| 1. |
- Naumovska, M, et al.
(författare)
-
Tomographic ultrasound for three-dimensional visualization of temporal arteries
-
Ingår i: Scandinavian Journal of Rheumatology. - 0300-9742.
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveConventional two-dimensional ultrasound has been assessed for the non-invasive diagnosis of giant cell arteritis (GCA), but the results are operator dependent, resulting in low sensitivity. Tomographic three-dimensional (3D) ultrasound is a novel technique that enables the objective documentation of vessel geometry. Here, for the first time, its utility is assessed for visualizing temporal arteries.MethodThe temporal artery of 14 healthy subjects and three subjects with suspected GCA was examined using tomographic 3D ultrasound.ResultsThis technique enabled 3D mapping of the architecture of the temporal artery. The inner and outer vessel diameters showed considerable interindividual variability. However, calculation of the vessel wall fraction revealed the combination of vessel wall thickening and lumen narrowing, which may be indicative of GCA.ConclusionsThis proof-of-concept study indicates that tomographic 3D ultrasound can be used for objective mapping of the temporal artery. The technique must be evaluated regarding its diagnostic sensitivity in GCA before it can be introduced in clinical practice.
|
|
| 2. |
- Ricci, S., et al.
(författare)
-
Volume flow assessment through simultaneous B-mode and Multigate Doppler
- 2012
-
Ingår i: 2012 IEEE International Ultrasonics Symposium, IUS 2012. - 9781467345613 - 9781467345620 ; , s. 1588-1591
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The typical approach for volumetric blood flow assessment consists of a velocity measurement performed in a single sample volume placed in the vessel centre, combined to an estimate of the average diameter. This simple approach produces large inaccuracies since it does not account for the complex flow configurations produced by complicated artery geometries and/or pulsatile conditions. Moreover, diameter changes, which in important regions like the common carotid artery can be larger than 10%, are totally neglected. In this work we propose an alternative volume flow method which overcomes some of the aforementioned limitations through the simultaneous measurement of the wall positions and of the velocity distribution in the artery. The wall positions are tracked by a detector based on the First Order Absolute Moment working on B-mode data, while the velocity profile is obtained by a Multigate Spectral Doppler analysis applied to PW-mode data. The method was implemented on the ULA-OP research system and validated on a flow phantom with more than 1700 experiments performed in rigid and flexible pipes. We found a systematic underestimation of 3.7% with 5.0% standard deviation. The mean coefficient of variation (CV) was 1.7%.
|
|
| 3. |
- Bjarnegård, Niclas, 1964-, et al.
(författare)
-
Vascular characteristics in young women-Effect of extensive endurance training or a sedentary lifestyle
- 2018
-
Ingår i: Acta Physiologica. - : Wiley. - 1748-1716 .- 1748-1708. ; 223:2
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore whether high-level endurance training in early age has an influence on the arterial wall properties in young women. Methods: Forty-seven athletes (ATH) and 52 controls (CTR), all 17-25 years of age, were further divided into runners (RUN), whole-body endurance athletes (WBA), sedentary controls (SC) and normally active controls (AC). Two-dimensional ultrasound scanning of the carotid arteries was conducted to determine local common carotid artery (CCA) geometry and wall distensibility. Pulse waves were recorded with a tonometer to determine regional pulse wave velocity (PWV) and pulse pressure waveform. Results: Carotid-radial PWV was lower in WBA than in RUN (P < .05), indicating higher arterial distensibility along the arm. Mean arterial pressure was lower in ATH than in CTR and in RUN than in WBA (P < .05). Synthesized aortic augmentation index (AI at 75) was lower among ATH than among CTR (-12.8 ± 1.6 vs -2.6 ± 1.2%, P < .001) and in WBA than in RUN (-16.4 ± 2.5 vs -10.7 ± 2.0%, P < .05), suggesting a diminished return of reflection waves to the aorta during systole. Carotid-femoral PWV and intima-media thickness (IMT), lumen diameter and radial distensibility of the CCA were similar in ATH and CTR. Conclusion: Elastic artery distensibility and carotid artery IMT are not different in young women with extensive endurance training over several years and in those with sedentary lifestyle. On the other hand, our data suggest that long-term endurance training is associated with potentially favourable peripheral artery adaptation, especially in sports where upper body work is added. This adaptation, if persisting later in life, could contribute to lower cardiovascular risk.
