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Abstract #2212

Experimental catheter validation of stenotic pressure drops with vWERP using 4D Flow MRI

Ali El Ahmar1, Patrick Winter1,2, Sven Olaf Grundmann3, Swantje Romig3, Martin Bruschewski3, David Marlevi4,5, and Susanne Schnell1,2
1Department of Medical Physics, University of Greifswald, Greifswald, Germany, 2Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States, 3Institute of Fluid Mechanics, University of Rostock, Rostock, Germany, 4Department of Molecular Medicine and Surgery,, Karolinska Institutet, Solna, Sweden, 5Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, United States

Synopsis

Keywords: Blood Vessels, Atherosclerosis

Motivation: 4D flow MRI is a promising diagnosis tool for studies on intracranial atherosclerosis. Since pressure drops across stenoses could be used for diagnosis, a robust non-invasive technique for regional pressure variations is of great value.

Goal(s): To validate stenotic pressure drops estimated using Virtual Work Energy Relative Pressure (vWERP) while taking into account spatial resolution dependency and turbulence.

Approach: Relative pressure was estimated at multiple locations in two different stenoses using vWERP and compared with gold-standad catheter measurements. Additionally, tubulent kinetic energy (TKE) was determined.

Results: vWERP provided robust estimates of relative pressure and demonstrated excellent agreement with catheter measurements despite high TKE.

Impact: This abstract demonstrates a versatile setup to estimate relative pressure in stenoses at pulsatile flow conditions. The influence of spatial resolution and turbulences were investigated. The results may help to implement non-invasive pressure estimations to the clinical routine.

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