One of the main challenges to the efficient application of 4D flow MRI is related to cumbersome, time-consuming, and non-standardized data analysis. The purpose of this study was to test the efficiency and inter-observer reproducibility of a dedicated analysis workflow by using a 4D flow MRI tool in a cohort of 20 BAV patients. We showed that 4D flow MRI can visualize BAV mediated changes on aortic outflow and quantify associated changes in flow dynamics. We demonstrated the potential of an optimized data analysis workflow to perform standardized 4D flow MRI processing in a short time and with good-to-excellent reproducibility.
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