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Abstract #0097

Non-invasive Assessment of Left Ventricular Hemodynamic Forces in Mitral Patients using 4-Dimensional Flow Magnetic Resonance Imaging

Monisha Ghosh Srabanti 1 and Julio Garcia2
1Biomedical Engineering, University of Calgary, Calgary, AB, Canada, 2Radiology, University of Calgary, Calgary, AB, Canada

Synopsis

Keywords: Valves, Quantitative Imaging, Mitral Valve Regurgitation, Hemodynamic Force, Novel Biomarker

Motivation: This study aims to address shortcomings in assessing mitral regurgitation (MR) by introducing left ventricular hemodynamic force (HDF) as a novel biomarker.

Goal(s): The primary objective of this study is to assess HDF's reliability through 4D flow MRI in distinguishing MR patients from healthy controls and stratifying severity, offering a more precise diagnostic tool.

Approach: This retrospective analysis used 4D flow MRI data to compute HDF in three directions, evaluating its correlation with MR.

Results: MR patients exhibit significantly altered HDF compared to controls. The HDF: peak systolic base-apex, E-wave inferior-anterior, E-wave base-apex, and peak diastolic septal-lateral suggest their potential as mitral biomarkers.

Impact: The introduction of hemodynamic force as a novel biomarker opens new research avenues, potentially reshaping cardiac non-invasive diagnostic techniques. This study may transform the assessment of mitral regurgitation, offering benefits to clinicians for early intervention and proper patient management.

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Keywords