Parameters comparison of three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method in the determination of left atrial volume and function in patients with atrial fibrillation
TANG Yueyue LI Shumin YANG Hanning LU Yongping
Department of Ultrasonography, Affiliated Hospital of Yunnan University the Second People’s Hospital of Yunnan Province, Yunnan Province, Kunming 650021, China
Abstract:Objective To compare the parameters of three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method in the determination of left atrial volume and function in patients with atrial fibrillation (AF). Methods A total of 54 AF patients admitted to Affiliated Hospital of Yunnan University from April to December 2020 were selected. Three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method were used to obtain left atrial maximum volume (LAVmax), left atrial minimum volume (LAVmin), left atrial pre-atrial contraction volume (LAVpreA), left atrial maximum volume index (LAVImax), left atrial total ejection fraction (LAEF), and the analysis time; at the same time, Left atrial active ejection fraction (LAAEF), left atrial passive ejection fraction (LAPEF), and left atrial expansion index (LAEI) were calculated; the consistency and repeatability of three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method were compared between intra-observer and inter-observer. Results There were no significant differences between LAVmax, LAVmin, LAVpreA, LAVImax, LAEF, LAAEF, LAPEF, and LAEI measured by three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method (P>0.05). The analysis time of three-dimensional echocardiography left atrium automatic quantitative technique was shorter than that of Simpson’s biplane method (P<0.05). The consistency and repeatability of the left atrial automatic quantitative technique of three-dimensional echocardiography left atrium automatic quantitative technique were better than those of Simpson’s biplane method in both intra-observer and inter-observer measurements. Conclusion Three-dimensional echocardiography left atrial automatic quantitative technique can accurately evaluate the changes of left atrial volume and function in patients with AF, with short time, better consistency and repeatability.
汤跃跃 李淑敏 杨寒凝 陆永萍. 三维超声心动图左房自动定量技术及Simpson’s双平面法在心房颤动患者左房容积和功能检测中的参数比较[J]. 中国医药导报, 2023, 20(16): 149-153.
TANG Yueyue LI Shumin YANG Hanning LU Yongping. Parameters comparison of three-dimensional echocardiography left atrial automatic quantitative technique and Simpson’s biplane method in the determination of left atrial volume and function in patients with atrial fibrillation. 中国医药导报, 2023, 20(16): 149-153.
[1] Mahabadi AA,Lehmann N,K?覿lsch H,et al. Association of epicardial adipose tissue and left atrial size on non-contrast CT with atrial fibrillation:the Heinz Nixdorf Recall Study [J]. Eur Heart J Cardiovasc Imaging,2014,15(8):863-869.
[2] Gupta DK,Shah AM,Giugliano RP,et al. Left atrial structure and function in atrial fibrillation:ENGAGE AF-TIMI 48 [J]. Eur Heart J,2014,35(22):1457-1465.
[3] Anagnostopoulos I,Kousta M,Kossyvakis C,et al. The role of left atrial peak systolic strain in atrial fibrillation recurrence after catheter ablation. A systematic review and meta-analysis [J]. Acta Cardiol,2022,77(6):536-544.
[4] 陈军红,李东野,徐通达,等.超声应变成像评价沙库巴曲缬沙坦治疗HFrEF患者左室重构[J].临床心血管病杂志,2021,37(2):122-125.
[5] Sun L,Feng H,Ni L,et al. Realization of fully automated quantification of left ventricular volumes and systolic function using transthoracic 3D echocardiography [J]. Cardiovasc Ultrasound,2018,16(1):2.
[6] Medvedofsky D,Mor-Avi V,Amzulescu M,et al.Three-dimensional echocardiographic quantification of the left-heart chambers using an automated adaptive analytics algorithm:multicentre validation study [J]. Eur Heart J Cardiovasc Imaging,2018,19(1):47-58.
[7] 鲍圣芳,张玉奇.人工智能在超声心动图技术中的研究进展[J].医学影像学杂志,2020,30(6):1098-1100.
[8] Writing Group Members,January CT,Wann LS,et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society [J]. Heart Rhythm,2019,16(8):e66-e93.
