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Improved aortic stiffness assessment in the elderly using a one-dimensional fluid displacement MR method

✍ Scribed by Kenneth A. Kraft; Ding-Yu Fei; Xianzhi Shao; Yung-Yeh Chang; Ross Arena


Book ID
102904547
Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
1009 KB
Volume
24
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

Purpose

To assess the in vitro accuracy of two rapid projective MR wave velocity measurement sequences, and their relative performance for assessing aortic stiffness in adults of all ages.

Materials and Methods

In vitro testing was performed using latex tube phantoms with precisely‐known flow wave velocities, both in the presence and absence of simulated static tissue. A total of 104 adults representing a large age range (21–83 years) underwent aortic wave velocity (AWV) measurements using multiple trials of each method in a single MR session. The relative agreement between the two AWV results in each tertile of subject age and the coefficient of variation of the AWV data were assessed.

Results

In vitro wave velocities did not differ significantly from the known values for either MR method, with or without simulated static tissue. In vivo, the mean AWVs for the young and middle‐aged cohorts did not differ significantly between the two MR methods. However, in the elderly group, the two methods did not agree, and one sequence was found to be superior in this age cohort.

Conclusion

In elderly individuals, a one‐dimensional MR method for evaluating aortic stiffness based on aortic blood displacement yields a smaller coefficient of variation and superior overall performance than a similar method based on aortic blood velocity. The two methods perform equivalently in young and middle‐aged subjects. J. Magn. Reson. Imaging 2006. © 2006 Wiley‐Liss, Inc.