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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
31

Investigation of Hygro-Thermal Strain in Polymer Electrolyte Membranes Using Optical Coherence Elastography

Keller, Victor 12 August 2014 (has links)
The work present in this thesis report introduces a novel non-destructive technique for experimentally measuring through thickness hygro-thermal strain of Nafion membranes though digital image correlation. An Optical Coherence Tomography (OCT) system was used to acquire images of a Nafion-TiO2 (titanium dioxide powder) composite membranes in a fuel cell like device. The proposed technique, commonly known as optical coherence elastography (OCE) makes use of the normalized correlation algorithm to calculate strain between two successive scans of different relative humidity step values. Different normalized correlation parameters were compared to measured results of PDMS-TiO2 phantoms in order to analyze accuracy. The effect of TiO2 on Nafion membranbes mechanical properties was further analysed by comparing the swelling behaviour of membranes with different concentrations. It has been found that Nafion undergoes approximately 25 – 30% more strain on the land section than on the channel section, regardless gas diffusion electrode (GDE) layer presence. Furthermore, it was shown that the overall strain on the material decrease by approximately 10% when GDE layers are present. Overall this work demonstrated how OCE is a viable technique for measuring through thickness strain distribution in Nafion composite membranes and has the potential to be implemented for non-destructive in situ measurements. / Graduate / 0548 / kellerv@uvic.ca
32

Left ventricular function's relation to load, experimental studies in a porcine model

A'roch, Roman January 2011 (has links)
Background: Loading conditions are recognized to influence ventricular function according to the Starling relationship for length/stretch and force.  Many modern echocardiographic parameters which have been announced as describing ventricular function and contractile status, may be confounded by uncontrolled and unmeasured load.  These studies aimed to measure the relation between four differ­ent types of assessments of ventricular dysfunction and degrees of load.  Study examined the ‘myo­cardial performance index’ (MPI).  Study II examined long axis segmental mechanical dyssynchrony.  Study III examined tissue velocities, and Study IV examined ventricular twist.  All studies aimed to describe the relation of these parameters both to load and to inotropic changes. Methods:  In anesthetized juvenile pigs, left ventricular (LV) pressure and volume were measured continuously and their relationship (LVPVR) was analysed.  Preload alterations were brought about by inflation of a balloon tipped catheter in the inferior vena cava (IVCBO).  Inotropic interventions were brought about by either an overdose of anesthetic (combine intravenous pentobarbital and inhaled isoflurane, Study I), or beta blocker and calcium channel blocker given in combination (Stud­ies III and IV).  In one study (II), global myocardial injury and dysfunction was induced by endotoxin infusion.  MPI measurements were derived from LVPVR heart cycle intervals for isovolumic contrac­tion and relaxation as well as ejection time.  Long axis segmental dyssynchrony was derived by ana­lyzing for internal flow and time with segmental dyssynchronous segment volume change during systole, hourly before and during 3 hours of endotoxin infusion.  Myocardial tissue velocities were measured during IVCBO at control, during positive and then later negative inotropic interventions.  The same for apical and base circumferential rotational velocities by speckle tracking.  Load markers (including end-diastolic volume) were identified for each beat, and the test parameters were analysed together with load for a relation.  The test parameters were also tested during single apneic beats for a relation to inotropic interventions. Results: MPI demonstrated a strong and linear relationship to both preload and after-load, and this was due to changes in ejection time, and not the isovolumic intervals.  Long axis segmental dyssyn­chrony increased during each hour of endotoxin infusion and global myocardial injury.  This dysyn­chrony parameter was independent of load when tested by IVCBO. Peak systolic velocities were strongly load-independent, though not in all the inotropic situations and by all measurement axes.  Peak systolic strain was load-dependent, and not strongly related to inotropic conditions.  Peak sys­tolic LV twist and untwist were strongly load-dependent. Conclusions: MPI is strongly load-dependent, and can vary widely in value for the same contractile status if the load is varied.  Mechanical dyssynchrony measures are load-independen in health and also in early global endotoxin myocardial injury and dysfunction.  Peak sytole velocities are a clinically robust parameter of LV regional and global performance under changing load, though peak systolic strain seems to be load-dependent.  Left ventricular twist and untwist are load-dependent in this pig model.
33

