同时测量径向和轴向的血流和动脉壁振动

K. Sunagawa, H. Kanai, M. Tanaka
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引用次数: 20

摘要

在一次心跳中,动脉壁扩张和收缩。在收缩期开始时,由于血流的迅速增加,有可能是由于壁面剪切应力引起的动脉壁振动。众所周知,动脉粥样硬化危象和斑块破裂基本是由血压升高和动脉壁剪切应力作用引起的。在文献中,墙体剪应力是通过计算机模拟来估计的。然而,动脉壁在径向和轴向振动的测量以及它们与血流的关系尚未报道。本文通过在两个方向上引导超声波束,在两个方向上同时测量了动脉壁振动的径向分量和轴向分量以及血流速度。基于时频分析,评价了动脉壁振动与血管壁附近血流的关系。在体内实验中,该方法应用于健康受试者的颈动脉。根据实验结果,测量了动脉壁振动的径向和轴向分量以及动脉壁附近的血流。在振动和血流速度的各个方向上观察到明显的相关性。由于动脉壁振动是由血压的变化和血流对壁施加的剪切应力引起的,因此上述结果可能是通过测量壁振动和血流来估计动脉壁施加的剪切应力的线索。
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Simultaneous measurement of blood flow and arterial wall vibrations in radial and axial directions
The arterial wall expands and contracts during one heartbeat. At the beginning of systole, there is a possibility that vibrations on the arterial wall are caused by wall shear stress due to the rapid increase of blood flow. It is well known that crisis of atherosclerosis and rupture of plaque are basically caused by blood pressure and wall shear stress applied to the arterial wall. In the literature, wall shear stress is estimated by computer simulation. However, measurements of arterial wall vibrations in radial and axial directions as well as their relation to blood flow have not been reported yet. In this paper, by steering ultrasonic beams in two directions, the radial and axial components of arterial wall vibrations and blood flow velocity are simultaneously measured along the two directions. The relationship between the arterial wall vibrations and blood flow near the wall is evaluated based on the time-frequency analysis. In in vivo experiments, the method was applied to the carotid artery of a healthy subject. From experimental results, the radial and axial components of the arterial wall vibrations were measured together with the blood flow near the wall. A clear correlation was observed for each direction component of the vibrations and blood flow velocity. Since arterial wall vibration is caused by change in the blood pressure and shear stress applied to the wall due to the blood flow, the above results might be a clue to estimate the shear stress applied to the arterial wall from measurement of both the wall vibrations and blood flow.
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