PMID- 30187117 OWN - NLM STAT- MEDLINE DCOM- 20190325 LR - 20200330 IS - 1432-1084 (Electronic) IS - 0938-7994 (Linking) VI - 29 IP - 3 DP - 2019 Mar TI - Carotid stiffness and atherosclerotic risk: non-invasive quantification with ultrafast ultrasound pulse wave velocity. PG - 1507-1517 LID - 10.1007/s00330-018-5705-7 [doi] AB - OBJECTIVES: To evaluate the value of ultrafast pulse wave velocity (ufPWV) for the quantitative assessment of carotid stiffness and its associated with atherosclerosis (AS) risk. METHODS: The present study included 233 patients with hyperlipoidaemia (AS risk group) and 114 healthy adults as the control group. The carotid (n = 694) intima-media thickness (cIMT), pulse wave velocity-beginning of systole (PWV-BS) and pulse wave velocity-end of systole (PWV-ES) were measured on sample images. Differences, distributive characteristics and correlation evaluation were assessed in patients (ages 18-29, 30-39, 40-49, 50-59, 60-69 and >/=70) and carotids (control group vs AS risk group). RESULTS: The cIMT, PWV-BS and PWV-ES increased with age; PWV-ES and cIMT showed an early significant increase in the 30-39 years group, whereas PWV-BS displayed a significant increase at 40-49 years compared with the 18- to 29-years group. Besides, PWV-ES correlated well with age compared with PWV-BS and cIMT. For carotid level, cIMT, PWV-BS and PWV-ES measurements were higher in the AS risk group compared with control. To compare the value of ufPWV and cIMT in early AS assessment, we subdivided groups into cIMT subgroups using a cut-off thickness of 0.050 cm. PWV-ES measurements were higher in the AS risk group compared with the control in the 0.040-0.050 cm (not thickened) and 0.051-0.060 cm (thickened) cIMT subgroups. CONCLUSIONS: Carotid ufPWV measurement at PWV-ES is a novel modality for the early diagnosis and quantitative assessment of arterial stiffness associated with atherosclerotic risk. KEY POINTS: * ufPWV technique is real-time and well repeatable for assessing carotid stiffness * ufPWV measurements increase and correlate well with age * PWV-ES is a quantitative predictor for the early assessment of AS. FAU - Zhu, Zheng-Qiu AU - Zhu ZQ AD - Department of Ultrasound, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Chen, Ling-Shan AU - Chen LS AD - Department of Radiology, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Wang, Han AU - Wang H AD - Department of Geratology, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Liu, Fu-Ming AU - Liu FM AD - Department of Cardiology, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Luan, Yun AU - Luan Y AD - Department of Ultrasound, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Wu, Lin-Lin AU - Wu LL AD - Department of Ultrasound, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Liu, Niu AU - Liu N AD - Department of Ultrasound, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. FAU - Wang, Pin AU - Wang P AD - Department of Endocrinology, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, Chengdu, 610000, China. FAU - Huang, Hui AU - Huang H AD - Department of Ultrasound, Affiliated Hospital of Nanjing University of CM, Nanjing, 210029, China. szcrhh007@vip.163.com. LA - eng GR - Y17048/the Research Project of Jiangsu Province Hospital of TCM/ GR - YB2015020/the Research Project of Jiangsu Province of TCM/ PT - Journal Article DEP - 20180905 PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Atherosclerosis/*diagnostic imaging/*physiopathology MH - Carotid Arteries/*diagnostic imaging/*physiopathology MH - Carotid Artery Diseases/*diagnostic imaging/*physiopathology MH - Carotid Intima-Media Thickness MH - Early Diagnosis MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - *Pulse Wave Analysis MH - Risk Factors MH - Systole MH - Ultrasonography MH - *Vascular Stiffness MH - Young Adult OTO - NOTNLM OT - Arterial stiffness OT - Atherosclerosis OT - Carotid arteries OT - Carotid intima-media thickness OT - Pulse wave velocity EDAT- 2018/09/07 06:00 MHDA- 2019/03/26 06:00 CRDT- 2018/09/07 06:00 PHST- 2018/04/12 00:00 [received] PHST- 2018/08/06 00:00 [accepted] PHST- 2018/07/25 00:00 [revised] PHST- 2018/09/07 06:00 [pubmed] PHST- 2019/03/26 06:00 [medline] PHST- 2018/09/07 06:00 [entrez] AID - 10.1007/s00330-018-5705-7 [pii] AID - 10.1007/s00330-018-5705-7 [doi] PST - ppublish SO - Eur Radiol. 2019 Mar;29(3):1507-1517. doi: 10.1007/s00330-018-5705-7. Epub 2018 Sep 5.