Cardiac function in hereditary transthyretin amyloidosis : an echocardiographic study / Hjärtfunktion vid ärftlig transtyretin-amyloidos : en ekokardiografisk studie

Arvidsson, Sandra January 2016 (has links)
Background: Hereditary transthyretin amyloidosis (ATTR) is a lethal disease in which misfolded transthyretin (TTR) proteins accumulate as insoluble aggregates in tissues throughout the body. A common mutation is the exchange of valine to methionine at place 30 (TTR V30M), a form endemically found in the northern parts of Sweden. The main treatment option for ATTR amyloidosis is liver transplantation as the procedure halts production of mutated transthyretin. The disease is associated with marked phenotypic diversity ranging from predominant cardiac complications to pure neuropathy. Two different types of fibril composition – one in which both fragmented and full-length TTR are present (type A) and one consisting of only full-length TTR (type B) have been suggested to account for some phenotypic differences. Cardiac amyloidosis is associated with increased myocardial thickness and the disease could easily be mistaken for other entities characterised by myocardial thickening, such as sarcomeric hypertrophic cardiomyopathy (HCM). The aims in this thesis were to investigate echocardiographic characteristics in Swedish ATTR amyloidosis patients, and to identify markers aiding in differentiating ATTR heart disease from HCM. Another objective was to examine the impact of fibril composition and sex on the phenotypic variation in amyloid heart disease. Methods: A total of 122 ATTR amyloidosis patients that had undergone thorough echocardiographic examinations were included in the studies. Analyses of ventricular geometry as well as assessment of systolic and diastolic function were performed, using both conventional echocardiographic methods and speckle tracking technique. ECG analysis was conducted in study I, allowing measurement of QRS voltage. In study I and study II ATTR patients were compared to patients with HCM. In addition, 30 healthy controls were added to study II. Results: When parameters from ECG and echocardiography were investigated, the results revealed that the combination of QRS voltage <30 mm (<3 mV) and an interventricular/posterior wall thickness quotient <1.6 could differentiate cardiac ATTR amyloidosis from HCM. Differences in degree of right ventricular involvement were also demonstrated between HCM and ATTR amyloidosis, where ATTR patients displayed a right ventricular apical sparing pattern whereas the inverse pattern was found in HCM. Analysis of fibril composition revealed increased LV wall thickness in type A patients compared to type B, but in addition type A women displayed both lower myocardial thickness and more preserved systolic function as compared to type A males. When cardiac geometry and function were evaluated pre and post liver transplantation in type A and B patients, significant deterioration was detected in type A but not in type B patients after liver transplantation. Conclusions: Increasing awareness of typical cardiac amyloidotic signs by echocardiography is important to reduce the risk of delayed diagnosis. Our classification model based on ECG and echocardiography could aid in differentiating ATTR amyloidosis from HCM. Furthermore, the apical sparing pattern found in the right ventricle may pose another clue for amyloid heart disease, although it requires to be studied further. Furthermore, we disclosed that type A fibrils, male sex and increasing age were important determinants of increased myocardial thickness. As type A fibril patients displayed rapid cardiac deterioration after liver transplantation other treatment options should probably be sought for this group of patients.
34

Insights into atrial function using speckle tracking strain: report of a new, modified method

