Effect of ensemble averaging on amplitude and feature variabilities of Doppler spectrograms recorded in the lower limb arteries |
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Authors: | L Allard Y E Langlois L -G Durand G O Roederer G Cloutier |
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Institution: | 1. Laboratoire de Génie Biomédical, Institut de Recherches Cliniques de Montréal, 110 avenue des Pins ouest, H2W 1R7, Montréal, Québec, Canada 2. Laboratoire de Recherches Non-invasives en Chirurgie Cardiovasculaire, H?pital H?tel-Dieu de Montréal, 3840 rue St-Urbain, H2W 1T8, Montréal, Québec, Canada
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Abstract: | The objective of the present study was to analyse the effect of averaging Doppler blood flow signals in lower limb arteries
on amplitude and feature variabilities. Doppler signals recorded in 41 iliac and 35 superficial femoral arteries having different
categories of stenosis were averaged over 1–15 cardiac cycles. Based on the relative decreasing rate of an index of variability,
results indicated that amplitude variability of the spectrograms was exponentially reduced to 30, 6 and 1 per cent when averaging
five, ten and 15 cardiac cycles, respectively. Nine diagnostic features were extracted from Doppler spectrograms and their
variations from one cardiac cycle to the next quantified. Based on the relative decreasing rate of these variations, results
indicated that feature variability was exponentially reduced to 30, 4 and 1 per cent when averaging five, ten and 15 cardiac
cycles, respectively. The effect of averaging on the discriminant power of the features to separate the different categories
of stenosis was also investigated by performing t-test analyses. Results showed that averaging between five and ten cardiac
cycles provided the better discriminant power for most cases, whereas averaging over more than ten cardiac cycles was of little
benefit. Based on the spectral analysis technique used in the present study, we conclude that averaging over ten cardiac cycles
is sufficient for the analysis of Doppler spectrograms recorded in the lower limbs. |
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Keywords: | Beat-to-beat amplitude variability Beat-to-beat feature variability Doppler ultrasound Peripheral artery disease Spectral analysis |
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