Aortic integral distensibility based on the auto-segmented dynamic motion of the aortic wall

Abstract

Abstract Background Aortic stiffness is important in cardiovascular diseases and predicting outcomes. Echocardiography is a widely used noninvasive imaging modality for assessing aortic stiffness, but its accuracy can be limited by the low spatial resolution of ultrasound-based images and the subjectivity of manual measurements of aortic dimensions. Automated segmentation analysis can provide a more accurate and objective measure. Objective An automated algorithm and software have been developed for segmenting the aortic wall. A new measurement technique called "Aortic Integral Distensibility (AID)" has been formulated using this framework. This method overcomes limitations of traditional method focusing solely on the two positions of Aortic Distensibility (AD). Method In this particular investigation, 112 participants were subjected to echocardiography in order to quantify the dynamics of the aortic wall. An automated algorithm was devised to delineate the aortic wall by utilizing an M-mode echocardiography scan. The statistical analysis encompassed the measurement of AD and AID before and after the age of 65 group. This analysis was conducted considering various risk factors, including age, gender, weight, BMI, smoking, and blood pressure. Additionally, clinical parameters, specifically AIx @75 (Augmentation Index) and Framingham Risk Score (FRS), were evaluated as well. Inter-rater reliability was conducted between the traditional AD and the newly implemented AID. Results The results indicate that the group under 65 had more distensibility than the group over 65, and AID measurements were slightly higher than AD measurements. SBP showed a strong correlation with AID, rather than AD. AIx @75 and FRS had a negative relationship with distensibility. In the 65 years or older group, there was a significant negative correlation observed between AIx @75 and AID (r = -0.4, p = 0.012). Furthermore, a strong correlation was also observed between FRS and AID (r = -0.53, p = 0.002). Bland-Altman analysis demonstrated that the automated methodology had better reproducibility and less variability in distensibility measurements than the manual methodology. Conclusion The study suggests that AID could be valuable for assessing aortic stiffness. AID could help clinicians diagnose and manage cardiovascular diseases more accurately. The automatic approach provides reliable measurements for aortic distensibility and strain, which has clinical implications.Schematic Chart of the Study Process