Does coronary lumen morphology influence vessel cross-sectional area estimation? An in vitro comparison of intravascular ultrasound and quantitative coronary angiography

Author(s):  
Javier Escaned ◽  
Pierre Doriot ◽  
Carlo Di Mario ◽  
David P. Foley ◽  
Jürgen Haase ◽  
...  

2021 ◽  
Vol 10 (12) ◽  
pp. 2721
Author(s):  
Nobuto Nakanishi ◽  
Shigeaki Inoue ◽  
Rie Tsutsumi ◽  
Yusuke Akimoto ◽  
Yuko Ono ◽  
...  

Ultrasound has become widely used as a means to measure the rectus femoris muscle in the acute and chronic phases of critical illness. Despite its noninvasiveness and accessibility, its accuracy highly depends on the skills of the technician. However, few ultrasound phantoms for the confirmation of its accuracy or to improve technical skills exist. In this study, the authors created a novel phantom model and used it for investigating the accuracy of measurements and for training. Study 1 investigated how various conditions affect ultrasound measurements such as thickness, cross-sectional area, and echogenicity. Study 2 investigated if the phantom can be used for the training of various health care providers in vitro and in vivo. Study 1 showed that thickness, cross-sectional area, and echogenicity were affected by probe compression strength, probe angle, phantom compression, and varying equipment. Study 2 in vitro showed that using the phantom for training improved the accuracy of the measurements taken within the phantom, and Study 2 in vivo showed the phantom training had a short-term effect on improving the measurement accuracy in a human volunteer. The new ultrasound phantom model revealed that various conditions affected ultrasound measurements, and phantom training improved the measurement accuracy.



2002 ◽  
Vol 7 (2) ◽  
pp. 247-251 ◽  
Author(s):  
Masahiko Noguchi ◽  
Toshiya Kitaura ◽  
Kazuya Ikoma ◽  
Yoshiaki Kusaka


1997 ◽  
Vol 82 (3) ◽  
pp. 954-958 ◽  
Author(s):  
R. W. Mitchell ◽  
E. Rühlmann ◽  
H. Magnussen ◽  
N. M. Muñoz ◽  
A. R. Leff ◽  
...  

Mitchell, R. W., E. Rühlmann, H. Magnussen, N. M. Muñoz, A. R. Leff, and K. F. Rabe. Conservation of bronchiolar wall area during constriction and dilation of human airways. J. Appl. Physiol. 82(3): 954–958, 1997.—We assessed the effect of smooth muscle contraction and relaxation on airway lumen subtended by the internal perimeter ( A i) and total cross-sectional area ( A o) of human bronchial explants in the absence of the potential lung tethering forces of alveolar tissue to test the hypothesis that bronchoconstriction results in a comparable change of A iand A o. Luminal area (i.e., A i) and A owere measured by using computerized videomicrometry, and bronchial wall area was calculated accordingly. Images on videotape were captured; areas were outlined, and data were expressed as internal pixel number by using imaging software. Bronchial rings were dissected in 1.0- to 1.5-mm sections from macroscopically unaffected areas of lungs from patients undergoing resection for carcinoma, placed in microplate wells containing buffered saline, and allowed to equilibrate for 1 h. Baseline, A o[5.21 ± 0.354 (SE) mm2], and A i(0.604 ± 0.057 mm2) were measured before contraction of the airway smooth muscle (ASM) with carbachol. Mean A inarrowed by 0.257 ± 0.052 mm2in response to 10 μM carbachol ( P = 0.001 vs. baseline). Similarly, A onarrowed by 0.272 ± 0.110 mm2in response to carbachol ( P = 0.038 vs. baseline; P = 0.849 vs. change in A i). Similar parallel changes in cross-sectional area for A iand A owere observed for relaxation of ASM from inherent tone of other bronchial rings in response to 10 μM isoproterenol. We demonstrate a unique characteristic of human ASM; i.e., both luminal and total cross-sectional area of human airways change similarly on contraction and relaxation in vitro, resulting in a conservation of bronchiolar wall area with bronchoconstriction and dilation.





2010 ◽  
Vol 298 (1) ◽  
pp. C149-C162 ◽  
Author(s):  
Nadège Zanou ◽  
Georges Shapovalov ◽  
Magali Louis ◽  
Nicolas Tajeddine ◽  
Chiara Gallo ◽  
...  

