Age- and sex-specific reference values of biventricular flow components and kinetic energy by 4D flow cardiovascular magnetic resonance in healthy subjects

Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic ener...

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Published inJournal of cardiovascular magnetic resonance Vol. 25; no. 1; pp. 50 - 14
Main Authors Zhao, Xiaodan, Tan, Ru-San, Garg, Pankaj, Chai, Ping, Leng, Shuang, Bryant, Jennifer Ann, Teo, Lynette L.S., Yeo, Tee Joo, Fortier, Marielle V., Low, Ting Ting, Ong, Ching Ching, Zhang, Shuo, Van der Geest, Rob J., Allen, John C., Tan, Teng Hong, Yip, James W., Tan, Ju Le, Hughes, Marina, Plein, Sven, Westenberg, Jos J.M., Zhong, Liang
Format Journal Article
LanguageEnglish
Published London Elsevier Inc 18.09.2023
BioMed Central
BioMed Central Ltd
Elsevier
Subjects
Online AccessGet full text
ISSN1097-6647
1532-429X
1532-429X
DOI10.1186/s12968-023-00960-x

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Abstract Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters. We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = − 0.355 for LV and − 0.318 for RV), and KEiEDV E/A ratio (r = − 0.475 for LV and − 0.504 for RV) decreased significantly, with age. These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration https://www.clinicaltrials.gov. Unique identifier: NCT03217240.
AbstractList Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters. We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = − 0.355 for LV and − 0.318 for RV), and KEiEDV E/A ratio (r = − 0.475 for LV and − 0.504 for RV) decreased significantly, with age. These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration https://www.clinicaltrials.gov. Unique identifier: NCT03217240.
Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEi.sub.EDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters. We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 [+ or -] 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEi.sub.EDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEi.sub.EDV, and higher median values of RV direct flow, RV global KEi.sub.EDV, RV average diastolic KEi.sub.EDV, and RV peak E-wave KEi.sub.EDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEi.sub.EDV for both LV and RV across age groups. Peak A-wave KEi.sub.EDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEi.sub.EDV (r = - 0.355 for LV and - 0.318 for RV), and KEi.sub.EDV E/A ratio (r = - 0.475 for LV and - 0.504 for RV) decreased significantly, with age. These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow.
Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEi ) in healthy subjects; and (2) assess the effects of age and sex on these parameters. We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEi (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEi , and higher median values of RV direct flow, RV global KEi , RV average diastolic KEi , and RV peak E-wave KEi . ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEi for both LV and RV across age groups. Peak A-wave KEi increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEi (r = - 0.355 for LV and - 0.318 for RV), and KEi E/A ratio (r = - 0.475 for LV and - 0.504 for RV) decreased significantly, with age. These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration  https://www. gov . Unique identifier: NCT03217240.
Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters.BACKGROUNDAdvances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters.We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed.METHODSWe performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed.Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = - 0.355 for LV and - 0.318 for RV), and KEiEDV E/A ratio (r = - 0.475 for LV and - 0.504 for RV) decreased significantly, with age.RESULTSCompared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = - 0.355 for LV and - 0.318 for RV), and KEiEDV E/A ratio (r = - 0.475 for LV and - 0.504 for RV) decreased significantly, with age.These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration https://www.CONCLUSIONThese data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration https://www.gov . Unique identifier: NCT03217240.CLINICALTRIALSgov . Unique identifier: NCT03217240.
Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEi.sub.EDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters. Methods We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 [+ or -] 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEi.sub.EDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Results Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEi.sub.EDV, and higher median values of RV direct flow, RV global KEi.sub.EDV, RV average diastolic KEi.sub.EDV, and RV peak E-wave KEi.sub.EDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEi.sub.EDV for both LV and RV across age groups. Peak A-wave KEi.sub.EDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEi.sub.EDV (r = - 0.355 for LV and - 0.318 for RV), and KEi.sub.EDV E/A ratio (r = - 0.475 for LV and - 0.504 for RV) decreased significantly, with age. Conclusion These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration Keywords: 4D flow, Kinetic energy, Flow components, Hemodynamics, Reference values
Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEi EDV ) in healthy subjects; and (2) assess the effects of age and sex on these parameters. Methods We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEi EDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Results Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEi EDV , and higher median values of RV direct flow, RV global KEi EDV , RV average diastolic KEi EDV , and RV peak E-wave KEi EDV . ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEi EDV for both LV and RV across age groups. Peak A-wave KEi EDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEi EDV (r = − 0.355 for LV and − 0.318 for RV), and KEi EDV E/A ratio (r = − 0.475 for LV and − 0.504 for RV) decreased significantly, with age. Conclusion These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration   https://www.clinicaltrials.gov . Unique identifier: NCT03217240.
Abstract Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters. Methods We performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed. Results Compared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = − 0.355 for LV and − 0.318 for RV), and KEiEDV E/A ratio (r = − 0.475 for LV and − 0.504 for RV) decreased significantly, with age. Conclusion These data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow. Clinical trial registration  https://www.clinicaltrials.gov . Unique identifier: NCT03217240.
