Impact of Applying a Skin Compression With the Ultrasound Probe on Carotid Artery Strain Elastography.
carotid artery
probe compression
strain imaging
ultrasonography
vascular elastography
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
03
05
2021
received:
18
03
2021
accepted:
04
05
2021
pubmed:
15
5
2021
medline:
16
2
2022
entrez:
14
5
2021
Statut:
ppublish
Résumé
To study the impact of varying the external compression exerted by the ultrasound probe when performing a carotid strain elastography exam. Nine healthy volunteers (mean age 43 years ±13 years; 6 men) underwent a vascular ultrasound elastography exam using a custom made sound feedback handle embedding the probe, and allowing the sonographer to adjust the applied compression. A clinical standard practice (SP) force was first recorded, and then predetermined compression (PDC) forces were applied, ranging from 0 to 5 N for the left common carotid artery (CCA) or 2-12 N for the left internal carotid artery (ICA). Six carotid elastography features, namely maximum and cumulated axial strains, maximum and cumulated shear strains, cumulated axial translation, and cumulated lateral translation were assessed with noninvasive vascular elastography (NIVE) on near and far walls of carotids. The carotid intima media thickness (IMT) and diameter were also measured. All elastography features on the near wall of both CCA and ICA decreased statistically significantly as the PDC force increased; this association was also observed for half of the features on the far wall. Three NIVE features at the lowest PDC force (out of 72 that were tested) were statistically significantly different than values at the SP force. Overall, NIVE showed some variance to probe compression with linear regression slopes revealing changes of 10.1%-45.6% in magnitude over the whole compression range on both walls. The maximum IMT for the ICA near wall, and carotid lumen diameters of both CCA and ICA were statistically significantly associated with PDC forces; these features underwent a decrease of 10.2%, 36.2%, and 17.6%, respectively, over the whole range of PDC force increase. Other IMT measurements were not statistically significantly associated with applied PDC forces. These results suggest the need of technical guidelines for carotid strain elastography. Using the lowest probe compression while allowing a good B-mode image quality is recommended to improve the robustness of NIVE measurements.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
685-697Subventions
Organisme : CIHR
ID : 399544
Pays : Canada
Organisme : CIHR
ID : CPG-134748
Pays : Canada
Organisme : Natural Sciences and Engineering Research Council of Canada
ID : 462240-14
Organisme : CIHR
ID : 399544
Pays : Canada
Organisme : CIHR
ID : CPG-134748
Pays : Canada
Informations de copyright
© 2021 American Institute of Ultrasound in Medicine.
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