Possibilities and limitations of histomorphometric studies of arterial vessels of the microcirculation

The choice of a procedure for measurements of blood vessels (b.v.) should depend on the type of b.v. investigated: For vessels defined anatomically and in respect to their function of organ supply the method of SUWA et al. (1961) is the most adequate one, provided that b.v. dilatations developing during lifetime and persisting after death as a result of special methods of fixation or shock-freezing or being generated by postmortal perfusion can be excluded. Changes in wall thickness of defined b.v. sectioned transversally can also be determined by measurement of the wall area and/or the maximal chord length. At undefined vessels procedures which measure the wall-to-lumen ratio are useless, because lumen changes are not quantifiable. Thus lumen changes can mask of mimick changes in wall thickness. The especially interesting b.v. either with a pathologically changed or without an elastic membrane are not measurable. The unsable method to detect changes in wall thickness at undefined b.v. is founded on the determination of the vessel wall area and/or the number of all the b.v. classified according to their diameter of a certain organ region. But the investigation of the smallest precapillary vessels presupposes their visualization by a special modification of the ATPase reaction.     

Ultrasound settings significantly alter arterial lumen and wall thickness measurements

Background

Arterial diameter and intima-media thickness (IMT) enlargement may each be related to the atherosclerotic process. Their separate or combined enlargement may indicate different arterial phenotypes with different atherosclerosis risk.

Methods

We investigated cross-sectional (baseline 1987–89: n = 7956) and prospective (median follow-up = 5.9 years: n = 4845) associations between baseline right common carotid artery (RCCA) external diameter and IMT with existing and incident carotid atherosclerotic lesions detected by B-mode ultrasound in any right or left carotid segments. Logistic regression models (unadjusted, adjusted for IMT, or adjusted for IMT and risk factors) were used to relate baseline diameter to existing carotid lesions while comparably adjusted parametric survival models assessed baseline diameter associations with carotid atherosclerosis progression (incident carotid lesions). Four baseline arterial phenotypes were categorized as having 1) neither IMT nor diameter enlarged (reference), 2) isolated IMT thickening, 3) isolated diameter enlargement, and 4) enlargement of both IMT and diameter. The association between these phenotypes and progression to definitive carotid atherosclerotic lesions was assessed over the follow-up period.

Results

Each standard deviation increment of baseline RCCA diameter was associated with increasing carotid lesion prevalence (unadjusted odds ratio [OR] = 1.54, 95% confidence interval [CI] = 1.47–1.62) and with progression of carotid atherosclerosis (unadjusted hazards ratio (HR) = 1.37, 95% CI = 1.28–1.46); and the associations remained significant even after adjustment for IMT and risk factors (prevalence OR = 1.11, 95% CI = 1.04–1.18; progression HR = 1.11, 95% CI = 1.03–1.19). Controlling for gender, age and race, persons with both RCCA IMT and diameter in the upper 50^th percentiles had the greatest risk of progressing to clearly defined carotid atherosclerotic lesions (all HR = 1.71, 95% CI = 1.47–2.0; men HR = 1.88, 95% CI = 1.48–2.39; women HR = 1.59, 95% CI = 1.31–1.95) while RCCA IMT or diameter alone in the upper 50^th percentile produced significantly lower estimated risks.

Conclusion

RCCA IMT and external diameter provide partially overlapping information relating to carotid atherosclerotic lesions. More importantly, the RCCA phenotype of coexistent wall thickening with external diameter enlargement indicates higher atherosclerotic risk than isolated wall thickening or diameter enlargement.     

Study of the microcirculation of the wall of the stomach of white rats by the vital microscopy method]

Microcirculation of the gastric wall in the albino rat was studied by the method of vital microscopy in passing light. The conditions of the experiment permitted watching the microcirculation state during 5-6 hours. Intravital morphometry of the microcirculation bed vessels was made. The obtained data concerning the intravital angioarchitectonics of the gastric wall vascular bed were in good agreement with a conventional scheme of its blood supply. The role of arteriolevenular anastomoses in redistribution of blood within the bloodflow pathways was noted.     

