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Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein
We estimate central venous pressure (CVP) with force-coupled ultrasound imaging of the internal jugular vein (IJV). We acquire ultrasound images while measuring force applied over the IJV by the ultrasound probe imaging surface. We record collapse force, the force required to completely occlude the...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883282/ https://www.ncbi.nlm.nih.gov/pubmed/36707658 http://dx.doi.org/10.1038/s41598-022-22867-w |
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author | Jaffe, Alex Goryachev, Ivan Sodini, Charles Anthony, Brian W. |
author_facet | Jaffe, Alex Goryachev, Ivan Sodini, Charles Anthony, Brian W. |
author_sort | Jaffe, Alex |
collection | PubMed |
description | We estimate central venous pressure (CVP) with force-coupled ultrasound imaging of the internal jugular vein (IJV). We acquire ultrasound images while measuring force applied over the IJV by the ultrasound probe imaging surface. We record collapse force, the force required to completely occlude the vein, in 27 healthy subjects. We find supine collapse force and jugular venous pulsation height (JVP), the clinical noninvasive standard, have a linear correlation coefficient of r(2) = 0.89 and an average absolute difference of 0.23 mmHg when estimating CVP. We perturb our estimate negatively by tilting 16 degrees above supine and observe decreases in collapse force for every subject which are predictable from our CVP estimates. We perturb venous pressure positively to values experienced in decompensated heart failure by having subjects perform the Valsalva maneuver while the IJV is being collapsed and observe an increase in collapse force for every subject. Finally, we derive a CVP waveform with an inverse three-dimensional finite element optimization that uses supine collapse force and segmented force-coupled ultrasound data at approximately constant force. |
format | Online Article Text |
id | pubmed-9883282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-98832822023-01-29 Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein Jaffe, Alex Goryachev, Ivan Sodini, Charles Anthony, Brian W. Sci Rep Article We estimate central venous pressure (CVP) with force-coupled ultrasound imaging of the internal jugular vein (IJV). We acquire ultrasound images while measuring force applied over the IJV by the ultrasound probe imaging surface. We record collapse force, the force required to completely occlude the vein, in 27 healthy subjects. We find supine collapse force and jugular venous pulsation height (JVP), the clinical noninvasive standard, have a linear correlation coefficient of r(2) = 0.89 and an average absolute difference of 0.23 mmHg when estimating CVP. We perturb our estimate negatively by tilting 16 degrees above supine and observe decreases in collapse force for every subject which are predictable from our CVP estimates. We perturb venous pressure positively to values experienced in decompensated heart failure by having subjects perform the Valsalva maneuver while the IJV is being collapsed and observe an increase in collapse force for every subject. Finally, we derive a CVP waveform with an inverse three-dimensional finite element optimization that uses supine collapse force and segmented force-coupled ultrasound data at approximately constant force. Nature Publishing Group UK 2023-01-27 /pmc/articles/PMC9883282/ /pubmed/36707658 http://dx.doi.org/10.1038/s41598-022-22867-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Jaffe, Alex Goryachev, Ivan Sodini, Charles Anthony, Brian W. Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title | Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title_full | Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title_fullStr | Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title_full_unstemmed | Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title_short | Central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
title_sort | central venous pressure estimation with force-coupled ultrasound of the internal jugular vein |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883282/ https://www.ncbi.nlm.nih.gov/pubmed/36707658 http://dx.doi.org/10.1038/s41598-022-22867-w |
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