Key result
High-frame-rate echocardiography detects post-aortic closure shear wave propagation velocities of ~4 m/s in minipigs.
Why the study?
Cardiac muscle stiffness can potentially be estimated non-invasively with shear wave elastography, but characterization of shear wave velocity in the heart is needed.
High-frame-rate echocardiography can successfully detect and measure cardiac shear wave velocities in a porcine model, demonstrating feasibility for non-invasive estimation of cardiac muscle stiffness.
Feasibility shown in minipigs; leaves open validation for noninvasive myocardial stiffness assessment in humans.
Cardiac muscle stiffness can potentially be estimated non-invasively with shear wave elastography. Shear waves are present on the septal wall after mitral and aortic valve closure, thus providing an opportunity to assess stiffness in early systole and early diastole. We report on the shear wave recordings of 22 minipigs with high-frame-rate echocardiography. The waves were captured with 4000 frames/s using a programmable commercial ultrasound machine. The wave pattern was extracted from the data through a local tissue velocity estimator based on one-lag autocorrelation. The wave propagation velocity was determined with a normalized Radon transform, resulting in median wave propagation velocities of 2.2 m/s after mitral valve closure and 4.2 m/s after aortic valve closure. Overall the velocities ranged between 0.8 and 6.3 m/s in a 95% confidence interval. By dispersion analysis we found that the propagation velocity only mildly increased with shear wave frequency.
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Vos et al. (2017) studied this question. High-frame-rate echocardiography was evaluated on Wave propagation velocity (95% CI 0.8-6.3). High-frame-rate echocardiography detected median shear wave propagation velocities of 2.2 m/s after mitral valve closure and 4.2 m/s after aortic valve closure in minipigs.
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