Intracardiac Scanning of the Heart with the Aid of Ultrasonic Intravenous Probe

Ryozo OMOTO

doi:10.1536/ihj.8.569

Ryozo OMOTO

Author information

JOURNAL FREE ACCESS

1967 Volume 8 Issue 6 Pages 569-581

DOI https://doi.org/10.1536/ihj.8.569

Details

Published: 1967 Received: April 11, 1967 Available on J-STAGE: December 09, 2008 Accepted: - Advance online publication: - Revised: -
Correction information
Date of correction: December 09, 2008 Reason for correction: - Correction: ABSTRACT Details: Wrong : This work has concerned with the experimental and clinical application of an intracardiac scan method with the ultrasonic intravenous probe for diagnosis of heart diseases.
Various types of the ultrasonic intravenous probes have been initially deviced, manufactured and examined by the author with which this work has been able to be performed. The recent model has an attachment of spring coil at the tip of the transducer, which is found to be most convenient to introduce, to support and to operate the transducer in the heart lumen.
Prior to application to the patients, in vitro and animal experiments were performed to test the possibility and accuracy of this C-scan method and to establish the principle.
On 20 patients with various heart diseases, the probes were used for obtaining information or image of the interatrial septum by this technique without any complication. On 15 patients of them, some information about the septum such as existence, location, size and shape of the atrial septal defect proved by surgery were successfully obtained by either C-scan technique (8 cases) or ECG-synchronized A-scope monitoring (7 cases). In some cases, however, the gate setting was difficult in the C-scan.
Monitoring by ECG-synchronized A-scope with the same intravenous probe has been approved rather practical for taking a dynamic three-dimensional information of the septum from various reasons, one of which is that monitoring by the A-scope does not require to set the gate.
The experiences with some difficulty of the C-scan examination have led this study towards improvement of the technique of ultrasonic tomography of the heart by plan-position-indication (PPI) display that is another principle of automatic scanning to produce a three-dimensional image of the heart structure. The PPI display of the heart is described in separate papers.
Right : WITHIN the recent decade, distinguished advancement has been made in application of ultrasound in various medical fields. Ultrasonic technique can realize images of the soft tissues by both absorption and reflection, which structure is more clearly identified with this technique than with X-ray in a fine contrast due to different propagation constants of ultrasound between tissues. A number of investigators have focused their efforts on visualization of the soft tissue structure and its movement by various pulse-reflection methods. These methods have been proved of a great diagnostic value and have appeared to be promising to the future.
One of the advantages of ultrasonic diagnosis is absence of pain and diagnostic surgery. However, if a little surgery is added, application of this diagnostic method is extended. As for application to the heart, conventional ultrasonic echography through the chest wall is limited in indication and in result, being disturbed by precardiac tissues as well as air in the lung.
In 1960, Cieszynski reported the intracardiac method with a miniature ultrasonic probe inserted into the heart lumen through the jugular vein of an anesthetized dog and he obtained reflections of ultrasound from the surface of the right and left heart lumen as well as from the great vessels without any harm.
Since 1962, the author devised and applied the ultrasonic intravenous probe to animals and patients with heart diseases, which is called the “cardiac sonde” while another probe for detecting liver lesions is called the “liversonde” which was introduced in our previous papers.
In this paper, principle, procedures and results of the intracardiac ultrasonic scanning inside the heart with this probe are described with a focus in detection of atrial septal defect of the heart.

Date of correction: December 09, 2008 Reason for correction: - Correction: AFFILIATION Details: Wrong :
1) Departments of Surgery and Thoracic Surgery, Faculty of Medicine, University of Tokyo

Right :
1) the Departments of Surgery and Thoracic Surgery, Faculty of Medicine, University of Tokyo

