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通过二维超声心动图和心血管磁共振成像对健康猫左心房大小的比较评估。

Comparative evaluation of left atrial size in healthy cats measured by two-dimensional echocardiography and cardiovascular MRI.

作者信息

Wei Lirou, Li Jing, Ren Honglin, Fu Shiyi, Liu Yiting, Wu Yuhong, Liu Bo

机构信息

College of Veterinary Medicine, China Agricultural University, Beijing, China.

出版信息

J Feline Med Surg. 2025 Jan;27(1):1098612X241303323. doi: 10.1177/1098612X241303323.

DOI:10.1177/1098612X241303323
PMID:39885619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11783560/
Abstract

OBJECTIVES

This study aimed to assess left atrial (LA) size in healthy cats using cardiovascular MRI (cMRI) and to compare this with LA size assessed by two-dimensional echocardiography. The hypothesis was that cMRI would accurately determine LA size in domestic cats.

METHODS

A prospective comparative study was performed. Six healthy cats were selected for the study. Standard two-dimensional echocardiography was performed with and without general anaesthesia. cMRI was conducted under general anaesthesia. A comprehensive analysis of LA mass and function measurements was performed to determine the consistency and correlation of LA size and function indicators between two-dimensional echocardiography and cMRI.

RESULTS

Our study found that intraobserver variability for cMRI measurements was lower than that for two-dimensional echocardiography. Compared with cMRI, echocardiography under anaesthesia significantly overestimated maximal LA volume (LAVmax_2D, P <0.01) and significantly underestimated minimal LA volume (LAVmin_2D, <0.01). The LAVmin measured by two-dimensional echocardiography exhibited the highest consistency (intraclass correlation coefficient = 0.857) and correlation ( = 0.75, <0.01) with LAVmin measured by cMRI. The linear regression equation was LAVmin_ cMRI = 0.891 × LAVmin_2D + 0.304.

CONCLUSIONS AND RELEVANCE

cMRI represents a reproducible method for assessing LA mass in domestic cats. This study underscored the importance of echocardiography in veterinary cardiology, and the LAVmin measured by two-dimensional echocardiography may reflect the true LAVmin.

摘要

目的

本研究旨在使用心血管磁共振成像(cMRI)评估健康猫的左心房(LA)大小,并将其与二维超声心动图评估的LA大小进行比较。假设是cMRI能够准确测定家猫的LA大小。

方法

进行了一项前瞻性比较研究。选择6只健康猫进行研究。在有和没有全身麻醉的情况下进行标准二维超声心动图检查。cMRI在全身麻醉下进行。对LA质量和功能测量进行了全面分析,以确定二维超声心动图和cMRI之间LA大小和功能指标的一致性和相关性。

结果

我们的研究发现,cMRI测量的观察者内变异性低于二维超声心动图。与cMRI相比,麻醉下的超声心动图显著高估了最大LA容积(LAVmax_2D,P<0.01),并显著低估了最小LA容积(LAVmin_2D,<0.01)。二维超声心动图测量的LAVmin与cMRI测量的LAVmin表现出最高的一致性(组内相关系数=0.857)和相关性(=0.75,<0.01)。线性回归方程为LAVmin_cMRI = 0.891×LAVmin_2D + 0.304。

结论及意义

cMRI是评估家猫LA质量的一种可重复方法。本研究强调了超声心动图在兽医心脏病学中的重要性,二维超声心动图测量的LAVmin可能反映真实的LAVmin。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/cfb5854955f1/10.1177_1098612X241303323-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/91b70f1a13dc/10.1177_1098612X241303323-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/8b9e8ebb7a60/10.1177_1098612X241303323-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/cfb5854955f1/10.1177_1098612X241303323-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/91b70f1a13dc/10.1177_1098612X241303323-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/8b9e8ebb7a60/10.1177_1098612X241303323-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e85/11783560/cfb5854955f1/10.1177_1098612X241303323-fig3.jpg

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本文引用的文献

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J Vet Cardiol. 2024 Feb;51:157-171. doi: 10.1016/j.jvc.2023.11.002. Epub 2023 Nov 10.
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Current use of cardiac MRI in animals.目前在动物中使用心脏 MRI。
J Vet Cardiol. 2024 Feb;51:13-23. doi: 10.1016/j.jvc.2023.11.006. Epub 2023 Nov 10.
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Precision measurement of cardiac structure and function in cardiovascular magnetic resonance using machine learning.
利用机器学习技术对心血管磁共振中的心脏结构和功能进行精确测量。
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Value CMR: Towards a Comprehensive, Rapid, Cost-Effective Cardiovascular Magnetic Resonance Imaging.价值CMR:迈向全面、快速、经济高效的心血管磁共振成像
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Cardiac CT for Measurement of Right Ventricular Volume and Function in Comparison with Cardiac MRI: A Meta-Analysis.心脏 CT 与心脏 MRI 测量右心室容积和功能的比较:荟萃分析。
Korean J Radiol. 2020 Apr;21(4):450-461. doi: 10.3348/kjr.2019.0499.
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Contrast-enhanced echocardiographic measurement of longitudinal strain: accuracy and its relationship with image quality.超声心动图增强造影测量纵向应变:准确性及其与图像质量的关系。
Int J Cardiovasc Imaging. 2020 Mar;36(3):431-439. doi: 10.1007/s10554-019-01732-4. Epub 2019 Nov 13.
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