首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 31 毫秒
1.
For the noninvasive diagnosis of heart disease based on the acoustic characteristics of the heart muscle, we have developed a new method for accurately tracking the movement of the heart wall. By this method, a velocity signal of the heart wall with a small amplitude of less than 10 μm on the motion resulting from a heartbeat with large amplitude of 10 mm can be successfully detected with sufficient reproducibility in the frequency range up to several hundred Hertz continuously for periods of about 10 heartbeats. In this paper, the method is applied to multiple points preset in the left ventricular (LV) wall along the ultrasonic beam so that the spatial (depth) distributions of the velocity at these points are simultaneously obtained. The motion of the heart wall is divided into the following two components: parallel global motion of the heart wall and the change in myocardial layer thickening at each depth across the LV wall during myocardial contraction/relaxation. The latter component is superimposed on the M (motion) mode image using a color code to map contraction as red and expansion as blue. By preliminary human studies, the principle of the method proposed in this paper is verified and the frequency band of the components generated by thickening and/or thinning in the myocardium is identified. This new approach offers potential for research on noninvasive acoustical diagnosis of myocardial local motility, that is, the myocardial layer function at each depth in the ventricular wall  相似文献   

2.
In our series of studies on noninvasive assessment of the regional elasticity of the arterial wall, the displacement gradient (change in thickness) of the arterial wall caused by the heartbeat was measured by the phased tracking method. Because the displacement gradient corresponds to the strain due to the change in blood pressure, the elasticity can be evaluated from the displacement gradient of the arterial wall and the blood pressure, which are noninvasively measured at the upper arm. In the measurement of the elasticity of the arterial wall by our method, the region in which the elastic modulus is estimated must be assigned beforehand; currently, the lumen-intima boundary of the arterial wall is manually determined by the operator. For the real-time measurement of the elasticity of the arterial wall, a fast, automated method is necessary for detection of the boundary. In this paper, a cost function is proposed for differentiation of the arterial wall from the lumen. The proposed cost function was applied to ultrasound data, which were noninvasively obtained for five human carotid arteries. In comparison with the case of detection using only the amplitude of the echo, the root mean square error between the automatically detected lumen-intima boundary and the manually assigned boundary was significantly improved by using the proposed cost function. Furthermore, the lumen- intima boundary was automatically detected in a short period. Such a method is required for real-time measurement of the elasticity of the arterial wall, though detection of the outer boundary of the adventitia, which is not described in this paper, is also necessary to realize real-time elasticity measurement by our method.  相似文献   

3.
Noninvasive measurement of mechanical properties, such as elasticity, of the arterial wall, is useful for diagnosis of atherosclerosis. For assessment of mechanical properties, it is necessary to measure the deformation of the arterial wall. In this study, a modification of the previously proposed phased-tracking method was conducted to improve measurement of the small change in thickness (deformation) of the arterial wall due to the heartbeat. In our previous method, a set of two points along an ultrasonic beam was initially assigned, and the change in thickness of the layer between these two points during an entire cardiac cycle was estimated. In motion estimation with ultrasound, the motion of an interface or a scatterer, which generates an echo, can be obtained by estimating the change in time delay of the echo. For example, in the case of a carotid artery of a healthy subject, there are only two dominant echoes from the lumen-intima and media-adventitia interfaces. Thus, only the displacements of the lumen-intima and media-adventitia interfaces can be estimated, which means that ultrasound can estimate only the change in distance (thickness) between these two interfaces. However, even in this case, our previous method gives different estimates of the change in thickness, depending on the depths (positions in the arterial radial direction) of the two initially assigned points. In this study, modifications of the previous method in terms of the strategy for assignment of layers and the required thickness of an assigned layer were made to reduce such an artificial spatial variation in the estimated changes in thickness. Using the proposed method, errors in estimated changes in thickness were reduced from 21.2 +/- 24.1% to 0.19 +/- 0.04% (mean +/- standard deviation) in simulation experiments. As in the case of the simulation experiments, the spatial variation in estimated changes in thickness also was reduced in in vivo experiments in a carotid artery of a healthy subject and in vitro experiments using two excised, diseased arteries.  相似文献   

