Skip to main content
Log in

Reproducibility of pulse wave velocity measurements with phase contrast magnetic resonance and applanation tonometry

  • Original Paper
  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

Increased aortic pulse wave velocity (PWV) results from loss of arterial compliance and is associated with unfavorable outcomes. Applanation tonometry (AT) is the most frequently applied method to assess PWV and deduce aortic compliance. The goal of this study was to compare the reproducibility of PWV measurements obtained with: (1) cross-correlation analysis of phase contrast magnetic resonance (PCMR) velocity data, and (2) applanation tonometry (AT). PWV was measured twice with each modality in 13 normal young volunteers (controls) and 9 older patients who had undergone a CT exam to evaluate coronary artery calcium. The coefficient of variation (CoV) between measurements was computed for each modality. There was no significant difference in PWV values obtained with AT and PCMR in controls or patients. The inter-scan reproducibility of PCMR was superior to AT in the controls (CoV: 3.4 ± 2.3% vs. 6.3 ± 4.0%, P = 0.03) but not in the older patients (7.4 ± 8.0% vs. 9.9 ± 9.6%, P = 0.32). PWV values were higher in patients than controls (5.6 ± 1.2 vs. 9.7 ± 2.8, P = 0.002). PCMR and AT yielded similar values for PWV in patients and volunteers. PCMR showed a superior reproducibility in young subjects but not in older patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. O’Rourke MF, Nichols WW (2005) Aortic diameter, aortic stiffness, and wave reflection increase with age and isolated systolic hypertension. Hypertension 45(4):652–658

    Article  PubMed  Google Scholar 

  2. Farrar DJ, Bond MG, Riley WA, Sawyer JK (1991) Anatomic correlates of aortic pulse wave velocity and carotid artery elasticity during atherosclerosis progression and regression in monkeys. Circulation 83(5):1754–1763

    Article  PubMed  CAS  Google Scholar 

  3. Farrar DJ, Green HD, Wagner WD, Bond MG (1980) Reduction in pulse wave velocity and improvement of aortic distensibility accompanying regression of atherosclerosis in the rhesus monkey. Circ Res 47(3):425–432

    Article  PubMed  CAS  Google Scholar 

  4. Haydar AA, Covic A, Colhoun H, Rubens M, Goldsmith DJA (2004) Coronary artery calcification and aortic pulse wave velocity in chronic kidney disease patients. Kidney Int 65(5):1790–1794

    Article  PubMed  Google Scholar 

  5. Raggi P, Bellasi A, Ferramosca E, Islam T, Muntner P, Block GA (2007) Association of pulse wave velocity with vascular and valvular calcification in hemodialysis patients. Kidney Int 71(8):802–807

    Article  PubMed  CAS  Google Scholar 

  6. Wada T, Kodaira K, Fujishiro K, Maie K, Tsukiyama E, Fukumoto T, Uchida T, Yamazaki S (1994) Correlation of ultrasound-measured common carotid artery stiffness with pathological findings. Arter Thromb J Vasc Biol Am Heart Assoc 14(3):479–482

    Article  CAS  Google Scholar 

  7. Callaghan FJ, Geddes LA, Babbs CF, Bourland JD (1986) Relationship between pulse-wave velocity and arterial elasticity. Med Biol Eng Comput 24(3):248–254

    Article  PubMed  CAS  Google Scholar 

  8. Oliver JJ, Webb DJ (2003) Noninvasive assessment of arterial stiffness and risk of atherosclerotic events. Arter Thromb Vasc Biol 23(4):554–566. doi:10.1161/01.ATV.0000060460.52916.D6

    Article  CAS  Google Scholar 

  9. Redheuil A, Yu WC, Wu CO, Mousseaux E, de Cesare A, Yan R, Kachenoura N, Bluemke D, Lima JA (2010) Reduced ascending aortic strain and distensibility: earliest manifestations of vascular aging in humans. Hypertension 55(2):319–326. doi:10.1161/HYPERTENSIONAHA.109.141275

    Article  PubMed  CAS  Google Scholar 

  10. Blacher J, Guerin AP, Pannier B, Marchais SJ, Safar ME, London GM (1999) Impact of aortic stiffness on survival in end-stage renal disease. Circulation 99(18):2434–2439

