Document Detail


Semi-automated analysis of color M-mode echocardiographic images for determining transmitral pressure gradients using a simplified Euler equation.
MedLine Citation:
PMID:  12795281     Owner:  NASA     Status:  MEDLINE    
Abstract/OtherAbstract:
We hypothesize that a simplified version of the Euler equation (SEE) utilizing differences in velocity over a distance and time as obtained by Color Doppler M-mode (CMM) echocardiography can approximate actual peak transmitral pressure gradients deltaP(TM). Methods: In 14 patients undergoing open-heart surgery, deltaP(TM) was measured under various hemodynamic conditions using 2 high fidelity transducers, 5 cm apart. Transesophageal CMM images were simultaneously acquired and a customized image analysis application was used to abstract spatiotemporal velocity characteristics. Using both the SEE and a simplified Bernoulli equations, deltaP(TM) were determined and compared to the actual deltaP(TM). Results: While the simplified Bernoulli equation resulted in a poor estimate (y=0.075x+0.71, r=0.45), the deltaP(TM) obtained using the SEE correlated strongly (y=0.79x+0.48, r=0.91) with the actual measurements. Conclusions: Semi-automated analysis of CMM images using a SEE can accurately estimate actual deltaP(TM).
Authors:
M S Firstenberg; N L Greenberg; M J Garcia; P L Castro; D L Prior; N G Smedira; J D Thomas
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Computers in cardiology     Volume:  26     ISSN:  0276-6574     ISO Abbreviation:  Comput Cardiol     Publication Date:  1999  
Date Detail:
Created Date:  2003-06-09     Completed Date:  2003-06-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7504430     Medline TA:  Comput Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  S    
Affiliation:
The Cardiovascular Imaging Center, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Automation
Blood Flow Velocity / physiology
Coronary Circulation / physiology*
Echocardiography, Doppler, Color*
Echocardiography, Transesophageal
Hemodynamics
Humans
Image Processing, Computer-Assisted*
Mitral Valve / physiology*
Pressure*
Transducers, Pressure
Grant Support
ID/Acronym/Agency:
1R01HL56688-01A1/HL/NHLBI NIH HHS; NCC9-60/CC/CDC HHS; NEO-97-225-BGIA/BG/FDA HHS
Investigator
Investigator/Affiliation:
J D Thomas / Cleveland Clinic Found, OH

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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