Estimation de la distensibilité aortique à partir de séquences d’images de résonance magnétique « steady-state free-precession » et « contraste de phase »

Objective

To investigate the accuracy in the estimation of the aortic lumen area and distensibility obtained from Steady-State Free-Precession (SSFP) and Phase Contrast (PC) MR sequences.

Subjects and methods

Systolic and diastolic aortic lumen of the ascending and descending aorta of 50 subjects, collected with both acquisition sequences, were extracted using a 2D + t automated segmentation method.

Results

While the statistical study indicated very similar lumen areas for SSFP and PC data (slope = 1, r = 0.99), the corresponding distensibility values were less correlated (r = 0.54). Comparison between distensibility values in the ascending and descending aorta and study of these values with aging indicated a greater coherence with expected physiological behavior of the aorta when using SSFP images.

Discussion

Flow artifacts were more severe in PC images and could explain the better results obtained when using SSFP sequences.

Conclusion

A more accurate local assessment of the aortic stiffness is obtained from SSFP image sequences than from PC image sequences.