Comparison of Automatic Boundary Detection and Manual Tracing Technique in Echocardiographic Determination of Left Atrial Volume
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概要
- 論文の詳細を見る
Previous reports have indicated that echocardiography with automatic boundary detection(ABD)is useful for the noninvasive estimation of left ventricular volume. However, few data exist regarding the measurement of left atrial(LA)volume, which also provides pivotal information in the clinical setting. Therefore, the feasibility of LA volume measurement by ABD in comparison with the manual tracing using modified Simpson's method(SM)was evaluated. Fifty-nine patients with coronary artery disease with sinus thythm were examined. Using ABD, a region of interest was set around the LA border and mitral annulus from an apical four-chamber view. The maximal and minimal LA volume(Vmax and Vmin)were measured from the volume waveform. Using the SM, the maximal and minimal LA volume were measured by the manual tracing on frozen frames at the apical four-chamber view. The ABD displayed a curve of LA volume change that consisted of passive emptying, diastasis, and active emptying phases during the left ventricular diastolic period. Under these conditions, the Vmax and Vmin were 43.7±11.2ml and 21.1±7.6ml, respectively, yielding the volume change of 22.6±6.0ml. By the SM, Vmax and Vmin were 43.1±9.9ml{r=0.94, p<0.0001, y(ABD)=0.91x(SM)+3.6}and 22.0±9.0ml(r=0.91, p<0.0001, y=0.94x+0.7), respectively, and the volume change was 22.8±6.1ml(r=o.82, p<0.0001, y=0.84x+3.8). These results indicate that the ABD from the apical four-chamber approach could provide an accurate estimation of LA volume change, suggesting the potential value of this method in assessing LA function, although some technical difficulties need to be further overcome.
- 社団法人日本循環器学会の論文
- 1998-09-20
著者
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Tanaka Norio
Saitama Medical University
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Uematsu Masaaki
Cardiovascular Center Kansai Rosai Hospital
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Uematsu Masaaki
Osaka Seamen's Insurance Hospital
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NAKATANI Satoshi
Cardiovascular Division of Medicine, National Cardiovascular Center
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Masuda Yoshikazu
Department Of Cardiology National Cardiovascular Center
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Miyatake Kunio
Cardiovascular Division Osaka Minami Medical Center
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Nakatani Satoshi
Cardiology Division Of Medicine National Cardiovascular Center
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Miyatake Kunio
Hiroshima General Hospital
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Yasumura Yoshio
Cardiovascular Division Osaka Minami Medical Center
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Yamagishi Masakazu
Cardiovascular Division of Internal Medicine, National Cardiovascular Center
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Masuda Yoshikazu
Japanese Brugada Multicenter Registry By The Minister Of Health Labour And Welfare National Cardiova
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MASUDA Yoshikazu
Echocardiography Laboratory, National Cardiovascular Center
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Zhang Gui
Cardiology Division Of Medicine
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Yasumura Yoshio
Laboratory Of Molecular Genetics National Cardiovascular Center
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Miyatake Kunio
Cardiology Division National Cardiovascular Center
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Tsukada Takanori
Echocardiographic Laboratory, National Cardiovascular Center
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Tanaka Norio
Echocardiographic Laboratory, National Cardiovascular Center
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Matsutani Yoshikiyo
National Cardiovascular Center
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Uematsu Masaaki
Cardiovascular Division Kansai Rosai Hospital
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Yasumura Yoshio
Cardiology National Cardiovascular Center
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Takahashi Nobuyuki
Radiation Effects Research Foundation Hiroshima
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Masuda Yoshikazu
Echocardiographic Laboratory National Cardiovascular Center
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Tsukada Takanori
Echocardiographic Laboratory National Cardiovascular Center
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Tanaka Norio
Radiation Effects Research Foundation Hiroshima
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Yamagishi Masakazu
Cardiology Division Of Medicine National Cardiovascular Center
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