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1.
J Acoust Soc Am ; 153(3): 1733, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37002088

RESUMEN

Multilayer piezoelectric transducers and resonators are widely used for generating propagating and standing acoustic waves as well as for sensor devices. More recently, layered piezoelectric structures based on thin film technology became increasingly important for electromechanical filters used in mobile phones. As a consequence, analytical mathematical modeling of such structures is of high interest. In this paper, a general rigorous transfer matrix description for one-dimensional (1D) layered structures consisting of piezoelectric, visco-elastic, and dielectric layers of arbitrary number is introduced to characterize the electrical and mechanical behavior of a general piezoelectric transducer or resonator with two electrodes and arbitrary acoustic termination impedances (Rig-1D-model). This model is the most general 1D analytical description of layered piezoelectric structures available and can be used for the characterization of various composite transducer and resonant sensor applications. Considered in detail are layered structures with the technically important cases of only one electromechanically coupled mode, and the structure at one or both outer surfaces is in contact with semi-infinite media. For such devices, it is shown how the frequency dependence of the total electrical admittance and spatial dependence of the displacements can be calculated.

2.
Ann N Y Acad Sci ; 1497(1): 15-26, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-33638189

RESUMEN

We trained a deep learning algorithm to use skin optical coherence tomography (OCT) angiograms to differentiate between healthy and type 2 diabetic mice. OCT angiograms were acquired with a custom-built OCT system based on an akinetic swept laser at 1322 nm with a lateral resolution of ∼13 µm and using split-spectrum amplitude decorrelation. Our data set consisted of 24 stitched angiograms of the full ear, with a size of approximately 8.2 × 8.2 mm, evenly distributed between healthy and diabetic mice. The deep learning classification algorithm uses the ResNet v2 convolutional neural network architecture and was trained on small patches extracted from the full ear angiograms. For individual patches, we obtained a cross-validated accuracy of 0.925 and an area under the receiver operating characteristic curve (ROC AUC) of 0.974. Averaging over multiple patches extracted from each ear resulted in the correct classification of all 24 ears.


Asunto(s)
Angiografía , Aprendizaje Profundo , Diabetes Mellitus Experimental/diagnóstico por imagen , Diabetes Mellitus Experimental/patología , Oído/irrigación sanguínea , Oído/diagnóstico por imagen , Tomografía de Coherencia Óptica , Algoritmos , Animales , Estudios de Casos y Controles , Diagnóstico Diferencial , Femenino , Procesamiento de Imagen Asistido por Computador , Aprendizaje Automático , Ratones , Curva ROC , Reproducibilidad de los Resultados , Tomografía de Coherencia Óptica/métodos
3.
Opt Express ; 27(9): 12666-12672, 2019 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-31052805

RESUMEN

We introduce a compressive sensing based approach for single pixel hyperspectral chemical imaging in a broad spectral range in the near-infrared. Fully integrated MEMS based Fabry-Pérot tunable filter spectrometers and a digital micro-mirror device were employed to achieve spectral and spatial resolution, respectively. The available spectral range from 1500 to 2200 nm covers molecular overtone vibrations enabling chemical identification. Hyperspectral images of different adhesives deposited on a textile were recorded revealing their chemical composition. Furthermore, spectrally resolved near-infrared images with compression rates up to 90% are presented. The approach of single pixel imaging illustrates a promising technology for the infrared spectral range superior to conventionally used costly focal plane arrays.

4.
Biomed Opt Express ; 10(3): 1315-1328, 2019 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-30891348

RESUMEN

We present a system for automatic determination of the intradermal volume of hydrogels based on optical coherence tomography (OCT) and deep learning. Volumetric image data was acquired using a custom-built OCT prototype that employs an akinetic swept laser at ~1310 nm with a bandwidth of 87 nm, providing an axial resolution of ~6.5 µm in tissue. Three-dimensional data sets of a 10 mm × 10 mm skin patch comprising the intradermal filler and the surrounding tissue were acquired. A convolutional neural network using a u-net-like architecture was trained from slices of 100 OCT volume data sets where the dermal filler volume was manually annotated. Using six-fold cross-validation, a mean accuracy of 0.9938 and a Jaccard similarity coefficient of 0.879 were achieved.

