Zhang Xiaoming, Greenleaf James F
Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Ultrasound Med Biol. 2006 Nov;32(11):1655-60. doi: 10.1016/j.ultrasmedbio.2006.04.004.
Arterial wall stiffness can be associated with various diseases. The stiffness of an artery can be measured with the pulse wave velocity (PWV) using the "foot-to-foot" method. However, the foot of the pressure pulse is not very clear, due to reflected waves. The blood pressure pulse generated by the heart is a low frequency wave and its time resolution is low. PWV is an average indicator of artery stiffness between the two measuring positions; therefore, it cannot easily identify local stiffness. In this paper, a sinusoidally modulated force with a high frequency is generated noninvasively on the arterial wall by the radiation force of ultrasound (US). The resulting vibration in the artery is measured with an US Doppler transceiver. The wave velocity in the artery is measured from a wave image obtained by scanning the force transducer and fixing the sensor transducer. Because of the high imposed force frequency, the temporal resolution of this method is much higher than the conventional pressure PWV method. Local wave velocity more than a few millimeters can be measured, which is not possible with the PWV method.
动脉壁僵硬度可能与多种疾病相关。动脉的僵硬度可以使用“足对足”方法通过脉搏波速度(PWV)来测量。然而,由于反射波的存在,压力脉冲的波峰并不十分清晰。心脏产生的血压脉冲是一种低频波,其时间分辨率较低。PWV是两个测量位置之间动脉僵硬度的平均指标;因此,它不容易识别局部僵硬度。在本文中,通过超声(US)的辐射力在动脉壁上无创地产生高频正弦调制力。用超声多普勒收发器测量动脉中产生的振动。动脉中的波速是从通过扫描力换能器并固定传感器换能器获得的波图像中测量的。由于施加的力频率较高,该方法的时间分辨率远高于传统的压力PWV方法。可以测量几毫米以上的局部波速,这是PWV方法无法做到的。