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Articles in PresS, published online ahead of print September 12, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00577.2002
Submitted on July 11, 2002
Accepted on August 30, 2002
1 Department of Surgery, Division of Cardiac and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA; Center for Emerging Cardiovascular Technologies, Duke University Medical Center, Durham, NC, USA
2 Center for Emerging Cardiovascular Technologies, Duke University Medical Center, Durham, NC, USA
3 Department of Surgery, Division of Cardiac and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA
* To whom correspondence should be addressed. E-mail: glowe001{at}mc.duke.edu.
We describe a novel functional imaging approach for quantitative analysis of RV blood flow patterns in specific experimental animals (or humans) using real-time 3-D echocardiography (RT3D). The method is independent of digital imaging modality used. It comprises three parts: First, a semi-automated segmentation aided by intraluminal contrast medium locates the RV endocardial surface. Then, a geometric scheme for dynamic RV chamber reconstruction applies a time interpolation procedure to the RT3D data to quantify wall geometry and motion at 400 Hz. A volumetric prism method validated the dynamic geometric reconstruction against simultaneous sonomicrometric canine measurements. Finally, the RV endocardial border motion information is used for mesh generation on a computational fluid dynamics solver to simulate development of the early RV diastolic inflow field. Boundary conditions (tessellated endocardial surface nodal velocities) for the solver are directly derived from the endocardial geometry and motion information. The new functional imaging approach may yield important kinematic information on the distribution of instantaneous velocities in the RV diastolic flow field of specific normal or diseased hearts.
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