斑点追踪成像技术评估右心室功能研究进展
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摘要
斑点追踪成像技术主要通过应变参数量化心肌变形能力进而评估心功能变化,可准确定量评估右心室功能,提高对心脏收缩功能异常的诊断效能,早期发现各种心肺疾病患者的右心室功能异常。本文对斑点追踪技术在右心室功能的研究进展进行综述。
Speckle tracking imaging(STI)has been used to evaluate the changes in cardiac function through quantifying myocardial deformation,which can accurately quantify right ventricular function and improve the diagnostic efficacy,early detect the right ventricular dysfunction of cardiopulmonary diseases.The progresses of STI in the evaluation on right ventricular function were reviewed in this article.
Speckle tracking imaging(STI)has been used to evaluate the changes in cardiac function through quantifying myocardial deformation,which can accurately quantify right ventricular function and improve the diagnostic efficacy,early detect the right ventricular dysfunction of cardiopulmonary diseases.The progresses of STI in the evaluation on right ventricular function were reviewed in this article.
引文
[1]Swift AJ,Rajaram S,Campbell MJ,et al.Prognostic value of cardiovascular magnetic resonance imaging measurements corrected for age and sex in idiopathic pulmonary arterial hypertension.Circ Cardiovasc Imaging,2014,7(1):100-106.
[2]Claus P,Omar AM,Pedrizzetti G,et al.Tissue tracking technology for assessing cardiac mechanics:Principles,normal values,and clinical applications.JACC Cardiovasc Imaging,2015,8(12):1444-1460.
[3]Voigt JU,Pedrizzetti G,Lysyansky P,et al.Definitions for a common standard for 2D speckle tracking echocardiography:Consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging.Eur Heart J Cardiovasc Imaging,2015,16(1):1-11.
[4]Seo Y,Ishizu T,Enomoto Y,et al.Validation of 3-dimensional speckle tracking imaging to quantify regional myocardial deformation.Circ Cardiovasc Imaging,2009,2(6):451-459.
[5]Motoji Y,Tanaka H,Fukuda Y,et al.Efficacy of right ventricular free-wall longitudinal speckle-tracking strain for predicting long-term outcome in patients with pulmonary hypertension.Circ J,2013,77(3):756-763.
[6]van Kessel M,Seaton D,Chan J,et al.Prognostic value of right ventricular free wall strain in pulmonary hypertension patients with pseudo-normalized tricuspid annular plane systolic excursion values.Int J Cardiovasc Imaging,2016,32(6):905-912.
[7]LemariéJ,Huttin O,Girerd N,et al.Usefulness of speckletracking imaging for right ventricular assessment after acute myocardial infarction:A magnetic resonance imaging/echocardiographic comparison within the relation between aldosterone and cardiac remodeling after myocardial infarction study.J Am Soc Echocardiogr,2015,28(7):818-827.
[8]Carlsson M,Ugander M,Heiberg E,et al.The quantitative relationship between longitudinal and radial function in left,right,and total heart pumping in humans.Am J Physiol Heart Circ Physiol,2007,293(1):H636-H644.
[9]童春,黎春雷,宋家琳,等.斑点追踪评价正常成人右室长轴心肌形变能力.中国医学影像技术,2007,23(11):1641-1643.
[10]Morris DA,Krisper M,Nakatani S,et al.Normal range and usefulness of right ventricular systolic strain to detect subtle right ventricular systolic abnormalities in patients with heart failure:A multicentre study.Eur Heart J Cardiovasc Imaging,2017,18(2):212-223.
[11]Meris A,Faletra F,Conca C,et al.Timing and magnitude of regional right ventricular function:A speckle tracking-derived strain study of normal subjects and patients with right ventricular dysfunction.J Am Soc Echocardiogr,2010,23(8):823-831.
[12]Atsumi A,Seo Y,Ishizu T,et al.Right ventricular deformation analyses using a three-dimensional speckle-tracking echocardiographic system specialized for the right ventricle.J Am Soc Echocardiogr,2016,29(5):402-411.e2.
[13]胡路路,田新桥,周小玲,等.三维斑点追踪成像评价肺动脉高压患者右心室整体收缩功能.中国超声医学杂志,2015,31(11):974-977.
[14]Kemal HS,Kayikcioglu M,Kultursay H,et al.Right ventricular free-wall longitudinal speckle tracking strain in patients with pulmonary arterial hypertension under specific treatment.Echocardiography,2017,34(4):530-536.
