狗的斑点追踪回声心脏学:评估全球纵向菌株评估中的成像参数和方法变化
Jonas E Mogensen1, Maiken B T Bach1, Pernille G Bay1
1Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej 16, 1870 Frederiksberg, Denmark.
图像预缩短和心率变化显著影响二维斑点跟踪回声心脏图 (2D-STE) 全球纵向应变 (GLS) 的测量. 优化图像采集对于可靠的2D-STE分析至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 兽医超声波检查 兽医超声波检查
背景情况:
- 二维斑点跟踪回声心电图 (2D-STE) 提供了定量心肌功能评估.
- 在超声波相互作用期间分析斑点运动为心脏表现提供了洞察力.
- 可靠的2D-STE需要了解技术参数对应变测量的影响.
研究的目的:
- 评估2D-STE在全球纵向应变 (GLS) 测量中的可靠性.
- 评估技术参数对2D-STE精度的影响.
- 为了比较两种GE医疗保健的斑点跟踪方法:二维菌株和自动化功能成像 (AFI).
主要方法:
- 在两组健康狗 (n=16和n=10) 中进行前性研究.
- 评估率,心率变化,变焦,频率和预缩短对2D-STE的影响.
- 对比2D菌株和AFI,以获得一致性和观察者变异性.
主要成果:
- 预先缩短 (p < 0.01) 和心率变化 (p = 0.02) 显著影响了斑点跟踪测量.
- 变焦,率和频率没有显著影响.
- 尽管存在很强的相关性,但AFI系统地低估了与二维菌株相比的GLS;观察者内部/观察者间CVs为<9%.
结论:
- 预缩短和心率变化是影响2D-STE GLS准确性的关键因素.
- 虽然2D压力和AFI都是可靠的,但图像采集优化至关重要.
- 仔细选择成像参数和标准提高了斑点跟踪分析的可靠性.
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