Institute of Congenital Heart Disease, German Heart Center Charité, Berlin, Germany.
Department of Congenital Heart Disease, German Heart Center Charité, Berlin, Germany.
Physiol Meas. 2023 Mar 7;44(3). doi: 10.1088/1361-6579/acb8fd.
. This study assesses age-related differences of thoracic aorta blood flow profiles and provides age- and sex-specific reference values using 4D flow cardiovascular magnetic resonance (CMR) data.. 126 volunteers (age 20-80 years, female 51%) underwent 4D flow CMR and 12 perpendicular analysis planes in the thoracic aorta were specified. For these planes the following parameters were evaluated: body surface area-adjusted aortic area ('), normalized flow displacement (NFD), the degree of wall parallelism (WPD), the minimal relative cross-sectional area through which 80% of the volume flow passes (A80) and the angle between flow direction and centerline ().. Age-related differences in blood flow parameters were seen in the ascending aorta with higher values for NFD and angle and lower values for WPD and A80 in older subjects. All parameters describing blood flow patterns correlated with the cross-sectional area in the ascending aorta. No relevant sex-differences regarding blood flow profiles were found.. These age- and sex-specific reference values for quantitative parameters describing blood flow within the aorta might help to study the clinical relevance of flow profiles in the future.
. 本研究通过 4D 流心血管磁共振(CMR)数据评估了胸主动脉血流剖面的年龄相关性差异,并提供了年龄和性别特异性的参考值。. 126 名志愿者(年龄 20-80 岁,女性占 51%)接受了 4D 流 CMR 检查,在胸主动脉中指定了 12 个垂直分析平面。对于这些平面,评估了以下参数:体表面积校正的主动脉面积(')、归一化流量位移(NFD)、壁平行度程度(WPD)、80%体积流通过的最小相对横截面积(A80)以及流方向和中心线之间的夹角()。. 在升主动脉中观察到血流参数与年龄相关的差异,年龄较大的受试者的 NFD 和角度值较高,而 WPD 和 A80 值较低。描述血流模式的所有参数均与升主动脉的横截面积相关。在血流剖面方面未发现与性别相关的显著差异。. 这些描述主动脉内血流的定量参数的年龄和性别特异性参考值可能有助于未来研究血流剖面的临床相关性。