Evidence map›Paper›PMID 23533541›Full record

ArticleComputational and mathematical methods in medicine2013

Computational fluid dynamics simulations of contrast agent bolus dispersion in a coronary bifurcation: impact on MRI-based quantification of myocardial perfusion.

Regine Schmidt, Dirk Graafen, Stefan Weber, Laura M Schreiber

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Article in Computational and mathematical methods in medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Regine SchmidtSection of Medical Physics, Department of Radiology, University Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany.
Dirk Graafen
Stefan Weber
Laura M Schreiber

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Contrast-enhanced first-pass magnetic resonance imaging (MRI) in combination with a tracer kinetic model, for example, MMID4, can be used to determine myocardial blood flow (MBF) and myocardial perfusion reserve (MPR). Typically, the arterial input function (AIF) required for this methodology is estimated from the left ventricle (LV). Dispersion of the contrast agent bolus might occur between the LV and the myocardial tissue. Negligence of bolus dispersion could cause an error in MBF determination. The aim of this study was to investigate the influence of bolus dispersion in a simplified coronary bifurcation geometry including one healthy and one stenotic branch on the quantification of MBF and MPR. Computational fluid dynamics (CFD) simulations were combined with MMID4. Different inlet boundary conditions describing pulsatile and constant flows for rest and hyperemia and differing outflow conditions have been investigated. In the bifurcation region, the increase of the dispersion was smaller than inside the straight vessels. A systematic underestimation of MBF values up to -16.1% for pulsatile flow and an overestimation of MPR up to 7.5% were found. It was shown that, under the conditions considered in this study, bolus dispersion can significantly influence the results of quantitative myocardial MR-perfusion measurements.

Indexed as

HydrodynamicsAlgorithmsBlood Flow VelocityComputer SimulationConstriction, PathologicContrast MediaCoronary CirculationCoronary VesselsDiagnostic ImagingHeartHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingModels, MolecularMyocardiumPerfusionContrast Media

Identifiers

PMID23533541
PMCPMC3600257

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