Evidence map›Paper›PMID 33400296›Full record

ArticleMagnetic resonance in medicine2021

Using 5D flow MRI to decode the effects of rhythm on left atrial 3D flow dynamics in patients with atrial fibrillation.

Liliana Ma, Jérôme Yerly, Lorenzo Di Sopra, Davide Piccini, Jeesoo Lee, Amanda DiCarlo, Rod Passman, Philip Greenland, Daniel Kim, Matthias Stuber and 1 more

Open access · greenAbstract read
In one paragraph

Article in Magnetic resonance in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Third trimester fetal 4D flow MRI with motion correction.Magnetic resonance in medicine · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The future of cardiovascular magnetic resonance: All-in-one vs. real-time (Part 1).Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Review
  11. 4D Flow cardiovascular magnetic resonance consensus statement: 2023 update.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Review
  12. Review
  13. Article
  14. Motion-compensated TFrontiers in cardiovascular medicine · 2023
    Review
  15. 4D Flow MR Imaging of the Left Atrium: What is Non-physiological Blood Flow in the Cardiac System?Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2022
    Article
  16. Baseline 4D Flow-DerivedFrontiers in cardiovascular medicine · 2022
    Article
  17. Review
  18. Article
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

11 authors at 4 institutions in 2 countries.

Liliana MaDepartment of Radiology, Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-8834-8519
Jérôme YerlyDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.
Lorenzo Di SopraDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.ORCID 0000-0003-3426-9457
Davide PicciniDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.ORCID 0000-0003-4663-3244
Jeesoo LeeDepartment of Radiology, Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3301-6469
Amanda DiCarloDepartment of Radiology, Feinberg School of Medicine, Chicago, Illinois, USA.
Rod PassmanDepartment of Medicine and Preventive Medicine, Feinberg School of Medicine, Chicago, Illinois, USA.
Philip GreenlandDepartment of Medicine and Preventive Medicine, Feinberg School of Medicine, Chicago, Illinois, USA.
Daniel KimDepartment of Radiology, Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0003-2660-8973
Matthias StuberDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.ORCID 0000-0001-9843-2028
Michael MarklDepartment of Radiology, Feinberg School of Medicine, Chicago, Illinois, USA.
Northwestern University · USCentre d'Imagerie BioMedicale · CHSiemens (Switzerland) · CHUniversity of Lausanne · CH

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
MRI of Left Atrial Hemodynamic Disorders in Atrial FibrillationR21AG055954 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KIM, DANIEL, MARKL, MICHAEL · 2017 to 2018
$487k
4D Flow MRI-based assessment of atrial fibrillationF30HL137279 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MA, LILIANA · 2017 to 2020
$189k
NHLBI NIH HHS F30 HL137279NHLBI NIH HHS R01 HL115828NIA NIH HHS R21 AG055954
6 · The paper itself

Abstract

purposeThis study used a 5D flow framework to explore the influence of arrhythmia on thrombogenic hemodynamic parameters in patients with atrial fibrillation (AF).

methodsA fully self-gated, 3D radial, highly accelerated free-running 5D flow sequence with interleaved four-point velocity-encoding was acquired using an in vitro arrhythmic flow phantom and in 25 patients with a history of AF (68 ± 8 y, 6 female). Self-gating signals were used to calculate AF burden, bin data, and tag each k-space line with its RR

resultsIn vitro results demonstrated successful recovery of RR-binned flow curves using RR-resolved 5D flow compared to a real-time PC reference standard. In vivo, 5D flow was acquired in 8:48 minutes. AF burden was significantly correlated with 5D flow-derived peak (PV) and mean (MV) velocity and stasis (|ρ| = 0.54-0.75, P < .001). Sensitivity analyses determined a threshold for low versus high AF burden at 9.7%. High burden patients had increased LA mean stasis (up to +42%, P < .01), and lower MV and PV (-30%, -40.6%, respectively, P < .01). RR4 deviated furthest from respiratory-resolved reconstruction (end-expiration) with increased mean stasis (7.6% ± 14.0%, P = .10) and decreased PV (-12.7 ± 14.2%, P = .09).

conclusionsRR-resolved 5D flow can capture temporal and RR-resolved 3D hemodynamics in <10 minutes and offers a novel approach to investigate arrhythmias.

Indexed as

Atrial FibrillationBlood Flow VelocityFemaleHeart AtriaHumansImage Interpretation, Computer-AssistedMagnetic Resonance Imaging4D flowatrial fibrillationcardiovascularcompressed sensingself-gating

Identifiers

PMID33400296
PMCPMC7904609
OpenAlexW3120178108

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.