CALCULATION OF VOLUME FLOW-RATE BY THE PROXIMAL ISOVELOCITY SURFACE-AREA METHOD - SIMPLIFIED APPROACH USING COLOR DOPPLER ZERO BASE-LINE SHIFT

被引:65
作者
UTSUNOMIYA, T [1 ]
DOSHI, R [1 ]
PATEL, D [1 ]
MEHTA, K [1 ]
NGUYEN, D [1 ]
HENRY, WL [1 ]
GARDIN, JM [1 ]
机构
[1] UNIV CALIF IRVINE,IRVINE MED CTR,DEPT MED,DIV CARDIOL,CARDIOL NONINAVAS LAB,POB 14091,ORANGE,CA 92613
关键词
D O I
10.1016/0735-1097(93)90844-Q
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives. The goal of this study was to develop an accurate, simplified proximal isovelocity surface area (PISA) method for calculating volume flow rate using lower blue-red interface velocity produced by a color Doppler zero baseline shift technique. Background. The Doppler color proximal isovelocity surface area method has been shown to be accurate for calculating the volume flow rate (Q) across a narrowed orifice by the formula Q = PISA x Blue-red interface velocity. A hemispheric model is generally used to calculate proximal isovelocity surface area (PISA = 2pia2, where a = the radius corresponding to the blue-red interface velocity). Although a hemispheric model is simple, requiring measurement of one radius, it may underestimate the actual volume flow rate because, in the general case, the shape of a proximal isovelocity surface area is hemielliptic. Although a hemielliptic model is generally more accurate for calculating proximal isovelocity surface area, it is more complex, requiring measurement of two orthogonal radii. Methods. Sixteen in vitro constant flow model studies were performed using planar circular orifices (diameter range 6 to 16 mm). The blue-red interface velocity was changed from 3 to 54 cm/s using color Doppler zero baseline shift. Results. 1) With decreasing blue-red interface velocity, the size of the proximal isovelocity surface area was increased, and its shape changed from hemielliptic to hemispheric. 2) With the blue-red interface velocity in the range 11 to 15 cm/s, the proximal isovelocity surface area became nearly hemispheric; however, it was difficult to determine the blue-red interface radius at a blue-red interface velocity < 10 cm/s because of interface fluctuations. 3) Calculated volume flow rate using the hemispheric proximal isovelocity surface area model with a single radius was relatively accurate at a blue-red interface velocity of 11 to 15 cm/s (mean percent difference from actual volume flow rate was -3.6%). Conclusions. Because the shape of the proximal isovelocity surface area is nearly hemispheric at a blue-red interface velocity of 11 to 15 cm/s, volume flow rate can be accurately calculated in this proximal isovelocity surface area interface velocity range (produced by zero baseline shift) by measuring a single-interface radius. This approach should be clinically useful for calculating the volume flow rate across stenotic and regurgitant valves and across shunt defects.
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页码:277 / 282
页数:6
相关论文
共 14 条
[1]  
BARGIGGIA GS, 1990, CARDIOVASC IMAGING, V2, P137
[2]   COLOR DOPPLER DETERMINATION OF REGURGITANT FLOW - FROM PROXIMAL ISOVELOCITY SURFACE-AREAS TO PROXIMAL VELOCITY PROFILES - AN INVITRO STUDY [J].
GIESLER, MO ;
STAUCH, M .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 1992, 9 (01) :51-62
[3]  
LEVINE R A, 1991, Journal of the American College of Cardiology, V17, p359A
[4]  
MOISES V A, 1990, Journal of the American College of Cardiology, V15, p109A
[5]   A NEW METHOD FOR NONINVASIVE ESTIMATION OF VENTRICULAR SEPTAL-DEFECT SHUNT FLOW BY DOPPLER COLOR FLOW MAPPING - IMAGING OF THE LAMINAR-FLOW CONVERGENCE REGION ON THE LEFT SEPTAL SURFACE [J].
MOISES, VA ;
MACIEL, BC ;
HORNBERGER, LK ;
MURILLOOLIVAS, A ;
VALDESCRUZ, LM ;
SAHN, DJ ;
WEINTRAUB, RG .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (03) :824-832
[6]   A NEW METHOD FOR QUANTIFICATION OF REGURGITANT FLOW-RATE USING COLOR DOPPLER FLOW IMAGING OF THE FLOW CONVERGENCE REGION PROXIMAL TO A DISCRETE ORIFICE - AN INVITRO STUDY [J].
RECUSANI, F ;
BARGIGGIA, GS ;
YOGANATHAN, AP ;
RAISARO, A ;
VALDESCRUZ, LM ;
SUNG, HW ;
BERTUCCI, C ;
GALLATI, M ;
MOISES, VA ;
SIMPSON, IA ;
TRONCONI, L ;
SAHN, DJ .
CIRCULATION, 1991, 83 (02) :594-604
[7]   IMPACT OF FINITE ORIFICE SIZE ON PROXIMAL FLOW CONVERGENCE - IMPLICATIONS FOR DOPPLER QUANTIFICATION OF VALVULAR REGURGITATION [J].
RODRIGUEZ, L ;
ANCONINA, J ;
FLACHSKAMPF, FA ;
WEYMAN, AE ;
LEVINE, RA ;
THOMAS, JD .
CIRCULATION RESEARCH, 1992, 70 (05) :923-930
[8]   EXPERIMENTAL STUDIES TO DEFINE THE GEOMETRY OF THE FLOW CONVERGENCE REGION - LASER DOPPLER PARTICLE TRACKING AND COLOR DOPPLER IMAGING [J].
SHANDAS, R ;
GHARIB, M ;
LIEPMANN, D ;
SHIOTA, T ;
SAHN, DJ .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 1992, 9 (01) :43-50
[9]  
SHANDAS R, 1991, Journal of the American College of Cardiology, V17, p149A
[10]   DOPPLER COLOR FLOW PROXIMAL ISOVELOCITY SURFACE-AREA METHOD FOR ESTIMATING VOLUME FLOW-RATE - EFFECTS OF ORIFICE SHAPE AND MACHINE FACTORS [J].
UTSUNOMIYA, T ;
OGAWA, T ;
DOSHI, R ;
PATEL, D ;
QUAN, M ;
HENRY, WL ;
GARDIN, JM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (05) :1103-1111