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[超声心动图与心脏磁共振成像测量高血压患者左心室参数时两位研究者结果的差异比较]

[A comparison between two investigator's difference of results of left ventricular parameters using echocardiography and cardio MR in hypertensive patients].

作者信息

Brzozowska-Czarnek Agata

机构信息

Katedra Radiologii, Uniwersytet Jagielloński, Collegium Medicum.

出版信息

Przegl Lek. 2013;70(5):262-7.

PMID:23944094
Abstract

The aim of the study is estimation of compatibility between morphological and functional results obtained from two independent evaluations used nowadays in cardiology procedures: echocardiography and Cardio MR. 48 patients were examined (24 fema les and 24 males) from 37 to 75 years of age (mean age was 56 years) with diagnosed cardiac hypertrophy in the course of 2nd and 3rd degree primary hypertension. All patients from this gro up underwent echocardiography exami nation obtained from two independent evaluations, using 2.5 M Hz transducer. Also all the patients underwent Cardio MR examination using MR 1.5 T Signa Excite (GE) system, obtained from two independent evaluations. Dedicated software was used for post-processing (MASS). The same left ventricular mor phological and functional parameters. were assessed in both procedures. Analysis of differences between results obtainedfromtwo independent doctors of the same parameter for each method separately was performed. It was assu med, that the method there were less differences between results obtained from two examiners foreach parameter, was more objective. Statistically significant differences in measurements between different examiners in echocardiography was demonstrated of the following left ven tricular parameters: LV end-diastolic diameter (LVDd), LV end-systolic dia meter (LVSd), end-diastolic long axis (LD), end-systolic long axis (LS), end diastolic volume (EDV), end-systolic volume (ESV), ejection fraction (EF) and left ventricular mass (LVM). No statistically significant differences in measurements between both exami ners in Cardio MR for all measured LV parameters was demonstrated. Cardio MR examination is the procedure, where the result not depends on the operator.

摘要

本研究的目的是评估目前在心脏病学程序中使用的两种独立评估方法(超声心动图和心脏磁共振成像)所获得的形态学和功能结果之间的兼容性。对48例年龄在37至75岁(平均年龄56岁)、诊断为继发性高血压2级和3级且伴有心脏肥大的患者进行了检查(24名女性和24名男性)。该组所有患者均接受了超声心动图检查,使用2.5MHz换能器从两个独立评估中获取图像。所有患者还接受了心脏磁共振成像检查,使用MR 1.5T Signa Excite(GE)系统,从两个独立评估中获取图像。使用专用软件进行后处理(MASS)。在两种检查中评估相同的左心室形态和功能参数。分别对每种方法中同一参数的两名独立医生所获得的结果之间的差异进行分析。假设对于每个参数,两名检查者所获得的结果之间差异较小的方法更客观。超声心动图检查中,不同检查者之间在以下左心室参数的测量上显示出统计学上的显著差异:左心室舒张末期直径(LVDd)、左心室收缩末期直径(LVSd)、舒张末期长轴(LD)、收缩末期长轴(LS)、舒张末期容积(EDV)、收缩末期容积(ESV)、射血分数(EF)和左心室质量(LVM)。对于所有测量的左心室参数,心脏磁共振成像检查中两名检查者之间的测量结果未显示出统计学上的显著差异。心脏磁共振成像检查是一种结果不依赖于操作人员的检查方法。

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