Recent studies point out hemodynamics and wall inflammation as individual risk factors for aneurysm evolution. We investigated on 28 aneurysms in-vivo correlations between hemodynamics and wall inflammation by comparing 4D Flow parameters and quantitative aneurysm wall enhancement. Viscous energy loss and kinetic energy were correlated to maximum values of enhancement with high correlation coefficients (p<0.0001; correlation coefficient 0.79 and p<0.0001; correlation coefficient 0.85, respectively). By showing that flow instability and spatial flow complexity are highly correlated with aneurysm wall enhancement, this study highlights the existence of a link between inflammation process depicted through vessel wall enhancement and hemodynamic patterns.
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