4.
Hemodynamic factors like the wall shear stress play an important role in cardiovascular diseases. To investigate the influence of hemodynamic factors in blood vessels, the authors have developed a numerical fluid–structure interaction (FSI) analysis technique. The objective is to use numerical simulation as an effective tool to predict phenomena in a living human body. We applied the technique to a patient-specific arterial model, and with that we showed the effect of wall deformation on the WSS distribution. In this paper, we compute the interaction between the blood flow and the arterial wall for a patient-specific cerebral aneurysm with various hemodynamic conditions, such as hypertension. We particularly focus on the effects of hypertensive blood pressure on the interaction and the WSS, because hypertension is reported to be a risk factor in rupture of aneurysms. We also aim to show the possibility of FSI computations with hemodynamic conditions representing those risk factors in cardiovascular disease. The simulations show that the transient behavior of the interaction under hypertensive blood pressure is significantly different from the interaction under normal blood pressure. The transient behavior of the blood-flow velocity, and the resulting WSS and the mechanical stress in the aneurysmal wall, are significantly affected by hypertension. The results imply that hypertension affects the growth of an aneurysm and the damage in arterial tissues.  相似文献   

5.
Homocysteine is a risk factor for atherosclerosis in the general population, and serum homocysteine levels are almost universally elevated in chronic renal failure patients. When such patients are treated with dialysis, cardiovascular disease accounts for more than 50% of their mortality, which, in some proportion, may be pathophysiologically related to the elevated serum homocysteine levels. From April 2003 to March 2005, we conducted a 2-year, double-blind, randomized, placebo-controlled trial of 186 patients with end-stage kidney disease due to any cause, who were older than 18 years and stable on hemodialysis. Patients were assigned to receive either oral folic acid 10 mg 3 times a week immediately after every dialysis session under nurse supervision or an identical-appearing placebo for the entire study. On admission, plasma total homocysteine (tHcy) levels were above 13.9 micromol/L in 96.7% of patients (median 25.0 micromol/L, range 9.3-104.0 micromol/L). In the placebo group, tHcy levels remained elevated at 6, 12, and 24 months, while oral folate significantly decreased tHcy to a median value of 10.5 (2.8-20.3) micromol/L, (p<0.01). During the study, 38 patients (folic acid group 17 vs. placebo group 21; p=0.47) died from cardiovascular disease. Kaplan-Meier life table analysis dealing with the incidence of cardiovascular events, both fatal and nonfatal (myocardial infarction, arrhythmias, angina, heart failure, cerebrovascular accident), showed that 2 years of folic acid treatment and the lowering of the homocysteine blood levels had no effect on cardiovascular events (p=0.41; hazard ratio 1.24, 95% CI 0.74-2.10). However, the carotid artery intima-media wall thickness measured in a blinded fashion decreased from 1.94 +/- 0.59 mm to 1.67 +/- 0.38 mm (p<0.01) after 2 years of folate therapy. In this short-term study of uremic patients, 2 years of folic acid supplementation normalized the tHcy blood levels in 92.3% of patients but did not change the incidence of cardiovascular events compared with the control group. However, ultrasonography of the common carotid arteries performed at entry and 24 months later showed a significant decrease in intima-media thickness with folate supplementation. This suggests that early folate supplementation may benefit patients with chronic renal failure by preventing cardiovascular deterioration.  相似文献   

6.
For the noninvasive diagnosis of heart disease based on the acoustic and elastic characteristics of the heart muscle, it is necessary to transcutaneously measure small vibration signals, including components with an amplitude of less than 100 μm, from various parts of the heart wall continuously for periods of more than several heartbeats in a wide frequency range up to 1 kHz. Such measurement, however, has not been realized by any ultrasonic diagnostic methods or systems to date. By introducing the constraint least-square approach, this paper proposes a new method for accurately tracking the movement of the heart wall based on both the phase and magnitude of the demodulated signal to determine the instantaneous position of the object so that the vibration velocity of the moving object can be accurately estimated. By this method, small vibrations of the heart wall with small amplitudes less than 100 μm on the motion resulting from a heartbeat with large amplitude of 10 mm can be successfully detected with sufficient reproducibility in the frequency range up to several hundred Hertz continuously for periods of about 10 heartbeats. The resultant small vibration is analyzed not only in the time domain, but also in the frequency domain. As confirmed by the preliminary experiments herein reported, the new method offers potential for research in acoustical diagnosis of heart disease  相似文献   

