Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography : Can Measurement Lead to Better Management?

DOI Web Site Web Site PubMed 被引用文献3件 参考文献57件
  • Lee Alex Pui-Wai
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Fang Fang
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Jin Chun-Na
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Kam Kevin Ka-Ho
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Tsui Gary K.W.
    Department of Computer Science, The University of Hong Kong
  • Wong Kenneth K.Y.
    Department of Computer Science, The University of Hong Kong
  • Looi Jen-Li
    Department of Cardiology, Middlemore Hospital
  • Wong Randolph H.L.
    Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Wan Song
    Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Sun Jing Ping
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Underwood Malcolm J.
    Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong
  • Yu Cheuk-Man
    Division of Cardiology, Li Ka Shing Institute of Health Sciences, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong

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タイトル別名
  • Quantification of Mitral Valve Morphology With Three-Dimensional Echocardiography
  • – Can Measurement Lead to Better Management? –

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抄録

The mitral valve (MV) has complex 3-dimensional (3D) morphology and motion. Advance in real-time 3D echocardiography (RT3DE) has revolutionized clinical imaging of the MV by providing clinicians with realistic visualization of the valve. Thus far, RT3DE of the MV structure and dynamics has adopted an approach that depends largely on subjective and qualitative interpretation of the 3D images of the valve, rather than objective and reproducible measurement. RT3DE combined with image-processing computer techniques provides precise segmentation and reliable quantification of the complex 3D morphology and rapid motion of the MV. This new approach to imaging may provide additional quantitative descriptions that are useful in diagnostic and therapeutic decision-making. Quantitative analysis of the MV using RT3DE has increased our understanding of the pathologic mechanism of degenerative, ischemic, functional, and rheumatic MV disease. Most recently, 3D morphologic quantification has entered into clinical use to provide more accurate diagnosis of MV disease and for planning surgery and transcatheter interventions. Current limitations of this quantitative approach to MV imaging include labor-intensiveness during image segmentation and lack of a clear definition of the clinical significance of many of the morphologic parameters. This review summarizes the current development and applications of quantitative analysis of the MV morphology using RT3DE.  (Circ J 2014; 78: 1029–1037)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (5), 1029-1037, 2014

    一般社団法人 日本循環器学会

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