5.
J Acoust Soc Am ; 143(6): 3557, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29960487

RESUMEN

Although acoustic-emission (AE) piezoelectric transducers have distinctive variations in sensitivity, depending on frequency, propagation medium, and coupling, the vast majority of AE research is conducted by utilizing uncalibrated AE transducers. As a consequence, most results obtained by different groups are not comparable among each other. In this work, primary calibration by the method of reciprocity is shown. Rayleigh and longitudinal wave calibration curves are presented for piezoelectric high-frequency broadband transducer, mounted on steel and aluminium, in the frequency range 300 kHz-4 MHz. Influences on primary calibration of AE transducers, namely, by coupling medium, contact pressure, and propagation medium, are investigated.

6.
Eur J Radiol ; 95: 257-264, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28987677

RESUMEN

OBJECTIVES: To evaluate and compare the effect of reduced acquisition time, as a surrogate of injected activity, on the PET quantification accuracy in PET/CT and PET/MR imaging. METHODS: Twenty min 18F-FDG phantom measurements and 10min 18F-FET brain scans were acquired in a Biograph-True-Point-True-View PET/CT (n=8) and a Biograph mMR PET/MR (n=16). Listmode data were repeatedly split into frames of 1min to 10min length and reconstructed using two different reconstruction settings of a 3D-OSEM algorithm: with post-filtering ("OSEM"), and without post-filtering but with resolution recovery ("PSF"). Recovery coefficients (RCmax, RCA50) and standard uptake values (SUVmax, SUVA50) were evaluated. RESULTS: RCmax (phantom) and SUVmax (patients) increased significantly when reducing the frame duration. Significantly lower deviations were observed for RCA50 and SUVA50, respectively, making them more appropriate to compare PET studies at different number of counts. No statistical significant differences were observed when using post-filtering and reducing the frame time to 4min (RCA50, reference 20min, phantom) and to 3min (SUVA50, reference 10min, patients). CONCLUSIONS: For hybrid aminoacid brain imaging, frame duration (or injected activity) can potentially be reduced to 30% of the standard used in clinical routine without significant changes on the quantification accuracy of the PET images if adequate reconstruction settings and quantitative measures are used. Frame times below 4min in the NEMA phantom are not advisable to obtain quantitative and reproducible measures.


Asunto(s)
Encéfalo/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Tomografía Computarizada por Tomografía de Emisión de Positrones/métodos , Tomografía de Emisión de Positrones/métodos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Algoritmos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Imagen Multimodal/métodos , Fantasmas de Imagen , Reproducibilidad de los Resultados , Factores de Tiempo , Adulto Joven
7.
Biomed Opt Express ; 8(6): 2906-2923, 2017 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-28663915

RESUMEN

Conventional imaging of the human cornea with optical coherence tomography (OCT) relies on telecentric scanning optics with sampling beams that are parallel to the optical axis of the eye. Because of the shape of the cornea, the beams have in some areas considerable inclination to the corneal surface which is accompanied by low signal intensities in these areas and thus an inhomogeneous appearance of corneal structures. In addition, alterations in the polarization state of the probing light depend on the angle between the imaging beam and the birefringent axis of the sample. Therefore, changes in the polarization state observed with polarization-sensitive (PS-) OCT originate mainly from the shape of the cornea. In order to minimize the effects of the corneal shape on intensity and polarization-sensitive based data, we developed a conical scanning optics design. This design provides imaging beams that are essentially orthogonal to the corneal surface. Thus, high signal intensity throughout the entire imaged volume is obtained and the influence of the corneal shape on polarization-sensitive data is greatly reduced. We demonstrate the benefit of the concept by comparing PS-OCT imaging results of the human cornea in healthy volunteers using both scanning schemes.

