Das Karuna M, Momenah Tariq S, Singh Rajvir, Raja Shanker, AlMoukirish Abdulrahman, AlZoum Mohammad, Larsson Sven G
Department of Medical Imaging, Prince Salman Heart Center, King Fahad Medical City, PO Box 59049, Riyadh, 11512, Saudi Arabia,
Pediatr Cardiol. 2014 Aug;35(6):1030-6. doi: 10.1007/s00246-014-0893-7. Epub 2014 Mar 20.
This retrospective study aimed to determine the superior vena cava (SVC) and left innominate vein (INV) normative cross-sectional area in children noninvasively using age as a predictor and also to compare the correlation of the area measured with the diameter on multidetector computed tomography (MDCT). Analysis of the SVC-INV cross-sectional area was performed for 73 consecutive patients. The cross-sectional area of the SVC-INV was manually estimated. A regression analysis was performed for the cross-sectional area and age separately, and regression equations were compared. One-way analysis of variance (ANOVA) was performed to evaluate significant differences in the area means according to age groups. Regression analysis showed that age can be a predictor for the area of the SVC (50.6 mm(2) + 1.01 × age), te INV (48.3 mm(2) + 0.93 × age), and the left SVC-INV junction (47.2 mm(2) + 0.92 × age), with respective R(2) values of 93, 88 and 94%. The comparative evaluation of the cross-sectional area and the diameter measurement of SVC showed that the cross-sectional area was more closely associated with the increasing age of the cohort (R(2) of 68 vs. 61%) than the measured diameter. For a cohort of patients without congenital or acquired heart disease, MDCT can be used as a complementary test for a normative cross-sectional normogram area database of SVC-INV using age as a predictor.
这项回顾性研究旨在以年龄作为预测指标,非侵入性地确定儿童上腔静脉(SVC)和左无名静脉(INV)的正常横截面积,并比较在多排螺旋计算机断层扫描(MDCT)上测量的面积与直径的相关性。对73例连续患者进行了SVC-INV横截面积分析。SVC-INV的横截面积通过手动估算。分别对横截面积和年龄进行回归分析,并比较回归方程。采用单因素方差分析(ANOVA)来评估不同年龄组面积均值的显著差异。回归分析表明,年龄可作为SVC面积(50.6 mm² + 1.01×年龄)、INV面积(48.3 mm² + 0.93×年龄)和左SVC-INV交界处面积(47.2 mm² + 0.92×年龄)的预测指标,其决定系数(R²)分别为93%、88%和94%。SVC横截面积与直径测量的比较评估显示,横截面积与队列年龄增长的相关性(R²为68%,而直径为61%)比测量直径更密切。对于无先天性或后天性心脏病的患者队列,MDCT可作为一种补充检查,用于建立以年龄为预测指标的SVC-INV正常横截面积规范图数据库。