Relationship between haemodynamics and morphology in pulmonary hypertension. A quantitative intravascular ultrasound study

BACKGROUND: Intravascular ultrasound imaging of the pulmonary arteries has been demonstrated to be a reliable method of quantifying vessel diameter, luminal area and pulsatility. Simultaneous measurement of flow velocity and its response to vasodilators allows the relationship between morphology and functional compromise to be studied, especially endothelial dysfunction. METHODS: In 51 patients (mean age = 49.8 +/- 12.6 years, 17 female) we performed right heart catheterization and simultaneous intravascular ultrasound of pulmonary artery branches. The patients were divided in two groups: group 1 with normal pulmonary artery pressure and pulmonary vascular resistance, and group 2 with pulmonary hypertension (peak pulmonary artery pressure > 30 mmHg and/or mean pulmonary artery pressure > 20 mmHg). Vessel wall and lumen were studied using a 2.9 F intravascular ultrasound catheter with a 30 MHz phased array transducer. Measurement of blood flow velocity was accomplished by a Doppler flow wire (0.018 inch). The maximal flow change during acetylcholine infusion (adjusted to 10(-6); 10(-5), and 10(-4) M concentration in the blood vessel) was measured. RESULTS: There were no significant differences between groups 1 and 2 with respect to age (48.5 +/- 14.3 years vs 50.3 +/- 12.3 years; P = ns), gender (4 female/8 male vs 13 female/26 male; P = ns), luminal area of the vessel segment in which the intravascular ultrasound measurements were obtained (11.8 +/- 6.1 mm2 vs 16.7 +/- 14.3 mm2; P = ns), internal diameter (3.9 +/- 1.2 mm vs 4.2 +/- 1.7 mm; P = ns), and external diameter (6.1 +/- 1.3 mm vs 6.9 +/- 2.1 mm; P = ns). Cross-sectional images of the pulmonary artery wall demonstrated a single ring with high echodensity with a thin inner layer regarded as intima in group 1. In contrast, the majority of patients (n = 35/39) in group 2 demonstrated a thickening of the intimal layer and/or a disturbance of layering of the echogenic arterial wall. The relative wall thickness was higher in group 2 than in group 1 (22.5 +/- 10.4% vs 15.3 +/- 6.5%; P < 0.05). There were no significant correlations between pulmonary artery pressure and wall thickness pulmonary artery pressure and area change in the cardiac cycle, acetylcholine-dependent increase in pulmonary flow and morphological changes in the vessel wall. CONCLUSION: We conclude that intravascular ultrasound is capable of detecting morphological changes in the pulmonary vessel wall in pulmonary hypertension and that vessel wall hypertrophy of small pulmonary segment arteries, as detected by intravascular ultrasound, is not predictive of functional vasodilatory response of resistance vessels of the same vessel area.     

Management of multidimensional discrete data

Spatial database management involves two main categories of data: vector and raster data. The former has received a lot of in-depth investigation; the latter still lacks a sound framework. Current DBMSs either regard raster data as pure byte sequences where the DBMS has no knowledge about the underlying semantics, or they do not complement array structures with storage mechanisms suitable for huge arrays, or they are designed as specialized systems with sophisticated imaging functionality, but no general database capabilities (e.g., a query language). Many types of array data will require database support in the future, notably 2-D images, audio data and general signal-time series (1-D), animations (3-D), static or time-variant voxel fields (3-D and 4-D), and the ISO/IEC PIKS (Programmer's Imaging Kernel System) BasicImage type (5-D). In this article, we propose a comprehensive support ofmultidimensional discrete data (MDD) in databases, including operations on arrays of arbitrary size over arbitrary data types. A set of requirements is developed, a small set of language constructs is proposed (based on a formal algebraic semantics), and a novel MDD architecture is outlined to provide the basis for efficient MDD query evaluation.     

Grenzen der Anwendbarkeit der Theorie der analytischen Signale

Zusammenfassung Bei der praktischen Anwendung der analytischen Signale ist es erforderlich, die Ermittlung der Hilbert-Transformation numerisch durchzuführen. Dazu wurden u.a. Verfahren von H.W. Schü?ler, R. Unbehauen und G. Wunsch vorgeschlagen. In der Arbeit werden allgemeine Ergebnisse zur numerischen Umsetzung der Hilbert-Transformation dargestellt. Es wird gezeigt, da? alle praktisch realisierbaren Verfahren für bestimmte Signale divergieren. Damit ist es m?glich, die in der Experimentalphysik schon l?nger bekannten Schwierigkeiten bei der Umsetzung der Hilbert-Transformation zu erkl?ren.     

Transient elastic waves in a half-space: comparison of the DBIE-method with the method of generalized ray

Summary The two-dimensional problem of wave propagation in an elastic half-space is studied by the DBIEM (Direct Boundary Integral Equation Method) combined with the finite difference procedure applied to the time variable. The present hybrid formulation employs the fundamental solution depending neither on the frequency nor on the time variable. Time records of surface responses of the half-space are computed and compared with those obtained by the numerical evaluation of exact analytical solutions to this problem.     

Vibration of doubly-curved shallow shells

Summary This paper presents the free vibration of thin doubly-curved shallow shells of rectangular planform. The study covers wide combinations of free, simply supported and clamped boundary conditions. Both positive and negative Gaussian curvatures (spherical and hyperbolic paraboloidal shells resepectively) are considered. Thepb-2 Ritz energy based approach, along with the in-plane and transverse deflections assumed in the form of a product of mathematically complete two-dimensional orthogonal polynomials and a basic function, is employed to model the vibratory characteristic of these shells. Numerical results have been established through convergence study and comparison with published data from the open literature. Extensive sets of new results for various ranges of aspect ratio, curvature ratio andx- andy-shallowness ratios have been presented for future reference.     

On compressible subsonic flow between impeller and casing of radial-flow compressors with superposed throughflow

Summary Subject of this paper is the numerical investigation of the flow between impeller and casing of compressors of radial construction. The solution procedure is based on implicite difference equations, in which parameters of material such as heat conductivity, viscosity and density are variable. Because of the assumption of low density, laminar flow conditions are assumed. The computation method makes possible the determination of the torque coefficient as a function of Reynolds-and Mach number as well as of geometry and superposed throughflow.With 3 Figures     

Computing hysteresis points of nonlinear equations depending on two parameters

A direct method is described for computing a hysteresis point (double turning point) corresponding to a cusp point of a system ofn nonlinear equations inn variables depending on two parameters. By addition of two equations a minimally extended system ofn+2 nonlinear equations is constructed for which the hysteresis point is an isolated solution. An efficient implementation of Newton's method is presented not requiring evaluations of second derivatives of the original problem. Two numerical examples show the efficiency of theQ-quadratically convergent method.     

IV-Controlling in einem Systemhaus

This paper analyses the characteristics of software houses as service providers. The tasks of internal IT-services are determined from these characteristics and a reporting system for the IT-controlling is outlined. The concept results from the analysis of one of the 25 largest German software houses. The paper concludes with a case study of the fiscal year 2000 IT-controlling report of the above-mentioned firm.