scholarly journals Non-Invasive Vascular Very-High Resolution Ultrasound to Quantify Artery Intima Layer Thickness: Validation of the Four-Line Pattern

2019 ◽  
Vol 45 (8) ◽  
pp. 2010-2018 ◽  
Author(s):  
Johnny K.M. Sundholm ◽  
Anders Paetau ◽  
Anders Albäck ◽  
Tom Pettersson ◽  
Taisto Sarkola
2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Johnny K M Sundholm ◽  
Tom Pettersson ◽  
Anders Paetau ◽  
Anders Albäck ◽  
Taisto Sarkola

Abstract Objective Very-high resolution US (VHRU; 55 MHz) provides improved resolution and could provide non-invasive diagnostic information in GCA of the temporal artery. The objective of this study was to assess the diagnostic utility of VHRU-derived intima thickness (VHRU-IT) in comparison to high-resolution US halo-to-Doppler ratio (HRU-HDR) in patients referred for temporal artery biopsy. Methods VHRU and HRU of the temporal artery were performed before a biopsy procedure in 78 prospectively recruited consecutive patients who had received glucocorticoid treatment for a median of 8 days (interquartile range 0–13 days) before imaging. Based on the final diagnosis and biopsy findings, the study population was divided into the following four groups: non GCA (n = 40); clinical GCA with no inflammation on biopsy (n = 15); clinical GCA with inflammation limited to adventitia (n = 9); and clinical GCA with transmural inflammation (TMI; n = 11). Results Both VHRU and HRU were useful for identifying subjects with TMI, with VHRU outperforming HRU (area under curve: VHRU-IT 0.99, 95% CI 0.97, 1.00; HRU-HDR 0.74, 95% CI 0.52, 0.96; P=0.026). The diagnostic utility for diagnosing clinical GCA (negative biopsy) or inflammation limited to the adventitia was poor for both VHRU and HRU-HDR. From 5 days after initiation of glucocorticoid treatment, VHRU-IT was increased in eight of nine patients, whereas HRU-HDR was positive in three of seven patients. Both methods showed excellent inter-observer agreement (Cohen’s κ: VHRU-IT 0.873; HRU-HDR 0.811). Conclusion In suspected GCA, VHRU allows non-invasive real-time imaging of TMI manifestations of the temporal artery wall. VHRU-derived intimal thickness measurement seems to be more sensitive than the halo sign and HRU-HDR in detecting TMI in patients with prolonged glucocorticoid treatment.


1994 ◽  
Vol 144 ◽  
pp. 593-596
Author(s):  
O. Bouchard ◽  
S. Koutchmy ◽  
L. November ◽  
J.-C. Vial ◽  
J. B. Zirker

AbstractWe present the results of the analysis of a movie taken over a small field of view in the intermediate corona at a spatial resolution of 0.5“, a temporal resolution of 1 s and a spectral passband of 7 nm. These CCD observations were made at the prime focus of the 3.6 m aperture CFHT telescope during the 1991 total solar eclipse.


2019 ◽  
Vol 232 ◽  
pp. 111300
Author(s):  
Xiaogang Song ◽  
Nana Han ◽  
Xinjian Shan ◽  
Chisheng Wang ◽  
Yingfeng Zhang ◽  
...  

2021 ◽  
Vol 13 (13) ◽  
pp. 2508
Author(s):  
Loredana Oreti ◽  
Diego Giuliarelli ◽  
Antonio Tomao ◽  
Anna Barbati

The importance of mixed forests is increasingly recognized on a scientific level, due to their greater productivity and efficiency in resource use, compared to pure stands. However, a reliable quantification of the actual spatial extent of mixed stands on a fine spatial scale is still lacking. Indeed, classification and mapping of mixed populations, especially with semi-automatic procedures, has been a challenging issue up to date. The main objective of this study is to evaluate the potential of Object-Based Image Analysis (OBIA) and Very-High-Resolution imagery (VHR) to detect and map mixed forests of broadleaves and coniferous trees with a Minimum Mapping Unit (MMU) of 500 m2. This study evaluates segmentation-based classification paired with non-parametric method K- nearest-neighbors (K-NN), trained with a dataset independent from the validation one. The forest area mapped as mixed forest canopies in the study area amounts to 11%, with an overall accuracy being equal to 85% and K of 0.78. Better levels of user and producer accuracies (85–93%) are reached in conifer and broadleaved dominated stands. The study findings demonstrate that the very high resolution images (0.20 m of spatial resolutions) can be reliably used to detect the fine-grained pattern of rare mixed forests, thus supporting the monitoring and management of forest resources also on fine spatial scales.


2020 ◽  
Vol 12 (Suppl. 1) ◽  
pp. 127-136
Author(s):  
Hazel Gaile  Barrozo ◽  
Maria Anna De Guzman ◽  
Jose  Navarro ◽  
Narayanaswamy Venketasubramanian

Transcranial Doppler (TCD) is a non-invasive method for assessing cerebral hemodynamics in the acute phase of stroke. We report a case of a 33-year-old man who presented with a massive left hemispheric infarct developing into “malignant” MCA infarction. TCD was utilized to monitor intracranial hemodynamics while the clinical and neuroimaging findings were used to help us in the decision to proceed with decompressive craniectomy (DC). Pre-operatively, there was reduced mean flow velocities (MFV) of the middle cerebral artery (MCA) with increasing pulsatility index (PI) ipsilateral to the infarct. The subsequent but smaller rise in the PI in the contralateral MCA was suggestive of very high intracranial pressure (ICP) from massive brain swelling. Serial TCD examinations post-operatively showed normalization of the PI, and subsequent rise in the left MCA MFV. Clinical improvement was also noted as the TCD findings improved. The asymmetry in TCD findings can be attributed to occlusion of the MCA with subsequent spontaneous recanalisation, occlusion of the MCA with subsequent recanalisation due to the DC, or initial occlusion and subsequent pressure effects on the arterioles of the MCA due to the “malignant” edema of that hemisphere that was relieved by DC. This case illustrates the value of TCD as a useful modality in monitoring intracranial hemodynamics in acute stroke.


2021 ◽  
pp. 1-11
Author(s):  
Yasser Mostafa ◽  
Mahmoud Nokrashy O. Ali ◽  
Faten Mostafa ◽  
Mohamed Yousef

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