| 研究生: |
黃勁嘉 Huang, Chin-Chia |
|---|---|
| 論文名稱: |
使用雙陣元高頻超音波換能器量測阿茲海默症老鼠頸動脈血管彈性 In vivo measurement of stiffness of carotid artery in Alzheimer's disease mice by a dual elements high frequency ultrasound transducer |
| 指導教授: |
黃執中
Huang, Chih-Chung |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 生物醫學工程學系 Department of BioMedical Engineering |
| 論文出版年: | 2016 |
| 畢業學年度: | 104 |
| 語文別: | 英文 |
| 論文頁數: | 61 |
| 中文關鍵詞: | 阿茲海默症 、動脈粥狀硬化 、超音波 、脈衝波速度 、雙震源式超音波探頭 |
| 外文關鍵詞: | Atherosclerosis, Ultrasound, Pulse Wave Velocity, Dual elements transducer |
| 相關次數: | 點閱:102 下載:1 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
動脈的硬度變化和動脈病變以及相關疾病,例如動脈粥狀硬化、中風、高血壓有著高度相關。而超音波因為其非侵入式,即時成像和安全因素而被廣泛應用在檢測動脈性質上。脈衝波速度之所以成為檢測動脈彈性性質上的重要指數是因為脈衝波速度在較硬動脈上會明顯提高。而在先前的研究中,為了在臨床前實驗中去量測老鼠動脈上的脈衝波速度,結合了高頻超音波系統和心電訊號的觸發器。
在本論文中提出了一套採用雙陣元式探頭去量測脈衝波速度的系統,依靠其不需要心電訊號觸發器來獲得高頻超音波影像。系統會比較在正常老鼠和有動脈硬化老鼠上的脈衝波速度來驗證系統的正確性。在正常老鼠以及動脈硬化的老鼠中,平均脈衝波速度有著明顯的差異,在有動脈硬化的老鼠中其脈衝波速度為2.7±0.64(m/s)是遠高於普通老鼠的1.6±0.43(m/s),也因此驗證本論文所提出系統的正確性。
另一方面,在許多研究中指出阿茲海默症會導致頸動脈的彈性發生改變,在本論文中我們將此系統方法應用在有阿茲海默症的老鼠身上並觀測與驗證是不是和人類案例有相似的結果並比較不同組別的老鼠其結果的相異性,在正常老鼠以及阿茲海默症的同齡老鼠中,平均脈衝波速度有明顯的差異,與人體上阿茲海默症會影響動脈壁的彈性並使其更易於造成動脈硬化有著相同的結果。
在本論文中,我們成功建立了在老鼠頸動脈上阿茲海默症與動脈硬化的相關性並成功開發出一套採用雙陣元式探頭去量測脈衝波速度的系統。
The stiffness of artery is highly related to the arterial disease, such as arteriosclerosis. Ultrasound modality has been used extensively to detect the properties of artery due to its noninvasive, real time, and safety consideration. The pulse wave velocity (PWV) of artery is an important index for assessing the elastic properties of artery because the PWV was increased with arterial stiffness. In order to measure the PWV of artery in mice for pre-clinical study, a combination of high frequency ultrasound system and ECG gating techniques was proposed in previous study.
A novel dual elements transducers PWV system without ECG gating synchronization was proposed to measure the sitffness of mice artery in this study. The system was verified by comparing the PWVs between the normal artery and arteriosclerostic artery in mice. The average of PWV are obvious difference between normal group and control group. The PWV is 2.7±0.64 (m/s) in control group that is faster than normal group which one is 1.6±0.43 (m/s). This results can prove the accurate in the system that was proposed in present study.
On the other hand, the stiffness of the artery wall that will be transformed by the Alzheimer's disease were proposed in previous study. In this study, we applied the system to measure the Alzheimer's disease mice and observed the results of the different groups. The average of the PWV are obvious differences between the normal mice and the Alzheimer's disease mice that are both at the same age, the results in this experiments have a same relationship in the human experiments.