8.
Med Phys ; 44(3): 1149-1156, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28090633

RESUMEN

PURPOSE: To investigate and model effects of magnetic fields on proton and carbon ion beams for dose calculation. METHODS: In a first step, Monte Carlo simulations using Gate 7.1/Geant4.10.0.p03 were performed for proton and carbon ion beams in magnetic fields ranging from 0 to 3 T. Initial particle energies ranged from 60 to 250 MeV (protons) and 120 to 400 MeV/u (carbon ions), respectively. The resulting dose distributions were analyzed focusing on beam deflection, dose deformation, as well as the impact of material heterogeneities. In a second step, a numerical algorithm was developed to calculate the lateral beam position. Using the Runge-Kutta method, an iterative solution of the relativistic Lorentz equation, corrected for the changing particle energy during penetration, was performed. For comparison, a γ-index analysis was utilized, using a criteria of 2%/2 mm of the local maximum. RESULTS: A tilt in the dose distribution within the Bragg peak area was observed, leading to non-negligible dose distribution changes. The magnitude was found to depend on the magnetic field strength as well as on the initial beam energy. Comparison of the 3 T dose distribution with non-B field (nominal) dose distributions, resulted in a γmean (mean value of the γ distribution) of 0.6, with 14.4% of the values above 1 and γ1 % (1% of all points have an equal or higher γ value) of 1.8. The presented numerical algorithm calculated the lateral beam offset with maximum errors of less than 2% with calculation times of less than 5 µs. The impact of tissue interfaces on the proton dose distributions was found to be less than 2% for a dose voxel size of 1 × 1 × 1 mm3 . CONCLUSION: Non-negligible dose deformations at the Bragg peak area were identified for high initial energies and strong magnetic fields. A fast numerical algorithm based on the solution of the energy-corrected relativistic Lorentz equation was able to describe the beam path, taking into account the particle energy, magnetic field, and material.


Asunto(s)
Radioterapia de Iones Pesados/métodos , Campos Magnéticos , Imagen por Resonancia Magnética/métodos , Terapia de Protones/métodos , Radioterapia Guiada por Imagen/métodos , Algoritmos , Simulación por Computador , Estudios de Factibilidad , Modelos Teóricos , Método de Montecarlo , Dosificación Radioterapéutica , Agua
9.
Biomed Opt Express ; 7(7): 2650-70, 2016 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-27446696

RESUMEN

In optical coherence tomography (OCT), the axial resolution is directly linked to the coherence length of the employed light source. It is currently unclear if OCT allows measuring thicknesses below its axial resolution value. To investigate spectral-domain OCT imaging in the super-resolution regime, we derived a signal model and compared it with the experiment. Several island thin film samples of known refractive indices and thicknesses in the range 46 - 163 nm were fabricated and imaged. Reference thickness measurements were performed using a commercial atomic force microscope. In vivo measurements of the tear film were performed in 4 healthy subjects. Our results show that quantitative super-resolved thickness measurement can be performed using OCT. In addition, we report repeatable tear film lipid layer visualization. Our results provide a novel interpretation of the OCT axial resolution limit and open a perspective to deeper extraction of the information hidden in the coherence volume.

10.
Opt Express ; 23(16): 21043-63, 2015 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-26367956

RESUMEN

Dry eye syndrome is a highly prevalent disease of the ocular surface characterized by an instability of the tear film. Traditional methods used for the evaluation of tear film stability are invasive or show limited repeatability. Here we propose a new non-invasive fully automated approach to measure tear film thickness based on spectral domain optical coherence tomography and on an efficient delay estimator. Silicon wafer phantom were used to validate the thickness measurement. The technique was applied in vivo in healthy subjects. Series of tear film thickness maps were generated, allowing for the visualization of tear film dynamics. Our results show that the in vivo central tear film thickness measurements are precise and repeatable with a coefficient of variation of about 0.65% and that repeatable tear film dynamics can be observed. The presented approach could be used in clinical setting to study patients with dry eye disease and monitor their treatments.

11.
Biomed Opt Express ; 6(5): 1599-615, 2015 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-26137367

RESUMEN

In this paper, we demonstrate the possibility to reconstruct the actual blood flow velocity vector field in retinal microvessels from dual-beam bidirectional Doppler optical coherence tomography measurements. First, for a better understanding of measured phase patterns, several flow situations were simulated on the basis of the known dual beam measurement geometry. We were able to extract the vector field parameters that determine the measured phase pattern, allowing for the development of an algorithm to reconstruct the velocity vector field from measured phase data. In a next step, measurements were performed at a straight vessel section and at a venous convergence; the obtained phase data were evaluated by means of the new approach. For the straight vessel section, the reconstructed flow velocity vector field yielded a parabolic flow. For the venous convergence, however, the reconstructed vector field deviated from a parabolic profile, but was in very good accordance with the simulated vector field for the given vessel geometry. The proposed algorithm allows predictions of the velocity vector field. Moreover, the algorithm is also sensitive to directional changes of the flow velocity as small as <1°, thereby offering insight in the flow characteristics of the non-Newtonian fluid blood in microvessels.

