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Objective To investigate the integrated backscatter(IBS) changes of retina in hypertensive disease patients to offer the reference to clinician for ocular fundus changes of hypertensive disease.Methods One hundred chronic hypertension patients (100 eyes) were divided into 4 groups by clinical stages:① gradeⅠ,28 persons (28 eyes);② grade Ⅱ,27 persons (27 eyes);③ grade Ⅲ,24 persons (24 eyes);④ grade Ⅳ,21 persons (21 eyes).Thirty normal persons of 30 eyes were the control group.Their IBS values were measured on nose side of retina,and the correction IBS values(IBS%) were calculated.Results With the deterioration of hypertensive disease,the IBS(29.48±0.09,32.50±0.04,34.62±0.39,36.48±0.46,37.52±0.43) and IBS%[(68.50±2.11)%,(72.03±0.57)%,(74.29±0.77)%,(76.06±1.43)%,(77.45±0.75)%] of retina were gradually increased.The statistical difference were found among various groups(P=0.000).Conclusions With the deterioration of hypertensive retinopathy,the IBS and IBS% increased gradually.The IBS technique is a useful method to assess the retinopathy of hypertension.
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Objective To evaluate the hepatic pathological damage after orthotopic liver transplantation (OLT) in rats with integrated backscatter (IBS). Methods Thirty-two SD rats and 40 Wistar rats were included, and stable OLT models were established except 8 Wistar rats as blank group. The rat models were randomly divided into 4 groups (each n=8):normal group (given no treatment), CsA-treated group (30 mg/[kg·d]), SIN-treated group (40 mg/[kg·d]), SIN and CsA-treated group (SIN 40 mg/[kg·d]+CsA 15 mg/[kg·d]). Hepatic IBS (peak to peak intensity:PPI; average image intensity:AII; standard deviation of image intensity:SDI) was measured on 4th and 10th day after OLT. The rats were sacrificed and a part of liver was cut off for pathological examination. Result Four days later, AII of control and SIN groups were higher than those in other groups (P<0.05), and of CsA-treated and SIN+CsA-treated groups were higher than that of blank group (P＜0.05), while no difference of PPI and SDI was detected between each two groups. Ten days later, AII in CsA-treated, SIN+CsA-treated and SIN-treated groups were lower than that of control group (P＜0.05), no difference of PPI and SDI was detected between each two groups. IBS was positively correlated with liver pathological damage (r=0.814, P＜0.01). Conclusion Detecting hepatic IBS contributes to the diagnosis of the level of liver damage after OLT.
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Objective To investigate the value of ultrasound integrated backscatter (IBS) in quantitative analysis of in-traluminal thrombus in abdominal aortic aneurysm (AAA).Methods IBS of intraluminal thrombus in 29 patients were measured,including All (average image intensity) and SDI (standard deviation of image intensity).Meanwhile,different echoes and characteristics of IBS in thrombus were compared and pathologic analysis was performed.Results ①Individual All value of homogenous thrombus differed remarkably,SDI value was low.There was no significant difference about All in homogeneous group and adjacent cavity group (P>0.05).All and SDI value in adjacent wall group were higher than those in other groups (P<0.01).②According to pathologic analysis,cellulose contents were abundant in adjacent wall group,but fewer in adjacent cavity group and homogeneous group.Conclusion IBS might be regarded as a sensitive and specific method and a quantitative basis for estimating and predicting the rupture risk of AAA.
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FUNDAMENTO: A caracterização tecidual ultra-sônica (CTU), avaliada pelo integrated backscatter, tem o potencial de detectar precocemente alterações estruturais no tecido miocárdico. Nas síndromes coronarianas agudas (SCA) esta técnica tem atraído atenção pelo potencial de detectar viabilidade miocárdica. OBJETIVO: Analisar o potencial da CTU em detectar alterações precoces na sala de urgência. MÉTODOS: Foram estudados 28 indivíduos, divididos em três grupos: grupo I (13; 52,2±15,5 anos) composto por pacientes encaminhados para a sala de urgência com suspeita clínica de SCA, que foi descartada na evolução; grupo II (9; 54,2±10 anos) com infarto agudo de coronária direita e grupo III (6; 62,1±9,1 anos) com infarto agudo de ramo descendente anterior da coronária esquerda. Para cada indivíduo incluído no estudo, foram avaliados quatro segmentos no eixo curto no plano dos músculos papilares (1 - anterior médio; 2 - ântero-lateral médio; 3 - inferior médio e 4 - septal médio), obtendo-se o coeficiente corrigido, a amplitude de variação do IBS, o índice de retardo da variação e o padrão da variação. RESULTADOS: As alterações decorrentes do processo isquêmico em sua fase inicial não foram detectadas pelo coeficiente corrigido ou pela alteração da amplitude de variação do IBS. Os parâmetros de sincronicidade (índice de retardo e padrão de variação), no entanto, por serem mais sensíveis, foram parcialmente capazes em regiões de infartos mais extensos. CONCLUSÃO: Maiores estudos sobre o comportamento destes índices na fase aguda das SIMI são necessários.
