Tissue Doppler Imaging and the Quantification of Myocardial Function

Overview

Journal Int J Card Imaging

Specialties Cardiology & Vascular Diseases
Radiology

Date 1999 Feb 6

PMID 9934612

Citations 1

Authors

R Rambaldi

D Poldermans

W B Vletter

J J Bax

J R Roelandt

Affiliations

Soon will be listed here.

Abstract

Tissue Doppler imaging (TDI) has recently been introduced in clinical echocardiography. Most widely used are tissue velocity maps, in which the velocity of moving tissue is calculated relative to the transducer from the Doppler shift and displayed as colour-encoded velocity maps in either M-mode or two-dimensional image formats (Doppler velocity mode). This allows detection and quantification of dyssynergic areas of the myocardium. Additionally, the velocities may be studied with pulsed wave-tissue Doppler sampling (PW-TDS) which displays the velocity of a selected myocardial region versus time with high temporal resolution. Less often used, are tissue acceleration maps which display acceleration or velocity change of subsequent frames as different colours (Doppler acceleration mode). These maps may find application in clinical electrophysiology. Another TDI modality is tissue energy imaging, which is based on the integration of the power spectrum of the Doppler signals from the tissue. This technique provides maps of Doppler energy which are represented as colour brightness. Such maps offer potential for the study of myocardial perfusion. TDI modalities have promise to become clinically useful for quantifying myocardial function.

Citing Articles

Visualization of the site of the onset of ventricular depolarization by acceleration mode Tissue Doppler imaging technique.

Cavusoglu Y, Ata N, Timuralp B, Birdane A, Gorenek B, Unalir A Int J Cardiovasc Imaging. 2005; 22(2):171-6.

PMID: 16237498 DOI: 10.1007/s10554-005-9003-5.

References

Palka P, Lange A, Fleming A, Sutherland G, Fenn L, McDicken W . Doppler tissue imaging: myocardial wall motion velocities in normal subjects. J Am Soc Echocardiogr. 1995; 8(5 Pt 1):659-68. DOI: 10.1016/s0894-7317(05)80380-3. View

Isaaz K, Thompson A, Ethevenot G, Cloez J, Brembilla B, Pernot C . Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol. 1989; 64(1):66-75. DOI: 10.1016/0002-9149(89)90655-3. View

Oki T, Tabata T, Yamada H, Wakatsuki T, Shinohara H, Nishikado A . Clinical application of pulsed Doppler tissue imaging for assessing abnormal left ventricular relaxation. Am J Cardiol. 1997; 79(7):921-8. DOI: 10.1016/s0002-9149(97)00015-5. View

Miyatake K, Yamagishi M, Tanaka N, Uematsu M, Yamazaki N, Mine Y . New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging: in vitro and in vivo studies. J Am Coll Cardiol. 1995; 25(3):717-24. DOI: 10.1016/0735-1097(94)00421-L. View

Uematsu M, Nakatani S, Yamagishi M, Matsuda H, Miyatake K . Usefulness of myocardial velocity gradient derived from two-dimensional tissue Doppler imaging as an indicator of regional myocardial contraction independent of translational motion assessed in atrial septal defect. Am J Cardiol. 1997; 79(2):237-41. DOI: 10.1016/s0002-9149(97)89292-2. View

Donovan C, Armstrong W, Bach D . Quantitative Doppler tissue imaging of the left ventricular myocardium: validation in normal subjects. Am Heart J. 1995; 130(1):100-4. DOI: 10.1016/0002-8703(95)90242-2. View

Fleming A, Xia X, McDicken W, Sutherland G, Fenn L . Myocardial velocity gradients detected by Doppler imaging. Br J Radiol. 1994; 67(799):679-88. DOI: 10.1259/0007-1285-67-799-679. View

Sohn D, Chai I, Lee D, Kim H, Kim H, Oh B . Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol. 1997; 30(2):474-80. DOI: 10.1016/s0735-1097(97)88335-0. View

Palka P, Lange A, Fleming A, Fenn L, Bouki K, Shaw T . Age-related transmural peak mean velocities and peak velocity gradients by Doppler myocardial imaging in normal subjects. Eur Heart J. 1996; 17(6):940-50. DOI: 10.1093/oxfordjournals.eurheartj.a014977. View

10.