In this paper, we successfully established the correlation between Alzheimer's disease and atherosclerosis in the mice carotid artery and developed a high frequency ultrasound dual-elements transducer system to measure the pulse wave velocity.
[1] L. Liu and C. Chan, "The role of inflammasome in Alzheimer's disease," Ageing research reviews, vol. 15, pp. 6-15, 2014.
[2] M. Silvestrini, G. Viticchi, L. Falsetti, C. Balucani, F. Vernieri, R. Cerqua, et al., "The role of carotid atherosclerosis in Alzheimer's disease progression," Journal of Alzheimer's Disease, vol. 25, pp. 719-726, 2011.
[3] G. Lanzino, A. A. Rabinstein, and R. D. Brown, "Treatment of carotid artery stenosis: medical therapy, surgery, or stenting?," in Mayo Clinic Proceedings, 2009, pp. 362-368.
[4] A. Gupta and C. Iadecola, "Impaired Aβ clearance: a potential link between atherosclerosis and Alzheimer’s disease," Frontiers in aging neuroscience, vol. 7, 2015.
[5] L. Li, D. Cao, D. W. Garber, H. Kim, and K.-i. Fukuchi, "Association of aortic atherosclerosis with cerebral β-amyloidosis and learning deficits in a mouse model of Alzheimer's disease," The American journal of pathology, vol. 163, pp. 2155-2164, 2003.
[6] S. C. Johnston, E. S. O'Meara, T. A. Manolio, D. Lefkowitz, D. H. O'Leary, S. Goldstein, et al., "Cognitive impairment and decline are associated with carotid artery disease in patients without clinically evident cerebrovascular disease," Annals of internal medicine, vol. 140, pp. 237-247, 2004.
[7] M. Silvestrini, B. Gobbi, P. Pasqualetti, M. Bartolini, R. Baruffaldi, C. Lanciotti, et al., "Carotid atherosclerosis and cognitive decline in patients with Alzheimer's disease," Neurobiology of aging, vol. 30, pp. 1177-1183, 2009.
[8] K. Fujikura, J. Luo, V. Gamarnik, M. Pernot, R. Fukumoto, M. D. Tilson, et al., "A novel noninvasive technique for pulse-wave imaging and characterization of clinically-significant vascular mechanical properties in vivo," Ultrasonic imaging, vol. 29, pp. 137-154, 2007.
[9] N. Di Lascio, F. Stea, C. Kusmic, R. Sicari, and F. Faita, "Non-invasive assessment of pulse wave velocity in mice by means of ultrasound images," Atherosclerosis, vol. 237, pp. 31-37, 2014.
[10] C. K. Macgowan, S. J. Stoops, Y.-Q. Zhou, L. S. Cahill, and J. G. Sled, "Evaluation of cerebrovascular impedance and wave reflection in mouse by ultrasound," Journal of Cerebral Blood Flow & Metabolism, vol. 35, pp. 521-526, 2015.
[11] S. D. Nandlall, M. P. Goldklang, A. Kalashian, N. A. Dangra, J. M. D’Armiento, and E. E. Konofagou, "Monitoring and staging abdominal aortic aneurysm disease with pulse wave imaging," Ultrasound in medicine & biology, vol. 40, pp. 2404-2414, 2014.
[12] F. Li, Q. He, C. Huang, K. Liu, J. Shao, and J. Luo, "High frame rate and high line density ultrasound imaging for local pulse wave velocity estimation using motion matching: A feasibility study on vessel phantoms," Ultrasonics, vol. 67, pp. 41-54, 2016.
[13] F. W. Kremkau and F. Forsberg, Sonography principles and instruments: Elsevier Health Sciences, 2015.
[14] K. K. Shung, Diagnostic ultrasound: Imaging and blood flow measurements: CRC press, 2015.
