Two-dimensional flow quantitative MRI of aortic arch blood flow patterns

Effect of age, sex, and presence of carotid atheromatous disease on prevalence of spiral blood flow

J. Graeme Houston, Stephen J. Gandy, Declan G. Sheppard, John B. Dick, Jill J. F. Belch, Peter A. Stonebridge

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    Abstract

    Purpose:
    To determine the effect of age, sex, and presence of carotid atheromatous disease on the presence of aortic spiral blood flow pattern using two-dimensional flow quantitative magnetic resonance imaging (MRI).
    Materials and Methods:
    Sixty subjects (37 women, 23 men) were examined. Prospective phase contrast flow quantitative MRI (1.5 T, Siemens Symphony) sequences in the plane of the aortic arch, and three-dimensional contrast-enhanced MR angiography of the vessels from the aortic arch to the circle of Willis, were performed. Flow quantitative analysis, using circular regions of interest, in the root, apex, and descending aortic arch to determine the presence of a spiral blood flow pattern was undertaken. The results were correlated with the subjects age, sex, and presence of significant carotid arterial disease.
    Results:
    A spiral blood flow pattern was seen during diastole in 43 of 50 (86%), 42 of 48 (88%), and in 26 of 28 (93%) subjects in the root, apex, and descending aortic arch, respectively. Spiral flow was seen during systole in 14 of 35 (40%), 20 of 47 (42%), and 11 of 31 (35%) subjects in the root, apex, and descending aortic arch, respectively. There was no clear effect of age or sex on the presence of spiral flow. Carotid disease was associated with a significant reduction in the prevalence of systolic spiral flow from 51%–19% subjects (P < 0.05).
    Conclusion:
    Spiral flow pattern can be seen in the arch of the aorta in clinical practice using flow quantitative MRI. The prevalence of spiral flow pattern does not appear affected by subject age or sex. Carotid atheromatous disease is associated with a reduction in prevalence of systolic spiral flow pattern in the aortic arch.

    Original languageEnglish
    Pages (from-to)169-174
    Number of pages6
    JournalJournal of Magnetic Resonance Imaging
    Volume18
    Issue number2
    DOIs
    Publication statusPublished - Aug 2003

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    Thoracic Aorta
    Magnetic Resonance Imaging
    Circle of Willis
    Carotid Artery Diseases
    Diastole
    Systole
    Angiography

    Cite this

    @article{4a61aacac5c14ff4ba2c79489bc18fae,
    title = "Two-dimensional flow quantitative MRI of aortic arch blood flow patterns: Effect of age, sex, and presence of carotid atheromatous disease on prevalence of spiral blood flow",
    abstract = "Purpose: To determine the effect of age, sex, and presence of carotid atheromatous disease on the presence of aortic spiral blood flow pattern using two-dimensional flow quantitative magnetic resonance imaging (MRI). Materials and Methods: Sixty subjects (37 women, 23 men) were examined. Prospective phase contrast flow quantitative MRI (1.5 T, Siemens Symphony) sequences in the plane of the aortic arch, and three-dimensional contrast-enhanced MR angiography of the vessels from the aortic arch to the circle of Willis, were performed. Flow quantitative analysis, using circular regions of interest, in the root, apex, and descending aortic arch to determine the presence of a spiral blood flow pattern was undertaken. The results were correlated with the subjects age, sex, and presence of significant carotid arterial disease. Results: A spiral blood flow pattern was seen during diastole in 43 of 50 (86{\%}), 42 of 48 (88{\%}), and in 26 of 28 (93{\%}) subjects in the root, apex, and descending aortic arch, respectively. Spiral flow was seen during systole in 14 of 35 (40{\%}), 20 of 47 (42{\%}), and 11 of 31 (35{\%}) subjects in the root, apex, and descending aortic arch, respectively. There was no clear effect of age or sex on the presence of spiral flow. Carotid disease was associated with a significant reduction in the prevalence of systolic spiral flow from 51{\%}–19{\%} subjects (P < 0.05). Conclusion: Spiral flow pattern can be seen in the arch of the aorta in clinical practice using flow quantitative MRI. The prevalence of spiral flow pattern does not appear affected by subject age or sex. Carotid atheromatous disease is associated with a reduction in prevalence of systolic spiral flow pattern in the aortic arch.",
    author = "Houston, {J. Graeme} and Gandy, {Stephen J.} and Sheppard, {Declan G.} and Dick, {John B.} and Belch, {Jill J. F.} and Stonebridge, {Peter A.}",
    note = "Copyright 2003 Wiley-Liss, Inc.",
    year = "2003",
    month = "8",
    doi = "10.1002/jmri.10341",
    language = "English",
    volume = "18",
    pages = "169--174",
    journal = "Journal of Magnetic Resonance Imaging",
    issn = "1053-1807",
    publisher = "Wiley",
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    }

    Two-dimensional flow quantitative MRI of aortic arch blood flow patterns : Effect of age, sex, and presence of carotid atheromatous disease on prevalence of spiral blood flow. / Houston, J. Graeme; Gandy, Stephen J.; Sheppard, Declan G.; Dick, John B.; Belch, Jill J. F.; Stonebridge, Peter A.