Nixdorff U, Rupprecht H, Mohr-Kahaly S, Kremer M, Bickel C, Meyer J . Tissue Doppler echocardiography: a new method of evaluating perfusion-dependent myocardial function during PTCA. Int J Card Imaging. 1997; 13(2):99-103. DOI: 10.1023/a:1005783328371. View

11.

Zamorano J, Wallbridge D, Ge J, Drozd J, Nesser J, Erbel R . Non-invasive assessment of cardiac physiology by tissue Doppler echocardiography. A comparison with invasive haemodynamics. Eur Heart J. 1997; 18(2):330-9. DOI: 10.1093/oxfordjournals.eurheartj.a015236. View

12.

Sutherland G, Stewart M, Groundstroem K, Moran C, Fleming A, Riemersma R . Color Doppler myocardial imaging: a new technique for the assessment of myocardial function. J Am Soc Echocardiogr. 1994; 7(5):441-58. DOI: 10.1016/s0894-7317(14)80001-1. View

13.

Garcia M, Rodriguez L, Ares M, Griffin B, Thomas J, Klein A . Differentiation of constrictive pericarditis from restrictive cardiomyopathy: assessment of left ventricular diastolic velocities in longitudinal axis by Doppler tissue imaging. J Am Coll Cardiol. 1996; 27(1):108-14. DOI: 10.1016/0735-1097(95)00434-3. View

14.

Assmann P, Slager C, Dreysse S, van der Borden S, Oomen J, Roelandt J . Two-dimensional echocardiographic analysis of the dynamic geometry of the left ventricle: the basis for an improved model of wall motion. J Am Soc Echocardiogr. 1988; 1(6):393-405. DOI: 10.1016/s0894-7317(88)80021-x. View

15.

McDicken W, Sutherland G, Moran C, Gordon L . Colour Doppler velocity imaging of the myocardium. Ultrasound Med Biol. 1992; 18(6-7):651-4. DOI: 10.1016/0301-5629(92)90080-t. View

16.

Pellerin D, Cohen L, Larrazet F, Pajany F, WITCHITZ S, Veyrat C . Preejectional left ventricular wall motion in normal subjects using Doppler tissue imaging and correlation with ejection fraction. Am J Cardiol. 1997; 80(5):601-7. DOI: 10.1016/s0002-9149(97)00429-3. View

17.

Palka P, Lange A, Fleming A, Donnelly J, Dutka D, Starkey I . Differences in myocardial velocity gradient measured throughout the cardiac cycle in patients with hypertrophic cardiomyopathy, athletes and patients with left ventricular hypertrophy due to hypertension. J Am Coll Cardiol. 1997; 30(3):760-8. DOI: 10.1016/s0735-1097(97)00231-3. View

18.

Karwatowski S, Mohiaddin R, Yang G, Firmin D, Sutton M, Underwood S . Assessment of regional left ventricular long-axis motion with MR velocity mapping in healthy subjects. J Magn Reson Imaging. 1994; 4(2):151-5. DOI: 10.1002/jmri.1880040209. View

19.

Uematsu M, Miyatake K, Tanaka N, Matsuda H, Sano A, Yamazaki N . Myocardial velocity gradient as a new indicator of regional left ventricular contraction: detection by a two-dimensional tissue Doppler imaging technique. J Am Coll Cardiol. 1995; 26(1):217-23. DOI: 10.1016/0735-1097(95)00158-v. View

20.

Fleming A, McDicken W, Sutherland G, Hoskins P . Assessment of colour Doppler tissue imaging using test-phantoms. Ultrasound Med Biol. 1994; 20(9):937-51. DOI: 10.1016/0301-5629(94)90053-1. View