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英文誌(2004-)

Journal of Medical Ultrasonics

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1995 - Vol.22

Vol.22 No.05

Original Article(原著)

(0363 - 0374)

高速度超音波断層装置を用いた頸動脈壁の拡張・収縮速度の抽出および可視化

Visualization of Expanding and Contracting Velocity of Carotid Artery using High-frame-rate Echography

桝田 晃司1, 石原   謙 2, 長倉 俊明2, 津田 貴生1, 古川 俊之2, 児玉 慎三1, 熊谷 貞俊1

Kohji MASUDA1, Ken ISHIHARA2, Toshiaki NAGAKURA2, Takao TSUDA1, Toshiyuki FURUKAWA2, Shinzo KODAMA1, Sadatoshi KUMAGAI1

1大阪大学工学部, 2国立大阪病院

1Faculty of Engineering, Osaka University, 2Osaka National Hospital

キーワード :

We developed a system that can visualize rate of expansion and contraction of the carotid artery in the short-axis view, using time-series echograms that were recorded by high-frame-rate echography (maximum rate, 303 frames/s). Subjects ranged from infants to the elderly. The principles of this method are (1) extension of spread of scatter in echograms using convolution in a Gaussian distribution function and (2) subtraction of two sequential time-series echograms. Static parts produce a zero value, while dynamic parts produce a non-zero value on subtraction. The next steps are (3) calculation of brightness gradient from the center point of the original echogram and (4) division of the image resulting from subtraction by the brightness gradient. This normalization by the brightness gradient gives expansion and contraction desplacement lengths on the image plane. (5) Velocity of expansion and contraction of scatter is obtained to normalize displacement by dividing by the time interval between the two images. Last, (6) the velocities are superimposed on the original echogram according to a color classification scheme. Expanding velocities appear as shades of red; contracting velocities, as shades of green. We applied this method to some carotid arteries. In the elastic arteries of youg subjects, uniform arterial expansion was observed when blood pressure increased. On reaching maximum expansion, the arteries slowly contracted. Contrast between motion and rest was clearly indicated. Uniform transition was not observed in the rigid arteries of elderly subjects, however, because of increase in the pulsatile surge of arteries themselves. As blood pressure in an artery changes, the arterial cross section being observed also changes as a result of arterial surge. This method can be used to analyze precise arterial motion noninvasively and has the potential to be applied to any organ. Because of the simplicity of the algorithm, hardware integration will make real time visualizaion of velocity practically.