4D Flow MRI in Pediatric Brain Arteriovenous Malformation: The Role of Hemodynamic Markers in Monitoring Disease Progression

Motivation: Approximately 10-20% of pediatric patients with brain arteriovenous malformation (bAVM) present with reoccurring formation or growth even after initial successful treatment. Goal(s): Evaluate the feasibility and efficacy of 4D Flow MRI to quantitatively assess the hemodynamic changes in pediatric bAVMs following treatment and establish its use for early detection of high-risk changes. Approach: Prospective 4D Flow MRI study of pediatric bAVM patient cohort pre and post treatmentResults: Decreased flow rate and maximum velocity in main bAVM feeding arteries post treatment, resulting in reduced flow laterality mismatch between hemispheres. Impact: 4D Flow MRI provides a quantitative tool to assess pediatric bAVM flow characteristics and the hemodynamic impact of intervention, which may help to identify patients at risk of bAVM reoccurrence.

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Publication Details

Journal
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Published
2024-11-26
DOI
https://doi.org/10.58530/2024/2532
Primary Topic
Vascular Malformations Diagnosis and Treatment
Type
article
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article

4D Flow MRI in Pediatric Brain Arteriovenous Malformation: The Role of Hemodynamic Markers in Monitoring Disease Progression

Jonas Schollenberger, David Saloner, Pratik Mukherjee, Heather J. Fullerton et al.
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Vascular Malformations Diagnosis and Treatment
article

4D Flow MRI in Pediatric Brain Arteriovenous Malformation: The Role of Hemodynamic Markers in Monitoring Disease Progression

Jonas Schollenberger, David Saloner, Pratik Mukherjee, Heather J. Fullerton, Christine Fox, Helen Kim, Shivani Mahuvakar
article en

Abstract

Motivation: Approximately 10-20% of pediatric patients with brain arteriovenous malformation (bAVM) present with reoccurring formation or growth even after initial successful treatment. Goal(s): Evaluate the feasibility and efficacy of 4D Flow MRI to quantitatively assess the hemodynamic changes in pediatric bAVMs following treatment and establish its use for early detection of high-risk changes. Approach: Prospective 4D Flow MRI study of pediatric bAVM patient cohort pre and post treatmentResults: Decreased flow rate and maximum velocity in main bAVM feeding arteries post treatment, resulting in reduced flow laterality mismatch between hemispheres. Impact: 4D Flow MRI provides a quantitative tool to assess pediatric bAVM flow characteristics and the hemodynamic impact of intervention, which may help to identify patients at risk of bAVM reoccurrence.

Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
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Vascular Malformations Diagnosis and Treatment
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