Numerical modeling in echocardiography

From HandWiki

Numerical manipulation of Doppler parameters obtain during routine Echocardiography has been extensively utilized to non-invasively estimate intra-cardiac pressures, in many cases removing the need for invasive cardiac catheterization.[1]

Echocardiography uses ultrasound to create real-time anatomic images of the heart and its structures. Doppler echocardiography utilizes the Doppler principle to estimate intracardiac velocities. Via the modified Bernoulli equation, velocity is routinely converted to pressure gradient for use in clinical cardiology decision making.[2]

A broad discipline of mathematical modeling of intracardiac velocity parameters for pulmonary circulation and aortic Doppler for aortic stenosis have been investigated. Diasatolic dysfunction algorithms use complex combinations of these numeric models to estimate intra-cardiac filling pressures.[3][4][5] Shunt defects have been studied using the Relative Atrial Index.[6]

See also


  1. Oh, Jae K.; Taliercio, Charles P.; Holmes, David R.; Reeder, Guy S.; Bailey, Kent R.; Seward, James B.; Tajik, A.Jamil (1988). "Prediction of the severity of aortic stenosis by Doppler aortic valve area determination: prospective Doppler-catheterization correlation in 100 patients". J. Am. Coll. Cardiol. 11 (6): 1227–34. doi:10.1016/0735-1097(88)90286-0. PMID 3366997. 
  3. Scalia, Gregory M.; Greenberg, Neil L.; McCarthy, Patrick M.; Thomas, James D.; Vandervoort, Pieter M. (1997). "Non-Invasive Assessment of the Ventricular Relaxation Time Constant (?) in Humans by Doppler Echocardiography". Circulation 95 (1): 151–5. doi:10.1161/01.cir.95.1.151. PMID 8994430. 
  4. Scalia, G.M.; Burstow, D.J. (1999). "Color M-mode and Doppler-derived tau (?) as practical advances in clinical diastology - the TauCoMM project". Heart, Lung and Circulation 9 (3): A13. 
  5. Sorajja, Paul; Nishimura, Rick A. (Oct 2013). "Measurement of pulmonary pressures and pulmonary resistance: is Doppler ready for prime time?". J Am Soc Echocardiogr 26 (10): 1178–9. doi:10.1016/j.echo.2013.08.001. PMID 24054048. 
  6. Kelly, Natalie F; Walters, Darren; Hourigan, Lisa; Burstow, Darryl J; Scalia, Gregory M (2010). "The Relative Atrial Index (RAI) – A Novel, Simple, Reliable and Robust Transthoracic Echocardiographic Indicatory of Atrial Defects". J Am Soc Echocardiogr 23 (3): 275–81. doi:10.1016/j.echo.2009.11.014. PMID 20097528. 

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