Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-18T18:53:36.890Z Has data issue: false hasContentIssue false
  • English
  • Français

An Axial Velocity Profile Method to Derive the Aortic Pulse-Wave Velocity in Diabaetic Patients

Published online by Cambridge University Press:  31 August 2011

C.-Y. Wen ,
A.-S. Yang ,
T.-R. Kuo ,
L.-Y. Tseng  and
J.-W. Chai
C.-Y. Wen
Affiliation:
Department of Aeronautics and Astronautics, National Cheng Kung University, Tainan, Taiwan 70101, R.O.C.
A.-S. Yang*
Affiliation:
Department of Energy and Refrigerating Air-Conditioning Engineering, National Taipei University of Technology, Taipei, Taiwan 10608, R.O.C.
T.-R. Kuo
Affiliation:
Department of Aeronautics and Astronautics, National Cheng Kung University, Tainan, Taiwan 70101, R.O.C.
L.-Y. Tseng
Affiliation:
Institute of Mechatronic Engineering, National Taipei University of Technology, Taipei, Taiwan 10608, R.O.C.
J.-W. Chai
Affiliation:
Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan 40705, R.O.C.
*
**Professor, corresponding author
Get access

Abstract

The aortic pulse wave velocity (PWV) is a useful clinical index to assess the aortic compliance and cardiovascular risk in a noninvasive manner. In this research, our previously developed axial velocity profile method (Yu et al., [11]) was modified to be more user-friendly and applied to the study of PWV of diabetic patients for the first time, using phase-contrast magnetic resonance imaging (PC-MRI) technique to analyze the spatial and temporal profiles of the axial velocity along the descending aorta for measurement of the aortic PWV. The PWV results from healthy volunteers and diabetic patients were studied and compared. It is shown that the PWV of diabetic patients is much higher than that of health volunteers, the aortic compliance of diabetic patients is substantially worse than that of health volunteers. These results are in good agreement with early studies using different measurement techniques of PWV. The axial velocity profile method is again validated and proven to be a useful tool of long-term prognosis for patients with diabetes mellitus or hypertension.

