Characterization of plaque components and vulnerability with intravascular ultrasound elastography.

作者: Chris L de Korte , Anton F W van der Steen , E Ignacio Céspedes , Gerard Pasterkamp , Stephane G Carlier

DOI: 10.1088/0031-9155/45/6/305

关键词: Intravascular ultrasoundEchogenicityBiomedical engineeringAblationBalloon dilatationPartial validationResearch groupsRadiologyVulnerable plaqueElastographyMedicine

摘要: Intravascular ultrasound elastography is a method for measuring the local elastic properties using intravascular (IVUS). The of different tissues within atherosclerotic plaque are measured through strain. Knowledge these useful guiding interventional procedures (balloon dilatation, ablation) and detection vulnerable plaque. In last decade, several groups have applied intravascularly with various levels success. this paper, approaches research will be discussed. focus on our approach to application elastography. Elastograms were acquired in vitro vivo relative displacements between IVUS images at two pressure 30 MHz mechanical or 20 array echo catheter. These estimated from time shift gated radiofrequency signals cross-correlation algorithms interpolation around peak. Experiments gel-based phantoms mimicking vessels demonstrated capability identify soft hard independently echogenicity contrast. experiments human arteries potential types based their properties. plaques could not identified image alone. revealed that reproducible elastograms obtained near end-diastole. Partial validation echogram was performed. provides information frequently unavailable inconclusive which may therefore assist diagnosis treatment disease.

参考文章(34)
J. Ophir, I. Céspedes, H. Ponnekanti, Y. Yazdi, X. Li, Elastography: A Quantitative Method for Imaging the Elasticity of Biological Tissues Ultrasonic Imaging. ,vol. 13, pp. 111- 134 ,(1991) , 10.1177/016173469101300201
H M Loree, R D Kamm, R G Stringfellow, R T Lee, Effects of fibrous cap thickness on peak circumferential stress in model atherosclerotic vessels. Circulation Research. ,vol. 71, pp. 850- 858 ,(1992) , 10.1161/01.RES.71.4.850
B. M. Shapo, J. R. Crowe, R. Erkamp, S. Y. Emelianov, M. J. Eberle, M. O'Donnell, Strain Imaging of Coronary Arteries with Intraluminal Ultrasound: Experiments on an Inhomogeneous Phantom Ultrasonic Imaging. ,vol. 18, pp. 173- 191 ,(1996) , 10.1177/016173469601800302
C.L. de Korte, E.I. Céspedes, A.F.W. van der Steen, B. Norder, K. te Nijenhuis, Elastic and acoustic properties of vessel mimicking material for elasticity imaging. Ultrasonic Imaging. ,vol. 19, pp. 112- 126 ,(1997) , 10.1177/016173469701900202
L.K. Ryan, F.S. Foster, Ultrasonic Measurement of Differential Displacement and Strain in a Vascular Model Ultrasonic Imaging. ,vol. 19, pp. 19- 38 ,(1997) , 10.1177/016173469701900102
Robert M. Lerner, Robert C. Waag, Wave space interpretation of scattered ultrasound Ultrasound in Medicine and Biology. ,vol. 14, pp. 97- 102 ,(1988) , 10.1016/0301-5629(88)90175-5
J. Ophir, I. Cespedes, B. Garra, H. Ponnekanti, Y. Huang, N. Maklad, Elastography: Ultrasonic imaging of tissue strain and elastic modulus in vivo European Journal of Ultrasound. ,vol. 3, pp. 49- 70 ,(1996) , 10.1016/0929-8266(95)00134-4
Chris L. de Korte, Antonius F.W. van der Steen, E.Ignacio Céspedes, Gerard Pasterkamp, Intravascular ultrasound elastography in human arteries: initial experience in vitro. Ultrasound in Medicine and Biology. ,vol. 24, pp. 401- 408 ,(1998) , 10.1016/S0301-5629(97)00280-9