Borkowski, Philip 22 January 2016 (has links)
Speckle tracking echocardiography (STE) is a relatively new imaging modality that enables the direct measurement of active contractile myocardial tissue in an offline analysis. This is accomplished through a software algorithm that tracks collections of acoustic markers, known as 'speckles', that are unique to a given section of myocardium. By measuring the displacement of these 'speckles' as the heart contracts and relaxes, STE produces parameters of the strain, or percent change in length, exhibited by the myocardium. As multiple studies have shown, this strain data produced by tracking of the global left atrium has the ability to accurately assess the physiologic functions of the atrium as a reservoir, conduit and booster pump in the cardiac cycle. Despite these valuable correlations, there are noted problems with STE regarding acoustic cluttering and disappearance of 'speckles' that can occur as the selected region of interest moves out of the field of view or becomes obscured. These problems may be increased when tracking an extended region of myocardium. Therefore, this present study sought to test a new method of assessing left atrial function with STE strain analysis by focusing on a concise region of the atrium, specifically the interatrial septum. To test this, the echocardiograms of 37 patients were obtained and grouped according to the designation of their cardiac function as normal (n=11), abnormal (n=12), or exhibiting signs of cardiac amyloidosis (n=14). In all patients, STE strain analysis was performed on the both the global left atrium and the interatrial septum. Measurements of the mean peak strain observed in the resultant strain curves were recorded for both STE scans of each patient. The curves produced by the tracking the segments of the entire atrium (6 segments) and interatrial septum (3 segments) were compared based on the exhibited changes in strain seen in the relative shapes of the curves, as well as the spread of the segmental strain curves about the calculated mean strain curve. Additionally, the number of segments that were either unsuccessfully or incorrectly tracked was recorded as a measure of the accuracy of STE. As a final step, the interatrial strain curves of four selected patients in the various states of ventricular diastolic dysfunction were chosen and compared with data obtained from scans of mitral flow echocardiography and tissue Doppler imaging (TDI) in an attempt to correlate the exhibited changes in strain shown in the interatrial septum with the physiologic functions of the atrium during ventricular diastole. The results showed that the mean peak strain of the global atrial strain trace decreased from normal (41.32%±10.8) to abnormal (21.69%±13.8) to the amyloid group (10.41%±6.9). This trend was echoed in the mean peak strain measured in the interatrial septum, as measured in normal (64.2%±15.6), abnormal (28.37%±13.4) and amyloid groups (12.21%±12.1). When the strain curves of the entire atrium and interatrial septum were compared, they demonstrated similar patterns in the timing of changes in strain, however the strain curves of the individual interatrial septum segments showed a much more concise grouping about the mean strain curve and were less likely to exhibit discordant segmental strain curves that deviated from the pattern established by all other segments in the trace. Additionally, within the STE scans of the global atrium, the interatrial septum exhibited a higher percentage of successfully tracked segments than did the lateral atrial wall; this trend was universally exhibited in all three groups. Finally, the interatrial septum strain curves, mitral flow echocardiography and TDI scans all demonstrated similar indications of left atrial function in the four selected patients. Ultimately, STE strain analysis of the interatrial septum appears to be a more accurate method of tracking the atrial myocardium than STE tracing of the global left atrium. Furthermore, it shows viable potential as a method for assessing the global physiologic function of the left atrium, as indicated by the similarities between the trends exhibited by these STE scans and the data gathered from scans produced by mitral flow echocardiography and TDI.
35

Avaliação da deformação miocárdica do ventrí­culo esquerdo pela técnica ecocardiográfica de speckle tracking em um modelo experimental animal de doença de Chagas / Assessment of left ventricular myocardial strain using speckle tracking echocardiography in an animal model of Chagas disease

