We developed a framework to integrate 4D flow MRI with color Doppler echocardiography (CDE) for direct localized inter-modal velocity comparison. The framework combines CDE and 4D flow MRI data by using cine-MRI and a two-step image registration; 1) registration of CDE to cine-MRI and 2) registration of cine-MRI to 4D flow MRI. As a result, a voxel-wise inter-modal velocity difference map overlaid to a tissue image was constructed. Six healthy subjects with a same-day CDE and 4D flow MRI were utilized and a strong correlation with moderate agreement was found in the LVOT.
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