Evidence map›Paper›PMID 26140480›Full record

ArticleJournal of magnetic resonance imaging : JMRI2016

Reproducibility and interobserver variability of systolic blood flow velocity and 3D wall shear stress derived from 4D flow MRI in the healthy aorta.

Pim van Ooij, Alexander L Powell, Wouter V Potters, James C Carr, Michael Markl, Alex J Barker

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Non-Trileaflet Aortic Valve Aortopathies.Life (Basel, Switzerland) · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Repeatability and reproducibility of various 4D Flow MRI postprocessing software programs in a multi-software and multi-vendor cross-over comparison study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Article
  17. Article
  18. International journal of cardiology. Heart & vasculature · 2022
    Article
  19. Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pim van OoijDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Alexander L PowellDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Wouter V PottersDepartment of Radiology, Academic Medical Center, Amsterdam, The Netherlands.
James C CarrDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Michael MarklDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Alex J BarkerDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

Functional Cardiovascular 4D MRI in Congenital Heart DiseaseR01HL115828 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARKL, MICHAEL, RIGSBY, CYNTHIA K · 2012 to 2021
$5.2M
Hemodynamic Loading of the Left Ventricle and Aorta in Aortic Valve DiseaseK25HL119608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARKER, ALEXANDER J. · 2014 to 2018
$819k
NHLBI NIH HHS K25 HL119608NHLBI NIH HHS R01 HL115828
6 · The paper itself

Abstract

purposeTo investigate the reproducibility and interobserver variability of 3D aortic velocity vector fields and wall shear stress (WSS) averaged over five systolic timeframes derived from noncontrast 4D flow magnetic resonance imaging (MRI). MATERIALS AND

methodsFourteen controls underwent test-retest 4D flow MRI examinations separated by 16 ± 3 days (resolution = 3.0-3.6 × 2.3-2.6 × 2.5-2.7 mm(3) ; TE/TR/FA = 2.5/4.9 msec/7°; Venc = 150 cm/s). Two observers segmented the aorta, and WSS was calculated for both series of scans and both segmentations. Test-retest and interobserver velocity and WSS vectors were compared on a voxel-by-voxel basis in the aorta and on a regional basis by subdividing the aortas in six segments.

resultsTest-retest: voxel-by-voxel Bland-Altman analysis revealed small differences (-0.03/-0.02 m/s/Pa), limits of agreement (LOA) of 0.25 m/s/0.29 Pa, and coefficients of variation (CV) of 20% for velocity/WSS. Voxel-by-voxel orthogonal regression analysis showed moderate agreement (slope: 1.14/1.16, intraclass correlation coefficient [ICC]: 0.76/0.67 for velocity/WSS). The regional analysis revealed a CV of 9%/8% and ICC of 0.9/0.9 for velocity/WSS. Interobserver: voxel-by-voxel difference for WSS was 0, LOA: 0.17/0.19 Pa, CV: 12/13%, slope: 1.01/1.09, ICC: 0.87/0.85 for test/retest. The CV/ICC for WSS in the regional analysis was 4%/1.0 for test and 3%/1.0 for retest.

conclusionSystolic velocity and WSS derived from 4D flow MRI are reproducible between consecutive visits, with low interobserver variability in healthy volunteers.

Indexed as

AdultAgedAortaBlood Flow VelocityFemaleHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance AngiographyMaleMiddle AgedObserver VariationReproducibility of ResultsSensitivity and SpecificityShear StrengthSystole4D flow MRIinterobserver variabilityreproducibilitywall shear stress

Identifiers

PMID26140480
PMCPMC4807608

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.