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
|
|
| 8. |
- Cinthio, M., et al.
(författare)
-
Evaluation of an ultrasonic echo-tracking method for measurements of arterial wall movements in two dimensions
- 2005
-
Ingår i: IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control. - 0885-3010 .- 1525-8955. ; 52:8, s. 1300-1311
-
Tidskriftsartikel (refereegranskat)abstract
- The longitudinal movement of blood vessel walls has so far gained little or no attention, as it has been presumed that these movements are of a negligible magnitude. However, modern high-resolution ultrasound scanners can demonstrate that the inner layers of the arterial wall exhibit considerable movements in the longitudinal direction. This paper evaluates a new, noninvasive, echo-tracking technique, which simultaneously can track both the radial and the longitudinal movements of the arterial wall with high resolution in vivo. Initially, the method is evaluated in vitro using a specially designed ultrasound phantom, which is attached to and moved by an X-Y system, the movement of which was compared with two high-resolution triangulation lasers. The results show an inaccuracy of 2.5% full scale deflection (fsd), reproducibility of 12 µm and a resolution of 5 µm, which should be more than sufficient for in vivo studies. The ability of the method is also demonstrated in a limited in vivo study in which a preselected part of the inner vessel wall of the right common carotid artery of a healthy volunteer is tracked in two dimensions over many cardiac cycles. The results show well reproducible x-y movement loops in which the recorded radial and longitudinal movements both are of the magnitude millimetre. © 2005 IEEE.
|
|
| 9. |
- Dahlén, Elsa M, et al.
(författare)
-
Is there an underestimation of intima-media thickness based on M-mode ultrasound technique in the abdominal aorta?
- 2012
-
Ingår i: Clinical Physiology and Functional Imaging. - : Wiley-Blackwell. - 1475-0961 .- 1475-097X. ; 32:1, s. 1-4
-
Tidskriftsartikel (refereegranskat)abstract
- Measuring intima-media thickness (IMT) in the common carotid artery (CCA) is a valuable resource for the evaluation of subclinical atherosclerosis. The main objective of this study was to explore whether a B-mode ultrasound technique, Philips ATL, and an M-mode ultrasound technique, Wall Track System (WTS), show interchangeable results when measured in CCA and the abdominal aorta (AA). A total of 24 healthy, young subjects were examined. IMT and lumen diameter (LD) of the AA and the CCA were measured twice by two skilled ultrasonographers with two different ultrasound equipment B-mode: (Philips, ATL and M-mode: WTS).The intra-observer variability of IMT in CCA and AA using B-mode showed a coefficient of variation 8% and 9%, and with M-mode 11% and 15%, respectively. Interobserver variability of IMT in CCA and AA using B-mode was 6% and 12%, and with M-mode 11% and 18%, respectively. CCA IMT was 0·53 ± 0·07 and 0·53 ± 0·09 mm using B-mode and M-mode, respectively. However, in AA, IMT was 0·61 ± 0·5 and 0·54 ± 0·10 mm using B-mode and M-mode, respectively. Thus, AA IMT was 11·5% thicker using B-mode (P<0·01). We received adequate IMT readings from the carotid artery as well as the AA using two commonly used B-mode and M-mode techniques. B-mode technique seems to show less variability, especially in the AA. More importantly, the two techniques measured different IMT thickness in the aorta, emphasizing the importance of using similar technique when comparing the impact of absolute values of IMT on cardiovascular disease.
|
|