BACKGROUND: Ultrasonic tissue characterization (UTC), as evaluated through integrated backscatter, has the potential to detect precocious structural damage to myocardial tissue. In acute coronary syndromes (ACS) this technique is attracting attention due to its potential to evaluate myocardial viability. OBJECTIVE: To evaluate the role of UTC in the emergency department. METHODS: We studied 28 individuals, classified in three groups: Group I (13; 52.2±15.5 years) with patients admitted with chest pain who have negative evaluation for acute coronary syndrome; Group II (9; 54.2±10.0 years) with acute myocardial infarction in right coronary artery territory; and Group III (6; 62.1±9.1 years) with acute myocardial infarction in the anterior descendent branch territory. For each individual, we analyzed four segments in the short axis view at the papillary muscle level (1 - anterior; 2 - anterior-lateral; 3 - inferior e 4 - septal), for the following parameters: corrected coefficient, amplitude, delay index and IBS pattern. RESULTS: The acute myocardial isquemic process in its initial phase was not detected by the corrected coefficient or by the IBS amplitude. The sincronicity parameters (delay index and IBS pattern), more sensible, were partially able to identify changes in more extension regions of myocardial infarction. CONCLUSION: More studies should be conducted to evaluate these parameters in the early phase of acute coronary syndromes.
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Female , Humans , Male , Middle Aged , Acute Coronary Syndrome , Echocardiography/methods , Tissue Survival , Acute Coronary Syndrome/pathology , Chi-Square Distribution , Electrocardiography , Emergencies , Myocardial Infarction/pathology , Myocardial Infarction , Myocardial Ischemia/pathology , Myocardial Ischemia , Papillary Muscles/pathology , Papillary Muscles , Statistics, Nonparametric , Time FactorsABSTRACT
Objective To evaluate the values of integrated backscatterr (IBS) and dobutamine stress echo- cardiography (DSE) in the diagnosis of coronary artery disease(CAD).Methods Thirty-one suspected CAD patients received DSE and IBS analysis before selective coronary angiography(SCA).Using SCA results as the golden standard of the diagnosis,the diagnostic sensitivity(Se),specificity(Sp),and accuracy rate (Ac) of conventional eye-view and DSE-cyclic variation integrated backscatter (CVIB) were compared. Results The CVIB of myocardial segments perfused by stenotic coronary artery was smaller than that of segments perfused by patent coronary artery during high dose of DSE. For conventional DSE eye-view method, the Se,Sp,and Ac were 80%,72% and 77%, while that of DSE-CVIB were 90%,72% and 83%, respectively. Conclusion IBS is a valuable method in assessing the myocardial wall motion in DSE, and the combination of the two methods can improve the diagnostic accuracy rate of CAD.
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Objective To describe the characteristics of ultrasonic integrated backscatter(IBS)of cardiac blood in children with dilated cardiomyopathy(DCM).Methods Philips Sonos 7500 equipped with an acoustic densitometry software system was used.The subjects included 20 children with DCM and 20 normal children.The IBS parameters of the cardiac blood were collected.Results Compared to normal children,the cyclic variation of integrated backscatter(CVIB)of blood in the left atria(LA),left ventricle(LV),and right ventricle(RV)were decreased significantly(P
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Objective To explore the value of integrate d backscatter technique (IBS) in quantitative evaluation of myocardial viability and left ventricular remodeling (LVRM) in patients with acute myocardial infarction(AMI). Methods In 18 healthy subjects (control group) and 36 patients with first onset AMI, IBS images were obtained at apical long axis, 2- and 4-chamber views within one week, at 1 and 3 months after percutaneous intracoronary stenting. The dynamic changes of IBS and its cyclic variation (CVIB) at middle segments of six different walls of left ventricle were compared with normal control, and the relations of these changes with the remodeling and the function of left ventricle were analyzed. Results Based on the existence of LVRM, the patients were divided into two groups: group A without LVRM and group B with LVRM. In group A, IBS of both infarct and non-infarct segments were not significantly different from control group within one week while CVIB of infarct segments decreased significantly than that of control group. CVIB improved gradually with the recovery of LV function whereas IBS showed no change. In group B, IBS of infarct segments increased significantly than that of control group and CVIB of both infarct and non-infarct segments decreased significantly. IBS of both infarct and non-infarct segments increased gradually while only CVIB of non-infarct segments recovered. Meanwhile, ventricular aneurysm appeared and LV enlarged gradually with LV function not improved. Conclusions The dynamic changes of IBS are different in patients with AMI from normal subjects and it may be clinically useful to evaluate myocardial viability quantitatively and predict LVRM and the recovery of LV function.
