Dell'Italia L J, Blackwell G G, Pearce D J, Thorn B, Pohost G M
University of Alabama at Birmingham, Division of Cardiovascular Disease 35294.
Invest Radiol. 1994 Feb;29(2):162-7. doi: 10.1097/00004424-199402000-00008.
RATIONALE, OBJECTIVE AND METHODS: The authors recently combined magnetic resonance imaging with high-fidelity left ventricular (LV) pressure measurement in a closed-chested, intact animal model. However, LV volumes derived from summated serial short axis slices require long imaging times and make it difficult to record LV volumes in response to acute alterations in load. In this study, geometry-based LV end-systolic volume estimates calculated from a single long-axis image (Area-Length formula) and from a long-axis and short-axis image (Bullet formula) were compared to those derived from summated short-axis images of the left ventricle (Simpson's rule) during altered loading conditions in six anesthetized, intact dogs.
Angiotensin infusion produced three different LV systolic pressures (89 +/- 8 vs. 123 +/- 12 vs. 151 +/- 10 mmHg, P < .001). Area-Length and Bullet formula end-systolic volumes correlated with Simpson's rule volumes (r = .95 and .97; respectively). However, Bullet formula end-systolic volumes provided a significantly better agreement with Simpson's rule end-systolic volumes.
The Bullet formula can be substituted for Simpson's rule to record magnetic resonance LV volumes during steady-state alterations in load in our intact animal model.
原理、目的和方法:作者最近在封闭胸腔的完整动物模型中将磁共振成像与高保真左心室(LV)压力测量相结合。然而,从一系列连续短轴切片求和得出的左心室容积需要较长的成像时间,并且难以记录在负荷急性改变时的左心室容积。在本研究中,比较了在六只麻醉的完整犬负荷改变情况下,根据单个长轴图像(面积 - 长度公式)以及长轴和短轴图像(子弹公式)计算得出的基于几何形状的左心室收缩末期容积估计值与通过左心室短轴图像求和得出的容积估计值(辛普森法则)。
输注血管紧张素产生了三种不同的左心室收缩压(89±8 与 123±12 与 151±10 mmHg,P<.001)。面积 - 长度公式和子弹公式得出的收缩末期容积与辛普森法则得出的容积相关(r分别为0.95和0.97)。然而,子弹公式得出的收缩末期容积与辛普森法则得出的收缩末期容积一致性明显更好。
在我们的完整动物模型中,在负荷的稳态改变期间,子弹公式可替代辛普森法则来记录磁共振左心室容积。