Title
Delineation of Human Carotid Plaque Features in Vivo by Exploiting Displacement Variance
Date Issued
01 March 2019
Access level
open access
Resource Type
journal article
Author(s)
Czernuszewicz T.J.
Homeister J.W.
Caughey M.C.
Huang B.Y.
Lee E.R.
Zamora C.A.
Farber M.A.
Marston W.A.
Huang D.Y.
Nichols T.C.
Gallippi C.M.
University of North Carolina
Publisher(s)
Institute of Electrical and Electronics Engineers Inc.
Abstract
While in vivo acoustic radiation force impulse (ARFI)-induced peak displacement (PD) has been demonstrated to have high sensitivity and specificity for differentiating soft from stiff plaque components in patients with carotid plaque, the parameter exhibits poorer performance for distinguishing between plaque features with similar stiffness. To improve discrimination of carotid plaque features relative to PD, we hypothesize that signal correlation and signal-to-noise ratio (SNR) can be combined, outright or via displacement variance. Plaque feature detection by displacement variance, evaluated as the decadic logarithm of the variance of acceleration and termed 'log(VoA),' was compared to that achieved by exploiting SNR, cross correlation coefficient, and ARFI-induced PD outcome metrics. Parametric images were rendered for 25 patients undergoing carotid endarterectomy, with spatially matched histology confirming plaque composition and structure. On average, across all plaques, log(VoA) was the only outcome metric with values that statistically differed between regions of lipid-rich necrotic core (LRNC), intraplaque hemorrhage (IPH), collagen (COL), and calcium (CAL). Further, log(VoA) achieved the highest contrast-to-noise ratio (CNR) for discriminating between LRNC and IPH, COL and CAL, and grouped soft (LRNC and IPH) and stiff (COL and CAL) plaque components. More specifically, relative to the previously demonstrated ARFI PD parameter, log(VoA) achieved 73% higher CNR between LRNC and IPH and 59% higher CNR between COL and CAL. These results suggest that log(VoA) enhances the differentiation of LRNC, IPH, COL, and CAL in human carotid plaques, in vivo, which is clinically relevant to improving stroke risk prediction and medical management.
Start page
481
End page
492
Volume
66
Issue
3
Language
English
OCDE Knowledge area
Radiología, Medicina nuclear, Imágenes médicas Ingeniería médica
Scopus EID
2-s2.0-85062937773
PubMed ID
Source
IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
ISSN of the container
08853010
Sponsor(s)
Manuscript received December 19, 2018; accepted February 4, 2019. Date of publication February 11, 2019; date of current version March 14, 2019. This work was supported by the NIH under Grant R01HL092944, Grant R01NS074057, Grant R01DK107740, Grant T32HL069768, and Grant K02HL105659. (Corresponding author: Caterina M. Gallippi.) G. Torres and C. M. Gallippi are with the Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514 USA, and North Carolina State University, Raleigh, NC 27695 USA (e-mail: cmgallip. . ail.unc.edu).
Sources of information: Directorio de Producción Científica Scopus