Circulation, Vol 74, 293-305, Copyright © 1986 by American Heart Association
FH Sheehan, EL Bolson, HT Dodge, DG Mathey, J Schofer and HW Woo
We sought to identify theoretical advantages and applications of the
centerline method for quantitative assessment of regional ventricular
function. Motion was measured along 100 chords constructed perpendicular to
a centerline drawn midway between the end-diastolic and end-systolic
contours, and normalized for heart size. Abnormality was expressed in units
of standard deviations from the mean motion in a normal reference
population to indicate both the severity and significance of the wall
motion abnormality. The mean abnormality averaged over 100 chords
correlated highly with the area ejection fraction (r = .97). The centerline
method uses a "sliding window" to measure motion where it is abnormal,
because assessment of wall motion in predefined regions of the ventricular
contour underestimates abnormality. From the 100 data points, the extent (%
of contour) of regional abnormalities can also be determined. The severity
of hypokinesis at the site of acute myocardial infarction correlated better
with infarct size estimated from creatine kinase release (r = - .78) than
did the ejection fraction or the circumferential extent of hypokinesis.
Because the centerline method measures motion along locally determined
vectors, and requires no apex, origin, coordinate system, or geometric
reference figure, it can be applied to contours as dissimilar as the 60
degree left anterior oblique projection of the left ventricle and the 75
degree left anterior oblique projection of the right ventricle.
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Advantages and applications of the centerline method for characterizing regional ventricular function
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