Lei Xiaolin, Liu Hong, Han Yuchi, Cheng Wei, Sun Jiayu, Luo Yong, Yang Dan, Dong Yang, Chung Yiochu, Chen Yucheng
Cardiology Division, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Cardiovascular Division, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Magn Reson Imaging. 2017 Jun;45(6):1684-1692. doi: 10.1002/jmri.25520. Epub 2016 Nov 9.
To establish normal reference values of left ventricular (LV) and right ventricular (RV) dimension, volume, mass, and ejection fraction in a Chinese population using cardiac magnetic resonance imaging (MRI).
A total of 120 (60 males; 60 females; 23-83 years) healthy Han Chinese subjects without cardiovascular disease or risk factors were recruited. They underwent comprehensive MRI examination at 3.0T. LV/RV morphology and function were evaluated by steady-state free-procession (SSFP) sequence. Parameters were analyzed according to a standard postprocessing protocol.
Significant differences in LV size, mass, volume, and ejection fraction (EF) between sexes were noted (all P < 0.05). After indexing using body surface area (BSA), LV end-diastolic volume (EDV), and LV mass index were greater in males than in females (76.5 vs. 68.7 mL/m, P < 0.001; 52.9 vs. 45.1 g/m, P < 0.001; respectively). LVEF was lower in males than in females (64.6% vs. 67.1%, P = 0.007, respectively). RV volume was higher and RVEF lower in males compared with females (75.3 vs. 62.7 mL/m, P < 0.001; 59.9% vs. 62.6%, P = 0.001, respectively). Age was associated significantly with indices of LV and RV volume in females (left ventricular end-diastolic volume index: r = -0.41 P = 0.001; left ventricular end-systolic volume index: r = -0.37 P = 0.004; left ventricular end-diastolic volume index: r = -0.53 P < 0.001; right ventricular end-systolic volume index: r = -0.43 P < 0.001), but not in males (all P > 0.05).
These data suggest that sex and age affect ventricular parameters in healthy Han Chinese subjects without cardiovascular disease or risk factors.
2 Technical Efficacy: Stage 2 J. MAGN. RESON. IMAGING 2017;45:1684-1692.
利用心脏磁共振成像(MRI)建立中国人群左心室(LV)和右心室(RV)尺寸、容积、质量及射血分数的正常参考值。
共招募120名(60名男性;60名女性;年龄23 - 83岁)无心血管疾病或危险因素的健康汉族受试者。他们在3.0T条件下接受全面的MRI检查。通过稳态自由进动(SSFP)序列评估左心室/右心室形态和功能。参数按照标准后处理方案进行分析。
观察到男女之间左心室大小、质量、容积和射血分数(EF)存在显著差异(均P < 0.05)。使用体表面积(BSA)进行指数化后,男性的左心室舒张末期容积(EDV)和左心室质量指数大于女性(分别为76.5 vs. 68.7 mL/m²,P < 0.001;52.9 vs. 45.1 g/m²,P < 0.001)。男性的左心室射血分数低于女性(分别为64.6% vs. 67.1%,P = 0.007)。与女性相比,男性的右心室容积更高,右心室射血分数更低(分别为75.3 vs. 62.7 mL/m²,P < 0.001;59.9% vs. 62.6%,P = 0.001)。年龄与女性左心室和右心室容积指数显著相关(左心室舒张末期容积指数:r = -0.41,P = 0.001;左心室收缩末期容积指数:r = -0.37,P = 0.004;右心室舒张末期容积指数:r = -0.53,P < 0.001;右心室收缩末期容积指数:r = -0.43,P < 0.001),但与男性无关(所有P > 0.05)。
这些数据表明,性别和年龄会影响无心血管疾病或危险因素的健康汉族受试者的心室参数。
2 技术效能:2期 《磁共振成像杂志》2017年;45:1684 - 1692。