Medical Design and Outsourcing

  • Home
  • Medical Device Business
    • Mergers & Acquisitions
    • Financial
    • Regulatory
  • Applications
    • Cardiovascular
    • Devices
    • Imaging
    • Implantables
    • Medical Equipment
    • Orthopedic
    • Surgical
  • Technologies
    • Supplies and Components Index
    • Contract Manufacturing
    • Components
    • Electronics
    • Extrusions
    • Materials
    • Motion Control
    • Prototyping
    • Pumps
    • Tubing
  • MedTech Resources
    • Medtech Events in 2025
    • The 2024 Medtech Big 100
    • Medical Device Handbook
    • MedTech 100 Index
    • Subscribe to Print Magazine
    • DeviceTalks
    • Digital Editions
    • eBooks
    • Educational Assets
    • Manufacturer Search
    • Podcasts
    • Print Subscription
    • Webinars / Digital Events
    • Whitepapers
    • Voices
    • Video
  • 2025 Leadership
    • 2024 Winners
    • 2023 Winners
    • 2022 Winners
    • 2021 Winners
  • Women in Medtech
  • Advertise
  • Subscribe

Two Imaging Catheters Unite to Better Detect Dangerous Plaques in Arteries

May 12, 2016 By National Institute of Biomedical Imaging and Bioengineering

Collaboration between two National Institute of Biomedical Imaging and Bioengineering (NIBIB)-funded labs has revealed a promising new method for identifying atherosclerotic plaques, the encased deposits in arteries that restrict blood flow and can lead to heart attack or stroke. The technique combines two different types of imaging, allowing for an unprecedented combination of depth and detail. The hybrid technology will provide doctors with a better diagnostic tool for identifying particularly problematic plaques.

Heart disease is the leading cause of death worldwide. The majority of deaths from heart disease are caused by the rupture of a plaque lining an artery; identifying vulnerable plaques may help create more targeted and effective treatment. One type of plaque that carries the greatest risk is the thin-cap fibroatheroma (TCFA). TCFAs are susceptible to rupture because they contain a large necrotic core, filled with lipids and dead cells, and the region surrounding the core (the fibrous cap) has thinned.

The dual catheter OCT-IVUS imaging device can be inserted into an artery to simultaneously capture an infrared image of the arterial wall (OCT, at left) and an ultrasound image (IVUS, right) that doctors use to determine the potential that a plaque is susceptible to rupture that could cause a heart attack or stroke.

Existing techniques to visualize plaques include intravascular ultrasound (IVUS) and optical coherence tomography (OCT), but neither gives doctors the full picture. IVUS can image deep into the vessel, revealing the necrotic core size, but lacks the resolution to identify the thin fibrous caps. OCT, on the other hand, gives excellent detail of the caps, but can’t show deeper structures.

The work, reported in the Dec. 18, 2015, issue of Scientific Reports, details a hybrid approach that integrates IVUS and OCT, providing both the imaging depth and resolution necessary to identify TCFAs.

The study was performed in rabbits and on human tissue by researchers from the University of California, Irvine (UCI) and the University of Southern California (USC) in Los Angeles, California. The research is supported by the NIBIB, and the National Heart, Lung, and Blood Institute (NHLBI), both parts of the National Institutes of Health.

“The combined optical-ultrasonic system is a promising and powerful tool for identifying vulnerable plaques,” said Behrouz Shabestari, Ph.D., Director of the NIBIB program in Optical Imaging and Spectroscopy. “The system has the potential to increase detection and diagnostic accuracy of vulnerable plaques and will allow for better treatment options.”

The two centers provided complementary expertise: the UCI team specializes in OCT, while the USC group focuses on IVUS. “The advantage of the center funding is that we have flexibility,” said Kirk Shung, Ph.D., a professor of biomedical engineering at USC and one of the authors of the paper. “We came up with the idea, and because we have the funding, that allowed us to immediately start working together.”

Until now, both technical issues and safety concerns prevented combining the two techniques. Each technology has a different optimal imaging speed; IVUS takes about 30 frames per second, while OCT uses a speed of more than 100 frames per second.

Increasing IVUS’s speed sacrifices image quality, while slowing OCT extends procedure time, increasing the risk of both side effects from the imaging agents used and false diagnosis from catheter spasm. The group’s previous attempt at integrating the two used 20 frames per second but was abandoned because of the long procedure time. Alternatively, doing one procedure after the other would require two separate catheters and cost a lot more.

This time, the breakthrough came as a result of many technical advances, including a customized catheter, improved ultrasound transducer, and faster graphical processing unit. The result was a hybrid IVUS-OCT imaging system that could take pictures at a rate of 72 frames per second. Although there was initially a slight decrease in IVUS image quality, it was offset by increased sensitivity of the transducer. The hybrid system can visualize 7 centimeters of artery in 4 seconds.

