右心室功能的心脏MR成像评价
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摘要
目的:研究右心室功能的心脏MR成像评价。方法:选取30例健康的患者,其中男16例,女14例,年龄19～38岁。使用德国Siemens公司SomatonAera1.5T磁共振机进行右心室短轴电影成像,使用Argus 4D VF心室功能软件分别测量了右心室射血分数(EF)、舒张末期容积(EDV)、收缩末期容积(ESV)、心搏出量(SV)、心排出量(CO)、舒张末期心肌质量(MMED)、平均心肌质量(MMAVG)。使用SPSS 20.0软件统计测量参数值的均值(■)和标准差(SD),应用独立样本检验男女两组的差异显著性,采用Pearson相关分析检验有关参数的相关系数,以P<0.05为差异显著。结果:30例均完成了右心室功能的心脏MR成像。右心室功能的心脏MRI测量正常值如下:EF=38.24±8.46(%),EDV=101.78±31.02(ml),ESV=66.14±21.16(ml),MMED=59.89±18.22(g),MMAVG=63.60±19.37(g),上述测量值在男女两组比较无显著性差异(F=0.028～3.764,P>0.05),SV在男性组为41.38±15.05(ml),女性组为29.06±8.38(ml)(F=5.832,P=0.023);CO在男性组为3.03±0.97(l/min),女性组为2.08±0.58(l/min)(F=4.270,P=0.048),SV和CO在男女两组间有显著性差异。通过Penrson相关检验,男性组SV与CO(r=0.918,P=0.000),SV与体重(r=0.420,P=0.105),CO与体重(r=0.353,P=0.179);女性组SV与CO(r=0.933,P=0.001),SV与体重(r=0.153,P=0.602),CO与体重(r=0.061,P=0.836)。结论:右心室功能MR成像的EF、EDV、ESV、MMED和MMAVG测量值在男女两组间无差异,而SV和CO测量中存在显著性差异,故应分别参照有关测量值进行右心室功能测评。
Objective:To study cardiac MRI evaluation of the right ventricular function. Methods: 30 cases of healthy volunteers(male=16, female=14, age range 19-38 years, mean age=27.21 years) were underwent the right ventricular short axis cine imaging on siemens 1.5 T SomatonAera magnetic resonace system.By using Argus 4 D VF ventricular function software, EF, EDV, ESV, SV, CO, MMED, MMAVG of the right ventricle were measured respectively. By using SPSS 20.0 software,the mean(■) and standard deviation( SD) of mearment values mentioned above were abtained. The statistically significant differences were performed by independent samptes test, and the correlation between some measured values was evaluated by Pearson correlation analysis. P<0.05 was defined the signiffecant difference. Resalts:Cariac MRI of right ventricular function was obtained in 30 cases. Normal values of the right ventricular function were as following : EF=38.24±8.46(%), EDV=101.78±31.02(ml), ESV=66.14±22.16(ml), MMED=59.89±18.22(g), MMAVG=63.60±19.37(g), which values were no any difference for two gender groups(F=0.028～3.764, all P>0.05). There were significant differences on SV and CO for two gender groups. SV were 41.38±15.05(ml) and 29.06±8.38(ml) for male group and female group respectively(F=5.832, P=0.023), CO were 3.03±0.97(l/min) and 2.08±0.58(l/min) for male group and female group respectively(F=4.270, P=0.048).(r=0.918, p=0.000),(r=0.420, p=0.105) and(r=0.353, p=0.179) for SV with CO, SV with weight, CO with weight in male group, and(r=0.933, p=0.001),(r=0.153, p=0.602) and(r=0.061, p=0.836) for SV with CO, SV with weight, CO with weight in female group were showed by Pearson corretation analysis. Conclasion: There are no any difference in EF, EDV, ESV, MMED and MMAVG on cardiac MRI of the right ventricular function for two gender groups, but there are significant diffirences in SV and CO measurement, which will be useful for cardiac MRI evaluation of the right ventricular function.
