3D Volume Rendering in Cardiac MRI Displays Tissue and Blood Flow Simultaneously
A study in Radiology: Cardiothoracic Imaging unveils a groundbreaking method using 3D volume rendering in cardiac MRI to display heart tissue and blood flow simultaneously. Developed at Children’s Hospital of Philadelphia (CHOP), the technique offers unprecedented clarity in visualizing complex cardiac structures for congenital heart defect surgical planning.

How the New Technique Works
“We developed specific settings that make heart muscle and heart valves visible while making blood and surrounding tissues transparent,” explained Dr. Matthew Jolley, pediatric cardiac anesthesiologist and cardiologist at CHOP. The technique was demonstrated in a 4-year-old patient with aortic valve narrowing and leakage, enabling clear visualization of valve leaflets and the central regurgitation jet.
Advantages Over Existing Techniques
The method uses color-coded flow displays similar to Doppler ultrasound but without the field-of-view limitations or ionizing radiation. Near-instantaneous 4D visualization eliminates labor-intensive manual tracing. Integration with DICOM medical imaging standards facilitates adoption across clinical settings.
Open-Source Tools: SlicerHeart
The research produced SlicerHeart, open-source cardiac image processing tools for research and therapeutic applications in cardiovascular medicine, particularly for congenital heart disease management via integrated PACS systems.
Limitations and Future Perspectives
As Dr. Jolley notes, visualization quality depends on the underlying MRI scan quality. As open-source tools mature and are validated at more centers, this approach is expected to become standard in specialized congenital heart disease centers.
Source: Applied Radiology


