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Open AccessJournal ArticleDOI

Hepatic vascular flow measurements by phase contrast MRI and doppler echography: A comparative and reproducibility study

TLDR
To directly compare and study the variability of parameters related to hepatic blood flow measurements using 3 T phase‐contrast magnetic resonance imaging (PC‐MRI) and Doppler ultrasound (US).
Abstract
Purpose: To directly compare and study the variability of parameters related to hepatic blood flow measurements using 3 T phase-contrast magnetic resonance imaging (PC-MRI) and Doppler ultrasound (US). Materials and Methods: Nine healthy subjects were studied. Blood velocities and flow rate measurements were performed in the portal vein and the proper hepatic artery. MR studies were performed using a 3 T imager. Gradient-echo fast phase contrast sequences were used with both cardiac and respiratory gating. MR and Doppler flow parameters were extracted and compared. Two methods of calculation were used for Doppler flow rate analysis. Results: Compared to Doppler US, PC-MRI largely underestimated hepatic flow data with lower variability and higher reproducibility. This reproducibility was more pronounced in the portal vein than in the proper hepatic artery associated with poorer velocity correlations. Total hepatic flow values were 1239 ± 223 mL/min and 1595 ± 521 mL/min for PC-MRI and Doppler US, respectively. Conclusion: Free-breathing PC-MRI can provide reliable noninvasive measurement of hepatic flow parameters compared to Doppler US. The MR technique could help to improve Doppler flow calculations, thereby allowing standardization of protocols, particularly for applications in disease. J. Magn. Reson. Imaging 2010;31:579–588. © 2010 Wiley-Liss, Inc.

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Four-dimensional flow magnetic resonance imaging in cirrhosis.

TL;DR: The purpose of this review article is to broaden the understanding of 4D flow MRI for the assessment of liver hemodynamics by providing insights into acquisition, data analysis, visualization and quantification.
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The accuracy of ultrasound volume flow measurements in the complex flow setting of a forearm vascular access.

TL;DR: Overall, flow estimation based on centerline measurement, analyzed by mean-tracking of the RF-spectral estimates, under the assumption of a parabolic flow profile, appeared to provide the most reasonable values.
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Hemodynamics in Normal and Diseased Livers: Application of Image-Based Computational Models

TL;DR: This investigation demonstrates the utility of image-based computational models in portal venous hemodynamics and identifies several new parameters that offer statistical differentiation between healthy subjects and patients with liver disease.
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Imaging modalities for the diagnosis of hepatic fibrosis and cirrhosis

TL;DR: In this article, the authors explored non-invasive methods for liver fibrosis diagnosis in chronic liver diseases, such as perfusion, MR diffusion-weighted imaging, intravoxel incoherent motion or acoustic structure quantification.
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MR-based measurements of portal vein flow and liver stiffness for predicting gastroesophageal varices.

TL;DR: In this article, the authors evaluated flow parameters measured by phase contrast magnetic resonance (MR) imaging (PC-MRI) of the portal venous system and liver stiffness measured by MR elastography (MRE) to determine the usefulness of these methods in predicting gastroesophageal varices (GEV) in patients with chronic liver disease (CLD).
References
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Journal ArticleDOI

Measurement of blood flow by ultrasound: accuracy and sources of error.

TL;DR: The Doppler methods are capable of good absolute accuracy when suitably designed equipment is used in appropriate situations, with systematic errors of 6% of less; there are, however, considerable random errors.
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Cardiovascular Flow Measurement with Phase-Contrast MR Imaging: Basic Facts and Implementation

TL;DR: With phase-contrast imaging, the overall error in flow measurement can be reduced to less than 10%, an acceptable level of error for routine clinical use.
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Mechanism and role of intrinsic regulation of hepatic arterial blood flow: hepatic arterial buffer response

TL;DR: Hepatic parenchymal cell metabolic status does not control the hepatic arterial blood flow, and the mechanism of the arterial buffer response seems to depend on portal blood flow washing away local concentrations of adenosine from the area of thearterial resistance site.
Journal ArticleDOI

Accuracy of phase‐contrast flow measurements in the presence of partial‐volume effects

TL;DR: It is shown that limited resolution (partial‐volume effect) is the major obstacle to accurate flow measurement for both laminar and plug flow and at least 16 voxels must cover the cross section of the vessel lumen to obtain a measurement accuracy to within 10%.
Journal ArticleDOI

Hepatic flow parameters measured with MR imaging and Doppler US: correlations with degree of cirrhosis and portal hypertension.

TL;DR: Hepatic flow parameters measured with MR imaging correlate with the severity of cirrhosis and portal hypertension and Doppler US parameters are only weakly correlated with portal pressure.
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