This study aims to determine whether advanced MRI sequences can provide robust and clinically relevant information about abdominal aortic aneurysms (AAAs). The MRI sequences will study outcomes related to blood flow inside AAA, microvasculature of the AAA vessel wall and intraluminal thrombus inside AAA. Robustness of these MRI sequences will be determined with testing of feasibility and reproducibility. Clinical relevance will be assessed by studying the association between the primary outcomes and disease severity. Disease severity will be expressed by AAA diameter. It is our hypothesis that these parameters are significantly related to disease severity and may therefore be future markers of disease progression.
This prospective study evaluates the feasibility, reproducibility and clinical relevance of MRI sequences in adults with an abdominal aortic aneurysm (AAA). The MRI sequences and their primary outcomes are: * Four-dimensional (4D) flow MRI and wall shear stress (WSS) * Dynamic Contrast-Enhanced (DCE) MRI and kinetic transport constant (Ktrans) * T1 and T2 mapping (T1 and T2 relaxation times) Feasibility is tested by the production of high-quality images that enable calculation of the primary outcomes. Reproducibility is tested by calculating interscan, intra- and interobserver variability. Clinical relevance is tested by assessing the association between primary outcomes and disease severity which is expressed by AAA diameter
Study Type
OBSERVATIONAL
Enrollment
31
Department of Vascular Surgery
Amsterdam, Netherlands
Wall shear stress (WSS)
Primary outcome of 4D flow MRI
Time frame: Time of MRI scan
Kinetic transport constant (Ktrans)
Primary outcome of DCE-MRI
Time frame: Time of MRI scan
T1 relaxation time
Primary outcome of T1 mapping
Time frame: Time of MRI scan
T2 relaxation time
Primary outcome of T2 mapping
Time frame: Time of MRI scan
Peak flow velocity inside the aneurysm
Secondary outcome of 4D flow MRI
Time frame: Time of MRI scan
Location of peak wall shear stress
Secondary outcome of 4D flow MRI
Time frame: Time of MRI scan
Flow velocity at aneurysm entrance
Secondary outcome of 4D flow MRI
Time frame: Time of MRI scan
Flow patterns
Secondary outcome of 4D flow MRI
Time frame: Time of MRI scan
Oscillatory shear index
Secondary outcome of 4D flow MRI
Time frame: Time of MRI scan
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Reverse reflux rate constant (kep)
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan
Area under the curve of contrast uptake
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan
Peak enhancement ratio
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan
Wash-in slope
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan
Time to peak (TTP)
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan
Mean transit time (MTT)
Secondary outcome of DCE-MRI
Time frame: Time of MRI scan