Abdominal Applications of 4D Flow MRI

Author:

Riedel Christoph1,Lenz Alexander1,Fischer Lutz2,Li Jun23,Piecha Feilix4,Kluwe Johannes4,Adam Gerhard1,Bannas Peter1

Affiliation:

1. Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

2. Department of Visceral Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

3. Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

4. I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Abstract

Background Four-dimensional flow magnetic resonance imaging (4D flow MRI) provides volumetric and time-resolved visualization and quantification of blood flow. This review presents an overview of possible applications of 4D flow MRI for non-invasive assessment of abdominal hemodynamics. Method This review is based on the authors’ experience and the current literature. A PubMed database literature research was performed in December 2019 focusing on abdominal applications of 4D flow MRI. We illustrated the review with exemplary figures and movies of clinical cases from our institution. Results and Conclusion 4D flow MRI offers the possibility of comprehensive assessment of abdominal blood flows in different vascular territories and organ systems. Results of recent studies indicate that 4D flow MRI improves understanding of altered hemodynamics in patients with abdominal disease and may be useful for monitoring therapeutic response. Future studies with larger cohorts aiming to integrate 4D flow MRI in the clinical routine setting are needed. Key Points:  Citation Format

Funder

Deutsche Stiftung für Herzforschung

Forschungszentrum Medizintechnik Hamburg

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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