Author + information
- Received March 6, 1989
- Revision received June 14, 1989
- Accepted July 6, 1989
- Published online December 1, 1989.
- Tohru Masuyama, MD∗,
- Ulrich Nellessen, MD,
- Ingela Schnittger, MD, FACC,
- Terrence L. Tye, RDMS,
- William L. Haskell, MD, PhD, FACC and
- Richard L. Popp, MD, FACC∗
- ↵∗Address for reprints: Richard L. Popp, MD, Division of Cardiology, Stanford University School of Medicine, Stanford, California 94305.
Experimental studies have shown that variation in the magnitude of integrated ultrasonic backscatter during the cardiac cycle represents acoustic properties of myocardium that are affected by pathologic processes; however, there are few clinical studies using integrated backscatter. Forty subjects without cardiovascular disease (aged 22 to 71 years, mean 41) were studied with use of a new M-mode format integrated backscatter imaging system to characterize the range of cyclic variation of integrated backscatter in normal subjects. Cyclic variation in integrated backscatter was noted in both the septum and the posterior wall in all subjects.
The magnitude of the cyclic variation of integrated backscatter and the interval from the onset of the QRS wave of the electrocardiogram to the minimal integrated backscatter value were measured using an area of interest of variable size for integrated backscatter sampling and a software resident in the ultrasound scanner. The magnitude of cyclic variation was larger for the posterior wall than for the septum (6.3 ± 0.8 versus 4.9 ± 1.3 dB, p < 0.01). The interval to the minimal integrated backscatter value was 328 ± 58 ms for the septum and 348 ± 42 ms for the posterior wall (p = NS). There was a weak correlation between the magnitude of cyclic variation of integrated backscatter and subject age for the posterior wall (r = −0.47, p < 0.01), but this was not significant for the septum (r = −0.21) (partially because of inability to exclude specular septal echoes) and septal endocardium.
Ultrasonic tissue characterization of the myocardium by the measurement of cyclic variation in integrated backscatter is feasible in human patients. Acoustic properties of the myocardium in humans seem to vary regionally and are somewhat affected by aging.
- Received March 6, 1989.
- Revision received June 14, 1989.
- Accepted July 6, 1989.