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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: Magn Reson Med. 2019 Feb 25;81(6):3675–3690. doi: 10.1002/mrm.27684

Table 5:

Previous evaluations in the literature of accelerated 4D flow. Second column lists “conventional” comparison method first, if applicable, and acceleration technique to be evaluated second. SR=spatial resolution, tempRes = temporalresolution

Study and Population MRI Acquisitions Main Relevant Findings
Current study
n=20 healthy volunteers (mean age 38.3 [22-70] years)
n=11 patients with aortic valve disease
1.5T:
Aortic Acquisition

Navigator-gated cartesian 4D
flow with retrospective gating and ReCAR:
SR=2.4-2.5 × 3.5-5.0 × 3.3-3.8mm^3
Temp Res: 40.0-45.3 ms
Acquisition Time: 7.7 ± 3.6 min

k-t accelerated cartesian 4D flow with retrospective gating,
ReCAr, and CS reconstruction:
SR=2.4-2.5 × 3.5-5.0 × 3.3-3.8Mm3
Temp Res: 38.5-44.5 ms
Acquisition Time: 1.9 ± 0.3 min
Peak Velocity:
Volunteers: −16 to −10 % underestimation
Patients:

Peak Flow:
Volunteers: −10.1 to −0.9% underestimation
Gu et al, AJNR 200531

n=6 (3 patients, 3 volunteers) all had contrast except one

Flow phantom with controllable flow rate
1.5T
Venc = 20 cm/s
Intracranial acquisition

Cartesian 4D Flow:
acquired SR=0.95×0.95× 2.00 mm3
TR/TE = 6.6 ms/18 ms
Acquisition time= 7 min 22 sec unsure of R

PC VIPR
acquired SR = 0.63×0.63×0.63 mm3
TR/TE = 7.57/17.34 ms
Acquisition time varied from 3:50 to 7:30 min depending on FOV and number of radial projections
Flow validation resulted in R2 = 0.99 in vitro and R2=0.97 in vivo, but this was involving comparison to 2D PC.

PC-VIPR had a 6% underestimation in phantom flow with known flow rates.

Direct comparison to 4D flow MRI focused on qualitative evaluation
Hsiao Radiology 201222
n = 34 (mean 6, range 10 month to 21 years)
1.5T
Venc = 120-350 cm/s
whole heart
variable-density Poisson disk k-space undersampling:
acceleration 1.4×1.4 to 2.2×2.2 (ky-kz);

SR = 1.02×1.34×2.30 mm3
temporal res: 31 to 86 ms
Acquisition time: 5-15 min
Reconstruction: <3 hours
offline 1-SPIRiT
may facilitate more reliable detection and characterization of intracardiac shunts and valve regurgitation
Schnell et al, MRM 201437 n=10 volunteers
mean age 28.4 years
3T
Venc = 150 cm/s looked at 12 and 32 channel receiver coils

Navigator-gated Cartesian 4D flow with prospective triggering:
SR= 2.1×2.5×2.5 mm^3
tempRes = 40.0 ms
GRAPPA accelerated R= 2 n(net acceleration = 1.6)
k-t accelerated cartesian 4D flow with prospective triggering:
matched imaging parameters k-t acceleration rates: 3,5,8 (net acceleration = 2.8, 4.2, 6.3)
Quantification at aortic root, mid AAo, mid arch, proximal DAo.
Differences from GRAPPA R=2

peak flow was significantly different for R=5 and R=8
R = 5:
Peak flow: −5.3 to −3.7%

R=8:
peak flow: −12.0% to −8.0%
Peak velocity was only significantly different for R=8:
−7.4% at root, −12.0% at DAo p<0.03

net flow similar for all methods
Giese et al. JCMR 201432
n=6 for flow measurements
1.5T:
Intracardiac:
Venc = 200 cm/s for volunteers, Venc = 120-400 cm/s for patients

Navigator-gated, retrospectively gated, k-t PCA-accelerated 3D PC:
nominal acceleration of 8, 11 and 7,
SR=2.5×2.5×2.5 mm3 (volunteers), 1.26-2.31×1.4-2.31, 1.72-2.31 mm3 (pediatric patients)
temporal resolution = 35.6 ±5.3 ms,