12.
J Biomed Opt ; 19(10): 106008, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25321400

RESUMEN

A wide variety of ocular diseases are associated with abnormalities in ocular circulation. As such, there is considerable interest in techniques for quantifying retinal blood flow, among which Doppler optical coherence tomography (OCT) may be the most promising. We present an approach to measure retinal blood flow in the rat using a new optical system that combines the measurement of blood flow velocities via Doppler Fourier-domain optical coherence tomography and the measurement of vessel diameters using a fundus camera-based technique. Relying on fundus images for extraction of retinal vessel diameters instead of OCT images improves the reliability of the technique. The system was operated with an 841-nm superluminescent diode and a charge-coupled device camera that could be operated at a line rate of 20 kHz. We show that the system is capable of quantifying the response of 100% oxygen breathing on the retinal blood flow. In six rats, we observed a decrease in retinal vessel diameters of 13.2% and a decrease in retinal blood velocity of 42.6%, leading to a decrease in retinal blood flow of 56.7%. Furthermore, in four rats, the response of retinal blood flow during stimulation with diffuse flicker light was assessed. Retinal vessel diameter and blood velocity increased by 3.4% and 28.1%, respectively, leading to a relative increase in blood flow of 36.2%. The presented technique shows much promise to quantify early changes in retinal blood flow during provocation with various stimuli in rodent models of ocular diseases in rats.


Asunto(s)
Flujometría por Láser-Doppler/métodos , Flujo Sanguíneo Regional/fisiología , Vasos Retinianos/fisiología , Tomografía de Coherencia Óptica/métodos , Animales , Fondo de Ojo , Masculino , Ratas , Ratas Sprague-Dawley
13.
Rev Sci Instrum ; 85(9): 093104, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25273704

RESUMEN

We discuss how leveraging Field Programmable Gate Array (FPGA) technology as part of a high performance computing platform reduces latency to meet the demanding real time constraints of a quantum optics simulation. Implementations of complex-valued operations using fixed point numeric on a Virtex-5 FPGA compare favorably to more conventional solutions on a central processing unit. Our investigation explores the performance of multiple fixed point options along with a traditional 64 bits floating point version. With this information, the lowest execution times can be estimated. Relative error is examined to ensure simulation accuracy is maintained.

14.
Biomed Opt Express ; 5(2): 630-42, 2014 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-24575355

RESUMEN

We present a system capable of measuring the total retinal blood flow using a combination of dual beam Fourier-domain Doppler optical coherence tomography with orthogonal detection planes and a fundus camera-based retinal vessel analyzer. Our results show a high degree of conformity of venous and arterial flows, which corroborates the validity of the measurements. In accordance with Murray's law, the log-log regression coefficient between vessel diameter and blood flow was found to be ~3. The blood's velocity scaled linearly with the vessel diameter at higher diameters (> 60 µm), but showed a clear divergence from the linear dependence at lower diameters. Good agreement with literature data and the large range and high measurement sensitivity point to a high potential for further investigations.

15.
J Biomed Opt ; 18(12): 121502, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24091698

RESUMEN

Low-coherence tissue interferometry is a technique for the depth-resolved measurement of ocular fundus pulsations. Whereas fundus pulsation amplitudes at preselected axial positions can readily be assessed by this method, coupling of the interferometer with a pulse oximeter additionally allows for the reconstruction of the time course of ocular fundus pulsation with respect to the cardiac cycle of the subject. For this purpose, the interferogram resulting from the superposition of waves reflected at the cornea and the ocular fundus is recorded synchronously with the plethysmogram. A new method for evaluating the time course of synthetic interferograms in combination with plethysmograms based on averaging several pulse periods has been developed. This technique allows for the analysis of amplitudes, time courses, and phase differences of fundus pulsations at preselected axial and transversal positions and for creating fundus pulsation movies. Measurements are performed in three healthy emmetropic subjects at angles from 0 deg to 18 deg to the axis of vision. Considerably different time courses, amplitudes, and phases with respect to the cardiac cycle are found at different angles. Data on ocular fundus pulsation obtained with this technique can--among other applications--be used to verify and to improve biomechanical models of the eye.


