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武汉大学人民医院超声影像科
纸质出版日期:2020,
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[1]周燕翔,熊叶,宋弯弯,杨远婷,易仁凤,曹省,郭瑞强,周青.经胸超声心动图二维及三维增强成像技术评估犬左室结构及功能的实验研究[J].临床超声医学杂志,2020,22(06):401-406.
ZHOU Yanxiang, XIONG Ye, SONG Wanwan, et al. Evaluation of left ventricular structure and function in beagles by two-and three-dimensional contrast-enhanced transthoracic echocardiography:an experimental study[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(6):401-406.
[1]周燕翔,熊叶,宋弯弯,杨远婷,易仁凤,曹省,郭瑞强,周青.经胸超声心动图二维及三维增强成像技术评估犬左室结构及功能的实验研究[J].临床超声医学杂志,2020,22(06):401-406. DOI: 10.16245/j.cnki.issn1008-6978.2020.06.001.
ZHOU Yanxiang, XIONG Ye, SONG Wanwan, et al. Evaluation of left ventricular structure and function in beagles by two-and three-dimensional contrast-enhanced transthoracic echocardiography:an experimental study[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(6):401-406. DOI: 10.16245/j.cnki.issn1008-6978.2020.06.001.
目的应用经胸超声心动图二维及三维增强成像技术评估犬左室结构及功能的准确性和可重复性。方法采集12只比格犬左室长轴切面腱索水平M型图像
以及非增强和增强模式下以左心为主的心尖四腔、三腔、两腔切面及三维全容积图像。分别判断二维超声心动图(2DE)、三维超声心动图(3DE)非增强及增强模式下左室心尖四腔、三腔、两腔及整体心内膜显示的节段数
并测量2DE非增强及增强模式下左室舒张末期长径(LVLD)。分别采用M型Teichholz公式、非增强及增强模式下双平面Simpson法测量左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)、左室射血分数(LVEF);采用TomTec软件对左室三维全容积图像进行后处理分析
分别测量3DE非增强及增强模式下LVEDV、LVESV、LVEF。以解剖标本测值为金标准
评价不同方法测量LVLD、LVEDV的准确性。评价同一观察者内及不同观察者间各方法测量LVEDV、LVESV及LVEF的可重复性。结果 (1)2DE及3DE增强模式对左室壁节段心内膜显示优于非增强模式
以2DE增强模式为最佳(均P<0.05);(2)2DE增强模式所测LVLD与解剖标本长径测值相关性系数较非增强模式高(0.851 vs. 0.748)
M型、2DE、3DE非增强及增强模式下LVEDV测值与解剖标本测值的相关性系数分别为0.612、0.806、0.857、0.728、0.869(均P<0.05)
增强模式下测值准确性较非增强模式高
以3DE增强模式最高;(3)2DE及3DE增强模式测量LVEDV、LVESV、LVEF的可重复性高于M型及非增强模式
其变异系数均更小
以3DE增强模式最小。结论经胸超声心动图增强成像技术可以改善2DE及3DE图像质量
提高犬左室结构及功能相关参数的测量准确性及可重复性
为临床精确评估及动态监测左室结构及功能提供了新方法。
ObjectiveTo discuss the accuracy and repeatability of left ventricular structural and functionalmeasurements in beagles by two-and three-dimensional contrast-enhanced transthoracic echocardiography(2 D c TTE and 3 Dc TTE).MethodsM-mode images in parasternal long-axis view were obtained from 12 beagles
and the apical four-chamber
three-chamber and two-chamber views and the three-dimensional full-volume images of the left ventricle were collected byunenhanced and contrast-enhanced transthoracic echocardiography. The intimal display rates in apical four-chamber
three-chamber and two-chamber views of the left ventricular segment were evaluated by two-and three-dimensional echocardiography(2 DE and 3 DE).Left ventricular end diastolic longitudinal diameter(LVLD)was measured by 2 DE and 2 D c TTE.Left ventricularend diastolic volume(LVEDV)
left ventricular end systolic volume(LVESV)and left ventricular ejection fraction(LVEF)weremeasured respectively by Teichholz method of M mode
biplane Simpson method of 2 DE and 2 D c TTE.Left ventricular three-dimensional full-volume images were processed and analyzed by Tom Tec software
LVEDV
LVESV
LVEF were measuredrespectively by 3 DE and 3 D c TTE.The measurements of pathological specimen were taken as the gold standard
the accuracies ofmeasuring LVLD and LVEDV by different methods were evaluated.All indexes were measured again by the same observer and different observers
and the repeatability of different methods for measuring different indexes was evaluated.Results(1) Theintimal display rate of the left ventricular segment was higher by 2 D c TTE and 3 D c TTE than those by 2 DE and 3 DE
2 D c TTE wasthe best(all P<0.05).(2) The measurements of LVLD by 2 D c TTE was more relevent with the measurements by pathologicalspecimen than that by 2 DE(0.851 vs. 0.748).The measurements of LVEDV by M mode
2 DE
2 D c TTE
3 DE and 3 D c TTE werecorrelated with the measurements by pathological specimen(r were 0.612
0.806
0.857
0.728
0.869
all P<0.05).2 D c TTE and3 D c TTE could provide more accurate measurements
3 D c TTE was the most precise method.(3)For inter-and intraobservers
thecoefficient of variation of LVEDV
LVESV
LVEF by 2 D c TTE and 3 D c TTE were lower than those by M mode
2 DE and 3 DE.ConclusionContrast-enhanced transthoracic echocardiography can improve image quality of 2 DE and 3 DE with more accurateand repeatable measurements
providing a new method for clinical precise evaluation and dynamic monitoring of left ventricularstructure and function in beagles.
超声心动描记术经胸超声增强剂心室功能左犬
EchocardiographytransthoracicUltrasound contrast agentVentricular functionleftBeagles
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