Fernando Fonseca França Ribeiro 18 May 2018 (has links)
Ferramentas diagnósticas capazes de detectar envolvimento cardíaco precoce na doença de Chagas são necessárias. A técnica ecocardiográfica de rastreamento de pontos, ou speckle tracking echocardiography (STE) oferece condições para o diagnóstico precoce de lesão cardíaca por avaliar a deformação miocárdica (strain). O objetivo do estudo foi avaliar as alterações sequenciais de parâmetros estruturais e funcionais dos ventrículos na evolução da doença. Um total de 37 hamsters fêmeas (Mesocricetus auratus) adultas receberam, por via intraperitoneal, 35.000 formas tripomastigotas de Trypanosoma cruzi (grupo Chagas) e outras 20 receberam igual volume de solução salina (grupo controle). Ecocardiograma foi realizado imediatamente antes da infecção (exame basal) e repetido para avaliação das fases aguda (1 mês) e crônica (4, 6 e 8 meses após). Foram avaliados: diâmetros do ventrículo esquerdo (DDFVE e DSFVE), fração de ejeção (FEVE), strain longitudinal (GLS), circunferencial (GCS) e radial (GRS) do ventrículo esquerdo e TAPSE, índice de função sistólica do ventrículo direito. A avaliação das diferenças entre os dois grupos ao longo de tempo foi realizada por meio da análise de variância (ANOVA) para modelos mistos de medidas repetidas. Ao exame basal, os dois grupos apresentaram idade média de 89 ± 1 dias. Os animais do grupo controle apresentaram peso de 130 ± 15 gramas; frequência cardíaca de 204 ± 18 batimentos/minuto, enquanto os do grupo Chagas apresentaram peso de 143 ± 12 gramas e frequência cardíaca de 198 ± 18 batimentos/minuto. Os valores de peso foram significativamente diferentes (p= 0,004) entre os grupos, mas não os de frequência cardíaca. A fração de ejeção do ventrículo esquerdo foi de 64 ± 5 % no grupo controle e de 61 ± 5 % no grupo Chagas, p= 0,10, enquanto o GLS foi de -15,2 ± 2,7 % no grupo controle e de -14,2 ± 3,4 % no grupo Chagas, p= 0,25. Na evolução da doença, o grupo Chagas apresentou aumento do DSFVE significativamente maior do que o aumento mostrado pelo grupo controle (valor-p da interação grupos#tempo= 0,007); a FEVE mostrou queda progressiva ao longo do tempo no grupo Chagas, com diferença verificada entre os grupos a partir de 6 meses do exame basal (valor-p da interação grupos#tempo= 0,005). O GLS e o GCS dos animais do grupo Chagas apresentaram comportamento significativamente diferente ao longo do tempo em comparação com o grupo controle (valor-p da interação grupos#tempo= 0,003 para o GLS e < 0,001 para oGCS). Para ambos, a diferença entre os grupos é verificada a partir do primeiro mês, quando se detecta queda pronunciada desses parâmetros de deformação. O índice TAPSE do grupo Chagas apresentou comportamento significativamente diferente ao longo do tempo em comparação ao grupo controle (valor-p da interação grupos#tempo < 0,009), com diferença observada a partir do primeiro mês. Diante disso, os resultados revelam que o GLS e o GCS são os parâmetros mais sensíveis para a avaliação funcional do ventrículo esquerdo na fase aguda e na fase crônica da doença de