본문 바로가기
KERD
논문KCI 등재

정상 성인의 좌심실 벽두께와 내강 크기에 대한 심초음파영상과 전산화단층영상의 비교

Comparison of Echocardiography and Computed Tomography on Cardiac Wall Thickness and Internal Dimension Size of Left Ventricle in Normal Adults

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류방사선과학

초록

The purpose of this study was evaluated the relationship between echocardiography and cardiac computed tomography in normal adults by visual assessment, and evaluated the effective doses of cardiac computed tomography. The subjects were 100 normal patients who visited two general hospitals in Chungnam, from January 1 to May 30, 2018. We obtained images by using these modalities and evaluated the wall thickness and internal dimension of the Left Ventricle with visual assessment. To evaluate the appropriateness of the visual evaluation, two evaluators who were trained for one week were measured and the agreement between the evaluators were verified by statistical analysis. The effective doses of computed tomography were evaluated using the dose length product. As a result, there was a high correlation between the two modalities. The agreement between the two visual evaluator were also highly agreed. The mean X-ray dose of the subjects was 11.1±3.1 mSv. Although the purpose of imaging is somewhat different in the clinical setting, echocardiography could achieve the same results as radiation-invasive computed tomography. It is thought that utilization will become even larger.

Abstract

The purpose of this study was evaluated the relationship between echocardiography and cardiac computed tomography in normal adults by visual assessment, and evaluated the effective doses of cardiac computed tomography. The subjects were 100 normal patients who visited two general hospitals in Chungnam, from January 1 to May 30, 2018. We obtained images by using these modalities and evaluated the wall thickness and internal dimension of the Left Ventricle with visual assessment. To evaluate the appropriateness of the visual evaluation, two evaluators who were trained for one week were measured and the agreement between the evaluators were verified by statistical analysis. The effective doses of computed tomography were evaluated using the dose length product. As a result, there was a high correlation between the two modalities. The agreement between the two visual evaluator were also highly agreed. The mean X-ray dose of the subjects was 11.1±3.1 mSv. Although the purpose of imaging is somewhat different in the clinical setting, echocardiography could achieve the same results as radiation-invasive computed tomography. It is thought that utilization will become even larger.

참고문헌 (28)

  1. Lovic D, "How to estimate left ventricular hypertrophy in hypertensive patients", Anadolu Kardiyoloji Dergisi, 14(4), pp.389~395 (2014)
  2. Choi BW, , J Korean Med Assoc, 50(1), pp.5~17 (2007)
  3. 김동훈, "관상동맥 전산화단층촬영 혈관조영술: 새로운 진단기법으로서 임상에서의 적응증 및 역할을 중심으로", 대한영상의학회지, 56(5), pp.461~472 (2007), 대한영상의학회
  4. Higgins CB, "Functional evaluation of the heart with magnetic resonance imaging", Magnetic Resonance in Medicine, 6(2), pp.121~139 (1988)
  5. Zhang S, "Real-time magnetic resonance imaging of cardiac function and flow—recent progress", Quantitative Imaging in Medicine and Surgery, 4(5), pp.313~329 (2014)
  6. Weiger M, "Cardiac real‐time imaging using SENSE", Magnetic Resonance in Medicine, 43(2), pp.177~184 (2000)
  7. Cho SH, "Fast Cardiac Magnetic Resonance Imaging Using Compressed Sensing", J The Korean Institute of Electrical Engineers, 7(1), pp.1970~1971 (2010)
  8. Korean Society of echocardiography, "Textbook of clinical echocardiography", pp.1~10 (2013), Medbook
  9. Javed B, "Comparison of Multidetector Computed Tomography and Two-Dimensional Transthoracic Echocardiography for Left Ventricular Assessment in Patients With Heart Failure", J American Cardiology, 99(1), pp.247~249 (2007)
  10. Anitha M, "High resolution ultrasound imaging of cutaneous lesions", J Indian of Radiology and Imaging, 23(3), pp.269~ (2013)
  11. Lang RM, "Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging", European Heart Journal-Cardiovascular Imaging, 16(3), pp.233~271 (2015)
  12. David S, "Aortic dimensions by multi-detector computed tomography vs. echocardiography", J cardiology, 67, pp.365~370 (2016)
  13. Cousin C, "ICRP Publication 120", ICRP Publication, 10, pp.101~116 (2011)
  14. Landis JR, "The measurement of observer agreement for categorical data", Biometrics, 33, pp.159~174 (1977)
  15. 권성욱, "MDCT 검사에서 환자 체중을 이용한 선량 평가", 의학물리, 21(3), pp.246~252 (2010), 한국의학물리학회
  16. Abazid R, "Visual versus fully automated assessment of left ventricular ejection fraction", J Avicenna of Medicine, 8(2), pp.41~45 (2018)
  17. Stoodley PW, "Acute myocardial infarction complicated by LV free wall rupture : benefits of echocardigraphy", J European of Echocardiography, 9(1), pp.188~189 (2007)
  18. Bai AD, "Clinical Investigation : diagnostic Accuracy of Transthoracic Echocardiography for Infective Endocarditis Finding Using Transesophageal echocardiography as the Reference standard : A Meta-analysis", J American society of Echocardiography, 30(7), pp.639~646 (2017)
  19. 최진오, "Normal Echocardiographic Measurements in a Korean Population Study: Part I. Cardiac Chamber and Great Artery Evaluation", Journal of Cardiovascular Imaging, 23(3), pp.158~172 (2015), 한국심초음파학회
  20. Ballo H, "Cardiovasc Ultrasound, Accuracy of echocardiographic area-length method in chronic myocardial infarction : comparison with cardiac CT in pig", J Cardiovascular Ultrasound, 15(1), pp.1~ (2017)
  21. 강영한, "64-절편 다행검출 CT 검사에서의 환자선량과 암 발생의 Lifetime Attributable Risk(LAR) 평가", 한국콘텐츠학회 논문지, 11(4), pp.244~252 (2011), 한국콘텐츠학회
  22. 김문찬, "64 채널 Multi-Detector Computed Tomography를 이용한 관상동맥검사의 선량 : 검사 프로토콜 다변화에 따른 환자선량 감소", 방사선기술과학, 32(3), pp.299~306 (2009), 대한방사선과학회
  23. 김정민, "CT선량지표의 원리와 선량감소 방안에 관한 연구", 방사선기술과학, 38(1), pp.51~61 (2015), 대한방사선과학회[DOI]
  24. Juergens KU, "Multi-detector row computed tomography of the heart : does a multi-segment reconstruction algorithm improve left ventricular volume measurements", European radiology, 15(1), pp.111~117 (2005)
  25. 양성희, "좌심실비대 진단에서 심장초음파와 심전도검사의 정확성", 한국콘텐츠학회 논문지, 16(2), pp.666~672 (2016), 한국콘텐츠학회[DOI]
  26. Dawkins A, "Radiologist and Sonographer Interpretation Discrepancies for Biliary Sonographic Findings", Ultrasound Q, 33(4), pp.261~264 (2017)