Acquisition time: 5.6 min for volunteers, 3.6 to 7.1 for others,
Volunteers:
interested in AAO, MPA, RPA, LPA, SVC;
stroke volume/net flow: 5.6± 14.9% difference from 2D flow
peak flow: −5.1±7.5% from 2D

CHD: 1.6±4.8 mL difference underestimation in net flow,
Dvorne et al, Radiology 201521
n=10 (7 liver patients, 3 healthy volunteers)
Mean age 51 (30-70) years
1.5T
Venc = 60 cm/s
Abdominal acquisition

Free-breathing, Navigator-gated Cartesian 4D Flow with prospective gating:
acquired SR: 2.5×3.9×5.0 mm3
TempRes = 68.4 ms; R=2
GRAPPA
Acquisition time= 11 min 21 sec (6 min 12 sec-20 min 37 sec)

Accelerated Prospectively Gated 4D flow Spiral sampling with multiple breatholds
Acquired SR = 2.5×2.5×5.0
TempRes = 66.2 ms
R=6
Acquistion time: 18-25 s
CS reconstruction
Quantified 18 major abdominal vessels:
CS reconstruction took 3 hours per subject offline

Flow: −2.8 to −38.8% change in flow (p<0.001)in CS compared to cartesian 4D flow

Peak Velocity: −30.9 to 86% change compared
to cartesian (p=0.024);
Zaman et al JMRI 201538
n=15 healthy subjects (mean 26.5, 22-48 years, 10M), 8 patients with surgically repaired aortic coarctation (4M, 30.5 years, range 22-37 years).
3T:
Aorta acquisition

free-breathing retrospectively-gated, cartesian, SENSE 4D flow:
R = 1.6,
SR=2.5×2.5×2.5 mm3
Temporal Resolution = 50-55 ms
Acquisition time: 25.2 min

Free-breathing, prospectively gated 4D flow with k-t BLAST:
R=5,
SR=2.5×2.5×2.5
temp res 45-60 ms (5.5 min)
Reference was 2D PC using SENSE:

no significant differences in flow, velocity, or stroke volume values for any of the 4D flow pulse sequences compared to the reference
Cheng et al, Nature 201736
n=6 (3F) age 3 days to 15 years, pediatric patients
1.5/3T,
Venc=100-250 cm/s
Whole heart acquisition

4D flow with intrinisic butterfly navigators, Vrad sampling, and CS:
SR=0.9-2.1×0.8-2.0×1.4-3.0 mm3
TR/TE=1.7-1.8 ms/ 4.0-5.8 ms
Acquisition time: 7:14 to 10:34 min
Comparison of patients found lower average flow that varies throughout time in XD flow recon (~0.25 L/min) compared to conventional (~0.35 L/min) but also improved image sharpness and decreased velocity standard deviations in XD flow.
Bollache et al, MRM 201833

n=20 (10 volunteers, mean age 61 [31-77] years; 10 patients with aortic disease, mean age 60 [44-74] years;

in-vitro: pulsatile 3D printed aortic flow phantom with aortic coarctation
1.5 T Aortic acquisition Venc = 150/150-250 cm/s (volunteers/patients)

Navigator-gated Cartesian 4D flow with prospective triggering:
acquired SR =3.1×2.1×2.6 mm3 (is it acquried)
TempRes = 38.4-39.2 ms
Acquisition time (average): 11:56-12:47

k-t accelerated cartesian 4D flow with prospective triggering and varying samping patterns (R=5):
Volunteers:
acquiredSR: 3.4×2.3×2.6-3.3 and 4.5×2.3×2.6-3.8 mm3
tempRes: 67.2 ms
Acquisition time: 3:00 min

Patients:
acquired SR: 3.4×2.3×2.8-3.0 mm3
TempRes = 65.6 ms
Acquisition time: <2:30 min
differences from GRAPPA R=2

In vitro:
Peak Velocity: −22 to −0.8%
Peak Flow: −4.0 to 4.2%
Net flow: −2.0 to 11%

Healthy Volunteers:
Peak Velocity: −18 to 6.4%
PeakFlow: −15.0 to 3.0 %
Net flow: −17.0 to 2.9%

Patients:
Peak Velocity: −5.0 to −3.8%
Peak Flow: −4.1 to − 3.8%
Net Flow: 4.4 to 5.8%