Quantification of Blood Flow in Dialysis Access Using Custom-Acquisition Protocol and Imaging Methods: A Clinical Validation Study.
J Vasc Interv Radiol
; 30(7): 1062-1068.e2, 2019 Jul.
Article
em En
| MEDLINE
| ID: mdl-30928484
ABSTRACT
PURPOSE:
To determine access blood flow (ABF) rate using 2D image sequences acquired with digital subtraction angiography (DSA) and fluoroscopy. MATERIALS ANDMETHODS:
A total of 23 patients with known or suspected malfunctioning accesses were imaged using 2 filming modes DSA at 3 or 6 frames/s (F/s), and fluoroscopy at 10 or 15 pulses/s (P/s). ABF rates were quantified using a bolus tracking method based on cross-correlation algorithm and compared with catheter-based thermal dilution (TD) flow measurements. The indicator-dilution curves were fitted with a gamma-variate (GV) curve fitting model to assess the effect on accuracy. Radiation doses were calculated to examine any increased susceptibility to tissue reactions and stochastic effects.RESULTS:
For DSA images, the absolute percent deviations (mean ± standard error of mean) in computed flow vs TD flow measurements at 3 F/s and 6 F/s were 34% ± 4.5% and 20% ± 4.7%, respectively, without curve fitting, and 31% ± 3.3% and 20% ± 4.1%, respectively, with curve fitting. For fluoroscopic images, the deviations at 10 P/s and 15 P/s were 44% ± 7.3% and 68% ± 10.7%, respectively, without curve fitting and 36% ± 6.4% and 48% ± 7.1%, respectively, with curve fitting. The mean peak skin dose and effective dose at 6 F/s were 3.28 mGy and 75 µSv, respectively.CONCLUSIONS:
Digital subtraction angiography images obtained at 6 F/s offered the highest accuracy for dialysis access blood flow quantification.
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Base de dados:
MEDLINE
Assunto principal:
Algoritmos
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Grau de Desobstrução Vascular
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Derivação Arteriovenosa Cirúrgica
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Interpretação de Imagem Radiográfica Assistida por Computador
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Angiografia Digital
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Diálise Renal
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Falência Renal Crônica
Tipo de estudo:
Guideline
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Prognostic_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article