arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2010.04397physics.med-ph
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人体心脏中自然发生的剪切波的4D超快超声成像

4D ultrafast ultrasound imaging of naturally occurring shear waves in the human heart

Clement Papadacci, V. Finel, O. Villemain, M. Tanter, M. Pernot

摘要:

目的是开发一种新的三维技术,用于成像自然发生的剪切波(SW)传播,证明人类志愿者的可行性,并量化SW在不同传播方向的速度。瓣膜关闭产生的自然SW的成像已经出现,以获得心脏硬度的直接测量。最近,在胸骨旁长轴视图上,在沿隔膜传播方向的假设下,对自然SW速度进行了二维评估。然而,在这种方法中,源定位和复杂的三维传播波路径被忽略,使得速度估计不可靠。用4D超快超声心动图扫描仪对人左心室进行高容积率经胸采集(1100容积/s)。四维组织速度电影回放能够显示主动脉瓣和二尖瓣关闭波。能量和飞行时间映射允许传播路径可视化和源定位,分别。沿不同方向对速度进行量化。评估了3名志愿者的主动脉瓣和二尖瓣闭合SW速度,标准差较低。还发现了各向异性传播,这表明使用三维成像方法的必要性。对主动脉的三个方向估计不同的速度(3.4 $\pm$ 0.1 m/s,3.5 $\pm$ 0.3 m/s,5.4 $\pm$ 0.7 m/s)和二尖瓣(2.8 $\pm$ 0.5 m/s,2.9 $\pm$ 0.3 m/s,4.6 $\pm$ 0.7 m/s)阀门SW。4D超快超声消除了2D超快超声基于自然SW传播进行心脏SW成像的局限性,并能够全面测量心脏硬度。该技术可以提供左心室的刚度标测。

英文摘要:

The objectives were to develop a novel three-dimensional technology for imaging naturally occurring shear wave (SW) propagation, demonstrate feasibility on human volunteers and quantify SW velocity in different propagation directions. Imaging of natural SWs generated by valve closures has emerged to obtain a direct measurement of cardiac stiffness. Recently, natural SW velocity was assessed in two dimensions on parasternal long axis view under the assumption of a propagation direction along the septum. However, in this approach the source localization and the complex three-dimensional propagation wave path was neglected making the speed estimation unreliable. High volume rate transthoracic acquisitions of the human left ventricle (1100 volume/s) was performed with a 4D ultrafast echocardiographic scanner. Four-dimensional tissue velocity cineloops enabled visualization of aortic and mitral valve closure waves. Energy and time of flight mapping allowed propagation path visualization and source localization, respectively. Velocities were quantified along different directions. Aortic and mitral valve closure SW velocities were assessed for the three volunteers with low standard deviation. Anisotropic propagation was also found suggesting the necessity of using a three-dimensional imaging approach. Different velocities were estimated for the three directions for the aortic (3.4$\pm$0.1 m/s, 3.5$\pm$0.3 m/s, 5.4$\pm$0.7 m/s) and the mitral (2.8$\pm$0.5 m/s, 2.9$\pm$0.3 m/s, 4.6$\pm$0.7 m/s) valve SWs. 4D ultrafast ultrasound alleviates the limitations of 2D ultrafast ultrasound for cardiac SW imaging based on natural SW propagations and enables a comprehensive measurement of cardiac stiffness. This technique could provide stiffness mapping of the left ventricle.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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