Real-time three-dimensional color doppler echocardiography for characterizing the spatial velocity distribution and quantifying the peak flow rate in the left ventricular outflow tract

Hiroyuki Tsujino, Michael Jones, Takahiro Shiota*, Jian Xin Qin, Neil L. Greenberg, Lisa A. Cardon, Annitta J. Morehead, Arthur D. Zetts, Agnese Travaglini, Fabrice Bauer, Julio A. Panza, James D. Thomas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Quantification of flow with pulsed-wave Doppler assumes a 'flat' velocity profile in the left ventricular outflow tract (LVOT), which observation refutes. Recent development of real-time, three-dimensional (3-D) color Doppler allows one to obtain an entire cross-sectional velocity distribution of the LVOT, which is not possible using conventional 2-D echo. In an animal experiment, the cross-sectional color Doppler images of the LVOT at peak systole were derived and digitally transferred to a computer to visualize and quantify spatial velocity distributions and peak flow rates. Markedly skewed profiles, with higher velocities toward the septum, were consistently observed. Reference peak flow rates by electromagnetic flow meter correlated well with 3-D peak flow rates (r = 0.94), but with an anticipated underestimation. Real-time 3-D color Doppler echocardiography was capable of determining cross-sectional velocity distributions and peak flow rates, demonstrating the utility of this new method for better understanding and quantifying blood flow phenomena. (E-mail: [email protected])

Original languageEnglish (US)
Pages (from-to)69-74
Number of pages6
JournalUltrasound in Medicine and Biology
Volume27
Issue number1
DOIs
StatePublished - 2001

Keywords

  • 3-D echocardiography
  • Color Doppler
  • Doppler ultrasound
  • Hemodynamics

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Biophysics
  • Acoustics and Ultrasonics

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