Noninvasive assessment of blood flow based on magnetic resonance global coherent free precession.

BACKGROUND: Magnetic resonance global coherent free precession (GCFP) is a new technique that produces cine projection angiograms directly analogous to those of x-ray angiography noninvasively and without a contrast agent. In this study, we compared GCFP blood flow with "gold standards" to determine the accuracy of noninvasive GCFP blood flow measurements. METHODS AND RESULTS: The relationship between GCFP blood flow and true blood flow defined by invasive ultrasonic flow probe and by phase contrast velocity encoded MRI (VENC) was studied in anesthetized dogs (n=6). Blood flow was controlled by use of a hydraulic occluder around the left iliac artery. GCFP images were acquired by selectively exciting the abdominal aorta and visualizing temporal blood flow into the iliac arteries. GCFP flow was similar to ultrasonic blood flow at baseline (131.3+/-44.8 versus 114.8+/-34.2 mL/min), during occlusion (10.8+/-5.1 versus 6.5+/-7.2 mL/min), during reactive hyperemia (191.4+/-100.7 versus 260.3+/-138.7 mL/min), during the new resting state (135.5+/-52.4 versus 117.8+/-24.1 mL/min), and during partial occlusion (61.4+/-36.4 versus 49.3+/-13.1 mL/min, P=NS for all). Results comparing GCFP flow with VENC were similar. Statistical analysis revealed that GCFP flow was related to mean blood flow assessed by the flow probe (P<0.0001) and by VENC (P<0.0001). In the control right iliac artery, conversely, GCFP measurements were unaffected throughout all left iliac interventions (P=NS). CONCLUSIONS: GCFP blood flow is linearly related to true blood flow for a straight, cylindrical blood vessel without branches. Although more complex geometries imply a qualitative rather than a quantitative relationship, the data nevertheless suggest that GCFP may serve as the basis for a new form of noninvasive stress testing.

Duke Scholars

Author Igor Klem Medicine, Cardiology

Author Enn-Ling Chen Medicine, Cardiology

Author Raymond J. Kim Medicine, Cardiology

Author Robert Martin Judd Medicine, Cardiology