    In: Journal of Magnetic Resonance Imaging, Vol. 18, No. 2, 08.2003, p. 169-174.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Two-dimensional flow quantitative MRI of aortic arch blood flow patterns

    T2 - Effect of age, sex, and presence of carotid atheromatous disease on prevalence of spiral blood flow

    AU - Houston, J. Graeme

    AU - Gandy, Stephen J.

    AU - Sheppard, Declan G.

    AU - Dick, John B.

    AU - Belch, Jill J. F.

    AU - Stonebridge, Peter A.

    N1 - Copyright 2003 Wiley-Liss, Inc.

    PY - 2003/8

    Y1 - 2003/8

    N2 - Purpose: To determine the effect of age, sex, and presence of carotid atheromatous disease on the presence of aortic spiral blood flow pattern using two-dimensional flow quantitative magnetic resonance imaging (MRI). Materials and Methods: Sixty subjects (37 women, 23 men) were examined. Prospective phase contrast flow quantitative MRI (1.5 T, Siemens Symphony) sequences in the plane of the aortic arch, and three-dimensional contrast-enhanced MR angiography of the vessels from the aortic arch to the circle of Willis, were performed. Flow quantitative analysis, using circular regions of interest, in the root, apex, and descending aortic arch to determine the presence of a spiral blood flow pattern was undertaken. The results were correlated with the subjects age, sex, and presence of significant carotid arterial disease. Results: A spiral blood flow pattern was seen during diastole in 43 of 50 (86%), 42 of 48 (88%), and in 26 of 28 (93%) subjects in the root, apex, and descending aortic arch, respectively. Spiral flow was seen during systole in 14 of 35 (40%), 20 of 47 (42%), and 11 of 31 (35%) subjects in the root, apex, and descending aortic arch, respectively. There was no clear effect of age or sex on the presence of spiral flow. Carotid disease was associated with a significant reduction in the prevalence of systolic spiral flow from 51%–19% subjects (P < 0.05). Conclusion: Spiral flow pattern can be seen in the arch of the aorta in clinical practice using flow quantitative MRI. The prevalence of spiral flow pattern does not appear affected by subject age or sex. Carotid atheromatous disease is associated with a reduction in prevalence of systolic spiral flow pattern in the aortic arch.

    AB - Purpose: To determine the effect of age, sex, and presence of carotid atheromatous disease on the presence of aortic spiral blood flow pattern using two-dimensional flow quantitative magnetic resonance imaging (MRI). Materials and Methods: Sixty subjects (37 women, 23 men) were examined. Prospective phase contrast flow quantitative MRI (1.5 T, Siemens Symphony) sequences in the plane of the aortic arch, and three-dimensional contrast-enhanced MR angiography of the vessels from the aortic arch to the circle of Willis, were performed. Flow quantitative analysis, using circular regions of interest, in the root, apex, and descending aortic arch to determine the presence of a spiral blood flow pattern was undertaken. The results were correlated with the subjects age, sex, and presence of significant carotid arterial disease. Results: A spiral blood flow pattern was seen during diastole in 43 of 50 (86%), 42 of 48 (88%), and in 26 of 28 (93%) subjects in the root, apex, and descending aortic arch, respectively. Spiral flow was seen during systole in 14 of 35 (40%), 20 of 47 (42%), and 11 of 31 (35%) subjects in the root, apex, and descending aortic arch, respectively. There was no clear effect of age or sex on the presence of spiral flow. Carotid disease was associated with a significant reduction in the prevalence of systolic spiral flow from 51%–19% subjects (P < 0.05). Conclusion: Spiral flow pattern can be seen in the arch of the aorta in clinical practice using flow quantitative MRI. The prevalence of spiral flow pattern does not appear affected by subject age or sex. Carotid atheromatous disease is associated with a reduction in prevalence of systolic spiral flow pattern in the aortic arch.

    U2 - 10.1002/jmri.10341

    DO - 10.1002/jmri.10341

    M3 - Article

    VL - 18

    SP - 169

    EP - 174

    JO - Journal of Magnetic Resonance Imaging

    JF - Journal of Magnetic Resonance Imaging

    SN - 1053-1807

    IS - 2

    ER -