4D Flow cardiovascular magnetic resonance consensus statement: 2023 update

Malenka M. Bissell; Francesca Raimondi; Lamia Ait Ali; Bradley D. Allen; Alex J. Barker; Ann Bolger; Nicholas Burris; Carl-Johan Carhäll; Jeremy D. Collins; Tino Ebbers; Christopher J. Francois; Alex Frydrychowicz; Pankaj Garg; Julia Geiger; Hojin Ha; Anja Hennemuth; Michael D. Hope; Albert Hsiao; Kevin Johnson; Sebastian Kozerke; Liliana E. Ma; Michael Markl; Duarte Martins; Marci Messina; Thekla H. Oechtering; Pim van Ooij; Cynthia Rigsby; Jose Rodriguez-Palomares; Arno A. W. Roest; Alejandro Roldán-Alzate; Susanne Schnell; Julio Sotelo; Matthias Stuber; Ali B. Syed; Johannes Töger; Rob van der Geest; Jos Westenberg; Liang Zhong; Yumin Zhong; Oliver Wieben; Petter Dyverfeldt

doi:https://doi.org/10.1186/s12968-023-00942-z

4D Flow cardiovascular magnetic resonance consensus statement: 2023 update

Malenka M. Bissell, Francesca Raimondi, Lamia Ait Ali, Bradley D. Allen, Alex J. Barker, Ann Bolger, Nicholas Burris, Carl-Johan Carhäll, Jeremy D. Collins, Tino Ebbers, Christopher J. Francois, Alex Frydrychowicz, Pankaj Garg, Julia Geiger, Hojin Ha, Anja Hennemuth, Michael D. Hope, Albert Hsiao, Kevin Johnson, Sebastian KozerkeLiliana E. Ma, Michael Markl, Duarte Martins, Marci Messina, Thekla H. Oechtering, Pim van Ooij, Cynthia Rigsby, Jose Rodriguez-Palomares, Arno A. W. Roest, Alejandro Roldán-Alzate, Susanne Schnell, Julio Sotelo, Matthias Stuber, Ali B. Syed, Johannes Töger, Rob van der Geest, Jos Westenberg, Liang Zhong, Yumin Zhong, Oliver Wieben, Petter Dyverfeldt

Research output: Contribution to journal › Review article › Academic › peer-review

30 Citations (Scopus)

Abstract

Hemodynamic assessment is an integral part of the diagnosis and management of cardiovascular disease. Four-dimensional cardiovascular magnetic resonance flow imaging (4D Flow CMR) allows comprehensive and accurate assessment of flow in a single acquisition. This consensus paper is an update from the 2015 ‘4D Flow CMR Consensus Statement’. We elaborate on 4D Flow CMR sequence options and imaging considerations. The document aims to assist centers starting out with 4D Flow CMR of the heart and great vessels with advice on acquisition parameters, post-processing workflows and integration into clinical practice. Furthermore, we define minimum quality assurance and validation standards for clinical centers. We also address the challenges faced in quality assurance and validation in the research setting. We also include a checklist for recommended publication standards, specifically for 4D Flow CMR. Finally, we discuss the current limitations and the future of 4D Flow CMR. This updated consensus paper will further facilitate widespread adoption of 4D Flow CMR in the clinical workflow across the globe and aid consistently high-quality publication standards.

Original language	English
Article number	40
Journal	Journal of cardiovascular magnetic resonance
Volume	25
Issue number	1
DOIs	https://doi.org/10.1186/s12968-023-00942-z
Publication status	Published - 1 Dec 2023

Keywords

4D Flow CMR
4D Flow MRI
Cardiovascular
Clinical
Flow quantification
Flow visualization
Heart disease
Hemodynamics
MR flow imaging
Phase-contrast magnetic resonance imaging
Recommendations

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Bissell, M. M., Raimondi, F., Ait Ali, L., Allen, B. D., Barker, A. J., Bolger, A., Burris, N., Carhäll, C.-J., Collins, J. D., Ebbers, T., Francois, C. J., Frydrychowicz, A., Garg, P., Geiger, J., Ha, H., Hennemuth, A., Hope, M. D., Hsiao, A., Johnson, K., ... Dyverfeldt, P. (2023). 4D Flow cardiovascular magnetic resonance consensus statement: 2023 update. Journal of cardiovascular magnetic resonance, 25(1), Article 40. https://doi.org/10.1186/s12968-023-00942-z

