Division of Cardiovascular Imaging and Dynamics, Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.
Ultrasound Med Biol. 2013 Oct;39(10):1848-60. doi: 10.1016/j.ultrasmedbio.2013.04.004. Epub 2013 Jul 5.
Ultrasound assessment of myocardial strain can provide valuable information on regional cardiac function. However, Doppler-based methods often used in practice for strain estimation suffer from angle dependency. In this study, a partial solution to that fundamental limitation is presented. We have previously reported using simulated data sets that spatial compounding of axial velocities obtained at three steering angles can theoretically outperform 2-D speckle tracking for 2-D strain estimation in the mouse heart. In this study, the feasibility of the method was analyzed in vivo using spatial compounding of Doppler velocities on six mice with myocardial infarction and five controls, and results were compared with those of tagged microscopic magnetic resonance imaging (μMRI). Circumferential estimates quantified by means of both ultrasound and μMRI could detect regional dysfunction. Between echocardiography and μMRI, a good regression coefficient was obtained for circumferential strain estimates (r = 0.69), whereas radial strain estimates correlated only moderately (r = 0.37). A second echocardiography was performed after μMRI to test the reproducibility of the compounding method. This yielded a higher correlation coefficient for the circumferential component than for the radial component (r = 0.74 circumferentially, r = 0.49 radially).
超声应变评估可提供有关局部心脏功能的有价值信息。然而,在实践中,常使用基于多普勒的方法来估计应变,但这些方法存在角度依赖性的局限性。本研究提出了一种解决该基本局限性的部分方法。我们之前曾报道过,使用模拟数据集表明,在三个转向角度获得的轴向速度的空间复合在理论上可以优于二维斑点追踪,用于在小鼠心脏中进行二维应变估计。在这项研究中,使用空间复合多普勒速度在六只心肌梗死和五只对照的老鼠中分析了该方法的可行性,并将结果与标记的微观磁共振成像(μMRI)进行了比较。通过超声和 μMRI 定量的圆周应变估计可以检测到局部功能障碍。在超声心动图和 μMRI 之间,圆周应变估计获得了良好的回归系数(r = 0.69),而径向应变估计仅呈中度相关(r = 0.37)。在进行 μMRI 后再次进行了第二次超声心动图检查,以测试复合方法的可重复性。这使得圆周分量的相关系数高于径向分量(r = 0.74 圆周,r = 0.49 径向)。