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Am J Physiol Heart Circ Physiol (March 13, 2003). doi:10.1152/ajpheart.00729.2002
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Submitted on August 20, 2002
Accepted on March 5, 2003

Assessment of spatial inhomogeneities in intima media thickness along an arterial segment using its dynamic behavior

Jan M. Meinders1*, Lilian Kornet2, and Arnold P. Hoeks1

1 Department of Biophysics, University Maastricht, Maastricht, The Netherlands
2 Department of Physiology, University Maastricht, Maastricht, The Netherlands

* To whom correspondence should be addressed. E-mail: j.meinders{at}bf.unimaas.nl.

To assess locally deviating structural and mechanical properties of arterial walls, the spatial variance in end-diastolic intima media thickness (IMT) and the change in IMT during the cardiac cycle ({Delta}IMT) will be determined along a short segment of the common carotid artery (15.86 mm), at 16 positions simultaneously. Intra-subject spatial inhomogeneities along the artery are revealed by a spatial variance significantly larger than the temporal variance over several beats. If differences between positions are confirmed, the extent of the inhomogeneity is obtained by comparison of IMT and {Delta}IMT at each position with the spatial median ± the least significant difference. Since no inter-subject comparisons are necessary, a single session of several measurements is sufficient to assess inhomogeneities in the arterial wall properties of a subject, making the method independent of biological variability between subjects. The method is evaluated on 47 presumed healthy subjects (age range 21-75 years). In 22 subjects spatial inhomogeneities in {Delta}IMT occur (p<0.05). In young subjects {Delta}IMT is locally decreased, i.e. in systole inhomogeneities are less compressed than their surrounding tissue. In older subjects {Delta}IMT is locally increased, i.e. the inhomogeneity is locally more compressed than its surrounding wall tissue.




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