Real-time detection of pre-atherosclerotic lesions in New Zealand White rabbits

Lisong Ai, Fei Yu, T. Hsiai
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Abstract

Real-time detection of pre-atherosclerotic lesions remains an unmet clinical challenge. We demonstrated the application of microelectromechanical systems (MEMS) sensors in an eccentric stenotic model in which convective heat transfer peaked in the throat of the stenosis, and decreased downstream in the zone of flow reversal. We hereby provided new insights into changes in convective heat transfer in the regions of non-obstructive, albeit inflammatory, atherosclerotic lesions in the New Zealand White rabbits fed on hypercholesterolemic diet (HD, n=3). The instantaneous temperature fluctuations altered the resistance of the MEMS sensing elements from which convective heat transfer was sensed as changes in voltages. The presence of pre-atherosclerotic lesions in the distal aortic arch significantly increased the changes in output voltage (Vave = 0.24 V) compared to that of lesion free rabbit aorta fed on normal standard diet (Vave = 0.0058V) (ND, n=3). The sensors further detected differential Vave in the thoracic aorta (HD: Vave =0.723V versus ND: Vave =:0.131 V), but similar Vave values in the abdominal aortas in the absence of atheromas (HD: Vave =0.144V versus ND: Vave =:0.143V). Vave values were also similar in distal aortic arch, thoracic and abdominal aortas in the rabbits fed on ND. Thus, MEMS thermal sensors provided a new strategy to detect pre-atherosclerotic lesions.
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新西兰大白兔动脉粥样硬化前病变的实时检测
动脉粥样硬化前病变的实时检测仍然是一个未满足的临床挑战。我们展示了微机电系统(MEMS)传感器在偏心狭窄模型中的应用,其中对流换热在狭窄的喉部达到峰值,在流动反转区下游下降。在此,我们对喂食高胆固醇血症饮食的新西兰大白兔(HD, n=3)非阻塞性(尽管是炎症性)动脉粥样硬化病变区域的对流传热变化提供了新的见解。瞬时温度波动改变了MEMS传感元件的电阻,通过电压变化来感知对流传热。与正常标准饲料(Vave = 0.0058V)相比,主动脉弓远端存在动脉粥样硬化前病变显著增加了输出电压的变化(Vave = 0.24 V) (ND, n=3)。传感器进一步检测到胸主动脉的差异Vave (HD: Vave =0.723V, ND: Vave =:0.131 V),但在没有动脉粥样硬化的腹主动脉中Vave值相似(HD: Vave =0.144V, ND: Vave =:0.143V)。饲喂ND的家兔主动脉弓远端、胸主动脉和腹主动脉的瓣膜值也相似。因此,MEMS热传感器提供了检测动脉粥样硬化前病变的新策略。
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