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Quantification of internal carotid artery flow with digital subtraction angiography: validation of an optical flow approach with Doppler ultrasound
Digital subtraction angiography is the reference standard technique to evaluate intracranial vascular anatomy and used on the endovascular treatment of vascular diseases. A dedicated optical flow-based algorithm was applied to DSA to measure arterial flow. The first quantification results of interna...
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Published in: | American journal of neuroradiology : AJNR 2014-01, Vol.35 (1), p.156-163 |
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creator | Pereira, V Mendes Ouared, R Brina, O Bonnefous, O Satwiaski, J Aerts, H Ruijters, D van Nijnatten, F Perren, F Bijlenga, P Schaller, K Lovblad, K-O |
description | Digital subtraction angiography is the reference standard technique to evaluate intracranial vascular anatomy and used on the endovascular treatment of vascular diseases. A dedicated optical flow-based algorithm was applied to DSA to measure arterial flow. The first quantification results of internal carotid artery flow validated with Doppler sonography are reported.
We included 22 consecutive patients who underwent endovascular procedures. To assess the sensitivity of the algorithm to contrast agent-blood mixing dynamics, we acquired high-frame DSA series (60 images/s) with different injection rates: 1.5 mL/s (n = 19), 2.0 mL/s (n = 18), and 3.0 mL/s (n = 13). 3D rotational angiography was used to extract the centerline of the vessel and the arterial section necessary for volume flow calculation. Optical flow was used to measure flow velocities in straight parts of the ICAs; these data were further compared with Doppler sonography data. DSA mean flow rates were linearly regressed on Doppler sonography measurements, and regression slope coefficient bias from value 1 was analyzed within the 95% confidence interval.
DSA mean flow rates measured with the optical flow approach significantly matched Doppler sonography measurements (slope regression coefficient, b = 0.83 ± 0.19, P = .05) for injection rate = 2.0 mL/s and circulating volumetric blood flow |
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We included 22 consecutive patients who underwent endovascular procedures. To assess the sensitivity of the algorithm to contrast agent-blood mixing dynamics, we acquired high-frame DSA series (60 images/s) with different injection rates: 1.5 mL/s (n = 19), 2.0 mL/s (n = 18), and 3.0 mL/s (n = 13). 3D rotational angiography was used to extract the centerline of the vessel and the arterial section necessary for volume flow calculation. Optical flow was used to measure flow velocities in straight parts of the ICAs; these data were further compared with Doppler sonography data. DSA mean flow rates were linearly regressed on Doppler sonography measurements, and regression slope coefficient bias from value 1 was analyzed within the 95% confidence interval.
DSA mean flow rates measured with the optical flow approach significantly matched Doppler sonography measurements (slope regression coefficient, b = 0.83 ± 0.19, P = .05) for injection rate = 2.0 mL/s and circulating volumetric blood flow <6 mL/s. For injection rate = 1.5 mL/s, volumetric blood flow <3 mL/s correlated well with Doppler sonography (b = 0.67 ± 0.33, P = .05). Injection rate = 3.0 mL/s failed to provide DSA-optical flow measurements correlating with Doppler sonography because of the lack of measurable pulsatility.
A new model-free optical flow technique was tested reliably on the ICA. DSA-based blood flow velocity measurements were essentially validated with Doppler sonography whenever the conditions of measurable pulsatility were achieved (injection rates = 1.5 and 2.0 mL/s).</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>DOI: 10.3174/ajnr.A3662</identifier><identifier>PMID: 23928145</identifier><language>eng</language><publisher>United States: American Society of Neuroradiology</publisher><subject>Angiography, Digital Subtraction - methods ; Blood Flow Velocity ; Carotid Artery, Internal ; Carotid Stenosis - diagnosis ; Carotid Stenosis - physiopathology ; Cerebral Angiography - methods ; Cerebrovascular Circulation ; Female ; Humans ; Interventional ; Male ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity ; Ultrasonography, Doppler - methods</subject><ispartof>American journal of neuroradiology : AJNR, 2014-01, Vol.35 (1), p.156-163</ispartof><rights>2014 by American Journal of Neuroradiology 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-5fd1f56b16ba662ddd9a045281f6e200284b1be693e06693ee06b8541d6cb8e43</citedby><cites>FETCH-LOGICAL-c378t-5fd1f56b16ba662ddd9a045281f6e200284b1be693e06693ee06b8541d6cb8e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966491/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966491/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23928145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pereira, V Mendes</creatorcontrib><creatorcontrib>Ouared, R</creatorcontrib><creatorcontrib>Brina, O</creatorcontrib><creatorcontrib>Bonnefous, O</creatorcontrib><creatorcontrib>Satwiaski, J</creatorcontrib><creatorcontrib>Aerts, H</creatorcontrib><creatorcontrib>Ruijters, D</creatorcontrib><creatorcontrib>van Nijnatten, F</creatorcontrib><creatorcontrib>Perren, F</creatorcontrib><creatorcontrib>Bijlenga, P</creatorcontrib><creatorcontrib>Schaller, K</creatorcontrib><creatorcontrib>Lovblad, K-O</creatorcontrib><title>Quantification of internal carotid artery flow with digital subtraction angiography: validation of an optical flow approach with Doppler ultrasound</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Digital subtraction angiography is the reference standard technique to evaluate intracranial vascular anatomy and used on the endovascular treatment of vascular diseases. A dedicated optical flow-based algorithm was applied to DSA to measure arterial flow. The first quantification results of internal carotid artery flow validated with Doppler sonography are reported.
