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Abstract

The aim of this paper is to describe a non-invasive method of examination of the local pulse wave velocity. The measurements were carried out in the model of the artery immersed in a water tank. Two synchronized ultrasonic apparatus VED with the ultrasonic radio frequency echoes acquisition system were used for evaluation of the arterial elasticity. The zero-crossing method was used for determination of the diameter changes of the artery model. The transit time between the waveforms of instant artery diameter was measured at two points of the artery model, separated by the distance of 5 cm. The transit time was determined using the criteria of similarity of the first derivatives of the raising slopes of the curves describing instant vessel's diameter changes. The pulse wave velocity obtained by the proposed two-point method was compared with the results obtained by the one-point method based on the modified Bramwell-Hill relation.

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Authors and Affiliations

Zbigniew Trawiński
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Abstract

The main objective of this study is to develop an echocardiographic model of the left ventricular and numerical modeling of the speckles- markers tracking in the ultrasound (ultrasonographic) imaging of the left ventricle. The work is aimed at the creation of controlled and mobile environment that enables to examine the relationships between left ventricular wall deformations and visualizations of these states in the form of echocardiographic imaging and relations between the dynamically changing distributions of tissue markers of studied structures.

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Authors and Affiliations

Robert Olszewski
Andrzej Nowicki
Janusz Wójcik
Zbigniew Trawiński
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Abstract

Objectives: In the article we describe the new, high frequency, 20 MHz scanning/Doppler probe designed to measure the flow mediated dilation (FMD) and shear rate (SR) close to the radial artery wall.

Methods: We compare two US scanning systems, standard vascular modality working below 12 MHz and high frequency 20 MHz system designed for FMD and SR measurements. Axial resolutions of both systems were compared by imaging of two closely spaced food plastic foils immersed in water and by measuring systolic/diastolic diameter changes in the radial artery. The sensitivities of Doppler modalities were also determined. The diagnostic potential of a high frequency system in measurements of FMD and SR was studied in vivo, in two groups of subjects, 12 healthy volunteers and 14 patients with stable coronary artery disease (CAD).

Results: Over three times better axial resolution was demonstrated for a high frequency system. Also, the sensitivity of the external single transducer 20 MHz pulse Doppler proved to be over 20 dB better (in terms of a signal-to-noise ratio) than the pulse Doppler incorporated into the linear array. Statistically significant differences in FMD and FMD/SR values for healthy volunteers and CAD patients were confirmed, p-values < 0:05. The areas under Receiver Operating Characteristic (ROC) curves for FMD and FMD/SR for the prediction CAD had the values of 0.99 and 0.97, respectively.

Conclusions: These results justify the usefulness of the designed high-frequency scanning system to determine the FMD and SR in the radial artery as predictors of coronary arterial disease.

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Authors and Affiliations

Andrzej Nowicki
Barbara Gambin
ORCID: ORCID
Wojciech Secomski
Zbigniew Trawiński
Michał Szubielski
Ryszard Tymkiewicz
Robert Olszewski

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