GE

VIVID

系列心臟瓣膜相關(guān)測(cè)量方法介紹GE

臨床應(yīng)用部桑毅面至縮流頸的半徑CardiacGenericDimensionAreaVolumeMassShuntsPISAPISA

MRWallMotioExit備

注

：四組新瓣膜的有效返流口面積均可使用PISA法獲取，測(cè)量方法請(qǐng)參照上述二尖瓣有效返流□面積測(cè)量步驟，僅需利用相應(yīng)測(cè)量包，更換相應(yīng)反流圖像及返流頻譜即可Confidential.Not

to

be

copied,distributed,or

reproduced

without

prior

approval.Vivid

E95Ultra

Edition2、獲得二尖瓣返流頻譜，選擇PISAMRTrace

描跡返流頻譜，即可獲得MRERO(EROA)1、獲得二尖瓣返流圖像，局部放大圖像，調(diào)

節(jié)血流基線(向下)至速度為30~40cm/s,

反

流信號(hào)顏色反轉(zhuǎn)呈等速球面，調(diào)節(jié)幀回放獲得

最佳血流匯聚圖像，選擇PISA-MR測(cè)量等速球CardiacGenericMitralValveAorticPulmonaryVeinPulmonicTricuspidValveShuntsPISAPISA

MRTracePISA

ARTracePISA

TR

TracePISA

PRTraceEventTimingExit二尖瓣有效返流口面積EROA(PISA)MR

ERO

MR

RVMRVmaxMRVTI3.77

m/s101.8cm21、心尖四腔心和兩腔心切面，雙平面Simpson’s法測(cè)量左心室總每搏量；SV

BP-LVEDV

MOD

BP-LVESV

MOD

BP計(jì)算RVol=SV

BP-LY

SV計(jì)算RF=RVol/SV

BPConfidential.Not

to

be

copied,distributed,or

reproduced

without

prior

approval.Vivid

E95UltraEdition2、胸骨旁左心室長軸局

部放大圖像準(zhǔn)確測(cè)量LVOTDiam;3

、心尖五腔心測(cè)量LVOT

Trace,

獲得LVSVCardiacGenericMitral

ValveCardacGenercVSdLVDdLVPwdVSsLVDsLVPWsLVOTDfanAoaAo

st

junctAV

DamProxAoArchMVAnnDamRVOTDamPEdR-RAo

sirus

Aoabd

AP■Area■

Vohme■

MassShunts■WaHMotionAF■AFIRV0.81m/sCardiacGenericDimensionAreaVolumeBiplaneLVEDV

A4CLVESVA4CLVEDVA2CLVESVA2CR-RLA

VolumeRAVolumeMassShuntsWallMotionAFIAFIRVAFILAAutoEFExit二尖瓣返流容積RVo1/返流分?jǐn)?shù)RF

(方法一)AVVmaxAV

TraceAVETARPHTIVRTicuspid

Valve3LVOTVmaxedLVOTVCardiacGenericMitralValveMV

E/AVelocityE'SeptE'LatMV

PHTMVADurMRVmaxMRTraceMCOMV

EannVel4、獲取二尖

瓣環(huán)頻譜(取

樣容積置于二

尖瓣環(huán)內(nèi)徑測(cè)

量水平),測(cè)量MVTrace,

即可獲得MRRF1、獲得二尖瓣返流圖

像，局部放大圖像，調(diào)節(jié)血流基線至速度

為30~40cm/s,

反

流信號(hào)顏色反轉(zhuǎn)呈等速

球面，調(diào)節(jié)幀回放獲

得最佳血流匯聚圖像，

選擇PISAMR測(cè)量等速

球面至縮流頸的半徑二尖瓣返流容積RVo1/返流分?jǐn)?shù)RF

(方法二PISA)2、獲得二尖瓣返流頻譜，

選擇PISA

MR

Trace描跡

返流頻譜，即可獲得MR

RV

(RVol)Confidential.Nottobecopied,distibuted,orreproducedwithoutpriorapproval.

43、測(cè)量二尖瓣環(huán)內(nèi)徑MVAnnDiamCardiacMitral

ValveAorticPulmonaryVeiPulmonicTricuspidValveShuntsPISAARTracePISATR

TracePISA

PRTraceEvent

TimingExitVivid

E95UltraEditionCardiacGenerkDimenslonVSdLVIDdLVPWdVSsLVDsLVPWsLVOT

DiamAo

ascAo

st

junct

AVDiamProxAOArchPISA

TRPISA

PR

WallMotionExitSpectrumAuto

Rocogrnized5.1cm20.78m/s0.30m/s2.43mmHg0.52mmHgMVVT60BPMAC4E'SeptLatMV

PHTMV

A

DurMR

VmaxMR

TraceMCOMV

Eann

Vel3、獲取二尖瓣口頻譜，描跡頻譜并測(cè)量心率MV

Trace,即

可

獲

得WVA(VTI)5Confidential.Not

to

be

copied,distributed,or

reproduced

without

prior

approval.0.76m/sLVOTVmean0.48m/sLVOT

maxPG

2.32

mmHgmeanPG17.5cm52

BPM1、胸骨旁左心室長軸

(收縮中期)局部放

大圖像準(zhǔn)確測(cè)量LVOLDiam2、心尖五腔心切面獲

取左室流出道頻譜，描跡頻譜并測(cè)量心率LYOTTrace二尖瓣狹窄瓣口面積(連續(xù)方程法)

