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超声诊断缩窄性心包炎的进展 被引量:3
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作者 刘琨 邓又斌 《中国介入影像与治疗学》 CSCD 2013年第2期116-119,共4页
缩窄性心包炎指病变心包限制心脏的舒张,导致患者出现一系列临床症状。本文围绕超声心动图技术诊断缩窄性心包炎的研究进展进行综述。
关键词 超声 包炎 缩窄性
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急性缺血性卒中患者左心室功能的改变及其与血浆脑钠素的关系 被引量:8
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作者 张龙友 李春盛 于东明 《中国卒中杂志》 2009年第4期284-288,共5页
目的通过超声心动图进行心功能检查及血浆脑钠素(brain natriuretic peptide,BNP)测定,观察急性缺血性卒中患者心脏左心室功能(left ventricular function,LVF)的变化及其与血浆脑钠素(brain natriuretic peptide,BNP)的关系... 目的通过超声心动图进行心功能检查及血浆脑钠素(brain natriuretic peptide,BNP)测定,观察急性缺血性卒中患者心脏左心室功能(left ventricular function,LVF)的变化及其与血浆脑钠素(brain natriuretic peptide,BNP)的关系,为防治急性缺血性卒中所终心脏损害提供依据。方法选择发病24h内经临床和颅脑CT检查确诊的急性缺血性卒中患者50例作为研究对象,所有患者既往无心脏病史,并除外心功能不全、心律失常等心脏并发症。选择性别和年龄匹配的21例正常人作为对照组。以上两组均行超声心动图检查,同时抽血检测血浆BNP,对结果进行分析。结果(1)急性缺血性卒中组心脏每搏输出量(stroke volume,SV)、心输出量(cardiac output,CO)及心指数(cardiac index,CI)明显低于正常对照组(58±14vs53±12,P〈0.01;5.00±1.39vs3.87±1.55,P=0.018;1.77±0.79vs2.57±0.81,P=0.006)。(2)急性缺血性卒中组左室射血分数(left ventricular ejection fraction,LvEF)明显低于正常对照组(45±14vs68±8,P〈0.01)。(5)急性缺血性卒中组E峰最大速度/A峰最大速度(peak early diastolic velocity E Wave/peak late diastolic velocity Ewave,E/A))与正常对照组比较有统计学差异(0.97±0.j2vs1.47±0.25,P〈0.01)。(4)急性缺血性卒中组血浆BNP浓度高于正常对照组,二者比较有统计学差异(P〈0.01)。结论急性缺血性卒中可引起左心室收缩及舒张功能下降;急性缺血性卒中发病后血浆BNP浓度升高,可能主要与急性缺血性卒中本身的病理生理机制有关。 展开更多
关键词 脑梗死 超声心描记术 室功能 脑钠素
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36例扩张型心肌病患者窦性心率振荡分析 被引量:2
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作者 谷慧平 赵红梅 马树人 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2011年第2期227-228,共2页
目的:通过对扩张型心肌病(dilated cardiomyopathy,DCM)患者窦性心率震荡(heart rate turbulence,HRT)现象的分析,观察此类患者HRT与左室射血分数(left ventricular ejection fraction,LVEF)、左室舒张末期内径(left ventricular end di... 目的:通过对扩张型心肌病(dilated cardiomyopathy,DCM)患者窦性心率震荡(heart rate turbulence,HRT)现象的分析,观察此类患者HRT与左室射血分数(left ventricular ejection fraction,LVEF)、左室舒张末期内径(left ventricular end diastolicdiameter,LVED)、室性期前收缩联律间期、代偿间期、24 h室性期前收缩数目的相关性。方法:对36例DCM患者和36例健康对照组分别进行24 h动态心电图(Holter)检查,分别得出震荡起始(TO)、震荡斜率(TS)值、24 h室性期前收缩数目、室性期前收缩联律间期和代偿间期,并同时获取超声心动图检测的LVEF、LVED,并进行TO、TS与LVEF、LVED的相关分析。结果:DCM患者TO明显高于对照组;TS明显低于对照组;TS与LVEF存在正相关,与LVED、24 h室性期前收缩数目存在负相关;TO与LVEF存在负相关,与LVED存在正相关;两者与联律间期、代偿间期不相关。结论:DCM患者HRT明显减弱,TO、TS对于DCM等的危险分层具有一定的临床意义。 展开更多
关键词 扩张型肌病 率:超声
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Status of clinical applications of artificial intelligence in echocardiography 被引量:1
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作者 MA Chunyan 《中国医学影像技术》 CSCD 北大核心 2024年第8期1121-1123,共3页
Artificial intelligence(AI)technology has been increasingly used in medical field with its rapid developments.Echocardiography is one of the best imaging methods for clinical diagnosis of heart diseases,and combining ... Artificial intelligence(AI)technology has been increasingly used in medical field with its rapid developments.Echocardiography is one of the best imaging methods for clinical diagnosis of heart diseases,and combining with AI could further improve its diagnostic efficiency.Though the applications of AI in echocardiography remained at a relatively early stage,a variety of automated quantitative and analytical techniques were rapidly emerging and initially entered clinical practice.The status of clinical applications of AI in echocardiography were reviewed in this article. 展开更多
关键词 ECHOCARDIOGRAPHY artificial intelligence
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Deep learning echocardiographic intelligent model for evaluation on left ventricular regional wall motion abnormality
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作者 WANG Yonghuai DONG Tianxin MA Chunyan 《中国医学影像技术》 CSCD 北大核心 2024年第8期1135-1139,共5页
