Related Experiment Video
Updated: Jul 17, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
An effective image measurement in brachial flow-mediated dilation response analysis
Jen-Chien Chien1, Jeng-Pang Wang, Meng-Lun Hsueh
1Institute of Electrical Engineering, National Taiwan University, Taipei, Taiwan.
Insights
This study introduces an automated image analysis method to assess endothelial function by calculating flow-mediated dilation (FMD) from ultrasound images, aiding early cardiovascular disease diagnosis.
Area of Science:
- Cardiovascular Imaging and Diagnostics
- Biomedical Engineering
- Medical Image Analysis
Background:
- Endothelial dysfunction is a key factor in cardiovascular diseases like hypertension and diabetes.
- Flow-mediated dilation (FMD) assessed via ultrasound is crucial for evaluating endothelial function.
- Current manual FMD measurement methods are labor-intensive and prone to variability.
Purpose of the Study:
- To develop and validate an automated image analysis technique for quantifying brachial artery FMD.
- To provide a non-invasive, objective method for assessing endothelial function.
- To enhance early diagnosis and management of cardiovascular diseases.
Main Methods:
- Utilizing B-mode ultrasound to capture brachial artery images at 10 frames per second.
- Implementing Hough Transform for vessel center detection and edge-preserving filters for noise reduction.
- Applying Laplacian of Gaussian for precise edge point detection to measure brachial artery radius changes.
Main Results:
- The developed image analysis method accurately computes brachial cardiovascular radius changes.
- Automated FMD calculation enables objective assessment of endothelial function.
- This approach offers a non-invasive alternative to manual FMD measurements.
Conclusions:
- Automated ultrasound image analysis provides a reliable method for FMD assessment.
- This technique can significantly aid in the early detection of endothelial dysfunction and cardiovascular risks.
- The developed system offers a scalable and efficient tool for clinical cardiovascular diagnostics.
Abstract:
Non-invasive cardiovascular measurements are used to evaluate cardiovascular diseases early and to cure early. By using various evaluation methods of cardiovascular features to diagnose cardiovascular disease.Flow-mediated dilation (FMD) evaluated by Ultrasound offers a mechanism to characterize endothelial function and, therefore, may play a role in the diagnosis of cardiovascular diseases. Cardiovascular endothelial is intermedia between blood and cardiovascular muscle. It has important effect for keeping balance of the environment in vessel. Nitric Oxide (NO) is the most important fact. Many cardiovascular diseases, like high cholesterol, high blood pressure, coronary heart disease, diabetes, smoking, is the cause of endothelial dysfunction. We design a series of images analysis methods to compute the change of cardiovascular radius in ultrasound images for evaluating endothelial function instead of measuring by-hand. We use B-mode ultrasound system to measure brachial cardiovascular radius. Then we capture the images by image capture card 10 images per second. We evaluate the average radius of brachial cardiovascular radius before we cut off blood flow. And we evaluate the maximum radius of brachial cardiovascular radius after we cut off blood flow and release it. Using the two radii we can compute the FMD value to evaluate endothelial function. First, we use Hough Transform to detect possible center possible of vessel. Then we use edge-reserved filter to filtrate speckle noise and preserve edge. After filtrating noise, we utilize Laplacian of Gaussian to detect edge-points.
Related Concept Videos
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement

