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犬升主动脉中的速度分布及其对脉冲多普勒测定平均血流速度准确性的影响。

The velocity profile in the canine ascending aorta and its effects on the accuracy of pulsed Doppler determinations of mean blood velocity.

作者信息

Lucas C L, Keagy B A, Hsiao H S, Johnson T A, Henry G W, Wilcox B R

出版信息

Cardiovasc Res. 1984 May;18(5):282-93. doi: 10.1093/cvr/18.5.282.

Abstract

The velocity profile in the ascending aorta, which has been variously reported as parabolic, skewed or flat, was measured using an intraluminal probe equipped with a miniature piezoelectric crystal activated by a 20 MHz pulsed Doppler with a 1 mm3 sample volume size. Phasic velocities, determined via spectral analyses, were obtained at 2 mm intervals across the aortic lumen of anaesthetised open-chest dogs by sequentially moving the crystal between posterior and anterior walls, maintaining the ultrasound beam parallel to the flow axis. Range-gating allowed data acquisition 3.5 mm proximal to the crystal, thus eliminating probe induced turbulence. Time and spatial distributions of velocities over the cross-section were computed. Expected errors in vessel mean velocity estimates based on point measurements were calculated. Analysis of phasic waveforms showed increased posterior velocities during systole but third order regression analysis of normalised point mean velocities across the lumen showed the best fit was a statistically flat straight line. Centreline referenced analyses indicated the expected difference between point mean velocity and vessel mean velocity was maximal (19.3 +/- 10.1%) 4 mm toward the posterior wall and minimal (4.7 +/- 9.1%) 5 mm toward the anterior wall. Anterior posterior wall referenced analyses indicated the most reliable position for estimating vessel mean velocity from point mean velocity along this axis was 5 mm from the anterior wall.

摘要

使用配备微型压电晶体的腔内探头测量升主动脉中的速度分布,该探头由20 MHz脉冲多普勒激活,样本体积大小为1 mm³。升主动脉中的速度分布情况此前有多种报道,呈抛物线形、倾斜形或平坦形。通过频谱分析确定的相位速度,是在麻醉开胸犬的主动脉腔内,以2 mm的间隔获取的。方法是将晶体在前后壁之间依次移动,保持超声束与血流轴平行。距离选通允许在晶体近端3.5 mm处采集数据,从而消除探头引起的湍流。计算了横截面上速度的时间和空间分布。计算了基于点测量的血管平均速度估计中的预期误差。相位波形分析显示,收缩期后壁速度增加,但对整个管腔归一化点平均速度的三阶回归分析表明,最佳拟合是一条统计上平坦的直线。中心线参考分析表明,点平均速度与血管平均速度之间的预期差异在向后壁4 mm处最大(19.3 +/- 10.1%),在前壁5 mm处最小(4.7 +/- 9.1%)。前后壁参考分析表明,沿该轴从点平均速度估计血管平均速度的最可靠位置是在前壁5 mm处。

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