Color Blood Flow Imaging of the Heart

ISBN-13: 9783642711749 / Angielski / Miękka / 2011 / 130 str.

Dierk A. Redel

Opis

Just a very few years after Edler and Hertz had described the clinical use of M-mode echocardiographyl Satomura reported the application of Dop 2 pler ultrasound to the study of cardiac function. Yet Doppler ultrasound has been integrated into diagnostic practice in cardiology much more slowly than conventional (M-mode and two-dimensional) echocardiogra phy. Now, however, tremendous growth in the interest of clinicians in the diagnostic use of Doppler ultrasound can be observed and may in fact be due to the recent advent of color flow imaging. The reason for this growth may be that this method makes it possible to directly visualize the blood flow in the cardiovascular system in cross-sectional views. Moreover, the results are reproducible and much easier to understand than the older mapping techniques using a single-gate Doppler. In its short existence many different names have been used to describe this method, for instance, color Doppler, color flow imaging, real-time two-dimen sional Doppler echocardiography, and Doppler flow imaging. This diver sity reflects the large interest that many researchers have shown in this method. The technical development of color blood flow imaging (CBFI) - as this method will be called in this book - has not yet reached a universally accepted standard of performance in cardiology. Despite this state of flux and the uncertainty about future developments, I think it is justified to dedicate an entire book to this fascinating method."

Spis treści

Preface.- 1 Introduction.- 2 Principles of Color Blood Flow Imaging.- 2.1 Acquisition of Blood Flow Data.- 2.2 Color Encoding.- 2.3 Color Aliasing.- 2.4 Sensitivity of CBFI.- 3 Artefacts in Color Blood Flow Imaging.- 3.1 Reverberations.- 3.2 Mirroring.- 3.3 Wall Motion Artefacts.- 3.4 Inappropriate Transducer Position.- 3.5 Distortion of Flow Velocity Display.- 3.6 Azimuth Artefacts.- 4 Color Display of Blood Flow Velocities.- 4.1 Physiological Flow with Flat Profile.- 4.2 Physiological Flow with Non-Flat Profile.- 4.3 Convective Acceleration.- 4.4 Streamline Separation.- 4.5 Angle Dependency of CBFI.- 4.6 Disturbed Flow.- 4.7 Differentiation of Flow Velocities from Wall Motion.- 5 Physiological Flow Velocity Patterns in the Cardiovascular System.- 5.1 Left Atrium and Pulmonary Veins.- 5.2 Mitral Valve.- 5.3 Left Ventricle.- 5.4 Aorta (Ascending, Arch, Descending).- 5.5 Right Atrium and Caval Veins.- 5.6 Tricuspid Valve.- 5.7 Right Ventricle.- 5.8 Pulmonary Artery and Main Branches.- 6 Blood Flow Velocity Patterns in Heart Disease.- 6.1 Shunts at or Above Atrial Level (Pretricuspid Shunts).- 6.1.1 Incomplete Foramen Ovale.- 6.1.2 Secundum Atrial Septal Defect (ASD II).- 6.1.3 Primum Atrial Septal Defect.- 6.1.4 Sinus Venosus Atrial Septal Defect.- 6.1.5 Anomalous Pulmonary Venous Drainage.- 6.1.6 ASD in Combined Heart Disease.- 6.1.7 Diagnostic Pitfalls.- 6.2 Shunts at Ventricular Level (Post-tricuspid Shunts-1 -).- 6.2.1 Perimembranous Ventricular Septal Defect (VSD) Including Aneurysm of the Membranous Septum.- 6.2.2 VSD with Left Ventricular - Right Atrial Shunt.- 6.2.3 Defects of the Trabeculated Septum.- 6.2.4 Defects of the Inlet Septum.- 6.2.5 Supracristal VSD.- 6.2.6 VSD in Complex Heart Disease.- 6.2.7 Diagnostic Pitfalls.- 6.3 Shunts at Arterial Level (Post-tricuspid Shunts - 2 -).- 6.3.1 Persistent or Patent Ductus Arteriosus (PDA) with Left-to-Right Shunt.- 6.3.2 PDA with Right-to-Left Shunt.- 6.3.3 PDA in Complex Heart Disease.- 6.3.4 Diagnostic Pitfalls.- 6.4 Abnormalities of the Left Ventricular Inflow.- 6.4.1 Mitral Stenosis.- 6.4.2 Mitral Regurgitation.- 6.4.3 Mitral Valve Prolapse.- 6.4.4 Mitral Valve Abnormalities in Combination with Other Heart Disease.- 6.5 Abnormalities of the Left Ventricular Outflow and the Aorta.- 6.5.1 Aortic Stenosis.- 6.5.2 Aortic Valve Atresia.- 6.5.3 Subaortic Stenosis.- 6.5.4 Coarctation of the Aorta.- 6.5.5 Aortic Regurgitation.- 6.5.6 Aortic Abnormalities in Complex Heart Disease.- 6.6 Abnormalities of the Right Ventricular Inflow.- 6.6.1 Tricuspid Stenosis.- 6.6.2 Tricuspid Regurgitation.- 6.6.3 Tricuspid Valve Abnormalities in Complex Heart Disease.- 6.7 Abnormalities of the Right Ventricular Outflow.- 6.7.1 Pulmonic Valve Stenosis.- 6.7.2 Subpulmonic Stenosis.- 6.7.3 Banding of Pulmonary Artery.- 6.7.4 Pulmonary Valve Atresia.- 6.7.5 Branching Stenosis of the Pulmonary Artery.- 6.7.6 Pulmonary Valve Incompetence.- 6.7.7 Systolic Flow Reversal.- 6.7.8 Pulmonary Valve Abnormalities in Complex Heart Disease.- References.