Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Apr 28, 2025; 17(4): 106185
Published online Apr 28, 2025. doi: 10.4329/wjr.v17.i4.106185
Promising four-dimensional flow magnetic resonance imaging technique for vascular flow analysis in children
Jian-She Yang
Jian-She Yang, Department of Nuclear Medicine, School of Medicine, Tongji University, Shanghai 200072, China
Author contributions: Yang JS designed, wrote, and revised the letter.
Conflict-of-interest statement: The author declared no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-She Yang, PhD, Professor, Department of Nuclear Medicine, School of Medicine, Tongji University, No. 301 Yanchang Road (M), Shanghai 200072, China. 2305499@tongji.edu.cn
Received: February 19, 2025
Revised: March 15, 2025
Accepted: April 3, 2025
Published online: April 28, 2025
Processing time: 63 Days and 3.5 Hours
Abstract

Leesmidt et al present a comprehensive analysis of abdominal vascular flow in children using four-dimensional (4D) flow magnetic resonance imaging (MRI), aim to establish normal hemodynamic values for the abdominal visceral organs and to assess the feasibility of 4D flow MRI (4D-f-MRI) in this population. The researchers performed 4D-f-MRI on 9 pediatric patients with a history or suspicion of bowel pathology. Flow velocities were measured in the abdominal aorta and superior and inferior mesenteric arteries. The quality of the 4D-f-MRI images was evaluated, and the agreement between the measured flow velocities and those obtained from Duplex ultrasound was established. However, due to the specific limitations of this work, future studies should address the issues of small sample size and the specific age group design.

Keywords: Four-dimensional flow magnetic resonance imaging; Hemodynamic values; Imaging; Diagnosis; Vascular flow

Core Tip: The study demonstrates that four-dimensional (4D) flow magnetic resonance imaging (MRI) is feasible for assessing abdominal vascular flow in children, with good image quality and reproducibility. The flow velocities measured by 4D flow MRI (4D-f-MRI) showed good agreement with those obtained from Duplex ultrasound, suggesting that 4D-f-MRI may serve as a complementary tool to Duplex ultrasound in clinical practice for diagnosing and managing pediatric vascular diseases.