Department of Veterinary Radiology and Diagnostic Imaging, College of Veterinary Medicine, Konkuk University, 1 Hwayang-dong, Kwangjin-gu, Seoul 143-701, Republic of Korea.
Vet J. 2013 Nov;198(2):450-6. doi: 10.1016/j.tvjl.2013.08.007. Epub 2013 Aug 15.
This study was performed to evaluate the effect and feasibility of contrast echocardiography (CE) compared with unenhanced echocardiography (UE) and cardiac magnetic resonance imaging (CMRI) to assess left ventricular (LV) volume and function, including end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and ejection fraction (EF) in six healthy Beagles. When the dogs were conscious, LV measurements using CE were significantly higher than those obtained using UE, except for EF, and were similar to the values obtained using CMRI. Additionally, EDV, SV, and EF obtained using UE from anesthetized dogs were significantly lower than those obtained using CE or CMRI. Measurements of EDV, SV and EF using CE were not significantly different from the corresponding measurements obtained using CMRI (31.13±2.18 vs. 32.88±1.17 mL, 18.41±1.25 vs. 17.92±0.96 mL, 59.29±2.29% vs. 53.33±1.69%, respectively). Inter-observer agreements for UE (0.74±0.05) were lower than those for CE (0.80±0.04) and CMRI (0.92±0.03). In conclusion, LV function was assessed reproducibly using CE, and the measurements obtained were consistent with reference standard measurements obtained using CMRI. Measurements made using CE agreed more closely with CMRI than those made using UE.
本研究旨在评估对比超声心动图(CE)与未经增强超声心动图(UE)和心脏磁共振成像(CMRI)评估左心室(LV)容积和功能的效果和可行性,包括 6 只健康比格犬的舒张末期容积(EDV)、收缩末期容积(ESV)、每搏量(SV)和射血分数(EF)。在犬清醒时,CE 测量的 LV 值除 EF 外均显著高于 UE,与 CMRI 测量值相似。此外,麻醉犬 UE 测量的 EDV、SV 和 EF 显著低于 CE 或 CMRI。CE 测量的 EDV、SV 和 EF 与 CMRI 相应测量值无显著差异(31.13±2.18 vs. 32.88±1.17 mL,18.41±1.25 vs. 17.92±0.96 mL,59.29±2.29% vs. 53.33±1.69%)。UE 的观察者间一致性(0.74±0.05)低于 CE(0.80±0.04)和 CMRI(0.92±0.03)。总之,CE 可重复性地评估 LV 功能,测量值与 CMRI 参考标准测量值一致。CE 测量值与 CMRI 更一致,而与 UE 测量值不一致。