The new system was first tested in healthy rabbits and rabbits with a build-up of plaque (atherosclerosis), and proved the mechanics of the ultrafast system worked well and that plaques could be clearly characterized from the resulting images. Next the team used the hybrid approach to visualize plaques in human tissue obtained from cadavers. After IVUS-OCT imaging, the tissue was sliced and stained to confirm locations of TCFA plaques. Two doctors independently evaluated images from IVUS alone, OCT alone, or the IVUS-OCT images together. While they were unable to identify TCFAs using either IVUS alone or OCT alone, the doctors made accurate classification of these plaques when IVUS and OCT images were evaluated together.

The technique could also be used to image other structures and lesions, such as calcification, noted Shung. Most people who are older than 60 have deposits of calcium mineral in their major arteries, which cause the vessels to be less elastic over time and are a factor in heart disease.

“This work has overcome many of the challenges of doing IVUS and OCT simultaneously,” said Zhongping Chen, Ph.D., a UCI professor of biomedical engineering and senior author of the paper. “When you use a single catheter, you don’t have to worry about matching two images, which enables physicians to look at co-registered ultrasound and OCT images simultaneously in real time. It will make identifying plaques easier and more precise, allowing for better treatment decisions.”

Related Articles Read More >

A photo of Capstan Medical's mitral valve implant, which uses nitinol.
Capstan Medical’s R&D head discusses the heart valve and robotics startup’s tech, engineering challenges and solutions, advice for others in medtech and how to join his team
This is a Phillips Medisize marketing image of
Phillips Medisize launches TheraVolt medical connectors
An illustration of a neurosurgeon using a robotic endoscope to remove a brain tumor.
MDO Nitinol Innovation Special Report
An image of the Abbott Volt PFA System catheter and cart, which helps physicians visualize the location and effectiveness of cardiac ablation.
Abbott’s Volt PFA system isn’t just a catheter and a waveform
“mdo
EXPAND YOUR KNOWLEDGE AND STAY CONNECTED
Get the latest medical device business news, application and technology trends.

DeviceTalks Weekly

See More >

MDO Digital Edition

Digital Edition

Subscribe to Medical Design & Outsourcing. Bookmark, share and interact with the leading medical design engineering magazine today.

MEDTECH 100 INDEX

Medtech 100 logo
Market Summary > Current Price
The MedTech 100 is a financial index calculated using the BIG100 companies covered in Medical Design and Outsourcing.
DeviceTalks

DeviceTalks is a conversation among medical technology leaders. It's events, podcasts, webinars and one-on-one exchanges of ideas & insights.

DeviceTalks

New MedTech Resource

Medical Tubing

MassDevice

Mass Device

The Medical Device Business Journal. MassDevice is the leading medical device news business journal telling the stories of the devices that save lives.

Visit Website
MDO ad
Medical Design and Outsourcing
  • MassDevice
  • DeviceTalks
  • MedTech100 Index
  • Medical Tubing + Extrusion
  • Medical Design Sourcing
  • Drug Delivery Business News
  • Drug Discovery & Development
  • Pharmaceutical Processing World
  • R&D World
  • About Us/Contact
  • Advertise With Us
  • Subscribe to Print Magazine
  • Subscribe to our E-Newsletter
  • Listen to our Weekly Podcasts
  • Join our DeviceTalks Tuesdays Discussion

Copyright © 2025 WTWH Media, LLC. All Rights Reserved. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media LLC. Site Map | Privacy Policy | RSS

Search Medical Design & Outsourcing

  • Home
  • Medical Device Business
    • Mergers & Acquisitions
    • Financial
    • Regulatory
  • Applications
    • Cardiovascular
    • Devices
    • Imaging
    • Implantables
    • Medical Equipment
    • Orthopedic
    • Surgical
  • Technologies
    • Supplies and Components Index
    • Contract Manufacturing
    • Components
    • Electronics
    • Extrusions
    • Materials
    • Motion Control
    • Prototyping
    • Pumps
    • Tubing
  • MedTech Resources
    • Medtech Events in 2025
    • The 2024 Medtech Big 100
    • Medical Device Handbook
    • MedTech 100 Index
    • Subscribe to Print Magazine
    • DeviceTalks
    • Digital Editions
    • eBooks
    • Educational Assets
    • Manufacturer Search
    • Podcasts
    • Print Subscription
    • Webinars / Digital Events
    • Whitepapers
    • Voices
    • Video
  • 2025 Leadership
    • 2024 Winners
    • 2023 Winners
    • 2022 Winners
    • 2021 Winners
  • Women in Medtech
  • Advertise
  • Subscribe