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Controlled Microfluidic Environment for Dynamic Investigation of Red Blood Cell Aggregation
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Protocol for Robust In Vivo Measurements of Erythrocyte Aggregation Using Ultrasound Spectroscopy.

Julian Garcia-Duitama1, Boris Chayer1, Damien Garcia2

  • 1Laboratory of Biorheology and Medical Ultrasonics, University of Montreal Hospital Research Center (CRCHUM), Montreal, Quebec, Canada.

Ultrasound in Medicine & Biology
|September 13, 2017
PubMed
Summary
This summary is machine-generated.

Quantitative ultrasound can now assess erythrocyte aggregation in real-time within the body. Standardizing blood flow by maintaining a low flow rate enables accurate, repeatable measurements of this inflammation marker.

Keywords:
Quantitative ultrasoundbackscatter coefficienterythrocyte aggregationflow phantom studyin vivo measuresreliabilityspectral analysis

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Area of Science:

  • Biomedical Engineering
  • Medical Diagnostics
  • Ultrasound Technology

Background:

  • Erythrocyte aggregation is a key indicator of inflammation.
  • Current laboratory methods analyze blood samples ex vivo.
  • In vivo real-time assessment is desirable but challenged by variable blood flow.

Purpose of the Study:

  • To evaluate flow standardization techniques for in vivo erythrocyte aggregation assessment using spectral ultrasound.
  • To determine the feasibility and accuracy of quantitative ultrasound for measuring erythrocyte aggregation in humans.

Main Methods:

  • Two flow standardization methods (stopping flow vs. reducing flow) were tested on animal blood samples in Couette flow.
  • The optimal method's sensitivity and repeatability were assessed in 11 human volunteers.
  • Quantitative ultrasound measures were compared with ex vivo results.

Main Results:

  • Reducing blood flow, rather than stopping it, yielded repeatable and interpretable ultrasound measures.
  • The method successfully distinguished between normal and high erythrocyte aggregation levels.
  • A strong agreement was found between in vivo ultrasound and ex vivo measurements (R² = 82.7%, p < 0.0001).

Conclusions:

  • Maintaining a low, standardized blood flow is crucial for accurate in vivo erythrocyte aggregation assessment via ultrasound.
  • Quantitative ultrasound offers a feasible and reliable method for real-time, in vivo evaluation of erythrocyte aggregation in humans.