A simple method for the evaluation of epidermal thickness variations in psoriasis vulgaris

OBJECTIVE: To evaluate the "variation" of the epidermal thickness and variables such as the mean, maximum, and minimum thickness for the diagnosis and follow-up of some skin diseases such as psoriasis. STUDY DESIGN: A simple quantitative method is described. A series of psoriasis vulgaris cases is provided as an example. Biopsy samples taken before and after topical treatment were used. RESULTS: The mean thickness was higher in lesions compared to the perilesional control skin (p < 0.001) and post-treatment lesional area (p < 0.001). CONCLUSION: The thickness of the epidermis varies due to a multitude of factors. Measuring the mean epidermal thickness may be important. However, this measurement may not be the best way for studies involving a series of patients and a variety of lesion sites. The natural variations in the thickness of the epidermis of different body sites and of different persons may prevent the usage of thickness measurements alone on a wider scale. It is hoped that this method can be used for evaluation of certain skin diseases affecting epidermal thickness where variation of the epidermal thickness is a potentially useful diagnostic and therapeutic variable.     

Alternate method for the analysis of residual strain in the arterial wall

If an artery is cut transversely into rings, and the rings are then cut radially, they spring open into sectors. This phenomenon implies the existence of residual stresses and strains in the arterial wall in the non-loaded state. In the present paper, we propose a new method to calculate the residual strain from the measured wall dimensions and a polar angle of a specimen in the stress-free state, assuming that the wall is homogeneous and incompressible, and that a radially cut, stress-free specimen forms a circular sector. For this analysis, edge angles were measured at the edges of the opened-up specimen. Residual strains were obtained for the descending thoracic aorta, the common carotid artery, and the femoral artery in the rabbit. The results obtained indicated that the magnitude of residual strain was largest in the femoral artery and smallest in the aorta among the three arteries. The opening angle did not depend upon the length of a ring specimen if the ratio of the length to the diameter was ≤ 3.     

Determination of human arterial wall parameters from clinical data

This study suggests a method to compute the material parameters for arteries in vivo from clinically registered pressure-radius signals. The artery is modelled as a hyperelastic, incompressible, thin-walled cylinder and the membrane stresses are computed using a strain energy. The material parameters are determined in a minimisation process by tuning the membrane stress to the stress obtained by enforcing global equilibrium. In addition to the mechanical model, the study also suggests a preconditioning of the pressure-radius signal. The preconditioning computes an average pressure-radius cycle from all consecutive cycles in the registration and removes, or reduces, undesirable disturbances. The effect is a robust parameter identification that gives a unique solution. The proposed method is tested on clinical data from three human abdominal aortas and the results show that the material parameters from the proposed method do not differ significantly (p < 0.01) from the corresponding parameters obtained by averaging the result from consecutive cycles.     

Patterns of the arterial vessels in the palm

The pattern of the superficial arteries in the palma manus can be characterized in the following manner. In 58% of the cases the arteria ulnaris runs in an arch from the ulna to the radius and gives off a varying number of arteries to the fingers. There is no connection with any other artery. In 42% of the cases there are arterial connections, of which 32.1% are present in the form of an 'arcus' of a rather large diameter, formed through connection of the arteria ulnaris with the ramus palmaris superficialis of the arteria radialis or with the arteria metacarpalis dorsalis I. Likewise, in 9.9%, there is a connection between the arteries but this, which we call an 'anastomosis', is of a more delicate nature.     

Hypoxic remodeling of the rat pulmonary arterial microcirculation assessed by microdissection.

Artery segments were microdissected from distal acini of the rat lung and studied by light and electron microscopy. Morphometric methods were used to quantify the structure of the wall at defined levels within the normal axial pathway and to determine the changes after 5 and 7 days of whole-animal exposure to hypobaric hypoxia at an inspiratory O2 fraction of 0.1. In the normal lung, at the level of the terminal bronchiolus, the artery wall comprised up to six layers of smooth muscle cells (SMCs). At the respiratory bronchiolar level, however, the wall contained fewer than two layers of SMCs with a consistently circumferential orientation. By the second-generation alveolar ducts (AD2), the medial layer was lost, replaced by subendothelial precursor smooth muscle cells (PCs) resembling intermediate cells. At this and the next level (AD3), the PC layer was often circumferentially discontinuous. Regression analysis of the morphometric data suggested, however, that the smallest AD3 artery is likely to have a layer of PCs but with virtually no measurable separation between them and the endothelium. The mean maximum radial diameter of SMCs decreased along the axial pathway with a significant difference between diameters at terminal bronchiolus and AD2 levels; yet the diameter of endothelial cells remained the same. After 7 days of hypoxia, no change was noted in the number of smooth muscle layers, but at the AD2 level the relative area of media in the total wall increased. This was due in part to hypertrophy of PCs, as evidenced by an increase in their mean maximum radial diameter.(ABSTRACT TRUNCATED AT 250 WORDS)