Circulation, Vol 60, 320-326, Copyright © 1979 by American Heart Association
LW Eaton, WL Maughan, AA Shoukas and JL Weiss
Two-dimensional echocardiography can provide serial cross-sectional images
of the left ventricular cavity. We examined whether such serial images from
steady-state ejecting hearts would allow three-dimensional reconstruction
and accurate volume estimation without major geometric assumptions.
Cross-circulated, paced dog hearts were suspended in a blood-filled tank.
Serial cross-sectional images were taken at 3-mm intervals along the
vertical axis. Left ventricular cavity and muscle areas of each image were
planimetered with a light-pen system and summated for volume: total volume
= sigma (areas x 3 mm). Direct left ventricular volume was measured through
the cardiac cycle with a volumetric chamber connected to a balloon in the
ejecting left ventricle. In six hearts, 67 separate direct volume
measurements (range 9.5--54.7 ml) from various points in the cardiac cycle
were compared with the simultaneous echo volume measurements. By least
squares linear regression, echo volume = 1.01 (direct volume) - 0.44 ml; r
= 0.972, SEE = 2.93 ml. Provided accurate cross-sectional localization is
available, these studies suggest that extremely accurate steady-state left
ventricular volume can be determined noninvasively in the ejecting heart
from multiple cross-sectional images.
ARTICLES
Accurate volume determination in the isolated ejecting canine left ventricle by two-dimensional echocardiography
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