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精确测量左心室喷射分数的三维心声谱. 与放射性核素血管造影的比较
Y F Nosir1, P M Fioretti, W B Vletter
1Thoraxcenter, Division of Cardiology, University Hospital, Rotterdam-Dijkzigt, Netherlands.
Circulation
|August 1, 1996
概括
三维回声心脏图准确地测量了患者的左心室射出分数,显示了与放射性核素血管图的良好相关性. 建议使用15毫米的切片厚度来进行准确和快速的测量.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 三维回声心脏图 (3D回声) 提供了无几何假设的左心室喷射率 (LVEF) 计算.
- 关于患者群体中3D回声的可重现性和准确性的数据有限.
研究的目的:
- 为了评估LVEF测量的3D回声的准确性和可重复性.
- 为了确定使用3D回声计算的LVEF计算的最佳切片厚度.
主要方法:
- 25名患者接受了放射性核素血管造影和3D回声,其中包括旋转技术,心电图和呼吸门.
- 左心室 (LV) 容量和LVEF使用辛普森规则计算,切片厚度为3毫米.
- 分析评估了不同切片厚度对LVEF准确度的影响.
主要成果:
- 3D回声显示出与LVEF的放射性核素血管学有很好的相关性 (r = .99).
- 在3D回声中,观察者内部的变化率为2.6%,在放射性核素血管学中为4.2%.
- 在3D回声中,观察者间的变化为5.3%,在放射性核素血管学中为6.2%.
结论:
- 3D回声提供了精确的LVEF计算,与放射性核素血管学相美.
- 对3D回声的观察者可变性类似于放射性核素血管学.
- 建议使用15毫米的切片厚度来准确和快速评估LV体积和LVEF.
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