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research article

3D phase contrast MRI: Partial volume correction for robust blood flow quantification in small intracranial vessels

Bouillot, Pierre
•
Delattre, Bénédicte M. A.
•
Brina, Olivier
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January 1, 2018
Magnetic Resonance in Medicine

Purpose: Recent advances in 3D-PCMRI (phase contrast MRI) sequences allow for measuring the complex hemodynamics in cerebral arteries. However, the small size of these vessels vs spatial resolution can lead to non-negligible partial volume artifacts, which must be taken into account when computing blood flow rates. For this purpose, we combined the velocity information provided by 3D-PCMRI with vessel geometry measured with 3DTOF (time of flight MRI) or 3DRA (3D rotational angiography) to correct the partial volume effects in flow rate assessments. Methods: The proposed methodology was first tested in vitro on cylindrical and patient specific vessels subject to fully controlled pulsatile flows. Both 2D- and 3D-PCMRI measurements using various spatial resolutions ranging from 20 to 1.3 voxels per vessel diameter were analyzed and compared with flowmeter baseline. Second, 3DTOF, 2D- and 3D-PCMRI measurements were performed in vivo on 35 patients harboring internal carotid artery (ICA) aneurysms indicated for endovascular treatments requiring 3DRA imaging. Results: The in vitro 2D- and 3D-PCMRI mean flow rates assessed with partial volume correction showed very low sensitivity to the acquisition resolution above ≈ voxels per vessel diameter while uncorrected flow rates deviated critically when decreasing the spatial resolution. 3D-PCMRI flow rates measured in vivo in ICA agreed very well with 2D-PCMRI data and a good flow conservation was observed at the C7 bifurcation. Globally, partial volume correction led to 10–15% lower flow rates than uncorrected values as those reported in most of the published studies on intracranial flows. Conclusion: Partial volume correction may improve the accuracy of PCMRI flow rate measurements especially in small vessels such as intracranial arteries. Magn Reson Med 79:129–140, 2018.

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Type
research article
DOI
10.1002/mrm.26637
Author(s)
Bouillot, Pierre
Delattre, Bénédicte M. A.
Brina, Olivier
Ouared, Rafik
Farhat, Mohamed
Chnafa, Christophe
Steinman, David A.
Lovblad, Karl-Olof
Pereira, Vitor M.
Vargas, Maria I.
Date Issued

2018-01-01

Publisher

Wiley

Published in
Magnetic Resonance in Medicine
Volume

79

Issue

1

Start page

129

End page

140

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMH  
Available on Infoscience
June 8, 2018
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/146761
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