应用VFM技术探讨正常成人不同年龄阶段主动脉弓流场特点及规律
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四川省科技支撑计划项目(2012FZ0065)


Analysis of the flow blood fields in the aortic arch by vector flow mapping in different ages in normal humans
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    摘要:

    【摘要】 目的 应用速度向量成像(VFM)技术探讨正常成人不同年龄阶段主动脉弓流场向量、涡流及能量损耗(EL)特点及规律。 方法 将85例健康志愿者按年龄分为A组(20~39岁,n=31)、B组(40~59岁,n=34)和C组(≥60岁,n=20)。在VFM模式下采集胸骨上窝主动脉弓长轴切面彩色多普勒动态图像,应用配备VFM分析软件的DASRSI工作站观察分析主动脉弓流场峰值向量(Vp)、涡流出现时相和位置以及收缩期和舒张期EL特点。结果 ①正常成人主动脉弓流场Vp出现于快速射血期;A组受检者Vp高于B、C组,差异有统计学意义(P>0.05);②正常成人主动脉弓流场内可观察到等容舒张期升主动脉及降主动脉小弯侧涡流信号,涡流出现时相和位置在三组间无明显差异(P>0.05);③正常成人主动脉弓流场收缩期EL高于舒张期,且收缩期EL在各年龄组呈现A组>B组>C组的特点,舒张期EL在各年龄组无统计学差异(P<0.05)。 结论 VFM技术能直观无创的反映正常成人不同年龄阶段主动脉弓流场的特点和规律,可为进一步研究异常主动脉弓的流场提供参考。

    Abstract:

    【Abstract】 Objective To investigate the characteristics of blood flow fields in the aortic arch using velocity distribution, vortex formation, energy loss (EL) at different cardiac cycles. Methods 85 healthy subjects were divided into group A (20~39 years n=31), group B (40~59 years, n=34) and group C (≥60 years, n=20). VFM analysis was performed on prosound F75 HitachiAloka Medical (Tokyo, Japan) and included the twodimensional echocardiography imaging focused on the ascending aorta and descending aorta. The time phase and position of velocity distribution and vortex formation, systolic and diastolic EL were analyzed by VFM. Results The peak velocity (Vp) was observed in rapid ejection period. Vp in Group A was higher than that in Group B and Group C (P<0.05). In the period of isovolumic relaxation, vortex was observed in all subjects in the inner wall of the entire aortic arch. There was no statistically significant difference in the time phase and position of vortex in three groups (P>0.05). The EL in systole was higher than that in diastole in all subjects. The EL in Group A was higher than that in Group B, and EL in Group B was higher than that in Group C (P<0.05). Conclusion VFM provides a promising method for evaluating the hemodynamics characteristics of aortic arch in different ages. It also provides a reference for evaluating flow features in abnormal aortic arch.

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  • 在线发布日期: 2017-06-16
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