[Acoustic quantification--a new online procedure for automatic recording of left ventricular areas and area changes in the echocardiogram].
Initial experiences were obtained with a new technique for automatic quantification of left ventricular areas and area changes in two-dimensional (2D) echocardiograms (acoustic quantification, AQ). AQ is based on integrated back-scatter-analysis in real-time. Practicality and reliability of AQ were studied in 50 non-selected patients. AQ measurements of left-ventricular (LV) cavities were compared with off-line measurements which were obtained by analysis of videotaped images. Thirty-two (64%) and 39 (78%) patients could be studied by AQ from parasternal and apical views, respectively. LV areas measured from parasternal views or apical views showed a good correlation with corresponding values obtained by off-line analysis (r = 0.78 to 0.91). In addition, LV fractional area changes measured by AQ showed an excellent correlation with off-line measurements (parasternal: r = 0.86; apical: r = 0.84). During infusion of dobutamine (n = 3; 5, 10, 20 micrograms/kg/min, 10 min each dose), reduction of LV cavity areas could be continuously monitored and quantified by AQ for each cardiac cycle. In five of six patients who underwent transesophageal echocardiography, AQ could easily detect LV contours in the transgastric short axis view. Although AQ is not practicable in all patients, this new technique appears to be a promising and reliable approach for real-time, automatic boundary detection in 2D echocardiograms.
Mügge
A
A
Abt. für Kardiologie, Medizinische Hochschule Hannover.
Daniel
W G
WG
Niedermeyer
J
J
Grote
J
J
Hausmann
D
D
Lichtlen
P R
PR
D000293:Adolescent; D000328:Adult; D000368:Aged; D004280:Dobutamine; D004452:Echocardiography / Q000295:instrumentation*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction / Q000502:physiology; D009862:Online Systems / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D016277:Ventricular Function, Left / Q000502:physiology*; D014743:Videotape Recording / Q000295:instrumentation
D004280:Dobutamine
Akustische Quantifizierung--ein neues On-line-Verfahren zur automatischen Erfassung von linksventrikulären Flächen und Flächenänderungen im Echokardiogramm.