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    Area of Science:

    • Cardiovascular Imaging
    • Biomedical Engineering
    • Physiology

    Background:

    • Accurate assessment of left ventricular (LV) hemodynamics is crucial for cardiovascular health.
    • Existing methods may lack the resolution or comprehensive analysis needed for detailed hemodynamic evaluation.
    • Developing age- and sex-specific atlases can provide valuable reference data.

    Purpose of the Study:

    • To develop a method for creating 4D-flow MRI-based LV velocity atlases.
    • To extract hemodynamic parameters, including viscous energy dissipation (VED) and kinetic energy (KE), at peak systole.
    • To investigate age- and sex-related differences in these hemodynamic parameters.

    Main Methods:

    • Utilized 4D-flow MRI on 27 healthy controls (44% female).
    • Created averaged 3D velocity fields and shared LV geometries using non-rigid registration for age- and sex-matched groups.
    • Interpolated velocities to create normal velocity atlases and quantified VED and KE.

    Main Results:

    • Older individuals showed reduced mean KE and VED compared to younger individuals.
    • Older males exhibited lower mean velocity and KE compared to older females and younger males.
    • Significant negative correlations were found between age and KE, VED, and velocity in both sexes.

    Conclusions:

    • Feasibility of creating 4D-flow MRI-based velocity atlases for hemodynamic assessment.
    • Demonstrated altered hemodynamics and energetics associated with aging.
    • Highlights the utility of velocity atlases for age- and sex-matched cardiovascular evaluation and diagnosis.