Ultra

EditionCardiacGenericMitral

ValveAorticLVOTVmaxLVOTTraceAVVmaxAV

TraceAVETARPHTIVRTPulmonary

VeinPulmonicTricuspid

ValveShuntsPISAEvent

TimingExitCardiacGenericDinensionVSdLVIDdLVPwdVSsLVIDsLVPWsLVOTDfamAo

ascAostjunctAV

DiamProxAoArchMVAnnDiamRVOT

DamPEdRRAosinusAoabd

APVivid

E95MVA(VTI)MVVmaxMVVmeanMVmaxPGmeanPGCardiacGeneMitral-0.5-1.0二尖瓣狹窄瓣口面積(RISA)

Ultra

Edition注

：

GE

VIVID系列產(chǎn)品PISA法僅包括四組瓣膜有效返流口面積的測(cè)量，如需要使用PISA法測(cè)量狹窄瓣口面積，可

反向應(yīng)用有效返流口面積的測(cè)量工具.如二尖瓣狹窄瓣口面積PISA法測(cè)量時(shí)：CardiacGenericDimensionAreaVolumeMassShuntsPISAPISA

MRPISAARPISA

TRPISA

PRWallMotionExitCardiacGenericMRVT2185cmMitralValveAorticPulmonaryVeinPulmonicTricuspidValveShuntsPISAPISA

MRTracePISAARTracePISATRTracePISA

PRTraceEvent

TimingExit1、獲得二尖瓣□血流圖像，局部放大圖像，調(diào)節(jié)血流基線(向上)至速度為30~40cm/s,

瓣上血流信號(hào)顏色反轉(zhuǎn)呈等速球面，

調(diào)節(jié)幀回放獲得最佳血流匯聚圖像，利用

PISA

MR測(cè)量等速球面至縮流頸的半徑2、獲得二尖瓣口頻譜，利用PISA

MR

Trace

描跡瓣□頻譜，此時(shí)顯示的MR

ERO即為狹窄

的二尖瓣口面積Confidential.Not

tobe

copied,distributed,or

reproduced

without

prior

approval.

6Vivid

E95MRERO

1.0cm2MRRV220ml

MRVmax3.79m/s假定通過二尖瓣的左心室流

入道血流量(箭頭a

所指)

等于通過主動(dòng)脈瓣的心搏量

(箭頭b

所指),當(dāng)無明顯

二尖瓣反流時(shí)，二者之差為

主動(dòng)脈瓣的反流量(箭頭c

所

指

)

;RVol=LVSVDopp-SVMVRF=Rvol/LVSV

DoppLVOTVmaxARPHTPulmonicTricuspidValveShuntsPISAEvent

TimingVSdtVDdLVPWdVSLVPWsLVOT

DamAoascAo

tjunctAVDPioxAoARVOTDa主動(dòng)脈瓣返流容積Rvol

返流分?jǐn)?shù)RF

(方法一)

Ultra

Edition1、胸骨旁左心

室長軸(收縮中期)局部放

大圖像準(zhǔn)確測(cè)量

LVOT

Diam4、獲得二尖瓣口頻譜并描跡VV

Trace,

獲

得MV

SV2、心尖五腔心測(cè)量LVOTTrace,

獲

得LVSV

DoppConfidential.Not

to

be

copied,distibuted,or

reproduced

without

prior

approval.7E'SeptE'LatMV

PHTMVTrace

MVADurMRVmaxMRTraceMCOMV

EannVel3、心尖切

面測(cè)量MVAnnDiamVivid

E952、獲得主動(dòng)脈瓣返流頻

譜，選擇描跡返流頻譜，即可獲(RVol)GenericMitral

ValveAVVmaxAVETARPHITVRT■TricuspidValveShunts■

PISAEvent

TimingExit4、獲取主

動(dòng)脈瓣上

頻譜測(cè)量即可獲得CardiacIVSdLVIDdLVPwdLVPWsLVOTDiamAo

st

junctAV

DiamMV

Ann

DiamRVOTDiam

PEdR-RCardiacMitral

ValveAorticPulmonicShunts

PISAPISAMRTracePISAARTracePISATRTracePISAPRTraceEvent

TimingPISA

AR

Trace得AR

RYPISA

AF測(cè)量等速1、獲得主動(dòng)脈瓣返流

圖像，局部放大圖像，

調(diào)節(jié)血流基線至速度為30~40

cm/s,

反流

信號(hào)顏色反轉(zhuǎn)呈等速

球面，調(diào)節(jié)幀回放獲

得最佳血流匯聚圖像，

選擇球面至縮流頸的半徑CardiacDimensionAreaMassPISAPISA

MRPISA

PRWallMotionExit主動(dòng)脈瓣返流容積Rvol/返流分?jǐn)?shù)RF(方法二PISA)

