Correlation between Pulmonary Artery Pressure and Vortex Duration Determined by 4D Flow MRI in Main Pulmonary Artery in Patients with Suspicion of Chronic Thromboembolic Pulmonary Hypertension (CTEPH).

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serval:BIB_BB633C3F8F18
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Correlation between Pulmonary Artery Pressure and Vortex Duration Determined by 4D Flow MRI in Main Pulmonary Artery in Patients with Suspicion of Chronic Thromboembolic Pulmonary Hypertension (CTEPH).
Journal
Journal of clinical medicine
Author(s)
Deux J.F., Crowe L.A., Genecand L., Hachulla A.L., Glessgen C.G., Noble S., Beghetti M., Ning J., Giese D., Lador F., Vallée J.P.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
05/09/2022
Peer-reviewed
Oui
Volume
11
Number
17
Pages
5237
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the causes of pulmonary hypertension (PH) and requires invasive measurement of the mean pulmonary artery pressure (mPAP) during right heart catheterisation (RHC) for the diagnosis. 4D flow MRI could provide non-invasive parameters to estimate the mPAP. Twenty-five patients with suspected CTEPH underwent cardiac MRI. Mean vortex duration (%), pulmonary distensibility, right ventricular volumes and function were measured using 4D flow MRI and cine sequences, and compared with the mPAP measured by RHC. The mPAP measured during RHC was 33 ± 16 mmHg (10−66 mmHg). PH (defined as mPAP > 20 mmHg) was present in 19 of 25 patients (76%). A vortical flow was observed in all but two patients (92%) on 4D flow images, and vortex duration showed good correlation with the mPAP (r = 0.805; p < 0.0001). Youden index analysis showed that a vortex duration of 8.6% of the cardiac cycle provided a 95% sensitivity and an 83% specificity to detect PH. Reliability for the measurement of vortex duration was excellent for both intra-observer ICC = 0.823 and inter-observer ICC = 0.788. Vortex duration could be a useful parameter to non-invasively estimate mPAP in patients with suspected CTEPH.
Keywords
4D flow MRI, cardiac MRI, chronic thromboembolic disease, pulmonary hypertension, right heart catheterisation, vortex duration, vortical flow
Pubmed
Web of science
Open Access
Yes
Create date
20/09/2022 14:33
Last modification date
23/01/2024 8:33
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