在患有先天性心脏病的儿童中,使用三维回声心脏成像来量化右心室:用心脏磁共振成像进行比较研究
Khaled Hadeed1, Clément Karsenty2, Ramona Ghenghea1
1Paediatric and Congenital Cardiology, Children's Hospital, M3C CHU Toulouse, Paul Sabatier University, 31059 Toulouse, France.
Archives of cardiovascular diseases
|October 1, 2024
概括
新的3D心声回声软件准确量化了儿童的右心室 (RV) 功能. 这种非侵入性方法可用于床边评估,有助于先天性心脏病管理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心声回声图 (Echocardiography) 是一种心声回声图.
- 心脏成像 - - 心脏成像
背景情况:
- 准确量化右心室 (RV) 体积和功能对于管理先天性心脏病至关重要.
- 现有的方法可能对儿科患者的临床评估有局限性.
研究的目的:
- 评估一款用于儿童床边RV量化新型3D胸前回声心脏成像 (3D-TTE) 软件的可行性和准确性.
- 将这些测量与心脏磁共振成像 (CMR) 作为参考标准进行比较.
主要方法:
- 患有先天性心脏病的儿科患者 (106) 和对照组 (30) 接受了3D-TTE.
- 使用新的RV量化软件测量了RV终端透缩体积,RV终端抽缩体积和RV喷射率.
- 在27名患者的小组中,测量结果与CMR进行了比较.
主要成果:
- 床边RV量化在97.8%的患者中是可行的,在93%的患者中需要手动轮调整.
- 与对照组相比,先天性心脏病患者的RV体积较大.
- 在3D-TTE量化和CMR之间观察到良好的一致性,对RV终端透析体积和RV喷射分数的轻微低估.
结论:
- 3D-TTE RV量化软件证明了儿童床边评估的可行性和准确性.
- 这种非侵入性技术在常规临床实践中为VR评估提供了可靠的方法.
- 促进了对患有或没有先天性心脏病的儿科患者的改善管理和随访护理.
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