    Article  PubMed  CAS  Google Scholar 

  11. Cruickshank K, Riste L, Anderson SG, Wright JS, Dunn G, Gosling RG (2002) Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function? Circulation 106(16):2085–2090

    Article  PubMed  Google Scholar 

  12. Meaume S, Benetos A, Henry OF, Rudnichi A, Safar ME (2001) Aortic pulse wave velocity predicts cardiovascular mortality in subjects >70 years of age. Arter Thromb Vasc Biol 21(12):2046–2050

    Article  CAS  Google Scholar 

  13. Safar ME, Henry O, Meaume S (2002) Aortic pulse wave velocity: an independent marker of cardiovascular risk. Am J Geriatr Cardiol 11(5):295–298

    Article  PubMed  Google Scholar 

  14. Willum-Hansen T, Staessen JA, Torp-Pedersen C, Rasmussen S, Thijs L, Ibsen H, Jeppesen J (2006) Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation 113(5):664–670

    Article  PubMed  Google Scholar 

  15. Williams B, Lacy PS, Thom SM, Cruickshank K, Stanton A, Collier D, Hughes AD, Thurston H, O’Rourke M (2006) Differential impact of blood pressure-lowering drugs on central aortic pressure and clinical outcomes: principal results of the Conduit Artery Function Evaluation (CAFE) study. Circulation 113(9):1213–1225

    Article  PubMed  CAS  Google Scholar 

  16. Asmar RG, London GM, O’Rourke ME, Safar ME (2001) Improvement in blood pressure, arterial stiffness and wave reflections with a very-low-dose perindopril/indapamide combination in hypertensive patient: a comparison with atenolol. Hypertension 38(4):922–926

    Article  PubMed  CAS  Google Scholar 

  17. Guerin AP, Blacher J, Pannier B, Marchais SJ, Safar ME, London GM (2001) Impact of aortic stiffness attenuation on survival of patients in end-stage renal failure. Circulation 103(7):987–992

    Article  PubMed  CAS  Google Scholar 

  18. Reference Values for Arterial Stiffness’ Collaboration (2010) Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: ‘establishing normal and reference values’. Eur Heart J 31(19):2338–2350. doi:10.1093/eurheartj/ehq165

    Google Scholar 

  19. DeLoach SS, Townsend RR (2008) Vascular stiffness: its measurement and significance for epidemiologic and outcome studies. Clin J Am Soc Nephrol (CJASN) 3(1):184–192

    Article  Google Scholar 

  20. Laffon E, Marthan R, Montaudon M, Latrabe Vr, Laurent Fo, Ducassou D (2005) Feasibility of aortic pulse pressure and pressure wave velocity MRI measurement in young adults. J Magn Reson Imaging (JMRI) 21(1):53–58

    Article  Google Scholar 

  21. Rogers WJ, Hu YL, Coast D, Vido DA, Kramer CM, Pyeritz RE, Reichek N (2001) Age-associated changes in regional aortic pulse wave velocity. J Am Coll Cardiol 38(4):1123–1129

    Article  PubMed  CAS  Google Scholar 

  22. van der Meer RW, Diamant M, Westenberg JJM, Doornbos J, Bax JJ, de Roos A, Lamb HJ (2007) Magnetic resonance assessment of aortic pulse wave velocity, aortic distensibility, and cardiac function in uncomplicated type 2 diabetes mellitus. J Cardiovasc Magn Reson Off J Soc Cardiovasc Magn Reson 9(4):645–651

    Article  Google Scholar 

  23. Fielden SW, Fornwalt BK, Jerosch-Herold M, Eisner RL, Stillman AE, Oshinski JN (2008) A new method for the determination of aortic pulse wave velocity using cross-correlation on 2D PCMR velocity data. J Magn Reson Imaging (JMRI) 27(6):1382–1387

    Article  Google Scholar 

Download references

Acknowledgments

This study was supported by National Institutes of Health (NIH) Training Grant 5-T32-EB005969 (Suever).

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jonathan D. Suever.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suever, J.D., Oshinski, J., Rojas-Campos, E. et al. Reproducibility of pulse wave velocity measurements with phase contrast magnetic resonance and applanation tonometry. Int J Cardiovasc Imaging 28, 1141–1146 (2012). https://doi.org/10.1007/s10554-011-9929-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-011-9929-8

Keywords

Navigation