Keywords

Aortic compliancePulse wave velocityPhase-contrast magnetic resonance imagingDiabetes
Type
Articles
Information
Journal of Mechanics , Volume 27 , Issue 3 , September 2011 , pp. 447 - 452
Copyright
Copyright © The Society of Theoretical and Applied Mechanics, R.O.C. 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Cruickshank, K., Riste, L., Anderson, S. G., Wright, J. S., Dunn, G. and Gosling, R. G., “Aortic Pulse-Wave Velocity and Its Relationship to Mortality in Diabetes and Glucose Intolerance: An Integrated Index of Vascular Function,” Circulation, 106, pp.2085–2090 (2002).CrossRefGoogle ScholarPubMed
2. Laurent, S., Boutouyrie, P., Asmar, R., Gautier, I., Laloux, B., Guize, L., Ducimetiere, P. and Benetos, A., “Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients,” Hypertension, 37, pp. 1236–1241 (2001).CrossRefGoogle ScholarPubMed
3. Emoto, M., Nishizawa, Y., Kawagishi, T., Maekawa, K., Hiura, Y., Kanda, H., Izumotani, K., Shoji, T., Ishimura, E., Inaba, M., Okuno, Y. and Morii, H., “Stiffness Indexes Beta of the Common Carotid and Femoral Arteries are Associated With Insulin Resistance in NIDDM,” Diabetes Care, 21, pp. 1178–1182 (1998).CrossRefGoogle ScholarPubMed
4. Asmar, R., Benetos, A., Topouchian, J., Laurent, P., Pannier, B., Brisac, A. M., Target, R. and Levy, B. I., “Assessment of Arterial Distensibility by Automatic Pulse Wave Velocity Measurement: Validation and Clinical Application Studies,” Hypertension, 26, pp. 485–490 (1995).CrossRefGoogle ScholarPubMed
5. Wilkinson, I. B., Fuchs, S. A., Jansen, I. M., Spratt, J. C., Murray, G. D., Cockcroft, J. R. and Webb, D. J., “Reproducibility of Pulse Wave Velocity and Augmentation Index Measured by Pulse Wave Analysis,” Journal of Hypertens, 16, pp. 2079–2084 (1998).CrossRefGoogle ScholarPubMed
6. Tsai, P. S. and Yucha, C. B., “Noninvasive Measurements of Central Arterial Pressure and Distensibility by Arterial Applanation Tonometry with a Generalized Transfer Function: Implications for Nursing,” Heart Lung, 30, pp. 437–444 (2001).CrossRefGoogle ScholarPubMed
7. Wright, J. S., Cruickshank, J. K., Kontis, S., Dore, C. and Gosling, R. G., “Aortic Compliance Measured by Noninvasive Doppler Ultrasound: Description of a Method and Its Reproducibility,” Clinical Science (London, England), 78, pp. 463–468 (1990).CrossRefGoogle ScholarPubMed
8. Lotz, J., Meier, C., Leppert, A. and Galanski, M., “Cardiovascular Flow Measurement with Phasecontrast MR Imaging: Basic Facts and Implementation,” RadioGraphics, 22, pp. 651–71 (2002).CrossRefGoogle ScholarPubMed
9. Vulliemoz, S., Stergiopulos, N. and Meuli, R., “Estimation of Local Aortic Elastic Properties with MRI,” Magnetic Resonance Medicine, 47, pp. 649–654 (2002).CrossRefGoogle ScholarPubMed
10. Laffon, E., Marthan, R., Montaudon, M., Latrabe, V., Laurent, F. and Ducassou, D., “Feasibility of Aortic Pulse Pressure and Pressure Wave Velocity MRI Measurement in Young Adults,” Journal of Magnetic Resonance Imaging, 21, pp. 53–58 (2005).CrossRefGoogle ScholarPubMed
11. Yu, H. Y., Peng, H. H., Wang, J. L., Wen, C. Y. and Tseng, W. Y. I., “Quantification of the Pulse Wave Velocity of the Descending Aorta Using Axial Velocity Profiles from Phase-Contrast Magnetic Resonance Imaging,” Magnetic Resonance Medicine, 56, pp. 876–883 (2006).CrossRefGoogle ScholarPubMed
12. Kuo, T. R., “Quantification of Pulse Wave Velocity of Aorta of Diabetic Patients with Phase Contrast Magnetic Resonance Imaging,” M.S. Thesis, Dept. of Mechanical and Automation Engineering, Da-Yeh University, Taiwan (2007).Google Scholar
13. Rogers, W. J., Hu, Y. L., Coast, D., Vido, D. A., Kramer, C. M., Pyeritz, R. E. and Reichek, N., “Age-Associated Changes in Regional Aortic Pulse Wave Velocity,” Journal of the American College of Cardiology, 38, pp. 1123–1129 (2001).CrossRefGoogle ScholarPubMed
14. Tsuchiya, M., Suzuki, E., Egawa, K., Nishio, Y., Maegawa, H., Morikawa, S., Inubushi, T. and Ka-shiwagi, A., “Abnormal Peripheral Circulation in Type 2 Diabetic Patients With Normal Ankle-Brachial Index Associates with Coronary Athero-sclerosis, Large Artery Stiffness, and Peripheral Vascular Resistance,” Diabetes Research and Clinical Practice, 70, pp. 253–262 (2005).CrossRefGoogle Scholar
15. Ohnishi, H., Saitoh, S., Takagi, S., Ohata, J. I., Isobe, T., Kikuchi, Y., Takeuchi, H. and Shimamoto, K., “Pulse Wave Velocity as an Indicator of Athero-sclerosis in Impaired Fasting Glucose: The Tanno and Sobetsu study,” Journal of Diabetes-Care, 26, pp. 437–440 (2003).CrossRefGoogle Scholar