scholarly journals Early Diagnosis of Carotid Stenosis by Ultrasound Doppler Investigations: A Classification Method for the Hemodynamic Parameter

Information ◽  
2020 ◽  
Vol 11 (11) ◽  
pp. 493
Author(s):  
Huiyue Xiao ◽  
Yi Zhang ◽  
Hao Yin ◽  
Paul Liu ◽  
Dong Chyuan Liu
Keyword(s):  
Cardiovascular Disease ◽  
Early Diagnosis ◽  
Carotid Stenosis ◽  
Diagnostic Method ◽  
Hemodynamic Parameter ◽  
Classification Method ◽  
Hemodynamic Parameters ◽  
Ultrasound Technique ◽  
Pulsed Wave Doppler ◽  
Expert Input

Pulsed Wave Doppler (PWD) is a traditional ultrasound technique used for the diagnosis of cardiovascular disease. The conventional diagnostic method is based on hemodynamic parameters obtained from the PW spectrum. However, it relies on the clinical experience of sonographers, and especially focusing on severe carotid stenosis. This paper proposes a classification method for the hemodynamic parameter using the RUSBoost algorithm. The proposed method improves the performance of RUSBoost by setting the empirical weight of each sample. The experimental results show that the proposed method reaches the accuracy of 90.1%, the sensitivity of 70%, and the specificity of 94%, which are 4%, 6%, and 2% higher than the original RUSBoost respectively. In addition, the proposed method is objective, since the empirical weights are computed based on Mahalanobis distance without any expert input. It can be used for the early detection of cardiovascular disease.

scholarly journals Sensitivity of hemodynamic parameters obtained by conventional duplex scanner in the evaluation of extracranial carotid disease severity

2003 ◽  
Vol 60 (4) ◽  
pp. 435-442
Author(s):  
Gordana Arandjelovic-Minic
Keyword(s):  
Spectral Analysis ◽  
Carotid Stenosis ◽  
Doppler Ultrasonography ◽  
Screening Method ◽  
Statistical Processing ◽  
Mean Value ◽  
Hemodynamic Parameter ◽  
Hemodynamic Parameters ◽  
Carotid Disease ◽  
Significant Independent Predictor

Progresson of extracranial carotid disease is considered to be significant independent predictor in the evaluation of individual cerebrovascular prognosis. Doppler ultrasonography is a useful screening method in the diagnosis and evaluation of extracranial carotid disease. The aim of this study was to establish the most sensitive hemodynamic parameter of Doppler-ultrasonographic spectral analysis in clinical evaluation of extracranial carotid disease. Investigation included 90 patients (of both sexes) in hospital and outpatient clinic care. Spectral analysis (M-scanning technique) was used for the evaluation of hemodynamic status of carotid sinus, including the following parameters: Pourcelot (A-D/A), Gosling (A/B) and Mol (A/D) resistance parameters. After statistical processing the results of the research affirmed hemodynamic parameters' values and correlation between Pourcelot hemodynamic parameter and the degree of carotid stenosis ?=0,59 for all patients, and ?=0,58 for patients with pathological values. Correlation between Mol parameter and the degree of carotid stenosis was ?=0,50 for all patients, and ?=0,57 for patients with pathological values. Gosling parameter was not significantly different in mean value and was present in all three groups. Functional relationship between the degree of carotid stenosis and each of hemodynamic parameters was established. It was concluded that Pourcelot and Mol parameters were significant indicators of asimptomatic carotid disease, but Pourcelot parameter was considered as a more sensitive indicator in the evaluation of extracranial carotid disease.

scholarly journals Pulse Pressure Variation Can Predict the Hemodynamic Response to Pneumoperitoneum in Dogs: A Retrospective Study

2019 ◽  
Vol 6 (1) ◽  
pp. 17
Author(s):  
Caterina Di Bella ◽  
Luca Lacitignola ◽  
Laura Fracassi ◽  
Despoina Skouropoulou ◽  
Antonio Crovace ◽  
...  
Keyword(s):  
Pulse Pressure ◽  
Roc Curve ◽  
Pulse Pressure Variation ◽  
Healthy Subjects ◽  
Hemodynamic Response ◽  
Hemodynamic Parameter ◽  
Pressure Variation ◽  
Hemodynamic Parameters ◽  
Group Data ◽  
Valid Predictor

Pneumoperitoneum may induce important hemodynamic alterations in healthy subjects. Pulse pressure variation (PPV) is a hemodynamic parameter able to discriminate preload dependent subjects. Anesthesia records of dogs undergoing laparoscopy were retrospectively evaluated. The anesthetic protocol included acepromazine, methadone, propofol and isoflurane administered with oxygen under mechanical ventilation. The hemodynamic parameters were considered five minutes before (BASE) and ten minutes after (P10) the pneumoperitoneum. Based on the cardiac index (CI) variation, at P10, dogs were classified as sensitive (S group, CI ≤ 15%) and non-sensitive (NO-S group). Data were analyzed with the ANOVA test and the ROC curve (p < 0.05). Fifty-five percent of dogs (S) had a reduction of CI ≥ 15% at P10 (2.97 ± 1.4 L/min/m2) compared to BASE (4.32 ± 1.62 L/min/m2) and at P10 in the NO-S group (4.51 ± 1.41 L/min/m2). PPV at BASE was significantly higher in the S group (22.4% ± 6.1%) compared to the NO-S group (10.9% ± 3.3%). The ROC curve showed a threshold of PPV > 16% to distinguish the S and NO-S groups. PPV may be a valid predictor of the hemodynamic response to pneumoperitoneum in dogs. A PPV > 16% can identify patients that may require fluid administration before the creation of pneumoperitoneum.

