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Published on: November 28, 2018
Emerging trends in CV flow visualization
Partho P Sengupta1, Gianni Pedrizzetti, Philip J Kilner
1Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY 10029, USA. Partho.Sengupta@mountsinai.org
Insights
Understanding blood flow patterns in the heart is crucial for cardiovascular health. This review explores methods for visualizing complex, multidirectional blood flow, aiding in diagnosis and treatment.
Area of Science:
- Cardiovascular fluid mechanics
- Cardiac imaging
- Hemodynamics
Background:
- Blood flow patterns are integral to cardiovascular system morphology and function.
- Cardiovascular adaptability maintains circulation across varying workloads.
- Visualizing cardiac flow velocity fields presents significant challenges.
Purpose of the Study:
- To review current blood flow visualization techniques for the cardiovascular system.
- To emphasize acquisition, display, and analysis of multidirectional flow.
- To outline cardiac fluid mechanics and vortical structures.
Main Methods:
- Review of cardiac magnetic resonance (CMR) imaging.
- Review of ultrasound Doppler techniques.
- Review of contrast particle imaging velocimetry (PIV).
Main Results:
- Discussion of potentials and pitfalls in current blood flow visualization methods.
- Recommendations for dedicated imaging protocols for multidirectional flow.
- Exploration of cardiac fluid mechanics, including flow rotation and vortical structures.
Conclusions:
- Multidirectional blood flow visualization is key for understanding cardiovascular dynamics.
- Cardiac MRI, ultrasound Doppler, and PIV are primary imaging modalities.
- Further research is needed to address clinical applications and technical challenges.
Abstract:
Blood flow patterns are closely linked to the morphology and function of the cardiovascular system. These patterns reflect the exceptional adaptability of the cardiovascular system to maintain normal blood circulation under a wide range of workloads. Accurate retrieval and display of flow-related information remains a challenge because of the processes involved in mapping the flow velocity fields within specific chambers of the heart. We review the potentials and pitfalls of current approaches for blood flow visualization, with an emphasis on acquisition, display, and analysis of multidirectional flow. This document is divided into 3 sections. First, we provide a descriptive outline of the relevant concepts in cardiac fluid mechanics, including the emergence of rotation in flow and the variables that delineate vortical structures. Second, we elaborate on the main methods developed to image and visualize multidirectional cardiovascular flow, which are mainly based on cardiac magnetic resonance, ultrasound Doppler, and contrast particle imaging velocimetry, with recommendations for developing dedicated imaging protocols. Finally, we discuss the potential clinical applications and technical challenges with suggestions for further investigations.
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