ReviewEuropean heart journal. Imaging methods and practice2025
Right heart flow hemodynamic assessment using 4D flow CMR: a systematic review.
Review in European heart journal. Imaging methods and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Automated whole-heart volumetrics and haemodynamics from 4D flow CMR magnitude images: development and validation of a deep learning model.European heart journal. Imaging methods and practice · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Right heart dysfunction increases morbidity and mortality in cardiovascular diseases. Four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) imaging evaluates detailed right heart physiology, including vorticity, flow dynamics, kinetic energy (KE) and energy loss (EL). This systematic review synthesized literature using 4D flow CMR to assess right atrial (RA) and right ventricular (RV) hemodynamics in health and disease. A systematic search of the Scopus database (up to March 2025) identified observational studies investigating 4D flow CMR of right heart function in adults. Data on RA flow dynamics, RV flow components, KE, EL, and hemodynamic parameters were narratively synthesized. Quality assessment used the AXIS tool From 240 identified articles, 17 studies (894 participants) met eligibility criteria, including healthy individuals and patients with pulmonary hypertension (PH). RA flow dynamics, described in five studies, were characterized by a dominant vortex in health, interrupted with disease. RV flow components consistently showed a decline in direct flow and increased residual volume with disease. Atrial and ventricular KE assessments revealed age, sex, and disease-specific alterations, with rotational flow appearing to conserve right atrial KE. Increased EL was noted in PH. 4D flow CMR is a powerful tool for assessing novel right heart hemodynamic parameters. Quantifying flow patterns, components, and energetics provides a comprehensive overview of right heart function, promising to improve the diagnosis, management, and prognostic stratification of right heart diseases.
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Registered trials
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.