Chagas no modelo estudado. / Diagnostic tools capable to detect early heart involvement in Chagas\' disease are necessary. The speckle tracking echocardiography (STE) provides conditions for early diagnosis of cardiac lesion by evaluating myocardial deformation (strain). The objective of this study was to evaluate the sequential changes of structural and functional parameters of the ventricles in the evolution of the disease. A total of 37 adult female hamsters (Mesocricetus auratus) were inoculated intraperitoneally with 35,000 trypomastigote forms of Trypanosoma cruzi (Chagas group) and another 20 received equal volume of saline solution (control group). Echocardiography was performed before the infection (baseline) and repeated for assessment of acute (1 month) and chronic (4, 6 and 8 months after) phases. Left ventricular end-diastolic (LVED), left ventricular end-systolic (LVES), left ventricular ejection fraction (LVEF) and longitudinal strain (GLS) were measured at parasternal long-axis view. Circumferential strain (GCS) and radial strain (GRS) were evaluated at short-axis view (mid-LV cavity). Tricuspid annular plane systolic excursion (TAPSE) was used to assess right ventricular function. The analysis of variance (ANOVA) for mixed models of repeated measures was used to evaluate the differences between the two groups over time. At baseline, the two groups had a mean age of 89 ± 1 days. The animals in the control group had a weight of 130 ± 15 grams; heart rate of 204 ± 18 beats/minute, while those in the Chagas group had a weight of 143 ± 12 grams and a heart rate of 198 ± 18 beats/minute. The weight values were significantly different (p = 0.004) between the groups, but not those of heart rate. Left ventricular ejection fraction was 64 ± 5% in the control group and 61 ± 5% in the Chagas group (p = 0.10), while GLS was -15.2 ± 2.7% in the control group and of -14.2 ± 3.4% in the Chagas group (p = 0.25). In the evolution of the disease, the Chagas group presented a significantly higher increase in the LVES than the increase shown by the control group (p-value of the interaction groups # time = 0.007); the LVEF showed progressive decrease over time in the Chagas group, with a difference between groups after 6 months of baseline examination (p-value of interaction groups # time = 0.005). The GLS and GCS of the animals of the Chagas group showed significantly different behavior over time compared to the control group (p-value of the interaction groups # time = 0.003 for GLS and <0.001 for GCS). For both, the difference between groups is verified from the first month, when a pronounced decrease of these deformation parameters is detected. The TAPSE index of the Chagas group presented a significantly different behavior over time compared to the control group (p-value of interaction groups # time <0.009), with difference observed from the first month. Therefore, the results indicate that GLS and GCS are the most sensitive parameters for left ventricle functional assessment in acute and chronic phases of an experimental model of Chagas disease.
36

