Abstract

Pulse Wave Velocity (PWV) corresponds to the velocity at which pressu r e waves, generated by the systolic contraction in the heart, propagate along the arterial tree. Due to the comple x interplay between blood flow and the artery wall, PWV is related to inherent mechanical properties and arterial morphology. PWV has been widely accepted as a biomarker and early predictor to evaluate global arterial distensibility. Sti l l , several local abnor-malities often remain hidden or difficult to detect using non-invasive techniques. Here, we introduce a novel method to efficiently construct a local estimate of PWV along the aorta using 4D-Flow MRI data. A geodesic distance map was used to track advancing pulses for efficient flow calculations, based on the observation that the propagation of velocity wavefronts strongly depends on the arterial morphology. This procedure allows us a robust evaluation of the local transit time due to the pulse wave at each position in the aorta. Moreover, the estimation of the local PWV map did not require centerlines, and the final result is projected back to 3D using the same geodesic map. We evaluated PWV values in healthy young and adult volunteers and patients with uni-ventricular physiology after a Fontan procedure. Ou r method is fast, semi-automatic, and depicts differences between young versus adult volunteers and young volunteers versus Fontan patients, showing consistent results compared to global methods. Remarkably, the technique could detect local differences of PWV on the aortic arch for al l subjects, being consistent with previous findings of reduced PWV in the aortic arch.