Aortic velocity measurements derived from phase‐contrast MRI are influenced by a cardiac implantable electronic device in both adult and pediatric human subjects.
Saved in:
| Title: | Aortic velocity measurements derived from phase‐contrast MRI are influenced by a cardiac implantable electronic device in both adult and pediatric human subjects. |
|---|---|
| Authors: | Yang, Huili1,2 (AUTHOR), Aboyewa, Oluyemi B.1,2 (AUTHOR) oluyemi.aboyewa@northwestern.edu, Webster, Gregory3 (AUTHOR), Shah, Dhaivat3 (AUTHOR), Golestanirad, Laleh1,2 (AUTHOR), Baraboo, Justin J.1,2 (AUTHOR), Markl, Michael1,2 (AUTHOR), Collins, Jeremy D.4 (AUTHOR), Knight, Bradley P.5 (AUTHOR), Hong, KyungPyo1 (AUTHOR), Patel, Amit R.6 (AUTHOR), Lee, Daniel C.1,5 (AUTHOR), Kim, Daniel1,2 (AUTHOR) |
| Source: | Magnetic Resonance in Medicine. May2025, Vol. 93 Issue 5, p2099-2107. 9p. |
| Subjects: | Aortic valve, Electronic equipment, Artificial implants, Velocity measurements, Cardiac magnetic resonance imaging |
| Abstract: | Purpose: Overall there is a lack of evidence on the accuracy and precision of phase‐contrast (PC) MRI in patients with cardiac implantable electronic devices (CIEDs). The purpose of this study is to determine whether aortic velocity measurements are influenced by a CIED. Methods: We scanned 21 adult patients and 8 pediatric volunteers using clinical standard PC and real‐time PC (rt‐PC) sequences with and without a CIED generator taped on human subjects (below the left clavicle for adults and children; also on the abdomen for children) to mimic image artifacts. Peak and mean velocities above the aortic valve were calculated. Results: The Bland–Altman analyses on peak velocity measurements in pediatric subjects showed that both the accuracy and precision worsen as the distance between the CIED and aortic valve decreases (i.e., from abdomen to below the left clavicle). Specifically, both the bias and the coefficient of variation (CV) for both clinical PC and rt‐PC increased from the abdominal position (clinical: bias = −1.1%, CV = 4.3%; rt‐PC: bias = −0.3%, CV = 3.4%) to the clavicle position (clinical: bias = −4.0%, CV = 8.1%; rt‐PC: bias = 8.2%, CV = 7.3%). A similar trend was observed for mean velocity. The mean difference in peak and mean velocity measurements between rt‐PC with CIED (either position) and clinical standard PC with no CIED was within 7.5%. In adult patients, the mean difference between rt‐PC with CIED and clinical standard PC with CIED in peak velocity was 6.9%, and the CV was 7.9%. Conclusion: This study demonstrates that aortic velocity measurements are influenced by CIED in both adult and pediatric subjects. [ABSTRACT FROM AUTHOR] |
| Copyright of Magnetic Resonance in Medicine is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: egs DbLabel: Engineering Source An: 183917306 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Aortic velocity measurements derived from phase‐contrast MRI are influenced by a cardiac implantable electronic device in both adult and pediatric human subjects. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Yang%2C+Huili%22">Yang, Huili</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aboyewa%2C+Oluyemi+B%2E%22">Aboyewa, Oluyemi B.</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> oluyemi.aboyewa@northwestern.edu</i><br /><searchLink fieldCode="AR" term="%22Webster%2C+Gregory%22">Webster, Gregory</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shah%2C+Dhaivat%22">Shah, Dhaivat</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Golestanirad%2C+Laleh%22">Golestanirad, Laleh</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baraboo%2C+Justin+J%2E%22">Baraboo, Justin J.</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Markl%2C+Michael%22">Markl, Michael</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Collins%2C+Jeremy+D%2E%22">Collins, Jeremy D.</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Knight%2C+Bradley+P%2E%22">Knight, Bradley P.</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hong%2C+KyungPyo%22">Hong, KyungPyo</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patel%2C+Amit+R%2E%22">Patel, Amit R.