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To Estimate Pulmonary Arterial Compliance and Pulse Wave Velocity in Cerebral-Cardiovascular Patients Using CT Cardiac Images

机译:使用CT心脏图像估计脑心血管疾病患者的肺动脉顺应性和脉搏波速度

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Arterial stiffness has been proven to be one of the most promising diagnostic and prognostic features of many cardiovascular diseases (CVD). Arterial compliance (AC) and pulse wave velocity (PWV) allows a good quantitative assessment of arterial stiffness. To estimate pulmonary Arterial Compliance and Pulse Wave Velocity in Cerebral-Cardiovascular Patients using 64-Row Multi-Detector Computed Tomography Cardiac Images. Here in this work, we have used an in house developed three-dimensional reconstruction algorithm that extracts high-resolution cardiac Computer Tomography images in Digital Imaging and Communications in Medicine (DICOM) format from nine subjects. The subjects consist four patients with stroke (SR) turned to atrial fibrillation (AF) and five patients with both SR and AF. The calculation showed strok volume of Left and Right Ventricles, which are near equal to 62.56±12.61 ml and 65.95±13.13 ml, respectively, with a good positive correlation (R = 0.717, p < 0.0001) while pulse wave velocity and arterial compliance are calculated to be 0.21±0.0665 m/s and 0.09 ± 0.0547 ml/mmHg for patients with SR turned AF, 0.15±0.0502 m/s and 0.10 ± 0.0438 for the SR and AF patients. We concluded that the derived methodology for calculation of PWV and AC from 3D cardiac CT images could be used as an index in the evaluation of arterial stiffness.
机译:事实证明,动脉僵硬是许多心血管疾病(CVD)最具诊断和预后的特征之一。动脉顺应性(AC)和脉搏波速度(PWV)可以很好地定量评估动脉僵硬度。若要使用64行多检测器计算机断层扫描心脏图像来评估脑心血管疾病患者的肺动脉顺应性和脉搏波速度。在这项工作中,我们使用了内部开发的三维重建算法,该算法从九个受试者中提取了数字成像和医学通信(DICOM)格式的高分辨率心脏计算机断层扫描图像。受试者包括四名中风(SR)变为房颤(AF)的患者和五名SR和AF均患者。计算结果显示左心室和右心室的搏动量分别接近62.56±12.61 ml和65.95±13.13 ml,并具有良好的正相关性(R = 0.717,p <0.0001),而脉搏波速度和动脉顺应性则为SR转为AF的患者的计算值分别为0.21±0.0665 m / s和0.09±0.0547 ml / mmHg,SR和AF患者的计算值分别为0.15±0.0502 m / s和0.10±0.0438。我们得出的结论是,从3D心脏CT图像中计算出的PWV和AC的派生方法可以用作评估动脉僵硬度的指标。

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