7.
Adaptations of large arteries to sustained alterations in hemodynamics that cause changes in both caliber and stiffness are increasingly recognized as important initiators or indicators of cardiovascular risk to high flow, low resistance organs such as the brain, heart, and kidney. There is, therefore, a pressing need to understand better the underlying causes of geometric and material adaptations by large arteries and the associated time courses. Although such information must ultimately come from well designed experiments, mathematical models will continue to play a vital role in the design of these experiments and their interpretation. In this paper, we present a new multilayered model of the time course of basilar artery growth and remodeling in response to sustained alterations in blood pressure and flow. We show, for example, that single- and multi-layered models consistently predict similar changes in caliber and wall thickness, but multilayered models provide additional insight into other important metrics such as the residual stress related opening angle and the axial prestress, both of which are fundamental to arterial homeostasis and responses to injury or insult.  相似文献   

8.
Frequency domain representation of a short-term heart-rate time series (HRTS) signal is a popular method for evaluating the cardiovascular control system. The spectral parameters, viz. percentage power in low frequency band (%PLF), percentage power in high frequency band (%PHF), power ratio of low frequency to high frequency (PRLH), peak power ratio of low frequency to high frequency (PPRLH) and total power (TP) are extrapolated from the averaged power spectrum of twenty-five healthy subjects, and 16 acute anterior-wall and nine acute inferior-wall myocardial infarction (MI) patients. It is observed that parasympathetic activity predominates in healthy subjects. From this observation we conclude that during acute myocardial infarction, the anterior wall MI has stimulated sympathetic activity, while the acute inferior wall MI has stimulated parasympathetic activity. Results obtained from ARMA-based analysis of heart-rate time series signals are capable of complementing the clinical examination results.  相似文献   

9.
Arterial stiffness is known to increase with age and with many vascular diseases, but its noninvasive assessment in patients still represents a difficult task. The measurement of diameter change during the cardiac cycle (distension) has been proposed as a means to estimate arterial compliance and stiffness. Therefore, we have developed a simple PC-based device and algorithm for noninvasive quantification of vessel wall motion and diameter change in humans. This goal is achieved in real-time by processing the base-band signals from a commercial ultrasound Doppler system. Real-time operation is of crucial importance, because it allows a rapid achievement of optimal measurement conditions. The system was evaluated in a laboratory using a string phantom and was tested on the carotid arteries of 10 volunteers. Wall velocities from 0.05 to 600 mm/s and displacements lower than 2 μm were detected with phantoms. The measured carotid diameter change in the volunteers ranged from 7.5 to 11.8% (mean=9.8%) and agrees closely with values reported in the literature. The difference between values taken one hour apart ranged from 0.2 to 0.5%. We conclude that the new system provides rapid, accurate, and repeatable measurements of vessel distension in humans  相似文献   

10.
Dialysis‐induced hypotension remains a significant problem in hemodialysis (HD) patients. Numerous factors result in dysregulation of blood pressure control and impaired myocardial reserve in response to HD‐induced cardiovascular stress. Episodic intradialytic hypotension may be involved in the pathogenesis of evolving myocardial injury. We performed an initial pilot investigation of cardiovascular functional response to pharmacological cardiovascular stress in hypotension‐resistant (HR) and hypotension‐prone (HP) HD patients. We studied 10 matched chronic HD patients (5 HP, 5 HR). Dobutamine‐atropine stress (DAS) was performed on a nondialysis short interval day, with noninvasive pulse‐wave analysis using the Finometer® to continuously measure hemodynamic variables. Baroreflex sensitivity was assessed at rest and during DAS. Baseline hemodynamic variables were not significantly different. The groups had differing hemodynamic responses to DAS. The Mean arterial pressure was unchanged in the HR group but decreased in HP patients (?13.6 ± 3.5 mmHg; P<0.001). This was associated with failure to significantly increase cardiac output in the HP group (cf. increase in cardiac output in the HR group of +33.4 ± 6%; P<0.05), and a reduced response in total peripheral resistance (HP ?10.3 ± 6.8%, HR ?22.7 ± 2.9%, P=NS). Baroreflex sensitivity was not significantly different between groups at baseline or within groups with increasing levels of DAS; however, the mean baroreflex sensitivity was higher in HR cf. HP subjects throughout pharmacological stress (P<0.05). Hypotension‐prone patients appear to have an impaired cardiovascular response to DAS. The most significant abnormality is an impaired myocardial contractile reserve. Early identification of these patients would allow utilization of therapeutic strategies to improve intradialytic tolerability, potentially abrogating aggravation of myocardial injury.  相似文献   

