Volume (3-dimensional) space-time reconstruction of esophageal peristaltic contraction by using simultaneous US and manometry.
BACKGROUND
Conventional 3-dimensional endoluminal US was modified to evaluate peristaltic contractions in the esophagus.


METHODS
Two-dimensional US images and simultaneous intraluminal pressures were acquired during peristaltic contractions by locating the transducer at fixed positions in the esophagus in 6 normal volunteers during swallowing. Three-dimensional images were reconstructed by using a computer-based 3-dimensional algorithm with time as the x axis.


RESULTS
The peristaltic contraction sequence was viewed as a 3-dimensional US image. The geometric configuration of the esophagus, the muscle thickness, and corresponding pressures were evaluated. The 3-dimensional images demonstrate 4 phases of the peristaltic contraction sequence.


CONCLUSIONS
Three-dimensional time-resolved reconstruction of endoluminal US images of the esophagus and simultaneous recording of manometric data allow visualization of geometric changes and correlation with pressure changes during peristaltic contraction. Four phases of the peristaltic contraction sequence are demonstrated clearly on the 3-dimensional space-time images.
Dai
Qing
Q
Temple University Hospital, Philadelphia Pennsylvania, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19140, USA.
Liu
Ji-Bin
JB
Brasseur
James G
JG
Thangada
Vinod K
VK
Thomas
Beje
B
Parkman
Henry
H
Miller
Larry S
LS
D000328:Adult; D004947:Esophagus / Q000000981:diagnostic imaging* / Q000502:physiology*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008365:Manometry; D010528:Peristalsis; D014463:Ultrasonography