scholarly journals Standardized Protocol for Hemodialysis Vascular Access Assessment: The Role of Ultrasound and ColorDoppler

2018 ◽  
Vol 45 (1-3) ◽  
pp. 260-269 ◽  
Author(s):  
Federico Nalesso ◽  
Francesco Garzotto ◽  
Ilaria Petrucci ◽  
Sara Samoni ◽  
Grazia Maria Virzì ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Vascular Access ◽  
Hemodynamic Parameters ◽  
Non Invasive ◽  
Standardized Protocol ◽  
Hemodialysis Vascular Access ◽  
Simple Step ◽  
Artery Flow

Introduction: Ultrasound and colorDoppler technique, which is relatively inexpensive, rapid, non-invasive and repeatable is a powerful tool used for early diagnosis of vascular access (VA) complications in hemodialysis patients. To date a standard and widely comprehensible echocolorDoppler (ECD) protocol is not available. Materials and Methods: A simple step-by-step protocol based on anatomical and hemodynamic parameters of VA has been developed during a 3-years VA ECD follow-up. It consists of an ECD study scheme. The algorithm created involves the calculation of brachial artery flow, description of artero-venous and/or graft-vascular anastomosis and efferent vessel and/or graft. Results: The algorithm allows to formulate a medical report that takes into account both anatomic and hemodynamic parameters of the VA. Reduction of complications and the prevention of chronic complications as well as the early detection of acute problems were achieved. Discussion and Conclusion: The creation of a step-by-step protocol may simplify the multidisciplinary management of VA, its monitoring and the early diagnosis of its complications.

scholarly journals Differential approach to the evaluation of right ventricular systolic function by pulsed wave Doppler ultrasound

2017 ◽  
Vol 95 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Ekaterina Sergeevna Mirzoyan ◽  
N. Yu. Nelasov ◽  
M. V. Babaev ◽  
G. P. Volkov ◽  
K. A. Shumarin
Keyword(s):  
Cardiovascular Disease ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Doppler Ultrasonography ◽  
Systolic Function ◽  
Ventricular Systolic Function ◽  
Differential Approach ◽  
Right Ventricular Systolic Function ◽  
Pulsed Wave Doppler ◽  
The Right

A method for diagnostics of systolic function of the right ventricle of the heart in patients with cardiovascular disease is proposed. Its application expands possibilities for detecting disorders of the discharge RVfunction using a conventional pulsed wave Doppler ultrasonography.

scholarly journals Ultrasonografic monitoring of hemodynamic parameters in symptomatic and asymptomatic patients with high-grade carotid stenosis prior and following carotid endarterectomy

2012 ◽  
Vol 69 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Anka Mitrasinovic ◽  
Jovo Kolar ◽  
Sandra Radak ◽  
Dragoslav Nenezic ◽  
Ivana Kupresanin ◽  
...  
Keyword(s):  
Blood Flow ◽  
Carotid Endarterectomy ◽  
Carotid Stenosis ◽  
Diagnostic Tool ◽  
Doppler Ultrasonography ◽  
Resistance Index ◽  
Peak Systolic Velocity ◽  
Hemodynamic Parameters ◽  
Diagnostic Modality ◽  
Asymptomatic Patients

Background/Aim. Doppler ultrasonography is now a reliable diagnostic tool for noninvasive examination of the morphology and hemodynamic parameters of extracranial segments of blood vessels that participate in the brain vascularisation. This diagnostic modality in recent years become the only diagnostic tool prior to surgery. The aim of the study was to determine hemodynamic status in symptomatic and asymtomatic patients with severe carotid stenosis prior to and after carotid endarterectomy (CEA). Methods. A total of 124 symptomatic and 94 asymptomatic patients who had underwent CEA at the Clinic for Cardiovasculare Disease ?Dedinje? in Belgrade were included in this study. Doppler ultrasonography examinations were performed one day before CEA and seven days after it. The peak systolic velocity (PSV), end-dyastolic velocity (EDV), time-averaged maximum blood flow velocity (MV), resistance index (RI) and the blood flow volume (BFV) of the ipsilateral and the contralateral internal carotid artery (ICA) were measured. Results. Diabetes was the only risk factor found significantly more frequent in symptomatic patients. There were significantly more occluded contralateral ICAs in the group of symptomatic patients. There was a significant increase in PSV, EDV, MV and BFV of the ipsilateral ICA after CEA and a significant decrease in PSV, EDV, MV and BFV of the contralateral ICA after CEA. RI is the only hemodynamic parameter without significant changes after CEA in both groups of patients. Comparing the values of hemodynamic parameters after CEA between the group of symptomatic and the group of asymptomatic patients no significant differences were found. Conclusion. The occlusion of the contralateral ICA is an important factor differentiating between symptomatic and asymptomatic patients with severe carotid stenosis. Successful surgery provides good recovery of cerebral hemodynamics in both symtomatic and asymptomatic patients.

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