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在健康犬中使用一维、二维和三维超声心动图与磁共振成像评估左心室容积

Assessment of left ventricular volumes by use of one-, two-, and three-dimensional echocardiography versus magnetic resonance imaging in healthy dogs.

作者信息

Meyer Judith, Wefstaedt Patrick, Dziallas Peter, Beyerbach Martin, Nolte Ingo, Hungerbühler Stephan O

机构信息

Small Animal Clinic, University of Veterinary Medicine Hannover, 30559 Hannover, Germany.

出版信息

Am J Vet Res. 2013 Sep;74(9):1223-30. doi: 10.2460/ajvr.74.9.1223.

Abstract

OBJECTIVE

To quantify left ventricle (LV) volumes by use of 1-D, 2-D, and 3-D echocardiography versus MRI in dogs.

ANIMALS

10 healthy Beagles.

PROCEDURES

During anesthesia, each dog underwent an echocardiographic examination via the Teichholz method, performed on the basis of standard M-mode frames (1-D); the monoplane Simpson method of disk (via 2-D loops); real-time triplane echocardiography (RTTPE) with a 3-D probe; and real-time 3-D echocardiography with a 3-D probe. Afterward, cardiac MRI was performed. Values for the LV end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF) were compared between each echocardiographic method and the reference method (cardiac MRI).

RESULTS

No significant differences for EDV, ESV, and EF were detected between RTTPE and cardiac MRI. Excellent correlations (r = 0.97, 0.98, and 0.95 for EDV, ESV, and EF, respectively) were found between RTTPE and values for cardiac MRI. The other echocardiographic methods yielded values significantly different from cardiac MRI and results correlated less well with results of cardiac MRI for EDV, ESV, and EF. Use of the Teichholz method resulted in LV volume overestimation, whereas the Simpson method of disk and real-time 3-D echocardiography significantly underestimated LV volumes.

CONCLUSIONS AND CLINICAL RELEVANCE

Use of RTTPE yielded excellent correlations and nonsignificant differences with cardiac MRI and is a suitable method for routine veterinary cardiac examination.

摘要

目的

通过1维、2维和3维超声心动图与磁共振成像(MRI)来量化犬类的左心室(LV)容积。

动物

10只健康的比格犬。

步骤

在麻醉期间,每只犬均接受基于标准M型图像(1维)的Teichholz方法进行的超声心动图检查;通过二维环行的单平面Simpson盘法;使用三维探头的实时三平面超声心动图(RTTPE);以及使用三维探头的实时三维超声心动图。之后,进行心脏MRI检查。比较每种超声心动图方法与参考方法(心脏MRI)之间的左心室舒张末期容积(EDV)、收缩末期容积(ESV)和射血分数(EF)值。

结果

RTTPE与心脏MRI之间在EDV、ESV和EF方面未检测到显著差异。RTTPE与心脏MRI值之间发现了极好的相关性(EDV、ESV和EF的r值分别为0.97、0.98和0.95)。其他超声心动图方法得出的值与心脏MRI有显著差异,并且在EDV、ESV和EF方面与心脏MRI结果的相关性较差。使用Teichholz方法导致左心室容积高估,而Simpson盘法和实时三维超声心动图显著低估了左心室容积。

结论及临床意义

使用RTTPE与心脏MRI具有极好的相关性且无显著差异,并是常规兽医心脏检查的合适方法。

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