title: Magnetic Particle Imaging for High Temporal Resolution Assessment of Aneurysm Hemodynamics.
abstract: OBJECTIVE
  The purpose of this work was to demonstrate the capability of magnetic particle imaging (MPI) to assess the hemodynamics in a realistic 3D aneurysm model obtained by additive manufacturing. MPI was compared with magnetic resonance imaging (MRI) and dynamic digital subtraction angiography (DSA).
  
  
  METHODS
  The aneurysm model was of saccular morphology (7 mm dome height, 5 mm cross-section, 3-4 mm neck, 3.5 mm parent artery diameter) and connected to a peristaltic pump delivering a physiological flow (250 mL/min) and pulsation rate (70/min). High-resolution (4 h long) 4D phase contrast flow quantification (4D pc-fq) MRI was used to directly assess the hemodynamics of the model. Dynamic MPI, MRI, and DSA were performed with contrast agent injections (3 mL volume in 3 s) through a proximally placed catheter.
  
  
  CONCLUSIONS
  4D pc-fq measurements showed distinct pulsatile flow velocities (20-80 cm/s) as well as lower flow velocities and a vortex inside the aneurysm. All three dynamic methods (MPI, MRI, and DSA) also showed a clear pulsation pattern as well as delayed contrast agent dynamics within the aneurysm, which is most likely caused by the vortex within the aneurysm. Due to the high temporal resolution of MPI and DSA, it was possible to track the contrast agent bolus through the model and to estimate the average flow velocity (about 60 cm/s), which is in accordance with the 4D pc-fq measurements.
  
  
  CONCLUSIONS
  The ionizing radiation free, 4D high resolution MPI method is a very promising tool for imaging and characterization of hemodynamics in human. It carries the possibility of overcoming certain disadvantages of other modalities like considerably lower temporal resolution of dynamic MRI and limited 2D characteristics of DSA. Furthermore, additive manufacturing is the key for translating powerful pre-clinical techniques into the clinic.
authors: Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors: Jan
authors: http://orcid.org/0000-0003-3125-1083
authors: J
authors: Sedlacik
authors: Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors: Andreas
authors: A
authors: Frölich
authors: Department of Product Development and Mechanical Engineering Design, Hamburg University of Technology, Hamburg, Germany.
authors: Johanna
authors: J
authors: Spallek
authors: Department of Radiology and Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.
authors: Nils D
authors: ND
authors: Forkert
authors: Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors: Tobias D
authors: TD
authors: Faizy
authors: Section for Biomedical Imaging, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.|Institute for Biomedical Imaging, Hamburg University of Technology, Hamburg, Germany.
authors: Franziska
authors: F
authors: Werner
authors: Section for Biomedical Imaging, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.|Institute for Biomedical Imaging, Hamburg University of Technology, Hamburg, Germany.
authors: Tobias
authors: T
authors: Knopp
authors: Department of Product Development and Mechanical Engineering Design, Hamburg University of Technology, Hamburg, Germany.
authors: Dieter
authors: D
authors: Krause
authors: Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors: Jens
authors: J
authors: Fiehler
authors: Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors: Jan-Hendrik
authors: JH
authors: Buhk
mesh_terms: D000783:Aneurysm / Q000503:physiopathology; D015901:Angiography, Digital Subtraction; D003287:Contrast Media / Q000737:chemistry; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008954:Models, Biological
chemical_list: D003287:Contrast Media