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In JoVE (1)
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Articles by Gianni Tonti in JoVE
JoVE Clinical and Translational Medicine
Özellik Takibi Manyetik Rezonans Türetilmiş Miyokard Gerinim Değerlendirmesi
1The Heart Institute, Cincinnati Children Hospital Medical Center (CCHMC), 2TomTec, Imaging Systems GmbH, 3AMID, Advanced Medical Imaging Development SRL, 4The Heart and Vascular Center, The Christ Hospital
Miyokard dokusunda gerginlik gibi parametreleri ölçmek için doğru ve pratik bir yöntem gösterilmiştir beri, bu zorlanma, sık kullanılan parametre EF daha kontraktil disfonksiyon için daha duyarlı ve daha önceki bir belirteçtir, büyük klinik değeri.
Other articles by Gianni Tonti on PubMed
Tailored Reperfusion Strategies in Acute Myocardial Infarction: Role of Intravenous Myocardial Contrast Echocardiography
After many years of study and research, the noninvasive assessment of myocardial perfusion by echo contrast agents is becoming a clinical reality. The fast technological progress of echocardiographic imaging and the approval for human use in Europe and the United States of some first and second generation contrast agents explains the growing interest in this new methodology. Recently, a new second generation contrast agent, SonoVue, made of microbubbles stabilized by phospholipids and containing sulphur hexafluoride, has been introduced on the European market. We describe the role of intravenous myocardial contrast echocardiography with second-generation contrast agents such as SonoVue in the tailored reperfusion strategies in acute myocardial infarction.
Clinical Application of Quantitative Analysis in Real-time MCE
The introduction of stable microbubble contrast agents and technological advances have recently made it feasible to perform quantitative measurements of microvascular damage by myocardial contrast echocardiography (MCE). Qontrast is a new software system far such measurements. It includes physiological filters, global rescale, regional rescale, automatic myocardial tracking, manual ECG trigger and parametric imaging. Qontrast was tested on 5 pigs given sulphur hexafluoride bubbles (I ml/min) and fluorescent microspheres (reference) after the induction of 50% and 100% stenosis of left anterior descending coronary artery. The image sequences were repeated four times using different ultrasound (US) equipment. A close correlation was found between the ratio risk area/control area by microspheres and the equivalent ratio risk area/control area (Sl x beta) by MCE, being approximately 0.9 far any contrast modality tested. Parametric MCE and SPELT were compared in 12 patients with recent myocardial infarction, including 119 segments. Agreement amounted to 83% (kappa: 0.53 far peak SI and 0.55 far SI x beta). The sensitivity and specificity of peak SI far detecting abnormal segmental tracer uptake were 67% and 88%; the values far Sl x beta were 70% and 87%. Parametric MCE is a promising imaging technique far the assessment of myocardial perfusion in patients with suspected or known coronary artery disease.
