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New Three‐Dimensional Echocardiographic System Using Digital Radiofrequency Data—Visualization and Quantitative Analysis of Aortic Valve Dynamics With High Resolution Methods, Feasibility, and Initial Clinical Experience

 

作者: Michael,   Handke Cosima,   Jahnke Gudrun,   Heinrichs Jörg,   Schlegel Clemens,   Vos Daniel,   Schmitt Christoph,   Bode Annette,  

 

期刊: Circulation  (OVID Available online 2003)
卷期: Volume 107, issue 23  

页码: 2876-2879

 

ISSN:0009-7322

 

年代: 2003

 

出版商: OVID

 

关键词: echocardiography;3D ▪ valve;aortic ▪ imaging

 

数据来源: OVID

 

摘要:

BackgroundCommon 3D systems have only limited spatial and temporal resolution (frame rate of 25 Hz). Thin structures such as cardiac valves are not imaged exactly; rapid movement patterns cannot be precisely recorded. The objective of the present project was to achieve radiofrequency (RF) data transmission to the 3D workstation to improve image resolution.Methods and ResultsA commercially available echocardiographic system (5‐MHz transesophageal echocardiography probe) with an integrated raw data interface enables transmission of RF data (up to 40 megabytes per second). A 3D data set may contain up to 3 gigabytes, so that all of the high‐resolution ultrasound information of the 2D image is available. Frame rates of up to 168 Hz result in temporal resolution 6 times that of standard 3D systems. The applicability of the system and the image quality were tested in 10 patients. The structure of the aortic valve and the dynamic changes were depicted by volume rendering. The changes in the orifice areas were measured in frame‐by‐frame planimetry. The mean number of frames recorded per cardiac cycle was 122±16. The improved structural resolution enabled a detailed imaging of the morphology of the aortic cusps. The rapid systolic movement patterns were recorded with up to 51 frames. The high number of frames enabled creation of precise area‐time diagrams. Thus, the individual phases of aortic valve movement (rapid opening, slow valve closing, and rapid valve closing) could be analyzed quantitatively.ConclusionA 3D system based on RF data enables high‐resolution imaging of cardiac movement patterns. This offers new perspectives for qualitative and quantitative analyses, especially of cardiac valves. (Circulation.2003;107:2876‐2879.)

 

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