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Objective: To establish porcine chronic ischemic myocardium model and to evaluate ultrasonic integrated backscatter(IBS) and Doppler tissue imaging(DTI) in detecting this model. Methods: An Ameroid constrictor was placed around the porcine proximal left circumflex artery. The calibrated average image intensity (%AⅡ), cyclic variation of IBS (CVIB), the subendo-epicardical gradient index (TGI) and the spectrum of left ventricular papillary muscle level short axis view (LVPM-SAM) and apical four chamber view (AP-4CV) were measured at normal state, 2 w, 4 w, 6 w and 8 w after Ameroid placement. Results: Normal %AⅡ, CVIB and TGI were 2.29?0.32,(9.69?2.22)dB and 0.22? 0.08 respectively. After Ameroid placement, the %AII increased gradually, the CVIB decreased gradually, and the decrease was higher in subepicardium than that in subendocardium. The most obvious decrease of TGI occurred from 2 w to 4 w after Ameroid placement and became zero at 8 w(P
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Objective To study the very early diagnosis of acute myocardial infarction (AMI) by harmonic imaging integrated backscatter(IBS).Methods Thirty normal persons,12 cases at the very early stage of AMI (in 2 hours),36 cases with AMI (in 2-12 hours) were examined by IBS and the cyclic variation of integrated backscatter (CVIB) with HP Sonos 5500 ultrasonic system in different areas (the areas of myocardial infarction and no myocardial infarction).Results In the areas of AMI of the very early stage (in 2 hours),IBS was much higher than that of the areas of normal (14.7 vs 8.3,P
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Objective: To explore the value of integrated backscatter(IBS) of kidney with different dosage of organophosphorus in rabbits. Methods: Animal models of organophosphorus poisoning were established. Ultrasonographic examinations were performed on four different dosage experimental groups and control group at 1h and 3 h after rabbits being poisoned.The echo and the size of kidney were evaluated by two-dimensional ultrasound.The changes of parenchyma were quantitatively analyzed by IBS.Results: No significant changes were found in kidney echo of any groups.With the increasing dosage and prolonging time of poisoning,significant changes were found in volume and length of kidneys comparing with that of control group(P
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Objective Integrated backscatter (IBS) has been used to quantitating blood state of left ventricular spontaneous and detecting thrombus formation in the patients with myocardial infarction. Methods Quantitative analysis was conducted on blood state of left ventricular in 76 patients with myocardial infarction by integrated backscatter. There was no ventricular smoke-like echoes(SEC) in groupⅠ,mild SEC in groupⅡ,severe SEC in group Ⅲ. Results There were no thrombus in groupⅠ,5 thrombus formation in group Ⅱ,16 thrombus formation in group Ⅲ. IBS% in group Ⅲ was the highest. IBS% in severe SEC group was higher than mild SEC and no SEC group. Patients with higher IBS% tended to form ventricular thrombus and SEC. Moreover,IBS% was also shown an apparent sign of ventricular thrombus formation. The value for determining IBS% was 22% regardless whether mild SEC or severe SEC,and the sensitivity,specificity and accuracy were respectively 66.7 %, 80.0 % and 76.3 %. The value for determining IBS% was 12% regardless whether SEC or no SEC,the sensitivity,specificity and accuracy were respectively 66.7 %, 72.7 % and 68.4 %. Conclusions IBS can provide with objective index of different blood state because it reflects left ventricular spontaneous in patients with myocardial infarction precisely on real time. IBS has an important clinical value as a new method to evaluate left ventricular spontaneous.