</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Daniel+C%2E%22">Lee, Daniel C.</searchLink><relatesTo>1,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Daniel%22">Kim, Daniel</searchLink><relatesTo>1,2</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Magnetic+Resonance+in+Medicine%22">Magnetic Resonance in Medicine</searchLink>. May2025, Vol. 93 Issue 5, p2099-2107. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Aortic+valve%22">Aortic valve</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+equipment%22">Electronic equipment</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+implants%22">Artificial implants</searchLink><br /><searchLink fieldCode="DE" term="%22Velocity+measurements%22">Velocity measurements</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiac+magnetic+resonance+imaging%22">Cardiac magnetic resonance imaging</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Overall there is a lack of evidence on the accuracy and precision of phase‐contrast (PC) MRI in patients with cardiac implantable electronic devices (CIEDs). The purpose of this study is to determine whether aortic velocity measurements are influenced by a CIED. Methods: We scanned 21 adult patients and 8 pediatric volunteers using clinical standard PC and real‐time PC (rt‐PC) sequences with and without a CIED generator taped on human subjects (below the left clavicle for adults and children; also on the abdomen for children) to mimic image artifacts. Peak and mean velocities above the aortic valve were calculated. Results: The Bland–Altman analyses on peak velocity measurements in pediatric subjects showed that both the accuracy and precision worsen as the distance between the CIED and aortic valve decreases (i.e., from abdomen to below the left clavicle). Specifically, both the bias and the coefficient of variation (CV) for both clinical PC and rt‐PC increased from the abdominal position (clinical: bias = −1.1%, CV = 4.3%; rt‐PC: bias = −0.3%, CV = 3.4%) to the clavicle position (clinical: bias = −4.0%, CV = 8.1%; rt‐PC: bias = 8.2%, CV = 7.3%). A similar trend was observed for mean velocity. The mean difference in peak and mean velocity measurements between rt‐PC with CIED (either position) and clinical standard PC with no CIED was within 7.5%. In adult patients, the mean difference between rt‐PC with CIED and clinical standard PC with CIED in peak velocity was 6.9%, and the CV was 7.9%. Conclusion: This study demonstrates that aortic velocity measurements are influenced by CIED in both adult and pediatric subjects. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Magnetic Resonance in Medicine is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=183917306 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/mrm.30399 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 2099 Subjects: – SubjectFull: Aortic valve Type: general – SubjectFull: Electronic equipment Type: general – SubjectFull: Artificial implants Type: general – SubjectFull: Velocity measurements Type: general – SubjectFull: Cardiac magnetic resonance imaging Type: general Titles: – TitleFull: Aortic velocity measurements derived from phase‐contrast MRI are influenced by a cardiac implantable electronic device in both adult and pediatric human subjects. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Yang, Huili – PersonEntity: Name: NameFull: Aboyewa, Oluyemi B. – PersonEntity: Name: NameFull: Webster, Gregory – PersonEntity: Name: NameFull: Shah, Dhaivat – PersonEntity: Name: NameFull: Golestanirad, Laleh – PersonEntity: Name: NameFull: Baraboo, Justin J. – PersonEntity: Name: NameFull: Markl, Michael – PersonEntity: Name: NameFull: Collins, Jeremy D. – PersonEntity: Name: NameFull: Knight, Bradley P. – PersonEntity: Name: NameFull: Hong, KyungPyo – PersonEntity: Name: NameFull: Patel, Amit R. – PersonEntity: Name: NameFull: Lee, Daniel C. – PersonEntity: Name: NameFull: Kim, Daniel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 07403194 Numbering: – Type: volume Value: 93 – Type: issue Value: 5 Titles: – TitleFull: Magnetic Resonance in Medicine Type: main |
| ResultId | 1 |