Visualization of hemodynamics in intracranial arteries using time-resolved three-dimensional phase-contrast MRI

Shuhei Yamashita1, Haruo Isoda, Masaya Hirano

  • 1Department of Radiology, Hamamatsu University School of Medicine, Shizuoka, Japan. shuheiy@hama-med.ac.jp

Abstract

Insights

Time-resolved 4D-Flow magnetic resonance imaging (MRI) successfully visualized in vivo hemodynamics of intracranial arteries. This noninvasive technique offers a valuable tool for analyzing blood flow in the brain's major arteries.

Area of Science:

  • Medical Imaging
  • Cardiovascular Imaging
  • Neuroimaging

Background:

  • Understanding intracranial arterial hemodynamics is crucial for diagnosing and managing cerebrovascular diseases.
  • Traditional imaging methods may not fully capture the complex, time-varying nature of blood flow in the brain's arteries.

Purpose of the Study:

  • To visualize the hemodynamics of intracranial arteries using time-resolved three-dimensional phase-contrast (PC)-MRI, also known as 4D-Flow.
  • To assess the feasibility of 4D-Flow for noninvasively analyzing in vivo intracranial hemodynamics.

Main Methods:

  • MR examinations were performed on six healthy volunteers using a 1.5T MR unit.
  • 4D-Flow utilized a radiofrequency (RF)-spoiled gradient-echo sequence with velocity encoding in all three spatial directions.
  • Data were retrospectively ECG-gated, generating cine series of 3D datasets (1x1x1 mm voxel size, 30-40 min acquisition time) for flow visualization.

Main Results:

  • 3D streamlines visualized flow from the circle of Willis to the M2 segments of the middle cerebral arteries (MCAs).
  • Time-resolved 3D particle traces clearly demonstrated intracranial arterial flow dynamics.
  • 2D velocity vector fields were clearly visualized in planes traversing the carotid siphon and basilar tip in all volunteers.

Conclusions:

  • 4D-Flow effectively elucidated in vivo 3D hemodynamics of human intracranial arteries.
  • This noninvasive method shows promise as a valuable tool for analyzing intracranial arterial hemodynamics.