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[获取计算心室容积校正因子的简化方法]

[Simplified method of obtaining the correction factor for calculating ventricular volumes].

作者信息

Rivera J M, Meaney E, Gómez-Alvarez E, Ban-Hayashi E, Lepe-Zúñiga V

出版信息

Arch Inst Cardiol Mex. 1984 Jan-Feb;54(1):21-4.

PMID:6721617
Abstract

For the accurate measurement of ventricular volume it is required the obtainment of a correction factor for the magnification caused by the non-parallel X-rays and the "pincushion" distortion, which causes more magnification in the periphery than in the center of the fluoroscopic field. The Kasser and Kennedy method is based in the attainment of the relation between the actual and projected dimensions of a micrometrically calibrated grid filmed at the distance measured between the intensifier tube and the mid-thoracic line during the ventriculography. This technique is very accurate but expensive and troublesome. With the simpler catheter method it is obtained the relation between the projected and actual linear dimensions of the ventriculographic catheter inmediately before ventriculography. This study was aimed to compare the accuracy of the catheter method and two other proposed methods, in which the relation between the projected and actual dimensions were obtained by filming one central coin or five arranged through the fluoroscopic field at the distance measured between the tube and the patients during the ventriculography. These four correction factors were obtained in 15 patients undergoing a diagnostic cardiac catheterization. The catheter method showed a poor correlation with the grid method (r = 0.34), while both coin methods showed a high correlation with the grid method (r = 0.93 and 0.92, respectively). It is concluded that the catheter method is inaccurate and therefore is unwise to use it for the estimation of ventricular volumes. Because the peripheric distortion is clinically unimportant, the central coin methods is proposed as a simplified method for obtaining the magnification correction factor.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为准确测量心室容积,需要获得一个校正因子,以校正由非平行X射线和“枕形”畸变所导致的放大效应,这种畸变在荧光透视视野的周边比中心造成更大的放大。卡塞尔和肯尼迪方法基于在心室造影期间,在增强管与胸中线之间测量的距离处拍摄的经过微米校准的网格的实际尺寸与投影尺寸之间关系的获取。该技术非常精确,但昂贵且麻烦。使用更简单的导管方法,可在心室造影即将进行之前获得心室造影导管的投影线性尺寸与实际线性尺寸之间的关系。本研究旨在比较导管方法与另外两种提出的方法的准确性,在后两种方法中,投影尺寸与实际尺寸之间的关系是通过在心室造影期间,在管与患者之间测量的距离处拍摄一个中心硬币或在荧光透视视野中排列的五个硬币来获得的。这四个校正因子是在15名接受诊断性心导管检查的患者中获得的。导管方法与网格方法的相关性较差(r = 0.34),而两种硬币方法与网格方法的相关性都很高(分别为r = 0.93和0.92)。得出的结论是,导管方法不准确,因此使用它来估计心室容积是不明智的。由于周边畸变在临床上并不重要,因此建议使用中心硬币方法作为获得放大校正因子的简化方法。(摘要截断于250字)

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