Ultra

EditionGenericDimensionIVSsLVIDsAoascAVDiamProx

Ao

ArchConfidentialNottobecopied,distibuted,orreproducedwithoutpriorapproval

8GenericPulnonary

VeinTricuspidValveExitAV

Trace,AR

RF3、測(cè)量主動(dòng)

脈瓣環(huán)內(nèi)徑GenericVolumeShuntsPISATRAo

abd

APAorticVivid

E95Pulnonary

Vein■Pulmonic.

.Confidential.Not

to

be

copied,distributed,or

reproduced

without

prior

approval.

90.76m/sLVOTVmean0.48m/sLVOT

maxPG

2.32

mmHgmeanPG17.5cm52

BPM主動(dòng)脈瓣狹窄瓣口面積(連續(xù)方程法)

i

dit

ioE9EdravtiUVSpectrumAuto

Recogniz3.5

cm23.3cm21.01m/s0.72

m/s4.05

mmHg2.31mmHg24.4

cm

341ms77

BPM1、胸骨旁左心室長軸

(收縮中期)局部放

大圖像準(zhǔn)確測(cè)量LVOLDiam2、心尖五腔心切面獲

取左室流出道頻譜，描跡頻譜并測(cè)量心率LVOTTraceCardiaTraceVmaxAVTraceAVETAR

PHTVRTPulmonaryEvent

TimingExitTrace,3、獲取主動(dòng)脈瓣上頻譜，描跡頻譜并測(cè)量心率AV即

可

獲

得AVA(VTI)CardiacGenericMitral

ValveAorticLVOTVmaxLVOTTraceAVVmaxAV

TraceAVETARPHTIVRTPulmonaryVeinPulnonicTricuspid

ValveShuntsPISAEvent

TimingExitCardiacGenerkcDimensionVSdLVIDdLVPwdVSsLVIDsLVPWsLVOT

DiamAo

ascAostjunctAV

DiamProxAoArchMVAnnDiamRVOT

DamPEdRRAosinusAoabd

APAVAVmax

AVA(VTI)AVVmax

AVVmeanAV

maxPGAV

meanPGAVVTIAVEnv.TiHR1、大動(dòng)脈短軸切

面(舒張末期)VSs測(cè)

量RVOT

Diam;

獲取右室流出道

頻譜，描跡頻譜

并測(cè)量心率PRVOTTraceAosinusAoabdAPSpectrumAutoRucognizedCardiacGenericRVOT

maxPGMitralValveAorticRVOT

Env.TiPulmonary

VeinPulmonicRVOTVmaxRVOTTracePVVmaxPVTraceRAPPRend

VmaxTricuspid

ValveShuntsPISAEvent

TimingSpectrumAuto

RecogrizedCardiacGenericMitral

ValveTV

maxPGAorticulmonary

VeinPulmonicTricuspid

ValveTRVmaxRAPTVE/A

VelocityTVSQ-to-TV〔2、獲取三尖瓣口頻譜，描跡頻譜并測(cè)

量心率TV

Trace,即可獲得TVA(VTI)reproduced

without

prior

approval.

10三尖瓣狹窄瓣口面積(連續(xù)方程法)

Ultra

EditionExitConfidential.Not

tobecopied,distibuted,orLVDsLVPWsLVOTDiamAo

ascAost

junctAV

DlamProxAoArchMVAnn

DamRVOTDiamPEdRR0.80m/s0.57m/s2.58mmHg1.47

mmHg17.2

cm303ms71

BPMVivid

E959.6cm2

5.0cm2

0.60m/s0.25m/s1.42mmHg0.32

mmHg24.3cm61BPMTVA(Vmax)

TVA(VTI)1TVVmaxTVVmeanGenericDimensionVSdLVDdLVPwdTVmeanPGTVVTIHRRVOT

meanPGRVOT

VTIRVOTVmaxRVOTVmeanpenHRCardiacGenericTR

VmaxMitralValveAorticPulmonaryVeinPulmonicTricuspidValveShuntsPISAPISA

MRTraceExit三尖瓣瓣返流容積RVol(PISA)

l

i

in5o9ditEEdravtiUV1、獲得三尖瓣返流圖像，局部放大圖

像，調(diào)節(jié)血流基線至速度為30~40cm/s,

反流信號(hào)顏色反轉(zhuǎn)呈等速球面，調(diào)節(jié)幀

回放獲得最佳血流匯聚圖像，選擇P