Document Detail


Impact of harmonic imaging and transducer frequency on 'ventricular volume' measurements using real-time three-dimensional echocardiography: studies in an in vitro model.
MedLine Citation:
PMID:  11888818     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Harmonic imaging has increased the yield of quantifiable scans in two-dimensional echocardiography. Although real-time three-dimensional echocardiography avoids geometric assumptions in volume analysis, accurate measurement can be limited by image quality. This study compared volumes from a balloon model mimicking the left ventricle, scanned with and without harmonic imaging, using real time three-dimensional echocardiography. METHODS: Two balloons separated by ultrasound gel were suspended in a water bath. To mimic different chamber volumes, 12 volumes of water within the inner balloon (40-180ml) were scanned using a 3.5MHz probe at fundamental frequency and using a 2.5MHz probe with and without harmonic imaging. RESULTS: Scanning at 3.5MHz, the long axis (B) scans did not significantly underestimate the balloon volume but the 'short axis' (C) scans did (mean difference from actual volumes -0.7-1.4ml, P=0.14 - 3.9 +/- 1.2 ml,P < 0.0001 for B and C scans, respectively). Scanning at 2.5MHz both B and C scans significantly underestimated even more the true volume, C scans to a greater extent (mean difference -6.9 +/- 2.4ml and -11.2 +/- 4.0ml for B and C scans respectively,P < 0.0001 in both cases). However with harmonic imaging, transmitting at 1.7MHz and receiving at 2-4MHz, there was no significant difference of either B or C scans from the reference values (mean difference of B scans -1.2 +/- 1.9ml, P=0.06 and C scans -0.6 +/- 2.2ml, P=0.4). CONCLUSION: The enhanced resolution provided by harmonic imaging improves accuracy of volume analysis by real-time three-dimensional echocardiography.
Authors:
R A Rusk; Y Mori; P S Mehwald; A Kenny; D J Sahn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  2     ISSN:  1525-2167     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-03-12     Completed Date:  2002-04-29     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  245-52     Citation Subset:  IM    
Affiliation:
Oregon Health Sciences University, Portland, Oregon, U.S.A.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Cardiac Volume / physiology*
Echocardiography, Three-Dimensional / methods*
Heart Ventricles / ultrasonography
Linear Models
Models, Cardiovascular
Ventricular Function, Left / physiology*

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