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[在健康志愿者中,利用屏气技术对升主动脉和肺动脉干进行快速磁共振血流定量与利用左右心室电影磁共振成像评估每搏输出量的比较]

[Comparison between fast MR flow quantification in breathhold technique in ascending aorta and pulmonary trunc with right and left ventricular cine-MRI for the assessment of stroke volumes in healthy volunteers].

作者信息

Rominger M B, Dinkel H P, Bachmann G F

机构信息

Abteilung Strahlendiagnostik, Philipps-Universität Marburg, Germany.

出版信息

Rofo. 2002 Feb;174(2):196-201. doi: 10.1055/s-2002-20104.

Abstract

PURPOSE

Evaluation of accordance and reproducibility of the stroke volume assessment of fast flow measurement in breathhold technique in the ascending aorta and pulmonary trunc with fast right (RV) and left ventricular (LV) cine-MRI.

MATERIAL AND METHODS

The correlation an accordance of stroke volumes (SV) were evaluated by flow measurements in the ascending aorta and pulmonary trunc and RV and LV volumetric cine-MRI in 33 cardiac healthy volunteers. Interobserver and intraobserver variability of the different measurement methods and locations were checked in 10 cardiac healthy volunteers.

RESULTS

With respect to the early systolic flow and the extrapolation of the endiastolic flow rate the difference in SV was smaller than 1,5 ml/m(2) for all possible combinations. The interobserver and intraobserver variabilities of flow measurements were significantly lower by approximately a factor of 2.5 than those of RV and LV cine-MRI.

CONCLUSION

The accordance of fast prospective triggered flow measurements in the ascending aorta and pulmonary trunc with RV and LV cine-MRI can be achieved with reasonable limits of agreement. Flow measurements are more reproducible than cine-MRI.

摘要

目的

通过快速右心室(RV)和左心室(LV)电影磁共振成像(cine-MRI),评估屏气技术在升主动脉和肺动脉干中快速血流测量时每搏输出量评估的一致性和可重复性。

材料与方法

对33名心脏健康志愿者,通过升主动脉和肺动脉干的血流测量以及RV和LV容积电影磁共振成像来评估每搏输出量(SV)的相关性和一致性。在10名心脏健康志愿者中检查了不同测量方法和部位的观察者间和观察者内变异性。

结果

对于所有可能的组合,就收缩早期血流和舒张末期流速的外推而言,SV的差异小于1.5 ml/m²。血流测量的观察者间和观察者内变异性比RV和LV电影磁共振成像的变异性显著低约2.5倍。

结论

在合理的一致性限度内,升主动脉和肺动脉干中快速前瞻性触发血流测量与RV和LV电影磁共振成像可实现一致性。血流测量比电影磁共振成像更具可重复性。

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