Document Detail


A new Doppler method for quantification of volumetric flow: in vivo validation using color Doppler.
MedLine Citation:
PMID:  8522693     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study was designed to assess the accuracy of a new Doppler method for quantification of volumetric flow in vivo. BACKGROUND: Noninvasive assessment of volumetric flow through heart valves and the great vessels remains a clinical goal. We present a new method for quantification of volumetric flow based on color Doppler mapping that computes velocity vectors over a surface normal to the point of scanning. This Doppler technique assumes only the incompressibility of the fluid. The method is basically independent of the angle of incidence between the ultrasound beam and the direction of blood flow and includes variations of flow area. METHODS: The color Doppler method was tested in seven anesthetized pigs by measuring pulmonary volumetric flows using multiplane Doppler echocardiography. The results were compared with those obtained by the thermodilution technique. In addition, volumetric flows across the mitral valve were determined in 10 normal volunteers by transthoracic Doppler echocardiography and compared with flows obtained with velocity-encoded magnetic resonance imaging (MRI). RESULTS: The mean value of the differences between the thermodilution technique and color Doppler were -0.16 +/- 0.94 liter/min for pulmonary volumetric flows (mean value of differences for [Thermodilution-Color Doppler] +/- 2 SD of differences). The mean value of the differences between MRI and color Doppler were 0.21 +/- 0.83 liter/min for mitral valvular volumetric flows (mean value of differences for [MRI-Color Doppler] +/- 2 SD of differences). CONCLUSIONS: The method showed close agreement with thermodilution and MRI for assessment of volumetric flow in vivo. It is therefore a noninvasive method with potential applications for cardiac output measurement and for quantification of volumetric flow of valvular insufficiency and restrictive lesions.
Authors:
W Y Kim; J K Poulsen; K Terp; N H Staalsen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  27     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-01-25     Completed Date:  1996-01-25     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  182-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Skejby Sygehus, Aarhus University Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Aorta / physiology,  ultrasonography
Blood Flow Velocity / physiology
Cardiac Output / physiology*
Data Interpretation, Statistical
Echocardiography, Doppler, Color / methods*
Female
Humans
Magnetic Resonance Imaging
Male
Mathematical Computing
Mitral Valve / pathology,  physiology,  ultrasonography
Pulmonary Artery / pathology,  physiology,  ultrasonography
Reference Values
Reproducibility of Results
Swine
Thermodilution

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


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