Objective:To study cardiac MRI evaluation of the right ventricular function. Methods: 30 cases of healthy volunteers(male=16, female=14, age range 19-38 years, mean age=27.21 years) were underwent the right ventricular short axis cine imaging on siemens 1.5 T SomatonAera magnetic resonace system.By using Argus 4 D VF ventricular function software, EF, EDV, ESV, SV, CO, MMED, MMAVG of the right ventricle were measured respectively. By using SPSS 20.0 software,the mean(■) and standard deviation( SD) of mearment values mentioned above were abtained. The statistically significant differences were performed by independent samptes test, and the correlation between some measured values was evaluated by Pearson correlation analysis. P<0.05 was defined the signiffecant difference. Resalts:Cariac MRI of right ventricular function was obtained in 30 cases. Normal values of the right ventricular function were as following : EF=38.24±8.46(%), EDV=101.78±31.02(ml), ESV=66.14±22.16(ml), MMED=59.89±18.22(g), MMAVG=63.60±19.37(g), which values were no any difference for two gender groups(F=0.028～3.764, all P>0.05). There were significant differences on SV and CO for two gender groups. SV were 41.38±15.05(ml) and 29.06±8.38(ml) for male group and female group respectively(F=5.832, P=0.023), CO were 3.03±0.97(l/min) and 2.08±0.58(l/min) for male group and female group respectively(F=4.270, P=0.048).(r=0.918, p=0.000),(r=0.420, p=0.105) and(r=0.353, p=0.179) for SV with CO, SV with weight, CO with weight in male group, and(r=0.933, p=0.001),(r=0.153, p=0.602) and(r=0.061, p=0.836) for SV with CO, SV with weight, CO with weight in female group were showed by Pearson corretation analysis. Conclasion: There are no any difference in EF, EDV, ESV, MMED and MMAVG on cardiac MRI of the right ventricular function for two gender groups, but there are significant diffirences in SV and CO measurement, which will be useful for cardiac MRI evaluation of the right ventricular function.
引文
1 孙军燕,张兆琪,李传亭,等.磁共振电影成像评价左右心室整体收缩功能.中华心血管病杂志,2006,34(12):1085-1088.
2 陆敏杰,赵世华,蒋世良,等.中国人心脏房室腔内径及左右心室功能正常参数的MRI研究.中华放射学杂志,2011,45(10):924-928.
3 彭刚,孙希文,朱晓华,等.心血管MRI对肺动脉高压患者肺动脉形态和右心室功能的评估.中华放射学杂志,2012,46(5):391-395.
4 韩艳,于铁链,杨振文,等.心脏MRI评估肺动脉高压患者的心功能.中国医学影像技术,2013,29(1):34-37.
5 陈友三.心脏磁共振右室容积及功能测量在肺动脉高压诊断中的应用.中国知网博士论文数据库,华中科技大学,2016:13-34.
6 Sandstede J,Lipke C,Beer M,et al.Age-and gender-specific differences in left and right ventricular cardiac function and mass determined by cine magnetic resonance imaging.Eur Radiol,2000,10(3) :438-442.
7 Kawut SM ,Lima JA ,Barr RG ,et al .Sex and race differences in right ventricular structure and function:the multi-ethnic study of atherosclerosis-right ventricle study.Circulation,2011,123(22) :2542-2551.
8 Sung-A Chang,Yeon Hyeon Choe,Shin Yi Jang,et al.Assessment of left and right ventricular parameters in healthy Korean volunteers using cardiac magnetic resonance imaging:change in ventricular volume and function based on age,gender and body surface area.Int J Cardiovasc Imaging,2012,28(1) :141-147.
9 Swift AJ ,Rajaram S,Robin Condliffe R,et al .Diagnostic accuracy of cardiovascular magnetic resonance imaging of right ventricular morphology and function in the assessment of suspected pulmonary hypertension results from the ASPIRE registry .Journal of Cardiovascular Magnetic Resonance,2012,14 :40.
10 Fiechter M,Fuchs TA,Gebhard C,et al.Age-related normal structural and functional ventricular values in cardiac function assessed by magnetic resonance.BMC Medical Imaging,2013,13 :6.
11 Bonnemains L,Mandry D,Marie PY,et al.Assessment of right ventricle volumes and function by cardiac MRI :quantification of the regional and global interobserver variability.MagnReson Med,2012,67(6) :1740-1746.
12 Zhang QBI,Sun JP,Gao RF,et al.Feasibility of single-beat full-volume capture real-time three-dimensional echocardiography for quantification of right ventricular volume:validation by cardiac magnetic resonance imaging.Int J Cardiol.2013,168(4) :3991-3995.
