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Abstract #5053

Association between Hemodynamics and Plaque Distribution: Insights from 4D Flow Imaging of M1 Segment in Ischemic Stroke Patients

Lixin Liu1, Peirong Jiang2, Peng Wu3, Yunjing Xue2, He Wang1,4,5, and Zhensen Chen1,5
1Institute of Science and Technology for Brain-inspired Intelligence, Fudan University, Shanghai, China, 2Department of Radiology, Fujian Medical University Union Hospital, Fuzhou, China, 3Philips Healthcare, Shanghai, China, 4Human Phenome Institute, Fudan University, Shanghai, China, 5Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence (Fudan University), Ministry of Education, Shanghai, China

Synopsis

Keywords: Stroke, Flow

Motivation: Intracranial atherosclerotic is an important cause of ischemic stroke. The relationship between hemodynamics and plaque distribution isn’t fully elucidated.

Goal(s): To investigate the association between plaque distribution and hemodynamics on different shapes of M1.

Approach: TAWSS and OSI were assessed with 4DFlow, while plaque with HR-VWI. Comparison of TAWSS, OSI and wall thickness between outer- and inner-wall of the curved-section of M1, and comparisons of hemodynamics between thick- and thin-wall on straight-section were performed.

Results: Regardless of M1 shape, plaques typically developed in regions of low WSS and high OSI. TAWSSCV, OSICV and Wall thicknessCV are also associated with plaque development.

Impact: Our findings enhance understanding of hemodynamics effect on plaque development in intracranial atherosclerosis, and may provide guidance for risk assessment and treatment strategies.

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