Evidence map›Paper›PMID 39789817›Full record

ArticleMagnetic resonance in medicine2025

Third trimester fetal 4D flow MRI with motion correction.

Reagan M Tompkins, Takashi Fujiwara, Eric M Schrauben, Lorna P Browne, Joost van Schuppen, Sally-Ann Clur, Richard M Friesen, Erin K Englund, Alex J Barker, Pim van Ooij

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Motion Mitigation Techniques for Abdominal and Cardiac MR Imaging.Journal of magnetic resonance imaging : JMRI · 2026
    Review
  4. Third trimester fetal 4D flow MRI with motion correction.Magnetic resonance in medicine · 2025
    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

10 authors.

Reagan M TompkinsDepartment of Radiology & Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0009-0001-3446-4378
Takashi FujiwaraDepartment of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-0565-0075
Eric M SchraubenDepartment of Radiology & Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-7922-3615
Lorna P BrowneDepartment of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-8080-5276
Joost van SchuppenDepartment of Radiology & Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-4982-6615
Sally-Ann ClurDepartment of Pediatric Cardiology, Emma Children's Hospital, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-5276-1475
Richard M FriesenDepartment of Pediatrics, Section of Cardiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Erin K EnglundDepartment of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-0231-1289
Alex J BarkerDepartment of Radiology, Section of Pediatric Radiology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0002-6283-9157
Pim van OoijDepartment of Radiology & Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-8755-0192

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Fetal Care Centers, Pilot FundsNCATS NIH HHS UL1 TR002535Society of Pediatric Radiology, Pilot AwardStichting voor de Technische Wetenschappen Programme FetalFlow 19749
6 · The paper itself

Abstract

purposeTo correct maternal breathing and fetal bulk motion during fetal 4D flow MRI.

methodsA Doppler-ultrasound fetal cardiac-gated free-running 4D flow acquisition was corrected post hoc for maternal respiratory and fetal bulk motion in separate automated steps, with optional manual intervention to assess and limit fetal motion artifacts. Compressed-sensing reconstruction with a data outlier rejection algorithm was adapted from previous work. Pre- and post-motion correction comparison included qualitative visibility of vasculature on phase-contrast MR angiograms (five-point Likert scale), conservation of mass of the aortic isthmus, ductus arteriosus, and descending aorta, and coefficient of variation of flow along the descending aorta.

resultsTwenty-nine third trimester acquisitions were performed for 15 healthy fetuses and two patients with postnatally confirmed aortic coarctation during a single examination for each participant. Only 15/27 (56%) of all volunteers and 1/2 (50%) of all patient precorrection acquisitions were suitable for flow analysis. Motion correction recovered eight "failed" acquisitions, including one patient, with 24/29 (83%) suitable for flow analysis. In the 15 viable uncorrected volunteer acquisitions, motion correction improved phase-contrast MR angiograms visibility significantly in the ductus arteriosus (from 4.0 to 4.3, p = 0.04) and aortic arch (3.7 to 4.0, p = 0.03). Motion correction improved conservation of mass to a median (interquartile range) percent difference of 5% (9%) from 14% (24%) with improvement shown in 14/15 acquisitions (p = 0.002), whereas coefficient of variation changes were not significantly different (uncorrected: 0.15 (0.09), corrected: 0.11 (0.09), p = 0.3).

conclusionsMotion correction compensated for maternal and fetal motion in fetal 4D flow MRI data, improving image quality and conservation of mass.

Indexed as

Aortic CoarctationFetusImaging, Three-DimensionalMagnetic Resonance AngiographyMagnetic Resonance ImagingPregnancy Trimester, ThirdPrenatal DiagnosisAdultAlgorithmsArtifactsFemaleHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMotionPregnancy4D flowfetal CMRmotion correction

Identifiers

PMID39789817
PMCPMC11893028

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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.