11.
Though myocardial viscoelasticity is essential in the evaluation of heart diastolic properties, it has never been noninvasively measured in vivo. By the ultrasonic measurement of the myocardial motion, we have already found that some pulsive waves are spontaneously excited by aortic-valve closure (AVC) at end-systole (T0). These waves may serve as an ideal source of the intrinsic heart sound caused by AVC. In this study, using a sparse sector scan, in which the beam directions are restricted to about 16, the pulsive waves were measured almost simultaneously at about 160 points set along the heart wall at a sufficiently high frame rate. The consecutive spatial phase distributions, obtained by the Fourier transform of the measured waves, clearly revealed wave propagation along the heart wall for the first time. The propagation time of the wave along the heart wall is very small (namely, several milliseconds) and cannot be measured by conventional equipment. Based on this phenomenon, we developed a means to measure the myocardial viscoelasticity in vivo. In this measurement, the phase velocity of the wave is determined for each frequency component. By comparing the dispersion of the phase velocity with the theoretical one of the Lamb wave (the plate flexural wave), which propagates along the viscoelastic plate (heart wall) immersed in blood, the instantaneous viscoelasticity is determined noninvasively. This is the first report of such noninvasive determination. In in vivo experiments applied to five healthy subjects, propagation of the pulsive wave was clearly visible in all subjects. For the 60-Hz component, the typical propagation speed rapidly decreased from 5 m/s just before the time of AVC (t = T0 - 8 ms) to 3 m/s at t = T0 + 10 ms. In the experiments, it was possible to determine the viscosity more precisely than the elasticity. The typical value of elasticity was about 24-30 kPa and did not change around the time of AVC. The typical transient values of viscosity decreased rapidly from 400 Pa x s at t = T0 - 8 ms to 70 Pa x s at t = T0 + 10 ms. The measured shear elasticity and viscosity in this study are comparable to those obtained for the human tissues using audio frequency in in vitro experiments reported in the literature.  相似文献   

12.
The shape of the arterial pulse waveform is intimately related to the physical properties of the cardiovascular system. It is clinically relevant to measure those properties that are related to cardiovascular function, such as the local elasticity and viscosity of the arterial wall, total compliance and net peripheral resistance of the systemic arterial tree. Most of these properties cannot be directly measured in vivo, but they can be calculated from pressure, flow and wall displacement measurements that can be obtained in vivo. We carry out a linear analysis of the one-dimensional (1-D) equations of blood flow in Voigt-type visco-elastic vessels to study the effects on pulse wave propagation of blood viscosity, flow inertia, wall visco-elasticity, total arterial compliance, net resistance, peripheral outflow pressure, and flow rate at the aortic root. Based on our analysis, we derive methods to calculate the local elastic and viscous moduli of the arterial wall, and the total arterial compliance, net resistance, time constant and peripheral outflow pressure of the systemic arterial tree from pressure, flow and wall displacement data that can be measured in vivo. Analysis of in vivo data is beyond the scope of this study, and therefore, we verify the results of our linear analysis and assess the accuracy of our estimation methods using pulse waveforms simulated in a nonlinear visco-elastic 1-D model of the larger conduit arteries of the upper body, which includes the circle of Willis in the cerebral circulation.  相似文献   