[15]Smith BC,Dobson G,Dawson D,et al.Three-dimensional speckle tracking of the right ventricle:Toward optimal quantification of right ventricular dysfunction in pulmonary hypertension.J Am Coll Cardiol,2014,64(1):41-51.
[16]张小杉,赵国君,李治安,等.二维斑点追踪技术评价类风湿性关节炎患者心室收缩功能.中华超声影像学杂志,2016,25(1):19-23.
[17]Leal GN,Silva KF,Fran9a CM,et al.Subclinical right ventricle systolic dysfunction in childhood-onset systemic lupus erythematosus:Insights from two-dimensional speckle-tracking echocardiography.Lupus,2015,24(6):613-620.
[18]何艳洁,王志刚,杨扬.二维斑点追踪成像技术评价未合并肺动脉高压的系统性红斑狼疮患者早期右室收缩功能改变的研究.临床超声医学杂志,2016,18(6):371-374.
[19]La Gerche A,Burns AT,D'Hooge J,et al.Exercise strain rate imaging demonstrates normal right ventricular contractile reserve and clarifies ambiguous resting measures in endurance athletes.J Am Soc Echocardiogr,2012,25(3):253-262.e1.
[20]D'Andrea A,Limongelli G,Baldini L,et al.Exercise speckletracking strain imaging demonstrates impaired right ventricular contractile reserve in hypertrophic cardiomyopathy.Int J Cardiol,2017,227:209-216.
[21]Prakasa KR,Wang J,Tandri H,et al.Utility of tissue Doppler and strain echocardiography in arrhythmogenic right ventricular dysplasia/cardiomyopathy.Am J Cardiol,2007,100(3):507-512.
[22]Aneq M,Engvall J,Brudin L,et al.Evaluation of right and left ventricular function using speckle tracking echocardiography in patients with arrhythmogenic right ventricular cardiomyopathy and their first degree relatives.Cardiovasc Ultrasound,2012,10:37.
[23]陈金玲,姜凤霞,曹省,等.二维斑点追踪成像评价再同步化治疗对慢性心力衰竭患者右心室功能的影响.中华超声影像学杂志,2013,22(11):927-931.
[24]Guendouz S,Rappeneau S,Nahum J,et al.Prognostic significance and normal values of 2D strain to assess right ventricular systolic function in chronic heart failure.Circ J,2012,76(1):127-136.
[25]Kempny A,Fernández-Jiménez R,Orwat S,et al.Quantification of biventricular myocardial function using cardiac magnetic resonance feature tracking,endocardial border delineation and echocardiographic speckle tracking in patients with repaired tetralogy of Fallot and healthy controls.J Cardiovasc Magn Reson,2012,14:32.
[26]钱嵘,熊爱民,杨唯衷,等.超声三维斑点追踪技术评价肝硬化患者右心室心肌功能.肝脏,2016,21(12):1030-1032.
[2]Claus P,Omar AM,Pedrizzetti G,et al.Tissue tracking technology for assessing cardiac mechanics:Principles,normal values,and clinical applications.JACC Cardiovasc Imaging,2015,8(12):1444-1460.
[3]Voigt JU,Pedrizzetti G,Lysyansky P,et al.Definitions for a common standard for 2D speckle tracking echocardiography:Consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging.Eur Heart J Cardiovasc Imaging,2015,16(1):1-11.
[4]Seo Y,Ishizu T,Enomoto Y,et al.Validation of 3-dimensional speckle tracking imaging to quantify regional myocardial deformation.Circ Cardiovasc Imaging,2009,2(6):451-459.
[5]Motoji Y,Tanaka H,Fukuda Y,et al.Efficacy of right ventricular free-wall longitudinal speckle-tracking strain for predicting long-term outcome in patients with pulmonary hypertension.Circ J,2013,77(3):756-763.
[6]van Kessel M,Seaton D,Chan J,et al.Prognostic value of right ventricular free wall strain in pulmonary hypertension patients with pseudo-normalized tricuspid annular plane systolic excursion values.Int J Cardiovasc Imaging,2016,32(6):905-912.
[7]LemariéJ,Huttin O,Girerd N,et al.Usefulness of speckletracking imaging for right ventricular assessment after acute myocardial infarction:A magnetic resonance imaging/echocardiographic comparison within the relation between aldosterone and cardiac remodeling after myocardial infarction study.J Am Soc Echocardiogr,2015,28(7):818-827.
