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Biomedical subjects

M B Hofman

Publications and source records attributed to M B Hofman.

22 records · Page 2Linked to original sources
PubMed1992

Global left ventricular perfusion: noninvasive measurement with cine MR imaging and phase velocity mapping of coronary venous outflow.

Velocity and volumetric flow of left ventricular venous outflow in the distal coronary sinus were measured with magnetic resonance (MR) velocity mapping techniques in 24 healthy men. A total of 16-21 velocity maps were acquired throughout the cardiac cycle. To determine the accuracy of the MR velocity-mapping pulse sequence, measurements were obtained with a flow phantom. Mean blood flow was 144 mL/min +/- 62 (standard deviation); mean velocity, 2.1 cm/sec +/- 1.0; and mean cross-sectional area, 1.2 cm2. Phasic measurements revealed a biphasic flow pattern in the coronary sinus, with a first peak in systole (257 mL/min +/- 174) and a second peak in early diastole (1,090 mL/min +/- 487). The cross-sectional area varied between 0.5 cm2 +/- 0.2 at end diastole and 1.9 cm2 +/- 0.6 in systole, a finding that suggests a capacitance function for venous outflow. Mean blood flow measurements were in agreement with measurements obtained invasively in previous studies. It is concluded that MR velocity mapping can enable noninvasive measurement of coronary venous outflow and global left ventricular perfusion and may become clinically useful in assessment of coronary blood flow reserve.

Adult↗
PubMedDate not supplied

Quantification of in-plane motion of the coronary arteries during the cardiac cycle: implications for acquisition window duration for MR flow quantification.

Motion of the coronary arteries during the heart cycle can result in image blurring and inaccurate flow quantification by MR. This condition applies particularly for longer acquisition windows that are typical of breath-hold coronary flow measurements. To determine the sensitivity of the technique to in-plane motion of different coronary arteries, the temporal variation in coronary position was measured in a plane perpendicular to the proximal portion of the vessel. The results indicated the presence of substantial displacement of the coronary arteries within the cardiac cycle, with a magnitude of motion approximately twice as large for the right as for the left coronary arteries. An estimation of the resulting vessel blurring was calculated, showing that the duration of the acquisition window for high spatial resolution coronary flow acquisitions should be less than 25 to 120 msec, depending on the specific coronary artery studied. In addition, these data specify optimal acquisition window placement for high resolution coronary angiography.

Adult↗
PubMedDate not supplied

MRI of coronary arteries: 2D breath-hold vs 3D respiratory-gated acquisition.

OBJECTIVE: Respiratory motion degrades MR images of the coronary arteries. The purpose of this study was to assess and compare two methods of reducing the effects of respiration in coronary artery MRI. Single-slice 2D imaging with breath-holding and a respiratory-gated 3D technique were used. MATERIALS AND METHODS: A comparison was made in 10 normal subjects between a 2D multiple breath-holding approach and a 3D technique with and without retrospective respiratory gating in imaging the coronary arteries. RESULTS: Respiratory gating improved the image quality in 76% of the 3D images. Both the 2D and the 3D approaches were capable of visualizing the proximal parts of the coronary arteries, with comparable vessel length and diameter. The image quality was somewhat better for images obtained by breath-holding in 83% of the vessels, probably due to less blurring by remnant respiratory motion and higher inflow contrast. CONCLUSION: The 2D breath-holding approach reveals a better image quality. However, the 3D respiratory-gated acquisition is less operator dependent, faster, and less strenuous for patients.

Adult↗