Table 1. Summary of Hemodynamic Parameters and Their Clinical Applications.
Parameter* | Definition | Physiological Implication | Application in Previous Studies | Notes |
---|---|---|---|---|
Flow velocity & flow rate | Amount of blood transported | Abnormal increase or decrease in blood flow indicates possible ischemia or local contraction of vessel | 1. Peak velocity at aortic valve (14,68) 2. In- and outflow within intracardiac chamber (30,56,69,70) 3. Flow rate through intracardiac branches (72,73) |
Sufficient spatial and temporal resolutions are required |
WSS | Frictional shearing force on vessel | Abnormal alteration of flow pattern near vessel wall influences vascular dysfunction | 1. WSS increase in patients with BAV (3,4,74) 2. Low & oscillatory WSS in carotid artery (2) 3. WSS increase in intracranial aneurysms (75,76,77) |
WSS can be influenced by spatial resolution |
Vortex | Rotational structure of blood flow | Abnormal appearance of vortical flow indicates abnormal alteration of flow pattern | 1. Development of vortex flow at pulmonary hypertension (57) | Vortex identification can be highly influenced by noise |
TKE | Turbulent kinetic energy | Increased TKE indicates more energy loss of blood flow | 1. Increased TKE at aortic stenosis (17) 2. Increased TKE at cardiomyopathy (78) |
More than two acquisitions are required |
Relative pressure | Pressure gradient from arbitrary reference | Increased pressure drop indicates decreased blood flow or increased work load of heart | 1. Pressure gradient through stenosis in aorta (23,65,66,79,80) and carotid, iliac (82), and renal (81) arteries 2. Pressure distribution at intracardiac plaque (83) |
Influence of turbulence on pressure field cannot be included |
*Note that most of parameters except flow velocity and flow rate are currently unavailable in most commercial software. Therefore, development of in-house software is required to estimate hemodynamic parameters. BAV = bicuspid aortic valve, TKE = turbulent kinetic energy, WSS = wall shear stress