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Review
. 2000 Nov;84 Suppl 2(Suppl 2):II2-6.
doi: 10.1136/heart.84.suppl_2.ii2.

Three dimensional colour Doppler echocardiography for the characterisation and quantification of cardiac flow events

Affiliations
Review

Three dimensional colour Doppler echocardiography for the characterisation and quantification of cardiac flow events

T Irvine et al. Heart. 2000 Nov.
No abstract available

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Figures

Figure 1
Figure 1
(A) Acquisition of multiple 2D images by rotation of multiplane transoesophageal probe through 180°. (B) Assimilation of multiple 2D imaging planes to generate a 3D volume of data. Coloured lines show typical cutplanes within the dataset. (C) Example of 3D dataset with demonstration of cutplanes.
Figure 2
Figure 2
(A) Grey scale reconstruction of twin regurgitant jets extending upwards into the cavity of the left atrium. (B) Digital 3D colour Doppler rendering of a flow convergence region (in vitro acquisition).
Figure 3
Figure 3
Localisation of the vena contracta in the 3D dataset (in vitro acquisition). Colour Doppler flow data have been acquired parallel to flow. (A) and (C) show direction of flow from top to bottom in the two. (D) A perpendicular (blue cutplane) cut through the narrowest portion of the regurgitant jet, the vena contracta.
Figure 4
Figure 4
(A) Example of laminar flow pattern, such as might be encountered in the ventricular outflow tracts or the great vessels. (B) 3D reconstruction of a laminar flow profile (in vitro acquisition).
Figure 5
Figure 5
Identification of the vena contracta in a case of anterior mitral valve leaflet prolapse. In spite of the eccentricity of the jet, the cutplanes can still be manipulated to produce a cross section of the vena contracta (bottom left panel). It is then a simple process to measure its area. This should give an approximation of the regurgitant orifice area.
Figure 6
Figure 6
Calculation of the flow convergence region surface area in the 3D dataset. (A) is a magnified view of (B). A wire model framework has been fitted to the surface of the flow convergence region. Surface area computations are made using this model. Note that no geometric assumptions are involved in the measurement of the surface area.
Figure 7
Figure 7
Computation of instantaneous flow rate from a digital 3D Doppler dataset, acquired from an in vitro tube model of laminar flow. The colour flow cross section is identified within the dataset (A), (B). The computer performs a spatial integration of the individual velocity vectors contained within the flow cross-section (C) to generate an instantaneous flow rate.

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