Abstract
Much effort has recently been directed toward ultrasound characterization of normal and abnormal left ventricular myocardium. The purpose of this study was to evaluate the normal acoustic properties of all four cardiac chambers as a first step toward tissue characterization of the atria and ventricles. The hypothesis was that integrated ultrasound backscatter would follow the pattern of collagen concentration in the cardiac chambers, being higher in the right side of the heart than in the left and in the atria compared with the ventricles. Seven normal canine hearts, perfusion-fixed in 10% formalin, were examined. Sections of the free walls of right and left ventricles and atria were studied in vitro with a 5 MHz transducer positioned at the focal distance from the epicardium. The radio frequency ultrasound signal energy from each specimen was derived, corrected for sample thickness and expressed as integrated backscatter, in decibel units less than the reflected energy from a stainless steel block. The backscatter was higher from the right ventricle than from the left ventricle (-64.5 +/- 1.25 [mean +/- SEM] [n = 7] versus -73.6 +/- 1.32; p less than 0.05), higher from the right atrium than from the right ventricle (-58.5 +/- 0.83 versus -64.5 +/- 1.25; p less than 0.05) and higher from the left atrium than from the left ventricle (-62.8 +/- 1.14 versus -73.6 +/- 1.32; p less than 0.05). These data show that backscatter is higher in the right ventricle than in the left ventricle and in the atria compared with the ventricles.(ABSTRACT TRUNCATED AT 250 WORDS)
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