BackgroundAdvances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular (RV) blood flow. We aimed to (1) investigate age and sex differences of 4D flow CMR-derived LV and RV relative flow components and kinetic energy (KE) parameters indexed to end-diastolic volume (KEiEDV) in healthy subjects; and (2) assess the effects of age and sex on these parameters.MethodsWe performed 4D flow analysis in 163 healthy participants (42% female; mean age 43 ± 13 years) of a prospective registry study (NCT03217240) who were free of cardiovascular diseases. Relative flow components (direct flow, retained inflow, delayed ejection flow, residual volume) and multiple phasic KEiEDV (global, peak systolic, average systolic, average diastolic, peak E-wave, peak A-wave) for both LV and RV were analysed.ResultsCompared with men, women had lower median LV and RV residual volume, and LV peak and average systolic KEiEDV, and higher median values of RV direct flow, RV global KEiEDV, RV average diastolic KEiEDV, and RV peak E-wave KEiEDV. ANOVA analysis found there were no differences in flow components, peak and average systolic, average diastolic and global KEiEDV for both LV and RV across age groups. Peak A-wave KEiEDV increased significantly (r = 0.458 for LV and 0.341 for RV), whereas peak E-wave KEiEDV (r = − 0.355 for LV and − 0.318 for RV), and KEiEDV E/A ratio (r = − 0.475 for LV and − 0.504 for RV) decreased significantly, with age.ConclusionThese data using state-of-the-art 4D flow CMR show that biventricular flow components and kinetic energy parameters vary significantly by age and sex. Age and sex trends should be considered in the interpretation of quantitative measures of biventricular flow.Clinical trial registration https://www.clinicaltrials.gov. Unique identifier: NCT03217240.
ArticleNumber 50
Audience Academic
Author Zhao, Xiaodan
Zhang, Shuo
Teo, Lynette L.S.
Yeo, Tee Joo
Hughes, Marina
Tan, Ju Le
Garg, Pankaj
Fortier, Marielle V.
Bryant, Jennifer Ann
Zhong, Liang
Plein, Sven
Chai, Ping
Van der Geest, Rob J.
Yip, James W.
Low, Ting Ting
Westenberg, Jos J.M.
Leng, Shuang
Ong, Ching Ching
Tan, Ru-San
Allen, John C.
Tan, Teng Hong
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  surname: Zhao
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  organization: National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore
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  surname: Tan
  fullname: Tan, Ru-San
  organization: National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore
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  givenname: Pankaj
  surname: Garg
  fullname: Garg, Pankaj
  organization: Department of Cardiovascular Medicine, University of East Anglia, Norwich, UK
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  surname: Chai
  fullname: Chai, Ping
  organization: National University Hospital Singapore, Singapore, Singapore
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  organization: National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore
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  organization: National University Hospital Singapore, Singapore, Singapore
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  fullname: Yeo, Tee Joo
  organization: National University Hospital Singapore, Singapore, Singapore
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  organization: Duke-NUS Medical School, Singapore, Singapore
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  surname: Low
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  organization: National University Hospital Singapore, Singapore, Singapore
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  organization: National University Hospital Singapore, Singapore, Singapore
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  surname: Zhang
  fullname: Zhang, Shuo
  organization: Philips Healthcare Germany, Hamburg, Germany
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  organization: Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
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  givenname: John C.
  surname: Allen
  fullname: Allen, John C.
  organization: Duke-NUS Medical School, Singapore, Singapore
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  givenname: Teng Hong
  surname: Tan
  fullname: Tan, Teng Hong
  organization: Duke-NUS Medical School, Singapore, Singapore
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  surname: Yip
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  organization: National University Hospital Singapore, Singapore, Singapore
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  givenname: Ju Le
  surname: Tan
  fullname: Tan, Ju Le
  organization: National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore
– sequence: 18
  givenname: Marina
  surname: Hughes
  fullname: Hughes, Marina
  organization: Department of Cardiovascular Medicine, University of East Anglia, Norwich, UK
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  surname: Plein
  fullname: Plein, Sven
  organization: Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK
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  surname: Westenberg
  fullname: Westenberg, Jos J.M.
  organization: Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
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  givenname: Liang
  surname: Zhong
  fullname: Zhong, Liang
  email: zhong.liang@nhcs.com.sg
  organization: National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore
BackLink https://www.ncbi.nlm.nih.gov/pubmed/37718441$$D View this record in MEDLINE/PubMed
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Copyright_xml – notice: 2023 THE AUTHORS. Published by Elsevier Inc on behalf of the Society for Cardiovascular Magnetic Resonance
– notice: The Author(s) 2023
– notice: 2023. Society for Cardiovascular Magnetic Resonance.
– notice: COPYRIGHT 2023 BioMed Central Ltd.
– notice: 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Issue 1
Keywords Hemodynamics
Kinetic energy
Flow components
4D flow
Reference values
Language English
License http://creativecommons.org/licenses/by-nc-nd/4.0
2023. Society for Cardiovascular Magnetic Resonance.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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Snippet Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right ventricular...
Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right...
Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right...
BackgroundAdvances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and right...
Abstract Background Advances in four-dimensional flow cardiovascular magnetic resonance (4D flow CMR) have allowed quantification of left ventricular (LV) and...
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StartPage 50
SubjectTerms 4D flow
Adult
Age
Age factors
Angiology
Blood flow
Cardiology
Cardiovascular disease
Cardiovascular diseases
Energy
Female
Flow components
Force and energy
Healthy Volunteers
Heart
Heart Ventricles - diagnostic imaging
Hemodynamics
Humans
Hypertension
Imaging
Kinetic energy
Magnetic resonance
Magnetic Resonance Spectroscopy
Male
Median (statistics)
Medicine
Medicine & Public Health
Middle Aged
Parameters
Predictive Value of Tests
Radiology
Reference Values
Scanners
Sex differences
Trends
Velocity
Ventricle
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Title Age- and sex-specific reference values of biventricular flow components and kinetic energy by 4D flow cardiovascular magnetic resonance in healthy subjects
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https://dx.doi.org/10.1186/s12968-023-00960-x
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