13 La Gerche A,Claessen G,Van de Bruaene A,et al.Cardiac MRI :A new gold standard for ventricular volume quantification during high-intensity exercise.Circ Cardiovasc Imaging .2013,6(2) :329-338.
14 Heermann P,Hedderich DM,Paul M,et al.Biventricular myocardial strain analysis in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) using cardiovascular magnetic resonance feature tracking.Journal of Cardiovascular Magnetic Resonance,2014,16 :75.
15 Al-Naamani N,Chirinos JA,Zamani P,et al.Association of S、systemic arterial properties with right ventricular morphology :The multi-ethnic study of atherosclerosis (MESA) -right ventricle study.J Am Heart Assoc.2016,5 :e004 162.
16 Aschauer S,Kammerlander AA,Zotter-Tufaro C,et al.The right heart in heart failure with preserved ejection fraction:insights from cardiacmagnetic resonance imaging and invasive haemodynamics.Eur J Heart Fail.2016,18(1) :71-80.
2 陆敏杰,赵世华,蒋世良,等.中国人心脏房室腔内径及左右心室功能正常参数的MRI研究.中华放射学杂志,2011,45(10):924-928.
3 彭刚,孙希文,朱晓华,等.心血管MRI对肺动脉高压患者肺动脉形态和右心室功能的评估.中华放射学杂志,2012,46(5):391-395.
4 韩艳,于铁链,杨振文,等.心脏MRI评估肺动脉高压患者的心功能.中国医学影像技术,2013,29(1):34-37.
5 陈友三.心脏磁共振右室容积及功能测量在肺动脉高压诊断中的应用.中国知网博士论文数据库,华中科技大学,2016:13-34.
6 Sandstede J,Lipke C,Beer M,et al.Age-and gender-specific differences in left and right ventricular cardiac function and mass determined by cine magnetic resonance imaging.Eur Radiol,2000,10(3) :438-442.
7 Kawut SM ,Lima JA ,Barr RG ,et al .Sex and race differences in right ventricular structure and function:the multi-ethnic study of atherosclerosis-right ventricle study.Circulation,2011,123(22) :2542-2551.
8 Sung-A Chang,Yeon Hyeon Choe,Shin Yi Jang,et al.Assessment of left and right ventricular parameters in healthy Korean volunteers using cardiac magnetic resonance imaging:change in ventricular volume and function based on age,gender and body surface area.Int J Cardiovasc Imaging,2012,28(1) :141-147.
9 Swift AJ ,Rajaram S,Robin Condliffe R,et al .Diagnostic accuracy of cardiovascular magnetic resonance imaging of right ventricular morphology and function in the assessment of suspected pulmonary hypertension results from the ASPIRE registry .Journal of Cardiovascular Magnetic Resonance,2012,14 :40.
10 Fiechter M,Fuchs TA,Gebhard C,et al.Age-related normal structural and functional ventricular values in cardiac function assessed by magnetic resonance.BMC Medical Imaging,2013,13 :6.
11 Bonnemains L,Mandry D,Marie PY,et al.Assessment of right ventricle volumes and function by cardiac MRI :quantification of the regional and global interobserver variability.MagnReson Med,2012,67(6) :1740-1746.
12 Zhang QBI,Sun JP,Gao RF,et al.Feasibility of single-beat full-volume capture real-time three-dimensional echocardiography for quantification of right ventricular volume:validation by cardiac magnetic resonance imaging.Int J Cardiol.2013,168(4) :3991-3995.
13 La Gerche A,Claessen G,Van de Bruaene A,et al.Cardiac MRI :A new gold standard for ventricular volume quantification during high-intensity exercise.Circ Cardiovasc Imaging .2013,6(2) :329-338.
14 Heermann P,Hedderich DM,Paul M,et al.Biventricular myocardial strain analysis in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) using cardiovascular magnetic resonance feature tracking.Journal of Cardiovascular Magnetic Resonance,2014,16 :75.
15 Al-Naamani N,Chirinos JA,Zamani P,et al.Association of S、systemic arterial properties with right ventricular morphology :The multi-ethnic study of atherosclerosis (MESA) -right ventricle study.J Am Heart Assoc.2016,5 :e004 162.
16 Aschauer S,Kammerlander AA,Zotter-Tufaro C,et al.The right heart in heart failure with preserved ejection fraction:insights from cardiacmagnetic resonance imaging and invasive haemodynamics.Eur J Heart Fail.2016,18(1) :71-80.
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