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Vivid 7 ultrasound machine

Manufactured by GE Healthcare
Sourced in United States, Norway

The Vivid 7 is an ultrasound machine designed for diagnostic imaging. It utilizes advanced ultrasound technology to generate high-quality, real-time images of the body's internal structures.

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22 protocols using vivid 7 ultrasound machine

1

Comprehensive Echocardiographic Evaluation

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Echocardiographic examination was performed using Vivid 7 ultrasound machine (GE Medical System, Horten, Norway). Acquired data were stored digitally and analyzed offline using the EchoPAC software (GE Medical System, Horten, Norway). Average values of echocardiographic indices based on readings from three cardiac cycles were used for statistical analyses.
M-mode echocardiography was performed from the standard parasternal short-axis view for measurement of the following indices: LV end-systolic and end-diastolic dimensions, shortening fraction, septal and LV posterior wall thickness, and LV mass.
From the four-chamber view, pulsed-wave Doppler examination was performed to determine transmitral peak early (E) and late (A) diastolic velocities, E wave deceleration time, and E/A ratio. Colour tissue Doppler imaging of the LV lateral wall was performed with frame rates >100 Hz. With the sample volume positioned at the LV lateral wall-mitral annular junction, the mitral annular peak myocardial velocities at systole (s), early diastole (e), and late diastole (a) were measured and the mitral E/e ratio was also calculated. The relatively load-independent index of ventricular systolic function, myocardial acceleration during isovolumic contraction (IVA), was also measured as reported.[18 (link)]
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2

Non-invasive Blood Pressure and Cardiac Function Monitoring

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Blood pressure is measured by tail-cuff using the CODA high throughput non-invasive BP system (Kent Scientific), detailed previously21 (link)58 (link). Briefly, the animal is placed in individual holders at least 10 minutes prior to obtaining pressure measurements. Acclimatization is accomplished through training sessions. BP measurements were taken every two weeks throughout the duration of the survival study (9 months). A minimum of 10 readings were taken, and the mean of acceptable readings (as determined by the software instrument) were recorded per animal, at each observation time.
Echocardiography (ECHO) for non-invasive assessment of cardiac function and structure. Standard ECHO was performed on surviving genotypes at 9 months. All ECHO examinations and analysis were performed by a skilled sonographer (S.H) blinded to treatment, as previously described19 (link)21 (link). Briefly; a Vivid 7 ultrasound machine (General Electric, Waukesha, WI) with a GE Vivid 7 10S transducer was used to collect ECHO data. Images were taken at a depth of 2–2.5 cm of the parasternal short-axis left ventricular view, using the papillary muscles as anatomical landmarks. Images were then exported to a separate workstation for analysis using EchoPAC (General Electric, Waukesha WI).
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3

Comprehensive Echocardiographic Evaluation

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Echocardiographic acquisitions were made using Vivid 7 ultrasound machine (General Electric, Vingmed, Horten, Norway). Offline analyses of the recordings were performed using EchoPAC software (General Electric, Vingmed, Horten, Norway). Measurements of all echocardiographic parameters were made in three cardiac cycles and the average was taken for statistical analyses.
From the four-chamber view, RV end-diastolic and end-systolic areas were measured and RV fractional area change was calculated accordingly. Transmitral pulsed-wave Doppler examination was performed to obtain peak early diastolic inflow velocity (E), late diastolic inflow velocity (A), E/A ratio, and E deceleration time. Tissue Doppler echocardiography was performed with sample volume positioned at the basal LV free wall-mitral annular junction to obtain the peak early diastolic myocardial tissue velocity (e), late diastolic myocardial tissue velocity (a), e/a ratio, and E/e ratio. Severity of pulmonary regurgitation was graded semi-quantitatively as mild, moderate, or severe by color flow mapping18 (link).
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4

Comprehensive Cardiac Biomarker Evaluation

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Blood tests including complete blood count, aspartate aminotransferase, ALT, gamma-glutamyl transpeptidase (GGT), total bilirubin, blood urea nitrogen, creatinine, serum albumin, prothrombin time, and N-terminal pro brain natriuretic peptide (NT-pro BNP) were performed in all subjects.
Echocardiography was performed using a GE Vivid 7 ultrasound machine, and images were obtained from standard parasternal and apical views. Routine cardiologic parameters such as left ventricular ejection fraction (LVEF), left atrial volume (LAV), left atrial volume index (LAVI), left ventricle end systolic diameter (LVESD), left ventricle end diastolic diameter (LVEDD), and RVP were calculated according to the recommendations of the American Society of Echocardiography [15] (link).
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5

Brachial Artery FMD and NMD Assessment

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Assessment of FMD was performed by a blinded investigator in accordance with the 2011 guidelines.7 (link) The diameter of the brachial artery was measured (proximal to the elbow) for 1 min, to obtain a baseline measure, then a standard sphygmomanometer cuff was used over the forearm and inflated to >30 mm Hg above systolic blood pressure to occlude the forearm arteries. Following cuff deflation the brachial artery diameter was measured for a further 3 min. The artery was imaged using a custom-built rig (figure 1), comprising a Vivid 7 ultrasound machine (GE Healthcare, New Jersey, USA), and 2D Doppler probe with 8 MHz linear array. Images were relayed to a laptop (figure 2) using Epiphan frame-grabber device (Epiphan Systems Inc, Ottawa, California, USA) and analysed off-line using Medical imaging applications automated brachial analyser (MIA-llc, Iowa, USA). FMD was calculated as the percentage change in diameter from baseline.
Following a period of 20 min rest after the FMD, the same process was repeated but without the sphygmanometer in order to measure NMD. The patient was given 800 µg of GTN sublingually, the brachial artery imaged for a further 6 min, and the peak diameter recorded. NMD was calculated as the percentage change in diameter from baseline (figure 3).
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6

