Radial Artery Reactive Response and Shear Rate Measurements Using 20 MHz System

摘要

The article attempts to select an ultrasound system to assess of endothelium dysfunction-dependent flow mediated dilation (FMD) and shear rate (SR) in radial artery after several minutes of hyperaemia. Methods: We compare the effective axial resolution and Doppler sensitivity of the standard US working below 12 MHz and high frequency (close to 20 MHz) scanning systems measuring the vessel diameter and blood flow measurements in radial arteries. FMD and FMD and SR were measured in Control group of 14 healthy volunteers, and in 13 with stable coronary artery diseases (CAD). Results: In a laboratory experiment of imaging two closely spaced food plastic foils, over three times better axial resolution was demonstrated for the 20 MHz ultrasound system in which the resolution was close to 0.1 mm. Also the sensitivity of the external single 20 MHz pulse Doppler transducer proved to be over 20 dB better (in terms of signalto-noise ratio) than the pulse Doppler incorporated into the L14-5 linear array. FMD in Control group was in the range of 8=16% with mean±sd equal to 12.13 ± 2.34%; in CAD group FMD was in the range of 0.1=7 % with mean±sd equal to 3.01±2.18% which was significantly less. FMD/SR was equal to 3.08 ± 1.34 x 10^{-4 in Control group and 1.01 ± 0.76 x 10-4 in CAD group with ranges equal to 1.66 = 7.8 x 10-4 and 0.4 = 2.4 x 10-4, respectively. Conclusions: Increasing scanning and Doppler mode frequency to 20 MHz improved the precision of FMD and SR measurements. Statistically significant differences between the two groups were confirmed by statistical tests for FMD and FMD/SR with p-values <; 0.05. The results obtained suggest the usefulness of the proposed ultrasonic system for measurements of FMD and SR in the radial artery to differentiate normal subjects from those with CAD.}