Maximum velocity estimation in coronary arteries using 3D tracking Doppler

Several challenges currently prevent the use of Doppler echocardiography to assess blood flow in the coronary arteries. Due to the anatomy of the coronary tree, out-of-plane flow and high beam-to-flow angles easily occur. Transit time broadening in regions with high velocities leads to overestimatio...

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Veröffentlicht in:IEEE transactions on ultrasonics, ferroelectrics, and frequency control. - 1986. - (2018) vom: 16. Apr.
1. Verfasser: Fiorentini, Stefano (VerfasserIn)
Weitere Verfasser: Saxhaug, Lars Molgaard, Bjastad, Tore, Holte, Espen, Torp, Hans, Avdal, Jorgen
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:IEEE transactions on ultrasonics, ferroelectrics, and frequency control
Schlagworte:Journal Article
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520 |a Several challenges currently prevent the use of Doppler echocardiography to assess blood flow in the coronary arteries. Due to the anatomy of the coronary tree, out-of-plane flow and high beam-to-flow angles easily occur. Transit time broadening in regions with high velocities leads to overestimation of the maximum velocity envelope, which is a standard clinical parameter for flow quantification. In this work, a commercial ultrasound system was locally modified to perform trans-thoracic, 3D high frame-rate imaging of the coronary arteries. The imaging sequence was then combined with 3D tracking Doppler for retrospective estimation of maximum velocities. Results from simulations showed that 3D tracking Doppler delivers sonograms with better velocity resolution and spectral SNR compared to conventional PW Doppler. Results were confirmed using in vitro recordings. Further simulations based on realistic coronary flow data showed that 3D tracking Doppler can provide improved performance compared to PW Doppler, suggesting a potential benefit on patients. In vivo feasibility of the method was also shown in a healthy volunteer 
650 4 |a Journal Article 
700 1 |a Saxhaug, Lars Molgaard  |e verfasserin  |4 aut 
700 1 |a Bjastad, Tore  |e verfasserin  |4 aut 
700 1 |a Holte, Espen  |e verfasserin  |4 aut 
700 1 |a Torp, Hans  |e verfasserin  |4 aut 
700 1 |a Avdal, Jorgen  |e verfasserin  |4 aut 
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