Relationship between plaque burden and area strain of atherosclerosis with intravascular ultrasound elastography
10.13929/j.1003-3289.201612007
- VernacularTitle:采用血管内超声弹性成像技术分析动脉粥样硬化斑块负荷与面积应变的关系
- Author:
Zhaohuan LI
1
;
Lin WANG
;
Xiaobo HU
;
Pengfei ZHANG
;
Yifei CHEN
;
Xinxin LIU
;
Mingjun XU
;
Haijun SU
;
Mei ZHANG
Author Information
1. 山东大学齐鲁医院教育部和卫生部心血管重构和功能研究重点实验室国家和山东省联合转化心血管医学重点实验室
- Keywords:
Intravascular ultrasonography;
Elasticity imaging techniques;
Plaque,atherosclerotic;
Plaque burden;
Area strain
- From:Chinese Journal of Medical Imaging Technology
2017;33(10):1479-1483
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the relationship between plaque burden (PB) and area strain (AS) by intravascular ultrasonic elastography (IVUSE).Methods Forty purebred New Zealand rabbits were fed with a high-cholesterol diet.And the abdominal aorta endothelium was balloon-injured after 2 weeks.At the end of the 12th week,2 plaques with moderate echo from each rabbit were chosen for in situ imaging,and 2 consecutive frames near the end-diastole images in situ were used to construct an IVUS elastogram.Cross-sectional external elastic membrane area (EEMare),lumen area (Lumenarea),plaque area (PA),PB,external elastic membrane volume (EEMvolume),lumen volume (Lumenvolume),plaque volume (PV),plaque volume burden (PVB),maximal plaque thickness (Tmax) and minimal plaque thickness (Tmin),eccentric index (EI),remodeling index (RI) and AS were measured and calculated,respectively.According to the PB,the plaques were divided into low PB group (PB≤40 %) and high PB group (PB> 40 %).The differences of all above parameters between the two groups were compared,and the relationship between the plaque morphological and mechanical parameters were analyzed.Results PA,PV,PB,PVB,Tmin,Tmax,Lumenarea,Lumenvolume and EI were different between the 2 groups (all P<0.01).On stepwise multiple regression analysis,the regression equation were built,(Y)=-6.921+10.430X1 +12.207X2((Y):AS,X1:EI,X2:PB,R2 =0.272,P<0.001).After eliminating the effect of EI on the AS,the lower PB group had obviously smaller AS than higher PB group (P =0.010).Conclusion The PB has effect on plaque mechanical stability.The plaques with higher burden are more vulnerable than those with lower burden.