Comprehensive Cardiac Imaging and Analysis Protocol

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Individual pacing mode was applied at 10 minutes interval. After at least 5 minutes pacing under stabilized hemodynamic conditions, frame rate, sector width and depth were manually adjusted to achieve a quality image with frame rates from 60 to 80 frames per second using the Vivid 7 ultrasound machine equipped with 3.5-MHz transducer (GE Medical Systems). Parasternal LV basal (mitral valve level) and apical short-axis images were acquired from three consecutive cardiac cycles. Apical 4 chamber views were also obtained. LV end diastolic volume (LVEDV), LV end systolic volume (LVESV) and LVEF was measured using Simpson’s biplane method. The Maximal annular plane systolic excursion of both mitral (MAPSE) and tricuspid (TAPSE) were also measured by placing the M-mode cursor oriented to the junction of the mitral annular plane with the LV lateral wall as well as tricuspid annular plane with the RV free wall using images of the apical four-chamber view [11] (link). The QRS duration was measured by using Bard EP Recording System. LV end-diastole was defined at the peak of the R wave on the electrocardiographic QRS complex which signals the depolarization of the ventricle and the end-systole defined as the end of T-wave from ECG [12] –[15] (link).
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7

Coronary Artery Intervention Assessment

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At baseline, age, gender, body mass index, cardiovascular risk factors such as diabetes, high blood pressure, smoking, history of coronary artery diseases and dyslipidemia were recorded for the patients. Then, 10 cc blood samples were taken from the patients to determine the levels of hemoglobin, creatinine, low-density lipoprotein (LDL) and high-density lipoprotein (LDL). Subsequently, all patients were given a two-dimensional echocardiogram, using a vivid 7 ultrasound machine (GE, USA) performed by a cardiologist. The left ventricular ejection fraction was recorded for the patients before angiography. Also, before the administration of the first dose of the drug or placebo, the patients underwent electrocardiography using a Fukuda ME C110 device (Japan). Next, the patients underwent angiography, diagnosed by Artis zee (Siemens, Germany) by a cardiac interventionist, and the pattern of coronary artery involvement was found. Based on the diagnosis of the interventionist, the patients underwent angioplasty. Then, the types of coronary intervention, the number of vessels under stenting and stent length were recorded.
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8

Multimodal Cardiac Imaging for Diagnostics

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For this study, we recruited a total of 90 adult patients aged ≥18 years, who underwent a clinically indicated SPECT imaging examination (n=63), invasive coronary angiogram (n=12; as a positive control), or echocardiography (n=15; as a negative control) at the Veterans Affairs Palo Alto Health Care System (Figure 1). For SPECT MPI, patients underwent a Technetium-99m (Tc-99m) tetrofosmin rest/exercise same day protocol (Figure 2A). The mean injected dose during rest was 6.9±0.5 millicuries (mCi). For the stress study, the dose averaged 23.8±1.4 mCi. The injection of a second dose of radionuclide occurred within ~1.5 hours of the first dose. All examinations were performed using an Infinia Hawkeye 3.0 (GE, Milwaukee, WI). Coronary catheterization was performed in standard views using the Innova Interventional X-ray system (GE). All transthoracic echocardiograms were performed using a VIVID7 ultrasound machine (GE). Demographic and clinical information was obtained from the electronic medical record. Informed consent was obtained from all patients.
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9

Echocardiography and Ventricular Hypertrophy

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Transthoracic echocardiography was performed after 2 weeks of BLEO instillation to assess ventricular dimensions and cardiac function using a GE Vivid7 ultrasound machine with a 12-MHz transducer (GE Healthcare, NJ, USA). Following echocardiography, the right ventricular systolic pressure (RVSP) was measured as described previously (Rathinasabapathy et al., 2016 (link)). Subsequently, animals were sacrificed and organs were harvested for RNA, histology and hypertrophy assessments. Right ventricular hypertrophy [RVH = RV/(LV+S)] was calculated as the ratio of wet weight of right ventricle (RV) and left ventricle + intra-ventricular septum (LV+S).
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10

Echocardiographic Evaluation of PE

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Pre-discharge 2D transthoracic echocardiography was performed in the post-acute phase of PE prior to patients' discharge from hospital on the GE Vivid 7 Ultrasound Machine model with 4 MHz phase array transducer.
RV dysfunction was defined by the presence of at least one of the following criteria: (1) the presence of RV dilation (i.e., RVOT parasternal long axis diameter > 30 mm or parasternal short axis proximal diameter > 35 mm or right-to-left ventricular end-diastolic apical 4-chamber diameter (RV/LV) > 0.9); (2) right atrium enlargement (apical 4-chamber RA area ≥ 18 cm2); (3) TAPSE < 18 mm; or (4) tricuspid regurgitation systolic velocity ≥ 2.7 m/s.
Left ventricular ejection fraction was measured in apical 4-chamber view (normal values > 55%), interventricular septum thickness and left ventricle posterior wall thickness (normal values for both parameters 0.6–1.0 cm).
The estimation of CVP was observed through measuring the diameter of the inferior vena cava, and its percentage change diameter during inspiration.
Primary outcome of the study was death of included patients; follow-up for mortality was conducted through national vital status database.
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