[15] W. McDicken and T. Anderson, "The difference between colour Doppler velocity imaging and power Doppler imaging," European Journal of Echocardiography, vol. 3, p. 240, 2002.
[16] J. Blacher, R. Asmar, S. Djane, G. M. London, and M. E. Safar, "Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients," Hypertension, vol. 33, pp. 1111-1117, 1999.
[17] S. Laurent, P. Boutouyrie, R. Asmar, I. Gautier, B. Laloux, L. Guize, et al., "Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients," Hypertension, vol. 37, pp. 1236-1241, 2001.
[18] K. Hirata, T. Yaginuma, M. F. O’Rourke, and M. Kawakami, "Age-related changes in carotid artery flow and pressure pulses possible implications for cerebral microvascular disease," Stroke, vol. 37, pp. 2552-2556, 2006.
[19] D. Korteweg, "Ueber die Fortpflanzungsgeschwindigkeit des Schalles in elastischen Röhren," Annalen der Physik, vol. 241, pp. 525-542, 1878.
[20] X. Zhao, D. Ho, S. Gao, C. Hong, D. E. Vatner, and S. F. Vatner, "Arterial pressure monitoring in mice," Current protocols in mouse biology, pp. 105-122, 2011.
[21] R. Williams, A. Needles, E. Cherin, Y.-Q. Zhou, R. M. Henkelman, S. L. Adamson, et al., "Noninvasive ultrasonic measurement of regional and local pulse-wave velocity in mice," Ultrasound in medicine & biology, vol. 33, pp. 1368-1375, 2007.
[22] M. F. O’Rourke, W. W. Nichols, and E. O’Brien, "Effects of ramipril on arterial stiffness," Hypertension, vol. 46, pp. e14-e15, 2005.
[23] C. Kleinstreuer, Z. Li, and M. Farber, "Fluid-structure interaction analyses of stented abdominal aortic aneurysms," Annu. Rev. Biomed. Eng., vol. 9, pp. 169-204, 2007.
[24] J. I. Davies and A. D. Struthers, "Pulse wave analysis and pulse wave velocity: a critical review of their strengths and weaknesses," Journal of hypertension, vol. 21, pp. 463-472, 2003.
[25] C. J. Hartley, G. E. Taffet, L. H. Michael, T. T. Pham, and M. L. Entman, "Noninvasive determination of pulse-wave velocity in mice," The American journal of physiology, vol. 273, pp. H494-500, 1997.
[26] X. Zhang and J. F. Greenleaf, "Noninvasive generation and measurement of propagating waves in arterial walls," The Journal of the Acoustical Society of America, vol. 119, pp. 1238-1243, 2006.
[27] J. K. Li, Dynamics of the vascular system vol. 1: World scientific, 2004.
[28] S. I. Rabben, N. Stergiopulos, L. R. Hellevik, O. A. Smiseth, S. Slørdahl, S. Urheim, et al., "An ultrasound-based method for determining pulse wave velocity in superficial arteries," Journal of biomechanics, vol. 37, pp. 1615-1622, 2004.
[29] C. J. Jones, M. Sugawara, Y. Kondoh, K. Uchida, and K. H. Parker, "Compression and expansion wavefront travel in canine ascending aortic flow: wave intensity analysis," Heart and vessels, vol. 16, pp. 91-98, 2002.
[30] A. Harada, T. Okada, K. Niki, D. Chang, and M. Sugawara, "On-line noninvasive one-point measurements of pulse wave velocity," Heart and vessels, vol. 17, pp. 61-68, 2002.
[31] J. Feng and A. Khir, "Determination of wave speed and wave separation in the arteries using diameter and velocity," Journal of biomechanics, vol. 43, pp. 455-462, 2010.
[32] C. J. Hartley, A. K. Reddy, S. Madala, M. L. Entman, L. H. Michael, and G. E. Taffet, "Doppler velocity measurements from large and small arteries of mice," American Journal of Physiology-Heart and Circulatory Physiology, vol. 301, pp. H269-H278, 2011.