Apport des technologies d'imagerie non invasives dans l'évaluation du pronostic des pathologies cardiovasculaires. / Utility of non-invasive imaging techniques in evaluating thé prognosis of cardiovascular disease

Chopard dit Jean, Romain 17 June 2014 (has links)
Pour ce travail de thèse, nous avons réalisé cinq études originales en utilisant trois technologies d'imageries cardiovasculaires non-invasives.-Nous avons démontré, à partir d'une étude ex-vivo sur des artères coronaires humaines, que le scanner64 détecteurs ne permettait pas de caractériser précisément les différents composants des plaques. Ladistinction des plaques fibreuses et des plaques lipidiques est en effet impossible. Par ailleurs, notretravail a montré que l'IVUS ne devait pas servir d'imagerie de référence lors des études sur la plaque carcet examen présente lui aussi de nombreuses imprécisions.-Notre travail sur la thrombo-aspiration rapporte un effet très significatif de l'extraction effective dethrombus lors des thrombo-aspirations à la phase aiguë des STEMI, avec une réduction de la taille du no-reflow et de l'infarctus, évaluées en IRM ; une thrombo-aspiration positive représentant par ailleurs dansnotre travail, un critère indépendamment lié à la taille finale de l'infarctus. L'extraction effective dethrombus pourrait être considéré, en salle de cathétérisme, comme un critère de jugement de l'efficacitéde la thrombo-aspiration.-Notre étude sur les syndomes coronaires à coronaires angiographiquement normales a confirmé l'intérêtde l'IRM dans le bilan étiologique de cette présentation clinique, permettant un diagnostic étiologiquedans 2/3 des cas. Par ailleurs, nous avons observé une excellente évolution pour le tiers des patients chezqui l'IRM ne décèle pas d'anomalie myocardique. Des études d'une plus grande envergure serontnécessaires afin de confirmer nos résultats.-A partir d'IRM cardiaque réalisées chez des patients ayant présenté un premier épisode de STEMI, nousavons pu déterminer une valuer seuil de troponine prédictive de la survenue d'un no-reflow.-Enfin, à partir d'analyses en Speckle Tracking, nous avons mis en évidence une dysfonction systolique VD,objectivée par une altération des valeurs de Strain longitudinal VD, chez les patients présentant une EPgrave ou de gravité intermédiaire, comparativement à un groupe de patients avec une EP non grave. / In this doctoral thesis, we report on five original studies that use three différent non-invasive cardiovascular imaging techniques:- In an ex vivo study of human coronary arteries, we show that 64-slice computed tomography (CT) scan isnot capable of distinguishing between différent components of plaques. Indeed, it is impossible todifferentiate between fibrous and lipid plaques. Our study also showed that intravascular ultrasound(IVUS) should not be used as thé référence method in studies of plaque composition, since this techniquealso suffers from numerous limitations.- Our study of thé efficacy of thrombo-aspiration showed a significant benefit with effective extraction ofthrombus during thrombo-aspiration at thé acute phase of ST élévation myocardial infarction (STEMI),notably with a réduction of thé extent of no-reflow and of infarct size as evaluated by magnetic résonanceimaging (MRI). Productive thrombo-aspiration was shown in our study to be an independent predictor offinal infarct size. Effective extraction of thrombotic material could be considered in thé cathlab as acriterion for evaluating thé success of thé thrombo-aspiration procédure.- Our study of acute coronary syndromes with normal coronary arteries confirmed thé utility of MRI inestablishing thé etiology of this clinical présentation, and made it possible to establish an etiologicaldiagnosis in two-thirds of patients. We also observed excellent outcomes in thé third of patients in whomMRI did not find any myocardial anomalies. Larger studies are warranted to confirm thèse findings.- Based on cardiac MRI performed in patients presenting a first épisode of STEMI, we established athreshold value of troponin that predicts thé occurrence of no-reflow.- Lastly, using speckle-tracking analysis, we demonstrated impaired systolic right ventricular function inpatients with intermediate to high risk pulmonary embolism (PE), evaluated by altérations in longitudinalstrain values at thé level of thé right ventricle, compared to a control group of patients with low risk PE.
37

