BACKGROUND: Motion correction (MC) is critical for accurate quantification of myocardial blood flow (MBF) and flow reserve (MFR) from METHODS: In total, 231 patients who underwent invasive coronary angiography and rest/pharmacologic stress RESULTS: Manual MC took 10 minutes per case (both stress and rest) on average, while automatic MC required <
10 seconds. The area under the receiver operating characteristic curves (AUCs) for significant CAD using minimal segmental MBF were comparable between automatic and manual MC (AUC = 0.877 automatic, AUC = 0.888 Reader 1 and AUC = 0.892 Reader 2
all P >
0.05). AUCs of minimal segmental MBF with manual and automatic MC were significantly higher than without MC (P <
0.05 for both). Similar findings were observed with minimal segmental MFR. CONCLUSIONS: Automatic MC can be performed rapidly, with diagnostic performance for predicting obstructive CAD comparable to manual MC. This method could be utilized for analysis of MBF/MFR in patients undergoing