New indices of arterial stiffness measured from longitudinal motion of common carotid artery in relation to reference methods, a pilot study

Clin Physiol Funct Imaging. 2016 Sep;36(5):376-88. doi: 10.1111/cpf.12240. Epub 2015 Jun 19.

Abstract

Background: Longitudinal wall motion of carotid artery is a useful but challenging parameter to measure. In this study, we tested our previously published motion tracking algorithm and validated our method against applanation tonometry measurements.

Methods and results: We measured the two-dimensional carotid artery wall motion from 19 healthy subjects and, as a reference, performed applanation tonometry measurements in parallel with the ultrasound study. The results show that peak velocities (R = -0·484; P<0·05) and accelerations (R = -0·524; P<0·05) of the longitudinal motion between intima and adventitia layers exhibit a greater correlation with the arterial stiffness parameters, for example the augmentation index than the corresponding amplitude of the longitudinal motion (R = -0·132; P>0·05). The amplitudes of the longitudinal motion, between intima and adventitia, are related more to the physical size of the subject, as they correlated significantly with the height (R = 0·597; P<0·01) and weight (R = 0·562; P<0·05) of the subject as well as the cross-sectional dimension of the measured artery (R = 0·611; P<0·01). Furthermore, two new indices have been introduced, Polydeg and RAlength, with which to study the shape of the longitudinal motion curve; both parameters displayed significant correlation with arterial stiffness, for example augmentation index (R = 0·468; P<0·05 and R = 0·609; P<0·01, respectively).

Conclusions: The new longitudinal motion parameters presented here displayed clear potential to be used as novel stiffness indices.

Keywords: applanation tonometry; arterial elasticity; longitudinal distension; radial distension; ultrasound.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Algorithms
  • Arterial Pressure
  • Blood Flow Velocity
  • Blood Pressure Determination
  • Carotid Artery, Common / diagnostic imaging*
  • Carotid Artery, Common / physiology
  • Elastic Modulus
  • Electrocardiography
  • Female
  • Healthy Volunteers
  • Humans
  • Image Interpretation, Computer-Assisted / standards*
  • Male
  • Manometry
  • Middle Aged
  • Models, Cardiovascular
  • Pilot Projects
  • Predictive Value of Tests
  • Reference Values
  • Regional Blood Flow
  • Reproducibility of Results
  • Ultrasonography / standards*
  • Vascular Stiffness*
  • Young Adult