4D-Flow MRI: Technique and Applications

Alexandra Sträter; Armin Huber; Jan Rudolph; Maria Berndt; Michael Rasper; Ernst J. Rummeny; Jonathan Nadjiri

doi:10.1055/a-0647-2021

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Inhaltsverzeichnis

Rofo 2018; 190(11): 1025-1035
DOI: 10.1055/a-0647-2021

Review

4D-MR-Flussmessung: Technik und Anwendungen

Artikel in mehreren Sprachen: English | deutsch

Alexandra Sträter

¹Department of Diagnostic and Interventional Radiology, University Hospital Technical University of Munich

,

Armin Huber

²Department of Radiology, Hospital Fürstenfeldbruck

,

Jan Rudolph

¹Department of Diagnostic and Interventional Radiology, University Hospital Technical University of Munich

,

Maria Berndt

³Department of Neurology, University Hospital Technical University of Munich

,

Michael Rasper

¹Department of Diagnostic and Interventional Radiology, University Hospital Technical University of Munich

,

Ernst J. Rummeny

³Department of Neurology, University Hospital Technical University of Munich

,

Jonathan Nadjiri

¹Department of Diagnostic and Interventional Radiology, University Hospital Technical University of Munich

› Institutsangaben

Abstract

Zusammenfassung

Hintergrund Der Blutfluss durch das Herz und die großen Gefäße erfolgt pulsatil und unterliegt zeitlichen wie auch multidirektionalen Schwankungen. Bisher ist die Erfassung des Blutflusses in alle Richtungen und Phasen deutlich limitiert. Die MRT-gestützte 4D-Flussmessung ist eine fortschrittliche Methode zur Erfassung, Darstellung und Analyse von Flussverhältnissen in den Gefäßen.

Methode Basierend auf einer Literaturrecherche in der PubMed-Datenbank mit den Begriffen „4D-Flow-MRI, Phase-contrast magnetic-resonance-imaging, MR-flow-imaging/-visualization, MR-Flow-quantification, 3D-cine (time-resolved) phase-contrast CMR, three-directional velocity-encoding MR“ wurde der aktuelle Stand der Methode in dieser Übersichtsarbeit zusammengefasst.

Ergebnisse/Schlussfolgerung Diese Übersichtsarbeit fasst den aktuellen Stand der technischen Entwicklung der 4D-Flussmessung zusammen, diskutiert ihre Vor- und Nachteile und zeigt Anwendungsmöglichkeiten auf. Schließlich werden die wichtigsten Prinzipien und Parameter erklärt, sodass der Leser über die Anwendung der Methode, die möglichen klinischen Indikationen, die Auswertung verschiedener Parameter durch Post-processing-Methoden und die Limitationen des Verfahrens relevante Informationen erhält.

Kernaussagen:

4D-Fluss-MRT
3-dimensionale zeitaufgelöste Phasenkontrast-MRT
Flussanalyse-MRT (Wall-Shear-Stress/Druckgradienten-Messung/Vortex-Fluss/turbulente kinetische Energie/Flussgeschwindigkeit/Flussrate)

Zitierweise

Sträter A, Huber A, Rudolph J et al. 4D-Flow MRI: Technique and Applications. Fortschr Röntgenstr 2018; 190: 1025 – 1035

Key words

MR-angiography - angiocardiography - cardiac - vascular - MR-imaging

Volltext

Referenzen

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