Document Detail


Automated morphologic evaluation of pulmonary arteries in primary pulmonary hypertension.
MedLine Citation:
PMID:  3804657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary wedge angiograms have been shown to reflect the severity of pulmonary vascular disease in congenital heart disease. Thirteen pulmonary wedge angiograms with a balloon occlusion catheter were performed in 11 adult patients (five normals and six with primary pulmonary hypertension [PPH]) and their features related to the resting pulmonary artery pressure (PAP). Individual cine frames from each study were selected and digitized with a computer-assisted operator-interactive program. By fitting densitometric profiles from the vessel segments, serial arterial cross-sectional diameters were calculated from mathematically derived points. There was a strong correlation between arterial taper (T, change in vessel caliber per unit axial length) and a power function of mean PAP with T = 0.304 X PAP-0.59, R = .91, P less than .001. These results demonstrate a correlation between an angiographically derived morphologic characteristic of the pulmonary vasculature (taper) and a hemodynamic parameter (PAP) in PPH. This offers a method to follow the course of the disease and the effects of drug therapy by assessing anatomic changes in the vessels.
Authors:
L M Boxt; S Rich; R Fried; L La Follette; T Sandor; W B Hanlon; D P Harrington; L Reid
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Investigative radiology     Volume:  21     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-03-19     Completed Date:  1987-03-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  906-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Hypertension, Pulmonary / radiography*
Image Processing, Computer-Assisted
Pulmonary Artery / physiopathology,  radiography*
Pulmonary Wedge Pressure
Regression Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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