使用磁共振成像自动准确测量主动脉脉冲波速度

S. S. Giri, Yu Ding, Yoshinori Nishijima, A. Pedraza-Toscano, Patrick Burns, Robert L. Hamlin, Orlando P. Simonetti
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引用次数: 17

摘要

动脉僵硬度被认为是当前和未来心血管风险的有力指标。因此,人们对动脉硬度的非侵入性临床测量越来越感兴趣。常用的无创方法评估主动脉脉冲波速度(PWV),这是主动脉僵硬度的一个很好的指标。这些方法通过测量沿主动脉两个位置的压力或流速来计算脉冲电压,从而确定脉冲波到达的时间;这些位置之间的距离可以在体表上测量,也可以使用高分辨率图像测量。在这项研究中,我们开发了一种基于MRI的新方法,通过沿主动脉的多个位置计算主动脉PWV。这种方法在很大程度上是自动的主动脉分割,减少了用户的主观性;主动脉上多个点的包含增加了平均测量PWV的准确性。
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Automated and accurate measurement of aortic pulse wave velocity using magnetic resonance imaging
Arterial stiffness is thought to be a powerful indicator of present and possible future cardiovascular risk. Accordingly, there is an increasing interest in the non-invasive clinical measurement of arterial stiffness. The commonly used non-invasive methods assess aortic pulse wave velocity (PWV) which is known to be a good indicator of aortic stiffness. These methods calculate the PWV by measuring the pressure or flow velocity at two locations along the aorta to determine the arrival time of the pulse wave; the distance between these locations is measured either on the body surface or using high resolution images. In this study, we have developed a novel method based on MRI that calculates the aortic PWV using multiple locations along the aorta. This approach is largely automatic vis-a-vis aortic segmentation that reduces user-subjectivity; the inclusion of multiple points along aorta increases the accuracy of PWV measurement by averaging.
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