Skeletal muscle contraction is reputed not to depend on extracellular Ca2+. Indeed, stricto sensu , excitation-contraction coupling does not necessitate entry of Ca2+. However, we previously observed that, during sustained activity (repeated contractions), entry of Ca2+is needed to maintain force production. In the present study, we evaluated the possible involvement of the canonical transient receptor potential (TRPC)1 ion channel in this entry of Ca2+and investigated its possible role in muscle function. Patch-clamp experiments reveal the presence of a small-conductance channel (13 pS) that is completely lost in adult fibers from TRPC1−/−mice. The influx of Ca2+through TRPC1 channels represents a minor part of the entry of Ca2+into muscle fibers at rest, and the activity of the channel is not store dependent. The lack of TRPC1 does not affect intracellular Ca2+concentration ([Ca2+]i) transients reached during a single isometric contraction. However, the involvement of TRPC1-related Ca2+entry is clearly emphasized in muscle fatigue. Indeed, muscles from TRPC1−/−mice stimulated repeatedly progressively display lower [Ca2+]itransients than those observed in TRPC1+/+fibers, and they also present an accentuated progressive loss of force. Interestingly, muscles from TRPC1−/−mice display a smaller fiber cross-sectional area, generate less force per cross-sectional area, and contain less myofibrillar proteins than their controls. They do not present other signs of myopathy. In agreement with in vitro experiments, TRPC1−/−mice present an important decrease of endurance of physical activity. We conclude that TRPC1 ion channels modulate the entry of Ca2+during repeated contractions and help muscles to maintain their force during sustained repeated contractions.



2001 ◽  
Vol 137 (3) ◽  
pp. 337-349 ◽  
Author(s):  
N. AHMAD ◽  
D. WILMAN

Dried lucerne (Medicago sativa), dried Italian ryegrass (Lolium multiflorum) and wheat (Triticum aestivum) straw, in the latter case supplemented with soyabean meal, were each fed to cattle, sheep and rabbits in each of 2 years. In both years, plant parts of the three diets were tested for in vitro digestibility, in both milled and chopped (1 cm lengths) form, and for cell wall content (as NDF). In the first year, the plant parts were analysed for lignin and both the plant parts and the faeces were examined microscopically for the proportions of thick-walled, thin-walled and epidermal cells in cross-sectional area and for the thickness of the cell walls.The plant parts with the lowest proportion of thick-walled cells in cross-sectional area (0·05) were the lucerne leaflets and those with the highest proportion of thick-walled cells (0·68) were the stems of wheat straw. The cell walls of the thick-walled tissues were thinnest (0·7–0·8 μm) in Italian ryegrass leaf blades and sheaths. Within each cell type for the whole crop, the order of cell wall thickness was wheat straw > lucerne > Italian ryegrass. In vitro digestibility of DM was lower (by 0·031–0·085 g digestible DM/g total DM) in chopped than in milled stems of lucerne, ryegrass and wheat and in leaf sheaths of wheat. This suggests incomplete and/or delayed access of rumen microorganisms to some of the cell wall in chopped material in vitro and probably, therefore, also in chewed material in vivo. The concentrations of NDF and lignin in both ryegrass and wheat were in the order leaf blades < leaf sheaths < stems.The lucerne crops were more mature than the ryegrass crops and there was no consistent difference between lucerne and ryegrass in intake of DM or intake of NDF. The intake of wheat straw DM was 0·52 that of lucerne and ryegrass, whereas the intake of straw NDF was 0·89 that of lucerne or ryegrass NDF. Intake of both DM and NDF in relation to metabolic body weight was highest (87–93 g DM and 45–48 g NDF/kg W0·75) with cattle on lucerne and ryegrass and rabbits on ryegrass and lowest (33–34 g DM and 29–30 g NDF/kg W0·75) with sheep and rabbits on straw. The output of faeces/kg W0·75 was particularly high (38–41 g DM and 30–32 g NDF) from rabbits fed lucerne or ryegrass. Digestibility of DM was highest (0·726–0·732 g/g) with cattle and sheep fed ryegrass, followed by cattle and sheep fed lucerne and sheep fed straw. Digestibility of NDF was highest (0·708–0·752 g digestible NDF/g total NDF) with cattle and sheep fed ryegrass and sheep fed straw. Digestibility of NDF with rabbits was lower than with cattle or sheep, but was higher than might have been expected, in a small, hind-gut fermenter, with ryegrass (0·339 g/g) and straw (0·492 g/g).The proportion of thin-walled cells was much lower in the faeces than in the diets, but there was an appreciable proportion (0·10–0·27) of these cells in the cross-sectional area of faecal particles. The cell walls of all cell types were thinner in the faeces than in the diets, e.g. those of the thick-walled cells were thinner by 0·35 μm in lucerne, by 0·11 μm in Italian ryegrass and by 0·41 μm in wheat straw. The faeces from rabbits had higher proportions of thick-walled and epidermal plant cells in cross-sectional area, and a lower proportion of thin-walled cells, than the faeces from cattle and sheep.



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