Asunto(s)
Córnea , Fondo de Ojo , Interferometría/métodos , Pletismografía/métodos , Córnea/irrigación sanguínea , Córnea/fisiología , Humanos , Flujo Pulsátil , Grabación en Video
16.
PLoS One ; 7(9): e45876, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23029289

RESUMEN

PURPOSE: There is a long-standing interest in the study of retinal blood flow in humans. In the recent years techniques have been established to measure retinal perfusion based on optical coherence tomography (OCT). In the present study we used a technique called dual-beam bidirectional Doppler Fourier-domain optical coherence tomography (FD-OCT) to characterize the effects of 100% oxygen breathing on retinal blood flow. These data were compared to data obtained with a laser Doppler velocimeter (LDV). METHODS: 10 healthy subjects were studied on 2 study days. On one study day the effect of 100% oxygen breathing on retinal blood velocities was studied using dual-beam bidirectional Doppler FD-OCT. On the second study day the effect of 100% oxygen breathing on retinal blood velocities was assessed by laser Doppler velocimetry (LDV). Retinal vessel diameters were measured on both study days using a commercially available Dynamic Vessel Analyzer. Retinal blood flow was calculated based on retinal vessel diameters and red blood cell velocity. RESULTS: As expected, breathing of pure oxygen induced a pronounced reduction in retinal vessel diameters, retinal blood velocities and retinal blood flow on both study days (p<0.001). Blood velocity data correlated well between the two methods applied under both baseline as well as under hyperoxic conditions (r = 0.98 and r = 0.75, respectively). Data as obtained with OCT were, however, slightly higher. CONCLUSION: A good correlation was found between red blood cell velocity as measured with dual-beam bidirectional Doppler FD-OCT and red blood cell velocity assessed by the laser Doppler method. Dual-beam bidirectional Doppler FD-OCT is a promising approach for studying retinal blood velocities in vivo.


Asunto(s)
Velocidad del Flujo Sanguíneo , Análisis de Fourier , Hiperoxia/fisiopatología , Vasos Retinianos/fisiología , Tomografía de Coherencia Óptica , Adulto , Algoritmos , Humanos , Oxígeno/farmacología , Vasos Retinianos/metabolismo , Vasoconstricción/efectos de los fármacos , Adulto Joven
17.
Invest Ophthalmol Vis Sci ; 53(10): 6062-71, 2012 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-22893675

RESUMEN

PURPOSE: The present experiments were undertaken to evaluate the validity of absolute flow velocity measurements with a dual-beam bidirectional Doppler Fourier-domain optical coherence tomography (FD-OCT) system. METHODS: The flow velocities of diluted milk through a glass capillary were measured at 30 different preset velocities in the range of 0.9 to 39.3 mm/s by bidirectional Doppler FD-OCT. The flow through the capillary was controlled by two infusion pumps working in different flow ranges and based on different technical principles. In vivo the validity of the method for measuring blood flow in retinal vessels was tested at bifurcations. The continuity equation was verified at 10 retinal venous bifurcations of 10 young healthy subjects (mean age, 29 ± 3 years) by velocity measurements, using dual-beam bidirectional Doppler FD-OCT, and measurements of retinal diameters, using the Dynamic Vessel Analyzer. RESULTS: Flow velocities as measured with bidirectional Doppler FD-OCT in the glass capillary were in good agreement with the preset velocities (r = 0.994, P < 0.001 each). No significant difference was found between flow in the trunk vessels before the bifurcation (11.3 ± 5.2 µL/min) and the sum of flows in the daughter vessels (10.7 ± 4.8 µL/min). A significant association was found between retinal vessel diameters and both retinal blood velocities (r = 0.72, P < 0.001) and retinal blood flow (r = 0.95, P < 0.0001). CONCLUSIONS: Dual-beam bidirectional Doppler FD-OCT delivered accurate retinal blood velocity values and, thus, offers high potential for examination of retinal blood flow in ocular disease.


