Abstract:We conclude that a consensus concerning the assessment of IMT is urgently needed. Variability of IMT measurements is lowest when determining the mean thickness in the common carotid artery in different directions.
“…The effect of semi-automated edge detection on the extent of reduction in measurement variability depends on the contribution of sonographers and readers to the total variability. A number of studies have indicated that differences between sonographers have a relatively larger effect on the CIMT measurements than differences between readers [15][16][17]. Indeed, reproducibility results from a study with images that were read using semi-automated edge detection were similar to those reported from other studies in which CIMT reading was performed manually [16].…”
Abstract. Peters SAE, den Ruijter HM, Palmer MK, Grobbee DE, Crouse JR, O'Leary DH, Evans GW, Raichlen JS, Lind L, Bots ML, on behalf of the METEOR Study
“…The effect of semi-automated edge detection on the extent of reduction in measurement variability depends on the contribution of sonographers and readers to the total variability. A number of studies have indicated that differences between sonographers have a relatively larger effect on the CIMT measurements than differences between readers [15][16][17]. Indeed, reproducibility results from a study with images that were read using semi-automated edge detection were similar to those reported from other studies in which CIMT reading was performed manually [16].…”
Abstract. Peters SAE, den Ruijter HM, Palmer MK, Grobbee DE, Crouse JR, O'Leary DH, Evans GW, Raichlen JS, Lind L, Bots ML, on behalf of the METEOR Study
“…As expected, the reproducibility of the EXP reader was better than that of the NOV reader; however, CV for the measurements using BDP were excellent and comparable with other studies. 9,14,15 Measurements by both NOV and EXP readers correlated strongly with those of the REF laboratory with minimal systematic bias, and bioequivalence was demonstrated. BlandAltman plots and linear regression models for mean and maximum CIMT values successfully illustrate the striking similarity between the readers using BDP and the REF laboratory, and high intrareader repeatability.…”
Background: A unique semiautomated border detection program (BDP) designed for use on a personal computer was evaluated to determine whether: (1) carotid intima-media thickness (CIMT) measurements were bioequivalent to a reference laboratory; and (2) it would allow a novice (NOV) reader with no medical training to accurately and reproducibly measure CIMT. Methods: Far-wall CIMT was measured blindly and in duplicate by an experienced and NOV reader using BDP and by a reference laboratory.
“…We used carotidfemoral PWV and CIMT as surrogate measures for structural and functional abnormality of the arterial wall as they have shown to be valid and reproducible methods that are simple and non-invasive. 22,23 A major concern in studies that relate the biomarkers to disease is confounding by a third variable through unknown mechanisms. Consistent with previous evidence, our finding showed that most of the established cardiovascular risk factors are determinants of aortic PWV and CIMT.…”
Elevated plasma homocysteine (tHcy) is considered as a risk factor for cardiovascular events, and has been associated with arterial stiffness and subclinical atherosclerosis in subjects with classical cardiovascular risk factors. The aim of this study is to investigate the association of plasma tHcy with functional and structural changes in the large arteries by measuring aortic pulsewave velocity (PWV) and carotid artery intima-media thickness (CIMT). In a population-based sample of 376 middle-aged and elderly men, tHcy levels were measured by using fluorescence polarization immunoassay. Aortic stiffness was assessed non-invasively by measuring carotid-femoral PWV with the use of applanation tonometry. CIMT was measured by ultrasonography. We used multivariate linear regression analysis with the logtransformed value of tHcy as the determinant, and aortic PWV and CIMT as outcomes. In the univariate model, PWV increased with increasing tHcy concentration; PWV increased by 2.64 m/s (95% confidence interval (CI) 1.74; 3.54) per unit change in log tHcy. After adjustment for confounders, no statistically significant association remained; PWV increased by 0.42 m/s (95% CI À0.27; 1.11) per unit change in log tHcy. Furthermore, in the univariate model, CIMT increased significantly with increasing tHcy concentration; CIMT increased by 0.19 mm (95% CI 0.11; 0.26) per unit increase log tHcy. This association was attenuated and did not remain significant after additional adjustment for age and cardiovascular confounders (b ¼ 0.06 (95% CI À0.01; 0.13)). The results of this study do not support the presence of an independent relationship between circulating tHcy levels and large artery stiffness and thickness.
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