全身成像模式三维量化法评价二尖瓣反流体积与近-国家心血管病中心.pdfVIP

中国循环杂志 2014 年 1 月 第 29 卷 第 1 期（总第 187 期）Chinese Circulation Journal，January，2014，Vol. 29 No.1（Serial No.187） 35 临床研究 全身成像模式三维量化法评估二尖瓣反流体积 与近端血流等速面法的对比研究 * 王吴刚，林琼雯，吴伟春，江勇，王浩 摘要 目的：探讨全身成像模式三维量化（GI3DQ）法直接测量二尖瓣反流（MR）束体积用以评估二尖瓣反流体积的可行 性和准确性。 方法：入选 93 例二尖瓣反流患者，分两组：偏心性二尖瓣反流 52 例为偏心性组；中心性二尖瓣反流 41 例为中 心性组。GI3DQ 法直接测量二尖瓣反流体积；近端血流等速面（PISA）法计算有效反流口面积（EROA），然后乘以二 尖瓣反流速度时间积分（MR-VTI）得出的二尖瓣反流体积作为参考标准。 结果：偏心性与中心性组 PISA 法计算二尖瓣反流体积与 GI3DQ 测量二尖瓣反流体积相关性分别为： r =0.78， r =0.94；一致性分析未见两种方法差异有统计学意义。 结论：与 PISA 法相比，在中心性及偏心性二尖瓣反流中，GI3DQ 法评估二尖瓣反流体积是可行且准确的。 关键词 全身成像模式三维量化；二尖瓣反流；近端血流等速面 Comparative Study on Mitral Regurgitation Volume Between General Imaging 3-Dimensional Quantification Method and Proximal Isovelocity Surface Area Method WANG Wu-gang, LIN Qiong-wen, WU Wei-chun, JIANG Yong,WANG Hao. Department of Echocardiography, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037), China Corresponding Author: WANG Hao, Email: fwanghao@ Abstract Objective: To explore the feasibility and accuracy of mitral regurgitation volume (MRvol) for quantifying MR jet volume with general imaging 3-dimensional quantification (GI3DQ) method. Methods: A total of 93 MR patients were enrolled for 2 groups, Central MR group, n =41 and Eccentric MR group, n =52. MRvol was directly assessed by GI3DQ method, the effective regurgitation orifice area (EROA) was measured by proximal isovelocity surface area (PISA) method, then multiplied by the mitral regurgitation time-velocity integral (MR- VTI), and the result was used as the reference standard of MRvol. Results: In both Eccentric MR group and Central MR group, the MRvol assessed by PISA method and GI3DQ method had the correlation of