@article{78ccff97e7e24ca386034e98527465fa,

title = "4D Flow cardiovascular magnetic resonance consensus statement: 2023 update",

abstract = "Hemodynamic assessment is an integral part of the diagnosis and management of cardiovascular disease. Four-dimensional cardiovascular magnetic resonance flow imaging (4D Flow CMR) allows comprehensive and accurate assessment of flow in a single acquisition. This consensus paper is an update from the 2015 {\textquoteleft}4D Flow CMR Consensus Statement{\textquoteright}. We elaborate on 4D Flow CMR sequence options and imaging considerations. The document aims to assist centers starting out with 4D Flow CMR of the heart and great vessels with advice on acquisition parameters, post-processing workflows and integration into clinical practice. Furthermore, we define minimum quality assurance and validation standards for clinical centers. We also address the challenges faced in quality assurance and validation in the research setting. We also include a checklist for recommended publication standards, specifically for 4D Flow CMR. Finally, we discuss the current limitations and the future of 4D Flow CMR. This updated consensus paper will further facilitate widespread adoption of 4D Flow CMR in the clinical workflow across the globe and aid consistently high-quality publication standards.",

keywords = "4D Flow CMR, 4D Flow MRI, Cardiovascular, Clinical, Flow quantification, Flow visualization, Heart disease, Hemodynamics, MR flow imaging, Phase-contrast magnetic resonance imaging, Recommendations",

author = "Bissell, {Malenka M.} and Francesca Raimondi and {Ait Ali}, Lamia and Allen, {Bradley D.} and Barker, {Alex J.} and Ann Bolger and Nicholas Burris and Carl-Johan Carh{\"a}ll and Collins, {Jeremy D.} and Tino Ebbers and Francois, {Christopher J.} and Alex Frydrychowicz and Pankaj Garg and Julia Geiger and Hojin Ha and Anja Hennemuth and Hope, {Michael D.} and Albert Hsiao and Kevin Johnson and Sebastian Kozerke and Ma, {Liliana E.} and Michael Markl and Duarte Martins and Marci Messina and Oechtering, {Thekla H.} and {van Ooij}, Pim and Cynthia Rigsby and Jose Rodriguez-Palomares and Roest, {Arno A. W.} and Alejandro Rold{\'a}n-Alzate and Susanne Schnell and Julio Sotelo and Matthias Stuber and Syed, {Ali B.} and Johannes T{\"o}ger and {van der Geest}, Rob and Jos Westenberg and Liang Zhong and Yumin Zhong and Oliver Wieben and Petter Dyverfeldt",

note = "Funding Information: 1R01HL149787-01A1 (S. Schnell, M. Markl), 1R21NS122511-01 (S. Schnell), 1R01CA233878-01 (J.Collins) J.Sotelo thanks to ANID–Millennium Science Initiative Program–ICN2021_004 and FONDECYT de iniciaci{\'o}n en investigaci{\'o}n #11200481. Dr. Oechtering receives funding from the German Research Foundation (OE 746/1-1). Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = dec,

day = "1",

doi = "https://doi.org/10.1186/s12968-023-00942-z",

language = "English",

volume = "25",

journal = "Journal of cardiovascular magnetic resonance",

issn = "1097-6647",

publisher = "BioMed Central",

number = "1",

}

Bissell, MM, Raimondi, F, Ait Ali, L, Allen, BD, Barker, AJ, Bolger, A, Burris, N, Carhäll, C-J, Collins, JD, Ebbers, T, Francois, CJ, Frydrychowicz, A, Garg, P, Geiger, J, Ha, H, Hennemuth, A, Hope, MD, Hsiao, A, Johnson, K, Kozerke, S, Ma, LE, Markl, M, Martins, D, Messina, M, Oechtering, TH, van Ooij, P, Rigsby, C, Rodriguez-Palomares, J, Roest, AAW, Roldán-Alzate, A, Schnell, S, Sotelo, J, Stuber, M, Syed, AB, Töger, J, van der Geest, R, Westenberg, J, Zhong, L, Zhong, Y, Wieben, O & Dyverfeldt, P 2023, '4D Flow cardiovascular magnetic resonance consensus statement: 2023 update', Journal of cardiovascular magnetic resonance, vol. 25, no. 1, 40. https://doi.org/10.1186/s12968-023-00942-z

TY - JOUR

T1 - 4D Flow cardiovascular magnetic resonance consensus statement

T2 - 2023 update

AU - Bissell, Malenka M.

AU - Raimondi, Francesca

AU - Ait Ali, Lamia

AU - Allen, Bradley D.

AU - Barker, Alex J.