Hypertrophie ventriculaire gauche physiologique ou pathologique : Intérêt d’une approche multiparamétrique / Physiological or pathological left ventricular hypertrophy : interest of a multi-parametric approach

Schnell, Frédéric 17 November 2015 (has links)
Introduction : Le diagnostic de cardiomyopathie hypertrophique (CMH) est difficile chez l’athlète. En effet, le remodelage physiologique induit par l’entraînement physique intense entraîne des modifications électriques et morphologiques qui peuvent mimer une cardiomyopathie. Or il est indispensable de poser le diagnostic de cardiomyopathie avec certitude chez un athlète. Ne pas contre-indiquer un athlète avec une cardiomyopathie l’expose à un risque de mort subite, mais poser un diagnostic par excès l’expose à de lourdes répercussions tant professionnelles que sociales. Méthodes : (1) Nous avons cherché à améliorer les critères ECG actuels de détection de cardiomyopathie chez l’athlète à partir d’une cohorte multicentrique d’athlètes et de CMH. (2) Nous avons cherché à déterminer quel bilan complémentaire réaliser en cas d’anomalie ECG par un suivi longitudinal d’athlètes avec ondes T négatives. (3) Nous avons essayé de mieux caractériser le phénotype des athlètes atteints de CMH par rapport aux CMH sédentaires dans une cohorte multicentrique. (4) Nous avons tenté de déterminer si l’utilisation des nouvelles techniques d’imagerie de déformation myocardique permettait d’améliorer la pertinence diagnostique et pronostique en cas de CMH dans une cohorte de CMH et d’athlètes rennais. Résultats : Nous avons proposé une nouvelle classification ECG permettant de mieux identifier les athlètes avec modifications ECG non pathologiques sans diminuer pour autant la capacité à détecter les CMH. En cas d’ondes T négatives chez l’athlète, nous avons démontré qu’il était indispensable de réaliser une IRM myocardique. En effet l’échocardiographie peut être prise en défaut dans près de 35% des cas. Néanmoins, les critères diagnostiques actuels de CMH peuvent être pris en défaut; en effet les athlètes avec une CMH ont un phénotype différent des CMH sédentaires avec une meilleure fonction systolique, notamment longitudinale, et diastolique. L’évaluation de la fonction longitudinale à l’effort et l’évaluation de la dispersion mécanique sont des paramètres qui semblent prometteurs en terme de diagnostic. En effet l’altération la fonction longitudinale semble être en lien avec la fibrose myocardique. L’échocardiographie d’effort, notamment la présence d’une insuffisance mitrale à l’effort, semble être un facteur pronostic important dans les CMH. Conclusions : les travaux réalisés ont permis de développer des outils pour mieux différencier une hypertrophie ventriculaire gauche (HVG) pathologique d’une HVG physiologique mais également pour mieux caractériser cette HVG et déterminer avec plus de précision le pronostic des CMH . / Introduction: the diagnosis of hypertrophic cardiomyopathy (HCM) in athlete is difficult. Indeed, intense sports practice induces an electrical and morphological physiological remodeling which can be difficult to differentiate from the changes induced in pathology. However, it is essential to diagnose an athlete with a cardiomyopathy. Indeed, in case of underlying cardiomyopathy the athlete will be at risk of sudden cardiac death, but an excessive over diagnosis has strong professional and social consequences. Methods: (1) we have tried to improve the ECG criteria’s, which enable the differentiation between ECG changes induced by exercise and the ECG changes induced by an underlying cardiomyopathy. (2) We tried to define the best investigation algorithm in case of abnormal ECG changes in athletes. (3) We tried to improve the characterization of the phenotype of athletes with HCM as compared to sedentary HCM. (4) We tried to investigate if the use of new imaging technics, i.e. speckle tracking, might improve the diagnostic accuracy and enable a better prognostic evaluation in HCM. Results: We have proposed a new classification of ECG in athletes enabling to decrease the rate of false positive ECG in athletes without decreasing its diagnostic accuracy in HCM. In case of pathological T wave inversion (PTWI) in athletes, we demonstrated that a CMR is mandatory, as echocardiography missed a diagnosis of pathology in 35% of PTWI athletes. Nevertheless, the diagnosis of HCM with current criteria’s of HCM can be challenging. Indeed, HCM athletes have a different phenotype from HCM sedentary, with a better systolic and diastolic function; they also have a better longitudinal function. The assessment of longitudinal function during exercise and mechanical dispersion are promising tool for the diagnosis of HCM in athletes. Indeed, the alteration of longitudinal strain is related to myocardial fibrosis. Exercise echocardiography, i.e. exercise mitral insufficiency, seems to be a prognostic factor in HCM patients. Conclusions: Ours results enabled to develop tools which might help to better differentiate pathological and physiological left ventricular hypertrophy (LVH); but also to better characterize LVH and the prognosis in HCM patients.
38

