At the bottom of this page you will
find a sample of Panoramic M-mode
M-mode Echocardiography
The M-mode format (space/time diagram) illustrates, in a simpler form and in
a still image, the systolic wall thickening. However we commonly analyze the
systolic function by evaluating bidimensional movies by a refined procedure,
which a great deal of experience is required, but which means vast subjective
variability.
The traditional M-mode technique is not able to document the systolic
thickening of every ventricular wall segment because of the inevetable
restriction of the traditional M-mode cursor which is anchored to the apex of
the scanning sector..
The new M-mode sampling techniques are free from the positional restrictions of
the traditional form. [Unlinked M-mode, Panoramic M-mode,
Anatomical M-mode, Omnidirectional M-Mode, Dynamic M-mode, Free-Angular
M-mode].
These new M-mode modalities can be found in some of the recent echo
equipements or they may be reproduced off line by a personal computer..
Campionamento M-mode multiplo e sincrono
Con il libero campionamento M-mode,
l'impiego di cursori opportunamente configurati ed un sistema di editing delle
tracce M-mode si potrebbe riassumere e documentare un intero eco-stress in una singola immagine....
By using a free M-mode sampling method, some properly shaped
cursors and a system to edit the M-mode strips, you will be able to resume a
whole stress echo test in a still image.
"To
photograph" a dynamic process
The vendors are looking for new solutions
to reduce the variability in the evaluation of the ventricular systolic function
and so they introduced some quantitative or semiquantitative techniques like
Color Kinesis or Strain Rate
Imaging. The proposed solutions have a common
feature: to resume in a single frame a dynamic process.
The wall thickening is a dynamic process
and it requires a video sequence to be documented. The new techniques of
quantitative analysis of the regional function illustrate a panoramic vision of
the wall thickening on a still frame, by proper codes. With these techniques, a
single frame documents a phenomena, it is diagnostic and includes a less degree
of variability compared to the traditional visual interpretation of a video
sequence. Like the previous techniques, Panoramic M-mode resumes in a still
frame the thickening of the wall segments of the left ventricle.
Giordano Guido, brevetto del 9
Febbraio 1996
Giordano G, Coco R, Novelli G, Randazzo G,
Carini V: Unlinked M-mode. Nuovi orizzonti per
l'ecocardiografia. Proceedings of the VIII Congress of
the Società Italiana di Ecografia Cardiovascolare 1997:
445
Giordano G, Novelli G, Coco R, Randazzo V,
Carini V. Panoramic M-mode. a novel system for off-line
quantification of regional percent systolic thickening.
Internal Medicine Clinical and Laboratory. 1997; 5(3):
215
Iwado Y, Mizushige K, Watanabe K, Ueda T,
Furumoto W, Nozaki S, Sakamoto S, Ohmori K, Matsuo H.
Quantitative analysis of myocardial response to
dobutamine by measurement of left ventricular wall motion
using omnidirectional M-mode echocardiography. Am J
Cardiol 1999; Mar 1; 83(5): 765-9
Piérard LA, Ashman JK, Olstad B, Holm E,
Berg K, CHU Tilman S. Dimensional quantification of
cardiac anatomy, utilizing anatomical M-mode, a new
post-processing technique used on high frame rate
two-dimensional digitally stored cineloops. European
Heart J 1995; 16 (Suppl): 510
Song I, Robergé A, Neumann A, Marcus RH,
Soble JS. Tracking regional left ventricular wall
movement using 2-D echocardiographic cineloops in concert
with synthetic M-mode images. 1996
Proceedings of the IEEE Computers in Cardiology
Conference
Mele D, Pedini I, Alboni P, Levine RA.
Digital Echocardiographic Technique improving
quantitative assessment of left ventricle in M-mode
format. European Society of Cardiology. The first Annual
and Plenary Meeting of the Working Group on
Echocardiography. Prague, 4-7 December 1997.
Mele D, Aschieri D, Pedini I, Alboni P,
Levine R. Anatomical M-mode can improve analysis of left
ventricular regional function in stress echocardiography.
Initial clinical studies. Echocardiography 1998; 8(2):619
S.H. Lee, M. Saltzberg, J. Wolfer, J.S.
Soble, J. Roberge. Using Synthetic M-mode Imaging to
Measure Temporal Differences in Left Ventricular
Contraction Patterns during Ischemia. Illinois
Institute of Technology. 1997 Proceedings of the IEEE
Computers in Cardiology Conference