Date of correction: December 09, 2008 Reason for correction: - Correction: CITATION Details: Wrong : 1. Gordon, D.: Med. Elect. Biol. Engin. 1:51, 1963.
2. Edler, I. and Gustafson, A.: Acta Med. Scand. 159:85, 1957.
3. Hertz, C. H.: Med. Elect. Biol. Engin. 2:39, 1964.
4. Cieszynski, T.: Archiwum Immunologii i Terapii Doswiadczalnej 8:551, 1960
5. Omoto, R., Atsumi, K., Hori, M., Suma, K., Toyoda, T., Sakurai, Y., Muroi, T., Fujimori, Y., Hasegawa, T., Tsunemoto, M., Sugiura, M., Saigusa, M., Uchiyama, A., Uchida, R., and Nagasaki, K.: Jap. J. Med. Elect. Biol. Engin. 1:90, 1963.
6. Omoto, R., Atsumi, K., Muroi, T. Hirose, M., Tsunemoto, M., Sugiura, M., Saigusa, M., Uchida, R., and Nagasaki, K.: Jap. Med. Ultrason. 3:35, 1964.
7. Omoto, R., Tsunemoto, M., Hirose, M., Muroi, T., Hori, M., Saigusa, M., Kimoto, S., and Uchida, R.: Digest of the 6th International Conference on Medical Electronics and Biological Engineering, 296, 1965.
8. Kimoto, S., Omoto, R., Tsunemoto, M., Muroi, T., Atsumi, K., and Uchida, R.: Ultrasonics, 2: 82, 1964.
9. Wild, J. J., Crawford, H. D., and Reid, J. M.: Am. Heart J. 54:903, 1957.
10. Hertz, C. H. and Edler, I.: Acoustica 6:361, 1956.
11. Oka, S., Tanaka, M., Kosaka, S., Ebina, T., Kikuchi, Y., Uchida, R., and Hagiwara, Y.: Digest of the 6th International Conference on Medical Electronics and Biological Engineering, 294, 1965.
12. Omoto, R.: Ultrasonic tomography of the heart: Ultrasonics 5:1967 (in press).

Right : 1. Gordon, D.: Med. Elect. Biol. Engin. 1: 51, 1963.
2. Edler, I. and Gustafson, A.: Acta Med. Scand. 159: 85, 1957.
3. Hertz, C. H.: Med. Elect. Biol. Engin. 2: 39, 1964.
4. Cieszynski, T.: Archiwum Immunologii i Terapii Doswiadczalnej 8: 551, 1960
5. Omoto, R., Atsumi, K., Hori, M., Suma, K., Toyoda, T., Sakurai, Y., Muroi, T., Fujimori, Y., Hasegawa, T., Tsunemoto, M., Sugiura, M., Saigusa, M., Uchiyama, A., Uchida, R., and Nagasaki, K.: Jap. J. Med. Elect. Biol. Engin. 1: 90, 1963.
6. Omoto, R., Atsumi, K., Muroi, T. Hirose, M., Tsunemoto, M., Sugiura, M., Saigusa, M., Uchida, R., and Nagasaki, K.: Jap. Med. Ultrason. 3: 35, 1964.
7. Omoto, R., Tsunemoto, M., Hirose, M., Muroi, T., Hori, M., Saigusa, M., Kimoto, S., and Uchida, R.: Digest of the 6th International Conference on Medical Electronics and Biological Engineering, 296, 1965.
8. Kimoto, S., Omoto, R., Tsunemoto, M., Muroi, T., Atsumi, K., and Uchida, R.: Ultrasonics, 2: 82, 1964.
9. Wild, J. J., Crawford, H. D., and Reid, J. M.: Am. Heart J. 54: 903, 1957.
10. Hertz, C. H. and Edler, I.: Acoustica 6: 361, 1956.
11. Oka, S., Tanaka, M., Kosaka, S., Ebina, T., Kikuchi, Y., Uchida, R., and Hagiwara, Y.: Digest of the 6th International Conference on Medical Electronics and Biological Engineering, 294, 1965.
12. Omoto, R.: Ultrasonic tomography of the heart: Ultrasonics 5: 1967 (in press).

Date of correction: December 09, 2008 Reason for correction: - Correction: PDF FILE Details: -

Abstract

WITHIN the recent decade, distinguished advancement has been made in application of ultrasound in various medical fields. Ultrasonic technique can realize images of the soft tissues by both absorption and reflection, which structure is more clearly identified with this technique than with X-ray in a fine contrast due to different propagation constants of ultrasound between tissues. A number of investigators have focused their efforts on visualization of the soft tissue structure and its movement by various pulse-reflection methods. These methods have been proved of a great diagnostic value and have appeared to be promising to the future.
One of the advantages of ultrasonic diagnosis is absence of pain and diagnostic surgery. However, if a little surgery is added, application of this diagnostic method is extended. As for application to the heart, conventional ultrasonic echography through the chest wall is limited in indication and in result, being disturbed by precardiac tissues as well as air in the lung.
In 1960, Cieszynski reported the intracardiac method with a miniature ultrasonic probe inserted into the heart lumen through the jugular vein of an anesthetized dog and he obtained reflections of ultrasound from the surface of the right and left heart lumen as well as from the great vessels without any harm.
Since 1962, the author devised and applied the ultrasonic intravenous probe to animals and patients with heart diseases, which is called the “cardiac sonde” while another probe for detecting liver lesions is called the “liversonde” which was introduced in our previous papers.
In this paper, principle, procedures and results of the intracardiac ultrasonic scanning inside the heart with this probe are described with a focus in detection of atrial septal defect of the heart.

Corresponding author

Correction information

Register with J-STAGE for free!