Tomimoto S, Nakatani S, Tanaka N, Uematsu M, Beppu S, Nagata S, Hamada S, Takamiya M, Miyatake K
Department of Internal Medicine, National Cardiovascular Center, Suita.
J Cardiol. 1995 Jan;25(1):37-42.
Acoustic quantification (AQ: the real-time automated boundary detection system) allows instantaneous measurement of cardiac chamber volumes. The feasibility of this method was evaluated by comparing the left ventricular (LV) volumes obtained with AQ to those derived from ultrafast computed tomography (UFCT), which enables accurate measurements of LV volumes even in the presence of LV asynergy, in 23 patients (8 with ischemic heart disease, 5 with cardiomyopathy, 3 with valvular heart disease). Both LV end-diastolic and end-systolic volumes obtained with the AQ method were in good agreement with those obtained with UFCT (y = 1.04 x - 16.9, r = 0.95; y = 0.87x + 15.7, r = 0.91; respectively). AQ was reliable even in the presence of LV asynergy. Interobserver variability for the AQ measurement was 10.2%. AQ provides a new, clinically useful method for real-time accurate estimation of the left ventricular volume.
声学定量法(AQ:实时自动边界检测系统)可实现心腔容积的即时测量。通过比较23例患者(8例缺血性心脏病、5例心肌病、3例瓣膜性心脏病)采用AQ法测得的左心室(LV)容积与超速计算机断层扫描(UFCT)得出的左心室容积,对该方法的可行性进行了评估。UFCT即使在存在左心室运动不协调的情况下也能准确测量左心室容积。采用AQ法测得的左心室舒张末期和收缩末期容积与UFCT测得的结果高度一致(分别为y = 1.04x - 16.9,r = 0.95;y = 0.87x + 15.7,r = 0.91)。即使存在左心室运动不协调,AQ法也是可靠的。AQ测量的观察者间变异性为10.2%。AQ为实时准确估计左心室容积提供了一种新的、具有临床实用性的方法。