[8]Carlsson M,Ugander M,Heiberg E,et al.The quantitative relationship between longitudinal and radial function in left,right,and total heart pumping in humans.Am J Physiol Heart Circ Physiol,2007,293(1):H636-H644.
[9]童春,黎春雷,宋家琳,等.斑点追踪评价正常成人右室长轴心肌形变能力.中国医学影像技术,2007,23(11):1641-1643.
[10]Morris DA,Krisper M,Nakatani S,et al.Normal range and usefulness of right ventricular systolic strain to detect subtle right ventricular systolic abnormalities in patients with heart failure:A multicentre study.Eur Heart J Cardiovasc Imaging,2017,18(2):212-223.
[11]Meris A,Faletra F,Conca C,et al.Timing and magnitude of regional right ventricular function:A speckle tracking-derived strain study of normal subjects and patients with right ventricular dysfunction.J Am Soc Echocardiogr,2010,23(8):823-831.
[12]Atsumi A,Seo Y,Ishizu T,et al.Right ventricular deformation analyses using a three-dimensional speckle-tracking echocardiographic system specialized for the right ventricle.J Am Soc Echocardiogr,2016,29(5):402-411.e2.
[13]胡路路,田新桥,周小玲,等.三维斑点追踪成像评价肺动脉高压患者右心室整体收缩功能.中国超声医学杂志,2015,31(11):974-977.
[14]Kemal HS,Kayikcioglu M,Kultursay H,et al.Right ventricular free-wall longitudinal speckle tracking strain in patients with pulmonary arterial hypertension under specific treatment.Echocardiography,2017,34(4):530-536.
[15]Smith BC,Dobson G,Dawson D,et al.Three-dimensional speckle tracking of the right ventricle:Toward optimal quantification of right ventricular dysfunction in pulmonary hypertension.J Am Coll Cardiol,2014,64(1):41-51.
[16]张小杉,赵国君,李治安,等.二维斑点追踪技术评价类风湿性关节炎患者心室收缩功能.中华超声影像学杂志,2016,25(1):19-23.
[17]Leal GN,Silva KF,Fran9a CM,et al.Subclinical right ventricle systolic dysfunction in childhood-onset systemic lupus erythematosus:Insights from two-dimensional speckle-tracking echocardiography.Lupus,2015,24(6):613-620.
[18]何艳洁,王志刚,杨扬.二维斑点追踪成像技术评价未合并肺动脉高压的系统性红斑狼疮患者早期右室收缩功能改变的研究.临床超声医学杂志,2016,18(6):371-374.
[19]La Gerche A,Burns AT,D'Hooge J,et al.Exercise strain rate imaging demonstrates normal right ventricular contractile reserve and clarifies ambiguous resting measures in endurance athletes.J Am Soc Echocardiogr,2012,25(3):253-262.e1.
[20]D'Andrea A,Limongelli G,Baldini L,et al.Exercise speckletracking strain imaging demonstrates impaired right ventricular contractile reserve in hypertrophic cardiomyopathy.Int J Cardiol,2017,227:209-216.
[21]Prakasa KR,Wang J,Tandri H,et al.Utility of tissue Doppler and strain echocardiography in arrhythmogenic right ventricular dysplasia/cardiomyopathy.Am J Cardiol,2007,100(3):507-512.
[22]Aneq M,Engvall J,Brudin L,et al.Evaluation of right and left ventricular function using speckle tracking echocardiography in patients with arrhythmogenic right ventricular cardiomyopathy and their first degree relatives.Cardiovasc Ultrasound,2012,10:37.
[23]陈金玲,姜凤霞,曹省,等.二维斑点追踪成像评价再同步化治疗对慢性心力衰竭患者右心室功能的影响.中华超声影像学杂志,2013,22(11):927-931.
[24]Guendouz S,Rappeneau S,Nahum J,et al.Prognostic significance and normal values of 2D strain to assess right ventricular systolic function in chronic heart failure.Circ J,2012,76(1):127-136.
[25]Kempny A,Fernández-Jiménez R,Orwat S,et al.Quantification of biventricular myocardial function using cardiac magnetic resonance feature tracking,endocardial border delineation and echocardiographic speckle tracking in patients with repaired tetralogy of Fallot and healthy controls.J Cardiovasc Magn Reson,2012,14:32.
[26]钱嵘,熊爱民,杨唯衷,等.超声三维斑点追踪技术评价肝硬化患者右心室心肌功能.肝脏,2016,21(12):1030-1032.