Velocity Variations of the Kaskawulsh Glacier, Yukon Territory, 2009-2011

Darling, Samantha January 2012 (has links)
Laser altimetry and satellite gravity surveys indicate that the St Elias Icefields are currently losing mass and are among the largest non-polar sea level contributors in the world. However, a poor understanding of glacier dynamics in the region is a major hurdle in evaluating regional variations in ice motion and the relationship between changing surface conditions and ice flux. This study combines in-situ dGPS measurements and advanced Radarsat-2 (RS-2) processing techniques to determine daily and seasonal ice velocities for the Kaskawulsh Glacier from summer 2009 to summer 2011. Three permanent dGPS stations were installed along the centreline of the glacier in 2009, with an additional permanent station on the South Arm in 2010. The Precise Point Positioning (PPP) method is used to process the dGPS data using high accuracy orbital reconstruction. RS-2 imagery was acquired on a 24-day cycle from January to March 2010, and from October to March 2010-2011 in a combination of ultra-fine and fine beam modes. Seasonal velocity regimes are readily identifiable in the dGPS results, with distinct variations in both horizontal velocity and vertical motion. The Spring Regime consists of an annual peak in horizontal velocity that corresponds closely with the onset of the melt season and progresses up-glacier, following the onset of melt at each station. The Summer Regime sees variable horizontal velocity and vertical uplift, superimposed on a long-term decline in motion. The Fall Regime sees a gradual slowing at all stations with little variation in horizontal velocity or vertical position. Rapid but short accelerations lasting up to 10 days were seen in the Winter regimes in both 2010 and 2011, occurring at various times throughout each regime. These events initiated at the Upper Station and progress down-glacier at propagation speeds up to 16,380 m day-1 and were accompanied by vertical uplift lasting for similar periods. Three velocity maps, one from the winter of 2010 and two from the fall/winter of 2011, produced from speckle tracking were validated by comparison with dGPS velocity, surface flow direction, and bedrock areas of zero motion, with an average velocity error of 2.0% and average difference in orientation of 4.3º.
39

Regional Assessment of Glacier Motion in Kluane National Park, Yukon Territory

Waechter, Alexandra January 2013 (has links)
This project presents regional velocity measurements for the eastern portion of the St. Elias Mountains, including the entire glaciated area of Kluane National Park, derived from speckle tracking of Radarsat-2 imagery acquired in winter 2011 and 2012. This technique uses a cross-correlation approach to determine the displacement of the ‘speckle’ pattern of radar phase returns between two repeat-pass images. Further reconstruction of past velocities is performed on a selection of key glaciers using feature tracking of Landsat-5 imagery, allowing for the investigation of variability in glacier motion on interannual and decadal time scales. The results of the analysis showed that there is a strong velocity gradient across the region reflecting high accumulation rates on the Pacific-facing slope of the mountain range. These glaciers may have velocities an order of magnitude greater than glaciers of a similar size on the landward slope. Interannual variability was high, both in relation to surge events, of which a number were identified, and variation of other unknown controls on glacier motion. A long-term trend of velocity decrease was observed on the Kaskawulsh Glacier when comparing the results of this analysis to work carried out in the 1960s, the pattern of which is broadly congruent to measurements of surface elevation change over a similar period.
40

Deformation in the Achilles Tendon when Running with Minimalistic Shoes : Review of Speckle Tracking Algorithm / Hälsenans deformation vid löpning i minimalistiska skor : Analys av speckle tracking-algoritm

Olsson, Matilda January 2018 (has links)
The main goal of the project was to compare how the Achilles tendon is affected while running with traditional shoes, minimalistic shoes and barefoot. Displacement and strain were calculated both for different shoes and for different foot strike patterns. The calculations were done with a speckle tracking algorithm and displacement was calculated for three different depths in the tendon: deep layer, mid layer and superficial layer. The goal was also to conduct this analysis after a review of the algorithm used. The review of the algorithm focused on the size of the region of interest, kernel size and frequency. Literature study showed that it is more common to use a smaller kernel size, but the same shape. The region of interest was chosen depending on the size of the tendon. Displacement and strain in the Achilles tendon was calculated for seven subjects and the result did not show any difference in amount of mean deformation due to different shoe types or foot strike patterns. It was a small sample group but the result indicated a difference in peak displacement between deep and superficial layer depending on different shoe types and foot strike patterns. The difference in peak displacement between deep and superficial layer was lowest when running barefoot, larger when running with minimalistic shoes and greatest when running with traditional shoes. This result was only achieved when running with rear foot strike pattern. When running with fore foot strike pattern the difference in peak displacement between layers did not change with different conditions. In all conditions the difference in peak displacement between the layers was greater when running with rear foot strike pattern than when running with front foot strike pattern. The deep layer displaced more than the superficial layer (p&lt;0.01) for all conditions and foot strike patterns.

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