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[健康志愿者体内腔内及壁内心脏测量的核磁共振成像:与超声心动图的比较]

[Intracavitary and parietal cardiac measurement with nuclear magnetic resonance: comparison with echocardiography in healthy volunteers].

作者信息

Biasi S, Casolo F, Borroni M, Verderio L, Cerchiari U, Balzarini L, Ceglia E, Petrillo R, Tesoro Tess J D, Guindani A

机构信息

Servizio di Cardiologia, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano.

出版信息

G Ital Cardiol. 1987 Sep;17(9):761-6.

PMID:3692077
Abstract

For quantitative evaluation of cardiac dimensions by Nuclear Magnetic Resonance (NMR), we compared the values obtained by ECG gated NMR with those obtained by two-dimensional echocardiography (2D-echo) in 18 adult healthy volunteers aged 20-40 years (mean 31.6 +/- 5.8). NMR was performed using a 2 T super-conducting magnet operating at 0.5 T with a radiofrequency impulse of 21 MHz. Spin-echo pulse sequences with echo-delay times (TEs) of 30-45 msec were used for data acquisition. The interpulse interval was obtained from the R-R interval on the ECG. Slice thickness was set at 1 cm. To obtain planes oriented along the long axis of the left ventricle similar to 2D-echo, paraxial planes were obtained by double angulation. No significant differences of mean values obtained by NMR and 2D-echo were observed. Regression coefficients were not statistically different from 1 for any of the structures measured: left atrium (y = 1.106x), aorta (y = 1.077x), left ventricle (y = 0.66x), interventricular septum (y = x 1.009x), postero-lateral wall of the left ventricle (y = 1.133x), right ventricle (y = 1.093x). However high coefficients of variation were found for measurement of postero lateral wall (79.5) and interventricular septum (41.4) thicknesses; potential causative factors are discussed.

摘要

为了通过核磁共振(NMR)对心脏尺寸进行定量评估,我们比较了18名年龄在20至40岁(平均31.6 +/- 5.8岁)的成年健康志愿者经心电图门控核磁共振获得的值与二维超声心动图(2D-回声)获得的值。使用在0.5 T下运行的2 T超导磁体进行核磁共振,射频脉冲为21 MHz。使用回波延迟时间(TE)为30至45毫秒的自旋回波脉冲序列进行数据采集。脉冲间期从心电图上的R-R间期获得。切片厚度设置为1厘米。为了获得与2D-回声类似的沿左心室长轴定向的平面,通过双角度获得近轴平面。未观察到核磁共振和2D-回声获得的平均值有显著差异。对于所测量的任何结构,回归系数与1在统计学上无差异:左心房(y = 1.106x)、主动脉(y = 1.077x)、左心室(y = 0.66x)、室间隔(y = 1.009x)、左心室后外侧壁(y = 1.133x)、右心室(y = 1.093x)。然而,发现左心室后外侧壁厚度(79.5)和室间隔厚度(41.4)测量的变异系数较高;讨论了潜在的致病因素。

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