Department of Biomedical Engineering, Columbia University, New York, NY, United States.
Department of Biomedical Engineering, Columbia University, New York, NY, United States; Department of Mechanical Engineering, Columbia University, New York, NY, United States.
J Biomech. 2023 Mar;149:111502. doi: 10.1016/j.jbiomech.2023.111502. Epub 2023 Feb 17.
Vulnerable plaques associated with softer components may rupture, releasing thrombotic emboli to smaller vessels in the brain, thus causing an ischemic stroke. Pulse Wave Imaging (PWI) is an ultrasound-based method that allows for pulse wave visualization while the regional pulse wave velocity (PWV) is mapped along the arterial wall to infer the underlying wall compliance. One potential application of PWI is the non-invasive estimation of plaque's mechanical properties for investigating its vulnerability. In this study, the accuracy of PWV estimation in stenotic vessels was investigated by computational simulation and PWI in validation phantoms to evaluate this modality for assessing future stroke risk. Polyvinyl alcohol (PVA) phantoms with plaque constituents of different stiffnesses were designed and constructed to emulate stenotic arteries in the experiment, and the novel fabrication process was described. Finite-element fluid-structure interaction simulations were performed in a stenotic phantom model that matched the geometry and parameters of the experiment in phantoms. The peak distension acceleration of the phantom wall was tracked to estimate PWV. PWVs of 2.57 ms, 3.41 ms, and 4.48 ms were respectively obtained in the soft, intermediate, and stiff plaque material in phantoms during the experiment using PWI. PWVs of 2.10 ms, 3.33 ms, and 4.02 ms were respectively found in the soft, intermediate, and stiff plaque material in the computational simulation. These results demonstrate that PWI can effectively distinguish the mechanical properties of plaque in phantoms as compared to computational simulation.
易损斑块与较软的成分相关联,可能会破裂,释放出血栓栓塞物到大脑中的较小血管,从而导致缺血性中风。脉搏波成像(PWI)是一种基于超声的方法,允许在可视化脉搏波的同时,沿着动脉壁映射区域脉搏波速度(PWV),以推断潜在的壁顺应性。PWI 的一个潜在应用是无创估计斑块的机械性能,以研究其易损性。在这项研究中,通过计算模拟和验证体模中的 PWI 研究了狭窄血管中 PWV 估计的准确性,以评估该模态评估未来中风风险的能力。设计并构建了具有不同刚度斑块成分的聚乙烯醇(PVA)体模,以模拟实验中的狭窄动脉,并描述了新颖的制造工艺。在狭窄的体模模型中进行了有限元流固耦合模拟,该模型匹配了实验中的几何形状和参数。跟踪体模壁的峰值扩张加速度以估计 PWV。在实验中,使用 PWI 在体模中分别获得了 2.57 ms、3.41 ms 和 4.48 ms 的 PWV。在计算模拟中,分别在软斑块材料、中间斑块材料和硬斑块材料中获得了 2.10 ms、3.33 ms 和 4.02 ms 的 PWV。这些结果表明,与计算模拟相比,PWI 可以有效地区分体模中斑块的力学性能。
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