TY - JOUR
T1 - Noninvasive measurement of pressure gradient across a coronary stenosis using phase contrast (PC)-MRI
T2 - A feasibility study
AU - Deng, Zixin
AU - Fan, Zhaoyang
AU - Lee, Sang Eun
AU - Nguyen, Christopher
AU - Xie, Yibin
AU - Pang, Jianing
AU - Bi, Xiaoming
AU - Yang, Qi
AU - Choi, Byoung Wook
AU - Kim, Jung Sun
AU - Berman, Daniel
AU - Chang, Hyuk Jae
AU - Li, Debiao
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Purpose: To investigate the feasibility of blood pressure difference measurement, ΔP, across the coronary artery using phase contrast (PC)-MRI for potential noninvasive assessment of the functional significance of coronary artery stenosis. Methods: Three-directional velocities in the coronary arteries acquired using 2D-PC-MRI were used with the Navier-Stokes equations to derive ΔP. Repeat phantom studies were performed to assess the reproducibility of flow velocity and ΔP. ΔP derived using PC-MRI (ΔPMR) and that obtained using pressure transducer (ΔPPT) were compared. Reproducibility of coronary flow velocity was assessed in healthy controls (n = 11). Patients with suspected coronary artery disease (n = 6) were studied to evaluate the feasibility of ΔPMR measurement across a coronary stenosis. Results: Phantom: Good overall reproducibility of flow velocity and ΔP measurements and excellent correlation (ΔPMR vs ΔPPT) was observed: intraclass correlation (ICC) of 0.95(Vz), 0.72(Vx), 0.73(Vy), and 0.87(ΔPMR) and R2 = 0.94, respectively. Human: Good reproducibility of coronary flow velocity was observed: ICC of 0.94/0.95(Vz), 0.76/0.74(Vx), and 0.80/0.77(Vy) at cardiac phase 1/2. Significant (p = 0.025) increase in ΔPMR was observed in patients (6.40 ± 4.43 mmHg) versus controls (0.70 ± 0.57 mmHg). Conclusion: ΔPMR in the coronary arteries is feasible. Upon further validation using the invasive measure, ΔPMR has the potential for noninvasive assessment of coronary artery stenosis. Magn Reson Med 77:529–537, 2017.
AB - Purpose: To investigate the feasibility of blood pressure difference measurement, ΔP, across the coronary artery using phase contrast (PC)-MRI for potential noninvasive assessment of the functional significance of coronary artery stenosis. Methods: Three-directional velocities in the coronary arteries acquired using 2D-PC-MRI were used with the Navier-Stokes equations to derive ΔP. Repeat phantom studies were performed to assess the reproducibility of flow velocity and ΔP. ΔP derived using PC-MRI (ΔPMR) and that obtained using pressure transducer (ΔPPT) were compared. Reproducibility of coronary flow velocity was assessed in healthy controls (n = 11). Patients with suspected coronary artery disease (n = 6) were studied to evaluate the feasibility of ΔPMR measurement across a coronary stenosis. Results: Phantom: Good overall reproducibility of flow velocity and ΔP measurements and excellent correlation (ΔPMR vs ΔPPT) was observed: intraclass correlation (ICC) of 0.95(Vz), 0.72(Vx), 0.73(Vy), and 0.87(ΔPMR) and R2 = 0.94, respectively. Human: Good reproducibility of coronary flow velocity was observed: ICC of 0.94/0.95(Vz), 0.76/0.74(Vx), and 0.80/0.77(Vy) at cardiac phase 1/2. Significant (p = 0.025) increase in ΔPMR was observed in patients (6.40 ± 4.43 mmHg) versus controls (0.70 ± 0.57 mmHg). Conclusion: ΔPMR in the coronary arteries is feasible. Upon further validation using the invasive measure, ΔPMR has the potential for noninvasive assessment of coronary artery stenosis. Magn Reson Med 77:529–537, 2017.
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U2 - 10.1002/mrm.26579
DO - 10.1002/mrm.26579
M3 - Article
C2 - 28019028
AN - SCOPUS:85010280243
VL - 77
SP - 529
EP - 537
JO - Magnetic Resonance in Medicine
JF - Magnetic Resonance in Medicine
SN - 0740-3194
IS - 2
ER -