13.
Arteriosclerosis is characterized by stiffening of arteries. The incremental elastic modulus (Einc) measurement is a good marker of arterial wall stiffness. Arteriosclerosis is characterized by stiffening of arteries. Metabolic, inflammatory, and hemodynamic alterations cause structural changes and vascular complications in end‐stage renal disease. The aim of the present study was to evaluate the factors that may affect the development of arteriosclerosis by measurement of Einc in hemodialysis (HD) patients. Thirty‐two patients (16 men and 16 women) on chronic HD with a mean age of 42.2 ± 19.3 (range, 15–80) were included in the study. The carotid Einc was measured to determine arteriosclerosis by high‐resolution echo‐tracking system. Einc measurement was calculated from transcutaneous measurements of carotid arterial internal diameter and wall thickness and carotid pulse pressure. Common carotid compliance (CCC) and distensibility (CCD) were determined from changes in carotid artery diameter during systole and simultaneously measured carotid pulse pressure. Serum levels of calcium (Ca), phosphorus (P), parathormone (PTH), ferritin, C‐reactive protein (CRP), predialysis systolic blood pressure (SBP), predialysis diastolic blood pressure (DBP), pulse pressure (PP), age, HD duration, CCC, and CCD were correlated with Einc in all patients. A significant positive correlation was found between Einc and age (r = 0.40, p < 0.02), SBP (r = 0.39, p < 0.02), PP (r = 0.40, p < 0.02), Ca (r = 0.43, p < 0.01), CRP (r = 0.38, p < 0.02). As expected, Einc was correlated inversely with CCD (r = ?0.77, p < 0.0001). The correlation between Einc and HD duration, DBP, ferritin, P, PTH, and CCC was not significant. In conclusion, the stiffening of carotid artery in HD patients is related not only to hemodynamic changes (increased SBP and PP) but also to metabolic (increased Ca) and inflammatory (increased CRP) responses. Carotid Einc is an accepted independent risk factor for cardiovascular mortality. Because of the positive correlation between Einc and serum Ca, vitamin D and Ca‐containing P binder should be used carefully in HD patients.  相似文献   

14.
We present a dual-element concave ultrasound transducer system for generating and tracking of localized tissue displacements in thin tissue constructs on rigid substrates. The system is comprised of a highly focused PZT-4 5-MHz acoustic radiation force (ARF) transducer and a confocal 25-MHz polyvinylidene fluoride imaging transducer. This allows for the generation of measurable displacements in tissue samples on rigid substrates with thickness values down to 500 microm. Impulse-like and longer duration sine-modulated ARF pulses are possible with intermittent M-mode data acquisition for displacement tracking. The operations of the ARF and imaging transducers are strictly synchronized using an integrated system for arbitrary waveform generation and data capture with a shared timebase. This allows for virtually jitter-free pulse-echo data well suited for correlation-based speckle tracking. With this technique we could faithfully capture the entire dynamics of the tissue axial deformation at pulse-repetition frequency values up to 10 kHz. Spatio-temporal maps of tissue displacements in response to a variety of modulated ARF beams were produced in tissue-mimicking elastography phantoms on rigid substrates. The frequency response was measured for phantoms with different modulus and thickness values. The frequency response exhibited resonant behavior with the resonance frequency being inversely proportional to the sample thickness. This resonant behavior can be used in obtaining high-contrast imaging using magnitude and phase response to sinusoidally modulated ARF beams. Furthermore, a second order forced harmonic oscillator (FHO) model was shown to capture this resonant behavior. Based on the FHO model, we used the extended Kalman filter (EKF) for tracking the apparent modulus and viscosity of samples subjected to dc and sinusoidally modulated ARF. The results show that the stiffness (apparent modulus) term in the FHO is largely time-invariant and can be estimated robustly using the EKF. On the other hand, the damping (apparent viscosity) is time varying. These findings were confirmed by comparing the magnitude response of the FHO (with parameters obtained using the EKF) with the measured ones for different thin tissue constructs.  相似文献   

15.
This study proposed a measurement platform for continuous blood pressure estimation based on dual photoplethysmography (PPG) sensors and a deep learning (DL) that can be used for continuous and rapid measurement of blood pressure and analysis of cardiovascular-related indicators. The proposed platform measured the signal changes in PPG and converted them into physiological indicators, such as pulse transit time (PTT), pulse wave velocity (PWV), perfusion index (PI) and heart rate (HR); these indicators were then fed into the DL to calculate blood pressure. The hardware of the experiment comprised 2 PPG components (i.e., Raspberry Pi 3 Model B and analog-to-digital converter [MCP3008]), which were connected using a serial peripheral interface. The DL algorithm converted the stable dual PPG signals acquired from the strictly standardized experimental process into various physiological indicators as input parameters and finally obtained the systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP). To increase the robustness of the DL model, this study input data of 100 Asian participants into the training database, including those with and without cardiovascular disease, each with a proportion of approximately 50%. The experimental results revealed that the mean absolute error and standard deviation of SBP was 0.17 ± 0.46 mmHg. The mean absolute error and standard deviation of DBP was 0.27 ± 0.52 mmHg. The mean absolute error and standard deviation of MAP was 0.16 ± 0.40 mmHg.  相似文献   

