Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Cardiovascular Diseases - diagnosis Cardiovascular Diseases - diagnostic imaging Cardiovascular Diseases - physiopathology Carotid Arteries Carotid Artery, Common - diagnostic imaging Carotid Artery, Common - physiopathology Carotid Stenosis - diagnosis Carotid Stenosis - diagnostic imaging Carotid Stenosis - physiopathology Contrast Media - therapeutic use Humans Hydrodynamics Magnetic Resonance Angiography - methods Magnetic Resonance Imaging - methods
The aim of the study was to calculate the arterial wall signal intensity gradient (SIG) from time-of-flight MR angiography (TOF-MRA) and represent arterial wall shear stress. We developed a new algorithm that uses signal intensity (SI) of a TOF-MRA to directly calculate the signal intensity gradient (SIG). The results from our phantom study showed that the TOF-MRA SIG could be used to distinguish the magnitude of blood flow rate as high (mean SIG ± SD, 2.2 ± 0.4 SI/mm for 12.5 ± 2.3 L/min) and low (0.9 ± 0.3 SI/mm for 8.5 ± 2.6 L/min) in vessels (
< 0.001). Additionally, we found that the TOF-MRA SIG values were highly correlated with various flow rates (
= 0.96,
< 0.001). Remarkably, the correlation coefficient between the WSS obtained from the computational fluid dynamics (CFD) analysis and the TOF-MRA SIG was greater than 0.8 in each section at the carotid artery (
< 0.001 for all
values). This new technique using TOF-MRA could enable the rapid calculation of the TOF-MRA SIG and thereby the WSS. Thus, the TOF-MRA SIG can provide clinicians with an accurate and efficient screening method for making rapid decisions on the risk of vascular disease for a patient in clinical practice.