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Poster Sessions<br />

1348. Contribution of the Blood Flow Evaluation by MRI in the Ascending Thoracic Aorta in Patients at<br />

Risk<br />

Alain Lalande 1,2 , Clotilde Billard-Philip 2 , Marie Xavier 1 , Olivier Bouchot 1,2 , Eric Steinmetz 2 , Alexandre<br />

Cochet 1 , Paul Michael Walker 1,2 , Jean-Eric Wolf 1,2 , François Brunotte 1,2<br />

1 LE2I, University of Burgundy, Dijon, France; 2 University Hospital of Dijon, Dijon, France<br />

Currently the evaluation of risk of rupture or dissection of the thoracic aorta is based on the aortic diameter, which is not a relevant parameter. To evaluate<br />

functional properties of the aorta, maximum blood flow velocity was evaluated in patients with well-classified diseases. 3D velocity imaging, acquired with<br />

velocity-encoded cine-MRI, and analysed with automatic post-processing allows the study of aortic blood flow. Compared with healthy subjects, the<br />

maximum blood flow velocity was higher for patients with bicuspid valve and lower for patients with the MYH11 mutation. There was no significant<br />

difference in patients with Marfan syndrome or annulo-aortic ectasia.<br />

1349. Flow Sensitive 4D MRI at 1.5T and 3T<br />

Christoph Strecker 1 , Andreas Harloff 2 , Michael Markl 3<br />

1 Department of Neurology, University Hospital, Albert-Ludwigs-University , Freiburg, Germany; 2 Department of Neurology,<br />

University Hospital, Albert-Ludwigs-University , Freiburg , Germany; 3 Department of Radiology, Medical Physics, University<br />

Hospital, Albert-Ludwigs-University , Freiburg, Germany<br />

Synopsis: It was the purpose of this study to evaluate the performance of flow-sensitive 4D MRI of the thoracic aorta at 1.5T and 3T. 10 healthy volunteers<br />

were examined with 4D-MRI at both field strengths with regard to velocity noise, 3D flow visualization and quantitative flow analysis. 3T was superior<br />

regarding reduced velocity noise, improved quality of blood flow visualization, and quantification of peak velocities. It could be shown that flow-sensitive<br />

4D-MRI was feasible at both field strengths and can provide comprehensive information of aortic 3D hemodynamics and geometry.<br />

1350. Reproducibility of Semi-Automated Measurement for Carotid Arterial Distensibility Using CINE MRI<br />

at 3T<br />

Gador Canton 1 , Jinnan Wang 2 , Li Dong 1 , William Sean Kerwin 1 , Chun Yuan 1<br />

1 Radiology, University of Washington, Seattle, WA, United States; 2 Clinical Sites Research Program, Philips Research North<br />

America, Briarcliff Manor, NY, United States<br />

The aim of this study was to determine the inter-scan reproducibility of distensibility measurements at the common and internal carotid arteries using CINE<br />

MRI at 3 T. Our results show a good agreement in the area and the distensibility measurements between the two scans. Furthermore, we compared the<br />

difference in distensibility for both segments of the artery. We found a significant difference between the common and internal carotid arteries, suggesting<br />

that mechanical modeling of the forces acting on the arterial wall could be further improved by incorporating the different mechanical properties of different<br />

arterial segments.<br />

1351. Comparing Wall Shear Stress Measurements in the Descending Aorta Using Different Velocity<br />

Encoding Values<br />

Larry Hernandez 1 , Andrew L. Wentland 1,2 , Erik T. Bieging 2 , Chris J. Francois 2 , Oliver Wieben 1<br />

1 Medical Physics, University of Wisconsin, School of Medicine & Public Health, Madison, WI, United States; 2 Radiology, University<br />

of Wisconsin, School of Medicine & Public Health, Madison, WI, United States<br />

While studies have shown that high wall shear stress (WSS) creates aneurysms and low WSS contributes to aneurysmal growth, the downstream effects of<br />

an aneurysm on WSS remain unknown. In this study we compared measurements of peak WSS in the descending aorta of volunteers and in patients with an<br />

ascending aortic aneurysm. Measurements of peak WSS were lower in patients than in normal volunteers; the percent increase in WSS from diastolic<br />

baseline to peak systole was greater in volunteers than in patients. The long-term effects of lower WSS in the patients require further investigation.<br />

1352. Pressure Gradient Estimation from PC-MRI: Acceleration Versus Velocity Encoding<br />

Jelena Bock 1 , Felix Staehle 1 , Ramona Lorenz 1 , Kevin Michael Johnson 2 , Juergen Hennig 1 , Michael Markl 1<br />

1 Diagnostic Radiology, Medical Physics, University Hospital Freiburg, Freiburg, Germany; 2 University of Wisconsin, Madison,<br />

United States<br />

MRI can be used to estimate blood pressure gradients non-invasively by solving the Navier-Stokes equation. Most applications use velocity encoded MRI<br />

data to calculate pressure gradients by deriving local acceleration based on spatial and temporal derivates of the measured velocities. To minimize noise<br />

propagation errors, acceleration encoded MRI can be used to directly measure flow acceleration. In this study in-vitro and in-vivo data were used to<br />

systematically evaluate the performance of acceleration and velocity encoding PC-MRI for pressure gradient estimation. Results indicate that data derived<br />

from acceleration encoded MRI are less noisy and may provide more reliable pressure difference estimation.<br />

1353. Waveform Optimized (Easy to Build) Pulsatile Flow Phantom of the Common Carotid Artery<br />

Clemens Diwoky 1 , Christian Binter 1 , Johannes Konrad Strasser 1 , Rudolf Stollberger 1<br />

1 Institute of Medical Engineering, Graz University of Technology, Graz, Austria<br />

A phantom simulating the exact flow-velocity pulse shape within the common carotid artery is proposed. Beside the exact representation of the flow profile<br />

attention is paid on keeping the system flexible, simple and inexpensive. Parameters of the used components are figured out in order to optimize and<br />

manipulate the final pulsatile flow.

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