PMID- 28486936 OWN - NLM STAT- MEDLINE DCOM- 20180122 LR - 20240216 IS - 1471-2261 (Electronic) IS - 1471-2261 (Linking) VI - 17 IP - 1 DP - 2017 May 10 TI - Effects of inaccuracies in arterial path length measurement on differences in MRI and tonometry measured pulse wave velocity. PG - 118 LID - 10.1186/s12872-017-0546-x [doi] LID - 118 AB - BACKGROUND: Carotid-femoral pulse wave velocity (cf-PWV) and aortic PWV measured using MRI (MRI-PWV) show good correlation, but with a significant and consistent bias across studies. The aim of the current study was to evaluate whether the differences between cf.-PWV and MRI-PWV can be accounted for by inaccuracies of currently used distance measurements. METHODS: One hundred fourteen study participants were recruited into one of 4 groups: Type 2 diabetes melltus (T2DM) with cardiovascular disease (CVD) (n = 23), T2DM without CVD (n = 41), CVD without T2DM (n = 25) and a control group (n = 25). All participants underwent cf.-PWV, cardiac MRI and whole body MR angiography(WB-MRA). 90 study participants also underwent aortic PWV using MRI. cf.-PWV(EXT) was performed using a SphygmoCor device (Atcor Medical, West Ryde, Australia). The true intra-arterial pathlength was measured using the WB-MRA and then used to recalculate the cf.-PWV(EXT) to give a cf.-PWV(MRA). RESULTS: Distance measurements were significantly lower on WB-MRA than on external tape measure (mean diff = -85.4 +/- 54.0 mm,p < 0.001). MRI-PWV was significantly lower than cf.-PWV(EXT) (MRI-PWV = 8.1 +/- 2.9 vs. cf.-PWV(EXT) = 10.9 +/- 2.7 ms(-1),p < 0.001). When cf.-PWV was recalculated using the inter-arterial distance from WB-MRA, this difference was significantly reduced but not lost (MRI-PWV = 8.1 +/- 2.9 ms(-1) vs. cf.-PWV(MRA) 9.1 +/- 2.1 ms(-1), mean diff = -0.96 +/- 2.52 ms(-1),p = 0.001). Recalculation of the PWV increased correlation with age and pulse pressure. CONCLUSION: Differences in cf.-PWV and MRI PWV can be predominantly but not entirely explained by inaccuracies introduced by the use of simple surface measurements to represent the convoluted arterial path between the carotid and femoral arteries. FAU - Weir-McCall, Jonathan R AU - Weir-McCall JR AUID- ORCID: 0000-0001-5842-842X AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Khan, Faisel AU - Khan F AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. f.khan@dundee.ac.uk. FAU - Cassidy, Deirdre B AU - Cassidy DB AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Thakur, Arsh AU - Thakur A AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Summersgill, Jennifer AU - Summersgill J AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Matthew, Shona Z AU - Matthew SZ AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Adams, Fiona AU - Adams F AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Dove, Fiona AU - Dove F AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Gandy, Stephen J AU - Gandy SJ AD - NHS Tayside Medical Physics, Ninewells Hospital, Dundee, Scotland, UK. FAU - Colhoun, Helen M AU - Colhoun HM AD - Centre for Genomic and Experimental Medicine, The University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland, UK. FAU - Belch, Jill Jf AU - Belch JJ AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. FAU - Houston, J Graeme AU - Houston JG AD - Division of Molecular and Clinical Medicine, Medical Research Institute, University of Dundee, Dundee, DD1 9SY, UK. j.g.houston@dundee.ac.uk. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - WT 085664/WT_/Wellcome Trust/United Kingdom PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20170510 PL - England TA - BMC Cardiovasc Disord JT - BMC cardiovascular disorders JID - 100968539 SB - IM MH - Aged MH - Aorta/*diagnostic imaging/physiopathology MH - Cardiovascular Diseases/*diagnostic imaging/physiopathology MH - Carotid Arteries/*diagnostic imaging/physiopathology MH - Diabetes Mellitus, Type 2/*complications/diagnosis MH - Diabetic Angiopathies/*diagnostic imaging/etiology/physiopathology MH - Female MH - Femoral Artery/*diagnostic imaging/physiopathology MH - Humans MH - *Magnetic Resonance Angiography MH - Male MH - *Manometry MH - Middle Aged MH - Predictive Value of Tests MH - Pulse Wave Analysis/*methods MH - Regional Blood Flow MH - Reproducibility of Results MH - *Vascular Stiffness MH - Whole Body Imaging PMC - PMC5424356 OTO - NOTNLM OT - Arteriosclerosis OT - Cardiovascular OT - Diabetes OT - MRI OT - PWV EDAT- 2017/05/11 06:00 MHDA- 2018/01/23 06:00 PMCR- 2017/05/10 CRDT- 2017/05/11 06:00 PHST- 2017/02/14 00:00 [received] PHST- 2017/04/28 00:00 [accepted] PHST- 2017/05/11 06:00 [entrez] PHST- 2017/05/11 06:00 [pubmed] PHST- 2018/01/23 06:00 [medline] PHST- 2017/05/10 00:00 [pmc-release] AID - 10.1186/s12872-017-0546-x [pii] AID - 546 [pii] AID - 10.1186/s12872-017-0546-x [doi] PST - epublish SO - BMC Cardiovasc Disord. 2017 May 10;17(1):118. doi: 10.1186/s12872-017-0546-x.