Beat averaging alternatives for transmitral Doppler flow velocity images

Ultrasound Med Biol. 1998 Sep;24(7):971-9. doi: 10.1016/s0301-5629(98)00060-x.

Abstract

To characterize diastolic function from transmitral Doppler data, the image's maximum velocity envelope (MVE) is fit by a model for flow velocity. To reduce the physiologic beat-to-beat variability of best-fit determined model parameters, averaging of multiple cardiac cycles is indicated. To assess variability mathematically, we modeled physiologic noise as a random (normally-distributed) process and evaluated three methods of averaging (1, averaging model parameters from single images; 2, averaging images; and 3, averaging MVEs) using clinical datasets (50 continuous beats from 5 subjects). Method 2 generates a positive bias because low-velocity beats will not contribute to the composite MVE. The difference between Methods 3 and 1 is less than 2.0 E-5 (m/s)2 for uncorrelated model parameters. Input having 10% beat-to-beat variation yields a bias of <4% for model parameter mean. Hence, Method 1 was, in general, more robust than Method 3.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Blood Flow Velocity
  • Diastole / physiology
  • Echocardiography, Doppler*
  • Heart Rate*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Image Processing, Computer-Assisted
  • Mitral Valve / diagnostic imaging*
  • Models, Theoretical
  • Reference Values
  • Ventricular Function*