多模态成像评价脑室内血流:综述和荟萃分析。

IF 1.9 3区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Ferit Onur Mutluer, Nikki van der Velde, Jason Voorneveld, Johan G Bosch, Jolien W Roos-Hesselink, Rob J van der Geest, Alexander Hirsch, Annemien van den Bosch
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引用次数: 4

摘要

背景:本系统综述的目的是评估目前三种新兴成像方式对无创临床心室内血流(IVF)评估的模态间一致性:超声心动图颗粒图像测速(EPIV)、矢量血流成像(VFM)和四维血流心血管磁共振成像(4D flow CMR)。方法:我们在EMBASE、Medline OVID和Cochrane Central数据库中进行了系统的文献综述,以确定使用这些血流可视化方式之一评估左室(LV)血流模式的研究。在最初检索的2224份记录中,10份EPIV、23份VFM和25份4D血流CMR研究被纳入最终分析。结果:EPIV对涡旋参数的研究更为广泛,4D流动CMR主要研究LV能量学和LV输运力学,VFM研究实现LV能量损失和涡旋循环。为这些参数提供了统一的规范值。对漩涡长度和漩涡深度这两个漩涡形态参数的meta分析没有发现心力衰竭患者与健康对照组之间有显著变化。结论:研究脑室内血流的不同方法之间的一致性较低,研究中使用了不同的测量和报告方法。在日常临床实践中,实现无创血流可视化需要一个具有标准化血流参数集的多模态框架。除了诊断之外,无创血流可视化的全部潜力还可以包括指导医疗或介入治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of intraventricular flow by multimodality imaging: a review and meta-analysis.

Evaluation of intraventricular flow by multimodality imaging: a review and meta-analysis.

Evaluation of intraventricular flow by multimodality imaging: a review and meta-analysis.

Evaluation of intraventricular flow by multimodality imaging: a review and meta-analysis.

Background: The aim of this systematic review was to evaluate current inter-modality agreement of noninvasive clinical intraventricular flow (IVF) assessment with 3 emerging imaging modalities: echocardiographic particle image velocimetry (EPIV), vector flow mapping (VFM), and 4-dimensional flow cardiovascular magnetic resonance imaging (4D flow CMR).

Methods: We performed a systematic literature review in the databases EMBASE, Medline OVID and Cochrane Central for identification of studies evaluating left ventricular (LV) flow patterns using one of these flow visualization modalities. Of the 2224 initially retrieved records, 10 EPIV, 23 VFM, and 25 4D flow CMR studies were included in the final analysis.

Results: Vortex parameters were more extensively studied with EPIV, while LV energetics and LV transport mechanics were mainly studied with 4D flow CMR, and LV energy loss and vortex circulation were implemented by VFM studies. Pooled normative values are provided for these parameters. The meta- analysis for the values of two vortex morphology parameters, vortex length and vortex depth, failed to reveal a significant change between heart failure patients and healthy controls.

Conclusion: Agreement between the different modalities studying intraventricular flow is low and different methods of measurement and reporting were used among studies. A multimodality framework with a standardized set of flow parameters is necessary for implementation of noninvasive flow visualization in daily clinical practice. The full potential of noninvasive flow visualization in addition to diagnostics could also include guiding medical or interventional treatment.

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来源期刊
Cardiovascular Ultrasound
Cardiovascular Ultrasound CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.10
自引率
0.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Cardiovascular Ultrasound is an online journal, publishing peer-reviewed: original research; authoritative reviews; case reports on challenging and/or unusual diagnostic aspects; and expert opinions on new techniques and technologies. We are particularly interested in articles that include relevant images or video files, which provide an additional dimension to published articles and enhance understanding. As an open access journal, Cardiovascular Ultrasound ensures high visibility for authors in addition to providing an up-to-date and freely available resource for the community. The journal welcomes discussion, and provides a forum for publishing opinion and debate ranging from biology to engineering to clinical echocardiography, with both speed and versatility.
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