Objective To observe the value of deep learning echocardiographic intelligent model for evaluation on left ventricular(LV)regional wall motion abnormalities(RWMA).Methods Apical two-chamber,three-chamber and four-cham... Objective To observe the value of deep learning echocardiographic intelligent model for evaluation on left ventricular(LV)regional wall motion abnormalities(RWMA).Methods Apical two-chamber,three-chamber and four-chamber views two-dimensional echocardiograms were obtained prospectively in 205 patients with coronary heart disease.The model for evaluating LV regional contractile function was constructed using a five-fold cross-validation method to automatically identify the presence of RWMA or not,and the performance of this model was assessed taken manual interpretation of RWMA as standards.Results Among 205 patients,RWMA was detected in totally 650 segments in 83 cases.LV myocardial segmentation model demonstrated good efficacy for delineation of LV myocardium.The average Dice similarity coefficient for LV myocardial segmentation results in the apical two-chamber,three-chamber and four-chamber views was 0.85,0.82 and 0.88,respectively.LV myocardial segmentation model accurately segmented LV myocardium in apical two-chamber,three-chamber and four-chamber views.The mean area under the curve(AUC)of RWMA identification model was 0.843±0.071,with sensitivity of(64.19±14.85)%,specificity of(89.44±7.31)%and accuracy of(85.22±4.37)%.Conclusion Deep learning echocardiographic intelligent model could be used to automatically evaluate LV regional contractile function,hence rapidly and accurately identifying RWMA. 展开更多
关键词 ventricular function left systolic function ECHOCARDIOGRAPHY deep learning
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Deep learning models semi-automatic training system for quality control of transthoracic echocardiography
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作者 QIAN Sunnan WENG Hexiang +7 位作者 CHENG Hanlin SHI Zhongqing WANG Xiaoxian GUO Guanjun FANG Aijuan LUO Shouhua YAO Jing QI Zhanru 《中国医学影像技术》 CSCD 北大核心 2024年第8期1140-1145,共6页
Objective To explore the value of deep learning(DL)models semi-automatic training system for automatic optimization of clinical image quality control of transthoracic echocardiography(TTE).Methods Totally 1250 TTE vid... Objective To explore the value of deep learning(DL)models semi-automatic training system for automatic optimization of clinical image quality control of transthoracic echocardiography(TTE).Methods Totally 1250 TTE videos from 402 patients were retrospectively collected,including 490 apical four chamber(A4C),310 parasternal long axis view of left ventricle(PLAX)and 450 parasternal short axis view of great vessel(PSAX GV).The videos were divided into development set(245 A4C,155 PLAX,225 PSAX GV),semi-automated training set(98 A4C,62 PLAX,90 PSAX GV)and test set(147 A4C,93 PLAX,135 PSAX GV)at the ratio of 5∶2∶3.Based on development set and semi-automatic training set,DL model of quality control was semi-automatically iteratively optimized,and a semi-automatic training system was constructed,then the efficacy of DL models for recognizing TTE views and assessing imaging quality of TTE were verified in test set.Results After optimization,the overall accuracy,precision,recall,and F1 score of DL models for recognizing TTE views in test set improved from 97.33%,97.26%,97.26%and 97.26%to 99.73%,99.65%,99.77%and 99.71%,respectively,while the overall accuracy for assessing A4C,PLAX and PSAX GV TTE as standard views in test set improved from 89.12%,83.87%and 90.37%to 93.20%,90.32%and 93.33%,respectively.Conclusion The developed DL models semi-automatic training system could improve the efficiency of clinical imaging quality control of TTE and increase iteration speed. 展开更多
关键词 ECHOCARDIOGRAPHY quality control artificial intelligence
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