관련 논문AI추천

Normal Echocardiographic Measurements in a Korean Population Study: Part I. Cardiac Chamber and Great Artery Evaluation김계훈, 김대희, 김미정, 김우식, 김형관, 김형섭, 박성미, 박승우, 박재형, 박정랑, 박진선, 손일석, 신길자, 신대희, 신미승, 신성희, 심지영, 유남진, 이미래, 이상엽, 정해억, 조구영, 최정현, 최진오한국심초음파학회 · Journal of Cardiovascular Imaging2015 · 제23권 제3호Normal 2-Dimensional Strain Values of the Left Ventricle: A Substudy of the Normal Echocardiographic Measurements in Korean Population Study김계훈, 김대희, 김미정, 김우식, 김형관, 김형섭, 박성미, 박승우, 박재형, 박정랑, 박진선, 손일석, 신길자, 신대희, 신미승, 신성희, 심지영, 유남진, 이미래, 이상엽, 이주희, 정해억, 조구영, 최정현, 최진오한국심초음파학회 · Journal of Cardiovascular Imaging2016 · 제24권 제4호심장 초음파 4방도에서 심첨 단축(Apical Foreshortening) 영상의 평가 방법 연구: MRI 영상 중심으로김연민대한방사선과학회 · Journal of Radiological Science and Technology2025 · 제48권 제5호심장초음파 이완기능 평가에서 도플러 입사각도에 따른 영향 분석김연민대한방사선과학회 · Journal of Radiological Science and Technology2024 · 제47권 제6호Normal Echocardiographic Measurements in a Korean Population Study: Part II. Doppler and Tissue Doppler Imaging김계훈, 김대희, 김미정, 김우식, 김형관, 김형섭, 박성미, 박승우, 박재형, 박정랑, 박진선, 손일석, 신길자, 신대희, 신미승, 신성희, 심지영, 유남진, 이미래, 이상엽, 정해억, 조구영, 최정현, 최진오한국심초음파학회 · Journal of Cardiovascular Imaging2016 · 제24권 제2호좌심실 구혈률 측정에 관한 이면성 심초음파 검사 및 3차원 201TI Gated Perfusion SPECT의 Automatic Quantification의 비교권준, 김대혁, 박경수, 박금수, 박훈기, 서정기, 양성식, 이기훈, 이우형, 이효정, 최원식, 현인영, 홍의수한국심초음파학회 · Journal of Cardiovascular Imaging2000 · 제8권 제2호

이 간행물의 다른 논문 (15건)