Caval flow contribution to each lung is of interest in Fontan circulation due to the increased risk of developing pulmonary arteriovenous malformations when flow is unevenly distributed. Existing methods to assess this risk are invasive and require ionizing radiation, posing additional risks to pediatric patients during longitudinal monitoring. In this study, we demonstrate a non-invasive, non-ionizing assessment of the origin of pulmonary blood flow, as well as quantitative pulmonary perfusion using arterial spin labeled MR, and compare with the previously proposed 4D-flow measurement of caval flow distribution.
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