AU - Bolger, Ann

AU - Burris, Nicholas

AU - Carhäll, Carl-Johan

AU - Collins, Jeremy D.

AU - Ebbers, Tino

AU - Francois, Christopher J.

AU - Frydrychowicz, Alex

AU - Garg, Pankaj

AU - Geiger, Julia

AU - Ha, Hojin

AU - Hennemuth, Anja

AU - Hope, Michael D.

AU - Hsiao, Albert

AU - Johnson, Kevin

AU - Kozerke, Sebastian

AU - Ma, Liliana E.

AU - Markl, Michael

AU - Martins, Duarte

AU - Messina, Marci

AU - Oechtering, Thekla H.

AU - van Ooij, Pim

AU - Rigsby, Cynthia

AU - Rodriguez-Palomares, Jose

AU - Roest, Arno A. W.

AU - Roldán-Alzate, Alejandro

AU - Schnell, Susanne

AU - Sotelo, Julio

AU - Stuber, Matthias

AU - Syed, Ali B.

AU - Töger, Johannes

AU - van der Geest, Rob

AU - Westenberg, Jos

AU - Zhong, Liang

AU - Zhong, Yumin

AU - Wieben, Oliver

AU - Dyverfeldt, Petter

N1 - Funding Information: 1R01HL149787-01A1 (S. Schnell, M. Markl), 1R21NS122511-01 (S. Schnell), 1R01CA233878-01 (J.Collins) J.Sotelo thanks to ANID–Millennium Science Initiative Program–ICN2021_004 and FONDECYT de iniciación en investigación #11200481. Dr. Oechtering receives funding from the German Research Foundation (OE 746/1-1). Publisher Copyright: © 2023, The Author(s).

PY - 2023/12/1

Y1 - 2023/12/1

N2 - Hemodynamic assessment is an integral part of the diagnosis and management of cardiovascular disease. Four-dimensional cardiovascular magnetic resonance flow imaging (4D Flow CMR) allows comprehensive and accurate assessment of flow in a single acquisition. This consensus paper is an update from the 2015 ‘4D Flow CMR Consensus Statement’. We elaborate on 4D Flow CMR sequence options and imaging considerations. The document aims to assist centers starting out with 4D Flow CMR of the heart and great vessels with advice on acquisition parameters, post-processing workflows and integration into clinical practice. Furthermore, we define minimum quality assurance and validation standards for clinical centers. We also address the challenges faced in quality assurance and validation in the research setting. We also include a checklist for recommended publication standards, specifically for 4D Flow CMR. Finally, we discuss the current limitations and the future of 4D Flow CMR. This updated consensus paper will further facilitate widespread adoption of 4D Flow CMR in the clinical workflow across the globe and aid consistently high-quality publication standards.

AB - Hemodynamic assessment is an integral part of the diagnosis and management of cardiovascular disease. Four-dimensional cardiovascular magnetic resonance flow imaging (4D Flow CMR) allows comprehensive and accurate assessment of flow in a single acquisition. This consensus paper is an update from the 2015 ‘4D Flow CMR Consensus Statement’. We elaborate on 4D Flow CMR sequence options and imaging considerations. The document aims to assist centers starting out with 4D Flow CMR of the heart and great vessels with advice on acquisition parameters, post-processing workflows and integration into clinical practice. Furthermore, we define minimum quality assurance and validation standards for clinical centers. We also address the challenges faced in quality assurance and validation in the research setting. We also include a checklist for recommended publication standards, specifically for 4D Flow CMR. Finally, we discuss the current limitations and the future of 4D Flow CMR. This updated consensus paper will further facilitate widespread adoption of 4D Flow CMR in the clinical workflow across the globe and aid consistently high-quality publication standards.

KW - 4D Flow CMR

KW - 4D Flow MRI

KW - Cardiovascular

KW - Clinical

KW - Flow quantification

KW - Flow visualization

KW - Heart disease

KW - Hemodynamics

KW - MR flow imaging

KW - Phase-contrast magnetic resonance imaging

KW - Recommendations

UR - http://www.scopus.com/inward/record.url?scp=85165344456&partnerID=8YFLogxK

U2 - https://doi.org/10.1186/s12968-023-00942-z

DO - https://doi.org/10.1186/s12968-023-00942-z

M3 - Review article

C2 - 37474977

SN - 1097-6647

VL - 25

JO - Journal of cardiovascular magnetic resonance

JF - Journal of cardiovascular magnetic resonance

IS - 1

M1 - 40

ER -

4D Flow cardiovascular magnetic resonance consensus statement: 2023 update

Abstract

Keywords

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