Asunto(s)
Flujometría por Láser-Doppler/métodos , Vasos Retinianos/fisiología , Tomografía de Coherencia Óptica/métodos , Adulto , Velocidad del Flujo Sanguíneo/fisiología , Análisis de Fourier , Humanos
18.
J Biomed Opt ; 14(5): 054047, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19895148

RESUMEN

A device that allows for the measurement of ocular fundus pulsations at preselected axial positions of a subject's eye is presented. Unlike previously presented systems, which only allow for observation of the strongest reflecting retinal layer, our system enables the measurement of fundus pulsations at a preselected ocular layer. For this purpose the sample is illuminated by light of low temporal coherence. The layer is then selected by positioning one mirror of a Michelson interferometer according to the depth of the layer. The device contains a length measurement system based on partial coherence interferometry and a line scan charge-coupled device camera for recording and online inspection of the fringe system. In-vivo measurements in healthy humans are performed as proof of principle. The algorithms used for enhancing the recorded images are briefly introduced. The contrast of the observed interference pattern is evaluated for different positions of the measurement mirror and at various distances from the front surface of the cornea. The applications of such a system may be wide, including assessment of eye elongation during myopia development and blood-flow-related changes in intraocular volume.


Asunto(s)
Interferometría/instrumentación , Retina/fisiología , Diseño Asistido por Computadora , Diseño de Equipo , Análisis de Falla de Equipo , Fondo de Ojo , Humanos , Interferometría/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
19.
Ultrasound Med Biol ; 31(2): 261-72, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15708466

RESUMEN

Ultrasonic forces may be used to manipulate particles in suspension. For example, a standing wave ultrasound (US) field applied to a suspension moves the particles toward areas of minimal acoustic pressure, where they are orderly retained creating a predictable heterogeneous distribution. This principle of ultrasonic retention of particles or cells has been applied in numerous biotechnological applications, such as mammalian cell filtering and red blood cell sedimentation. Here, a new US-based cell immobilisation technique is described that allows manipulation and positioning of cells/particles within various nontoxic gel matrices before polymerisation. Specifically, gel immobilisation was used to directly demonstrate that the viability of yeast cells arranged by an US standing wave is maintained up to 4 days after treatment. The versatility of this immobilisation method was validated using a wide range of acoustic devices. Finally, the potential biotechnological advantages of this US-controlled particle positioning method combined with gel immobilisation/encapsulation technology are discussed.


Asunto(s)
Células Inmovilizadas , Geles , Microesferas , Ultrasonido , Células Cultivadas , Eritrocitos , Humanos , Microscopía/métodos , Microscopía Confocal/métodos , Modelos Biológicos , Saccharomyces cerevisiae/citología , Manejo de Especímenes , Suspensiones
20.
Stroke ; 36(1): 124-8, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15591211

RESUMEN

BACKGROUND AND PURPOSE: Recently, 3 clinical trials revealed encouraging results in recanalization and clinical outcome in acute stroke patients when 2-MHz transcranial Doppler monitoring was applied. This study investigated whether a 1.8-MHz commercial diagnostic ultrasound device has the potential to facilitate thrombolysis using an in vitro stroke model. METHODS: Duplex-Doppler, continuous wave-Doppler, and pulsed wave (PW)-Doppler were compared on their impact on recombinant tissue plasminogen activator (rtPA)-mediated thrombolysis. Blood clots were transtemporally sonicated in a human stroke model. Furthermore, ultrasound attenuation of 5 temporal bones of different thickness was determined. RESULTS: In comparison, only PW-Doppler accelerated rtPA-mediated thrombolysis significantly. Without temporal bone, PW-Doppler plus rtPA showed a significant enhancement in relative clot weight loss of 23.7% when compared with clots treated with rtPA only (33.9+/-5.5% versus 27.4+/-5.2%; P<0.0005). Ultrasound attenuation measurements revealed decreases of the output intensity of 86.8% (8.8 dB) up to 99.2% (21.2 dB), depending on temporal bone thickness (1.91 to 5.01 mm). CONCLUSIONS: Without temporal bone, PW-Doppler significantly enhanced thrombolysis. However, because of a high attenuation of ultrasound by temporal bone, no thrombolytic effect was observed in our in vitro model, although Doppler imaging through the same temporal bone was still possible.


Asunto(s)
Cráneo/diagnóstico por imagen , Accidente Cerebrovascular/tratamiento farmacológico , Terapia Trombolítica/instrumentación , Ultrasonografía Doppler Transcraneal , Coagulación Sanguínea , Fibrinolíticos/farmacología , Fibrinolíticos/uso terapéutico , Humanos , Técnicas In Vitro , Masculino , Accidente Cerebrovascular/sangre , Accidente Cerebrovascular/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagen , Activador de Tejido Plasminógeno/farmacología , Activador de Tejido Plasminógeno/uso terapéutico , Ultrasonografía Doppler Dúplex , Ultrasonografía Doppler de Pulso
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