Why the study?
Does multiple-site hemodynamic analysis of Doppler ultrasound with an adaptive color relation classifier efficiently evaluate arteriovenous access occlusion in long-term follow-up patients?
Does multiple-site hemodynamic analysis of Doppler ultrasound with an adaptive color relation classifier efficiently evaluate arteriovenous access occlusion in long-term follow-up patients?
A novel multiple-site hemodynamic analysis using Doppler ultrasound and an adaptive color relation classifier can efficiently evaluate arteriovenous access occlusion.
May support noninvasive Doppler screening for AV access occlusion; leaves open validation in larger prospective cohorts before practice change.
This study proposes multiple-site hemodynamic analysis of Doppler ultrasound with an adaptive color relation classifier for arteriovenous access occlusion evaluation in routine examinations. The hemodynamic analysis is used to express the properties of blood flow through a vital access or a tube, using dimensionless numbers. An acoustic measurement is carried out to detect the peak-systolic and peak-diastolic velocities of blood flow from the arterial anastomosis sites (A) to the venous anastomosis sites (V). The ratio of the supracritical Reynolds (Re(supra)) number and the resistive (Res) index quantitates the degrees of stenosis (DOS) at multiple measurement sites. Then, an adaptive color relation classifier is designed as a nonlinear estimate model to survey the occlusion level in monthly examinations. For 30 long-term follow-up patients, the experimental results show the proposed screening model efficiently evaluates access occlusion.
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Wu et al. (2014) studied this question.
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