We included 22 consecutive patients who underwent endovascular procedures. To assess the sensitivity of the algorithm to contrast agent-blood mixing dynamics, we acquired high-frame DSA series (60 images/s) with different injection rates: 1.5 mL/s (n = 19), 2.0 mL/s (n = 18), and 3.0 mL/s (n = 13). 3D rotational angiography was used to extract the centerline of the vessel and the arterial section necessary for volume flow calculation. Optical flow was used to measure flow velocities in straight parts of the ICAs; these data were further compared with Doppler sonography data. DSA mean flow rates were linearly regressed on Doppler sonography measurements, and regression slope coefficient bias from value 1 was analyzed within the 95% confidence interval.
DSA mean flow rates measured with the optical flow approach significantly matched Doppler sonography measurements (slope regression coefficient, b = 0.83 ± 0.19, P = .05) for injection rate = 2.0 mL/s and circulating volumetric blood flow <6 mL/s. For injection rate = 1.5 mL/s, volumetric blood flow <3 mL/s correlated well with Doppler sonography (b = 0.67 ± 0.33, P = .05). Injection rate = 3.0 mL/s failed to provide DSA-optical flow measurements correlating with Doppler sonography because of the lack of measurable pulsatility.
A new model-free optical flow technique was tested reliably on the ICA. DSA-based blood flow velocity measurements were essentially validated with Doppler sonography whenever the conditions of measurable pulsatility were achieved (injection rates = 1.5 and 2.0 mL/s).</description><subject>Angiography, Digital Subtraction - methods</subject><subject>Blood Flow Velocity</subject><subject>Carotid Artery, Internal</subject><subject>Carotid Stenosis - diagnosis</subject><subject>Carotid Stenosis - physiopathology</subject><subject>Cerebral Angiography - methods</subject><subject>Cerebrovascular Circulation</subject><subject>Female</subject><subject>Humans</subject><subject>Interventional</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Doppler - methods</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpVkVFrFDEQx4Mo9qy--AEkj1LYmmyy2Y0PQqm2CgURFHwLs0n2LiWXrEm25T6HX9hcrx76MgMz__nNDH-EXlNyzmjP38FtSOcXTIj2CVpRyUQjO_nzKVoRKrtGUDKcoBc53xJCOtm3z9FJy2Q7UN6t0O9vC4TiJqehuBhwnLALxaYAHmtIsTiDIdXCDk8-3uN7VzbYuLUrVZCXsSTQD4MQ1i6uE8yb3Xt8B96ZIxBqnEvd4A8MmOcUQW8OsI9xnr1NePGVleMSzEv0bAKf7avHfIp-XH36fvm5ufl6_eXy4qbRrB9K002GTp0YqRih_m6MkUB4Vx-bhG0JaQc-0tEKySwR-1jTOHScGqHHwXJ2ij4cuPMybq3RNtQLvJqT20LaqQhO_d8JbqPW8U71UgguaQW8fQSk-Guxuaity9p6D8HGJSvKJekFZz2p0rODVKeYc7LTcQ0lau-i2ruoHlys4jf_HnaU_rWN_QGVuJ5I</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Pereira, V Mendes</creator><creator>Ouared, R</creator><creator>Brina, O</creator><creator>Bonnefous, O</creator><creator>Satwiaski, J</creator><creator>Aerts, H</creator><creator>Ruijters, D</creator><creator>van Nijnatten, F</creator><creator>Perren, F</creator><creator>Bijlenga, P</creator><creator>Schaller, K</creator><creator>Lovblad, K-O</creator><general>American Society of Neuroradiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201401</creationdate><title>Quantification of internal carotid artery flow with digital subtraction angiography: validation of an optical flow approach with Doppler ultrasound</title><author>Pereira, V Mendes ; Ouared, R ; Brina, O ; Bonnefous, O ; Satwiaski, J ; Aerts, H ; Ruijters, D ; van Nijnatten, F ; Perren, F ; Bijlenga, P ; Schaller, K ; Lovblad, K-O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-5fd1f56b16ba662ddd9a045281f6e200284b1be693e06693ee06b8541d6cb8e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Angiography, Digital Subtraction - methods</topic><topic>Blood Flow Velocity</topic><topic>Carotid Artery, Internal</topic><topic>Carotid Stenosis - diagnosis</topic><topic>Carotid Stenosis - physiopathology</topic><topic>Cerebral Angiography - methods</topic><topic>Cerebrovascular Circulation</topic><topic>Female</topic><topic>Humans</topic><topic>Interventional</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Doppler - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pereira, V Mendes</creatorcontrib><creatorcontrib>Ouared, R</creatorcontrib><creatorcontrib>Brina, O</creatorcontrib><creatorcontrib>Bonnefous, O</creatorcontrib><creatorcontrib>Satwiaski, J</creatorcontrib><creatorcontrib>Aerts, H</creatorcontrib><creatorcontrib>Ruijters, D</creatorcontrib><creatorcontrib>van Nijnatten, F</creatorcontrib><creatorcontrib>Perren, F</creatorcontrib><creatorcontrib>Bijlenga, P</creatorcontrib><creatorcontrib>Schaller, K</creatorcontrib><creatorcontrib>Lovblad, K-O</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pereira, V Mendes</au><au>Ouared, R</au><au>Brina, O</au><au>Bonnefous, O</au><au>Satwiaski, J</au><au>Aerts, H</au><au>Ruijters, D</au><au>van Nijnatten, F</au><au>Perren, F</au><au>Bijlenga, P</au><au>Schaller, K</au><au>Lovblad, K-O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantification of internal carotid artery flow with digital subtraction angiography: validation of an optical flow approach with Doppler ultrasound</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2014-01</date><risdate>2014</risdate><volume>35</volume><issue>1</issue><spage>156</spage><epage>163</epage><pages>156-163</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><abstract>Digital subtraction angiography is the reference standard technique to evaluate intracranial vascular anatomy and used on the endovascular treatment of vascular diseases. A dedicated optical flow-based algorithm was applied to DSA to measure arterial flow. The first quantification results of internal carotid artery flow validated with Doppler sonography are reported.
We included 22 consecutive patients who underwent endovascular procedures. To assess the sensitivity of the algorithm to contrast agent-blood mixing dynamics, we acquired high-frame DSA series (60 images/s) with different injection rates: 1.5 mL/s (n = 19), 2.0 mL/s (n = 18), and 3.0 mL/s (n = 13). 3D rotational angiography was used to extract the centerline of the vessel and the arterial section necessary for volume flow calculation. Optical flow was used to measure flow velocities in straight parts of the ICAs; these data were further compared with Doppler sonography data. DSA mean flow rates were linearly regressed on Doppler sonography measurements, and regression slope coefficient bias from value 1 was analyzed within the 95% confidence interval.
DSA mean flow rates measured with the optical flow approach significantly matched Doppler sonography measurements (slope regression coefficient, b = 0.83 ± 0.19, P = .05) for injection rate = 2.0 mL/s and circulating volumetric blood flow <6 mL/s. For injection rate = 1.5 mL/s, volumetric blood flow <3 mL/s correlated well with Doppler sonography (b = 0.67 ± 0.33, P = .05). Injection rate = 3.0 mL/s failed to provide DSA-optical flow measurements correlating with Doppler sonography because of the lack of measurable pulsatility.
A new model-free optical flow technique was tested reliably on the ICA. DSA-based blood flow velocity measurements were essentially validated with Doppler sonography whenever the conditions of measurable pulsatility were achieved (injection rates = 1.5 and 2.0 mL/s).</abstract><cop>United States</cop><pub>American Society of Neuroradiology</pub><pmid>23928145</pmid><doi>10.3174/ajnr.A3662</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Angiography, Digital Subtraction - methods Blood Flow Velocity Carotid Artery, Internal Carotid Stenosis - diagnosis Carotid Stenosis - physiopathology Cerebral Angiography - methods Cerebrovascular Circulation Female Humans Interventional Male Middle Aged Reproducibility of Results Sensitivity and Specificity Ultrasonography, Doppler - methods |
title | Quantification of internal carotid artery flow with digital subtraction angiography: validation of an optical flow approach with Doppler ultrasound |
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