16.
17.
姜静  伍清河 《光电工程》2005,32(8):23-27
针对某机电伺服跟踪系统存在扰动和系统参数摄动的情况,提出了一种带有积分补偿的最优滑模变结构控制算法,并给出了获得切换函数、积分增益和控制函数的方法。仿真结果表明,这种新的控制算法比经典控制方法的效果更好。它能够获得灵敏的跟踪效果,提高了系统响应的快速性,具有较好的动态性能和鲁棒性,并消除了抖振。此控制系统结构简单,易于实现。  相似文献   

18.
High frame-rate ultrasound RF data acquisition has been proved to be critical for novel cardiovascular imaging techniques, such as high-precision myocardial elastography, pulse wave imaging (PWI), and electromechanical wave imaging (EWI). To overcome the frame-rate limitations on standard clinical ultrasound systems, we developed an automated method for multi-sector ultrasound imaging through retrospective electrocardiogram (ECG) gating on a clinically used open architecture system. The method achieved both high spatial (64 beam density) and high temporal resolution (frame rate of 481 Hz) at an imaging depth up to 11 cm and a 100% field of view in a single breath-hold duration. Full-view imaging of the left ventricle and the abdominal aorta of healthy human subjects was performed using the proposed technique in vivo. ECG and ultrasound RF signals were simultaneously acquired on a personal computer (PC). Composite, full-view frames both in RF- and B-mode were reconstructed through retrospective combination of seven small (20%) juxtaposed sectors using an ECG-gating technique. The axial displacement of the left ventricle, in both long-axis and short-axis views, and that of the abdominal aorta, in a long-axis view, were estimated using a RF-based speckle tracking technique. The electromechanical wave and the pulse wave propagation were imaged in a cineloop using the proposed imaging technique. Abnormal patterns of such wave propagation can serve as indicators of early cardiovascular disease. This clinical system could thus expand the range of applications in cardiovascular elasticity imaging for quantitative, noninvasive diagnosis of myocardial ischemia or infarction, arrhythmia, abdominal aortic aneurysms, and early-stage atherosclerosis.  相似文献   

19.
直流电动机在高精度光电跟踪系统中的应用   总被引:1,自引:0,他引:1  
高精度光电跟踪系统用以完成对模拟动态目标的准确跟踪 ,要求跟踪元件响应快、动态性能好、精度高 ,因此跟踪元件的性能直接影响系统的跟踪特性和精度。直流力矩电机的优点是调速性能好 ,启动转矩大。正是这一特点 ,在高精度光电跟踪系统中尝试使用直流力矩电机控制反射镜跟踪目标。高精度光电跟踪系统要求在一个较大的视场内实现对静态目标和动态目标的高精度快速跟踪。  相似文献   

20.
Buchold DH  Feldmann C 《Nano letters》2007,7(11):3489-3492
AlO(OH) hollow spheres are realized via a water-in-oil (w/o) microemulsion, applying the liquid-to-liquid-phase boundary of the micellar system as a template. Scanning electron microscopy, transmission electron microscopy (TEM), and dynamic light scattering analyses show the presence of nonagglomerated hollow spheres exhibiting an outer diameter of about 30 nm and a wall thickness of 5-6 nm. High-resolution TEM images show highly ordered lattice fringes, indicating the crystallinity of the sphere wall and identifying the wall to consist of gamma-AlO(OH) (boehmite). The container functionality of as-prepared AlO(OH) hollow spheres is validated as a proof of concept by encapsulating the fluorescent dye rhodamine (R6G) inside the alumina shell. Subsequent to centrifugation and careful purification, R6G is evidenced via photoluminescence to be still present. Finally, release of R6G is initiated by acidic dissolution of the sphere wall.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号