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50%) and healthy volunteers(n=50, age and gender matched). IMT measurement, calibrated IBS(C-IBS, C-IBS=intima-media IBS-adventitia IBS) analysis and brachial artery EDV measurement were done with 7.5 MHz transducer of SONOS HP 5500, and the results were compared in the 5 groups. Results:IMT was similar in hypertensive, DM and hypertensive combined with DM groups, thicker than that in healthy volunteers(P
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Objective To evaluate the clinical application of ultrasonic integrated backscatter(IBS) parameters and assess the lesion of myocardium in patients with different left ventricular geometric patterns.Methods Four groups were analyzed according to left ventricular mass index and relative wall thickness in 146 essential hypertensive patients,including group 1(n=64),group 2(n=18),group 3(n=20),group 4(n=44).Myocardial IBS,normalized IBS (IBS%),cyclic variation of IBS(CVIB) and transmural gradient of IBS(TGIB) of interventricular septum(IVS) and post wall(PW) were measured in 4 groups and 32 normal control subjects.Results Among the four groups,IBS% of IVS and PW were the highest in group 3 ( 53.6%? 9.8%, 52.8%? 8.3%,respectively) and next higher in group 2 ( 49.8%? 7.2%, 49.6%? 9.0%,respectively) and group 4 ( 49.0%? 7.7%, 48.9%? 8.2%,respectively),and was low in group 1 ( 42.3%? 8.4%, 41.8%? 9.1%,respectively) (P
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Objective To examine the retina of healthy adults,hypertensive and diabetic patients by integrated backscatter(IBS), in order to offer the reference for clinical diagnosis and differential diagnosis in the various of ocular fundus affection. Methods Retinal IBS of 120 healthy adults,40 hypertensive and 40 diabetic patients was analyzed by HP Sonos 5500. Results IBS% of retina increased with age, and it had positive correlation with age(r= 0.82 ). IBS% of hypertensive group was higher than that of healthy adult group(P 0.05 ). Conclusions IBS% of healthy adults′ retina increases with age; the retinal IBS% of the hypertensive and the diabetic patients are higher than that of the healthy adults.
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Objective To investigate integrated backscatter (IBS) combining with dobutamine stress in detecting chronic ischemic myocardium before and after gene transfer.Methods An Ameroid constrictor was placed around the left circumflex artery of each open chest pig.After 4 weeks,groupⅠandⅡwere intramyocardially injected recombinant adenovirus coding for the vascular endothelial growth factors or phosptat buffer.After another 4 weeks,pathological investigation of their hearts were performed.The calibrated average image intensity (%AII),cyclic variation of integrated backscatter (CVIB) and the subendo epicardical gradient index (TGI) of lateral posterior wall in basic or 10 ?g?kg -1 ?min -1 dobutamine stress state at normal state,2 weeks and 4 weeks after Ameroid placement,2 weeks and 4 weeks after injection were measured.Results During dobutamine stress,CVIB of control group at normal state and 2 weeks,4 weeks after placing Ameroid increased significantly(P 0.05 ).The TGI increased significantly in normal state and at 2 weeks (P
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ObjectiveTo discuss the myocardial integrated backscatter (IB) characterization in old myocardial infarction (OMI) patients during the low dose dobutamine stress echocardiography (DSE). Methods Twenty eight OMI patients underwent 4 stages low dose DSE (0, 5, 10 and 20 ?g?kg -1 ?min -1 dobutamine infusion).The cardiac variation of IB (CVIB) and calibrated CVIB (CVIB%) were measured according to different segments (anterior septum, anterior wall, inferior wall and post wall of left ventricle) in different stages.ResultsIn the viable segments (Group C), CVIB and CVIB% increased from low level in early stage (5～10 ?g?kg -1 ?min -1 ) then maintaining in high level to the endpoint (20 ?g?kg -1 ?min -1 ), while maintained high level in control segments (Group A). Both CVIB and CVIB% were lower in non viable segments(Group D) than in Group A without changing during all stages. ConclusionsThe indexes of IB under dobutamine infusion were valuable for the quantitative evaluating the contractility of myocardium in OMI patients, especially for the viable myocardium.
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ObjectiveTo assess the related risk factors of myocardial lesion in diabetes patients and the value of ultrasonic integrated backscatter in the assessment. MethodsThirty diabetes patients, which were divided into two groups based on their blood pressure, and twenty controls undergone conventional echocardiography and ultrasonic integrated backscatter analysis. Data reflecting the glycemic control (FA) were also collected and analyzed.ResultsThere was a significant difference in IB%, CVIB and THIB% between diabetes patients and controls. Greater THIB% was shown in diabetes patients with hypertension compared to that of diabetes patients without hypertension. THIB% correlated with FA significantly. Conclusions Hypertension and the poor glycemic control are two risk factors to myocardial lesion in diabetes patients. The ultrasonic integrated backscatter is useful in assessing the effects of the two factors to the myocardial lesion in diabetes patients.
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Objective: To understand the effect of dobutamine on the integrated backscatter of myocardium. Methods: Nineteen open chest dogs were detected by HP Sonos 5500 with S8 transducer, and the WT, AIBS and CVIB were measured before and after the dobutamine stress. Results: During the dobutamine stress, following the increase of WT, the transmural, subepicardial and subendocardial CVIB all increased. And the increase of subepicardial CVIB was greater than that of subendocardial CVIB, leading to the decrease of TGI. But the AIBS didn't change significantly in the whole process. Conclusion: Dobutamine can enhance myocardium CVIB but has no obvious infleunce on AIBS. [