[9] Georgieva N,Kinova E,Borizanova-Petkova A,et al. The predictive value of left atrial expansion index and left atrial contractile strain in younger hypertensive patients with atrial fibrillation [J]. Eur Heart J Cardiovasc Imaging,2021,22(Su- pp lement_1):jeaa356、132.
[10] Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults:An Update from the American Society of Echocardiography and the European Association of,Cardiovascular Imaging [J]. Eur Heart J Cardiovasc Ima- ging,2016,17(4):412.
[11] Yao GH,Deng Y,Liu Y,et al. Echocardiographic Measurements in Normal Chinese Adults(EMINCA)Study Investigators. Echocardiographic measurements in normal chinese adults focusing on cardiac chambers and great arteries:a prospective,nationwide,and multicenter study [J]. J Am Soc Echocardiogr,2015,28(5):570-579.
[12] 汤跃跃,张容亮,杨寒凝,等.经食管实时三维及二维超声心动图在左心耳封堵围术期的应用[J].中国医学影像学杂志,2021,29(4):339-342.
[13] Thavendiranathan P,Liu S,Verhaert D,et al. Feasibility,accuracy,and reproducibility of real-time full-volume 3D transthoracic echocardiography to measure LV volumes and systolic function:a fully automated endocardial contouring algorithm in sinus rhythm and atrial fibrillation [J]. JACC Cardiovasc Imaging,2012,5(3):239-251.
[14] 林广,张志强.人工智能医学影像在骨关节系统中的应用进展[J].中国医学影像学杂志,2022,30(2):184-187.
[15] 李慕子,李慧,孟红,等.实时三维超声心动图自动定量技术评价肥厚型心肌病患者左心房容积及功能的应用价值[J].中国循环杂志,2022,37(5):7.
[16] Motoc A,Scheirlynck E,Roosens B,et al. Additional value of left atrium remodeling assessed by three-dimensional echocardiography for the prediction of atrial fibrillation recurrence after cryoballoon ablation [J]. Int J Cardiovasc Imaging,2022(5):38.
[17] 周小雪,张莹莹,张烨,等.人工智能技术在胎儿超声心动图四腔心切面筛查中的应用[J].中华超声影像学杂志,2020,29(8):668-672.
[18] Lauretti F,Angeletti R,Monte AD,et al. Automatic dynamic quantification of oesophagus position from intra-cardiac echocardiography during atrial fibrillation ablation [C]//2016 Computing in Cardiology Conference. IEEE,2017.
[19] 王江涛,吕秀章,蔡绮哲,等.三维超声心动图自动定量节段性室壁运动异常患者左心功能的临床研究[J].中国超声医学杂志,2018,34(10):895-898.
[20] Morris DA,Belyavskiy E,Aravind-Kumar R,et al. Potential Usefulness and Clinical Relevance of Adding Left Atrial Strain to Left Atrial Volume Index in the Detection of Left Ventricular Diastolic Dysfunction [J]. JACC Cardiovasc Imaging,2018,11(10):1405-1415.
[21] Thomas L,Marwick TH,Popescu BA,et al. Left Atrial Str- ucture and Function,and Left Ventricular Diastolic Dysfunction:JACC State-of-the-Art Review [J]. J Am Coll Cardiol,2019,73(15):1961-1977.
[22] Spitzer E,Ren B,Soliman OI,et al. Accuracy of an automated transthoracic echocardiographic tool for 3D assessment of left heart chamber volumes [J]. Echocardiography,2017,34(2):199-209.
[23] Narang A,Mor-Avi V,Prado A,et al. Machine learning based automated dynamic quantification of left heart chamber volumes [J]. Eur Heart J Cardiovasc Imaging,2019,20(5):541-549.
[24] 滕花,任建丽,方正,等.三维超声心动图自动定量技术在评价左心腔容积及功能中的应用价值[J].中华超声影像学杂志,2019,28(3):192-199.
[25] 张瑞,朱慧珍,黄丹青,等.四维自动左房定量分析技术评价原发性高血压患者左房功能的应用价值[J].中华超声影像学杂志,2021,30(8):655-660.