/10.1002/jmri.25305
doi: 10.1002/jmri.25305
pubmed: 27192153
pmcid: 5115994
Jarvis K, Vonder M, Barker AJ, Schnell S, Rose M, Carr J et al (2016) Hemodynamic evaluation in patients with transposition of the great arteries after the arterial switch operation: 4D flow and 2D phase contrast cardiovascular magnetic resonance compared with Doppler echocardiography. J Cardiovasc Magn Reson 18(1):59. https://doi.org/10.1186/s12968-016-0276-8
doi: 10.1186/s12968-016-0276-8
pubmed: 27659876
pmcid: 5034650
Sieren MM, Berlin C, Oechtering TH, Hunold P, Dromann D, Barkhausen B et al (2019) Comparison of 4D flow MRI to 2D Flow MRI in the pulmonary arteries in healthy volunteers and patients with pulmonary hypertension. PLoS ONE 14(10):e0224121. https://doi.org/10.1371/journal.pone.0224121
doi: 10.1371/journal.pone.0224121
pubmed: 31648286
pmcid: 6812822
Gutberlet M, Boeckel T, Hosten N, Vogel M, Kuhne T, Oellinger H et al (2000) Arterial switch procedure for D-transposition of the great arteries: quantitative midterm evaluation of hemodynamic changes with cine MR imaging and phase-shift velocity mapping-initial experience. Radiology 214(2):467–475
doi: 10.1148/radiology.214.2.r00fe45467
pubmed: 10671595
Nordmeyer S, Riesenkampff E, Crelier G, Khasheei A, Schnackenburg B, Berger F et al (2010) Flow-sensitive four-dimensional cine magnetic resonance imaging for offline blood flow quantification in multiple vessels: a validation study. J Magn Reson Imaging 32:677–683. https://doi.org/10.1002/jmri.22280
doi: 10.1002/jmri.22280
pubmed: 20815066
Dyverfeldt P, Bissel M, Barker AJ, Bolger AF, Carhall CJ, Ebbers T et al (2015) 4D flow cardiovascular magnetic resonance consensus statement. J Cardiovasc Magn Reson 17(1):72. https://doi.org/10.1186/s12968-015-0174-5
doi: 10.1186/s12968-015-0174-5
pubmed: 26257141
pmcid: 4530492