Abstract

Abstract
This chapter surveys methodologies for the segmentation of carotid ultrasound images and describes a method for the semiautomatic detection of the lumen-intima and the media-adventitia interfaces of the near and far common carotid wall. The approach is based on feature extraction, fitting of cubic splines, dynamic programming, smooth intensity thresholding surfaces, and geometric snakes. A set of 47 B-mode images of the common carotid were used to assess the performance of the method. The detection errors are similar to the ones observed in manual segmentations for 95% of the far wall interfaces and 73% of the near wall interfaces. © 2014 Springer Science+Business Media, LLC. All rights are reserved.

Abstract
This paper introduces RetinaCAD, a system, for the fast, reliable and automatic measurement of the Central Retinal Arteriolar Equivalent (CRAE), the Central Retinal Venular Equivalent (CRVE), and the Arteriolar-to-Venular Ratio (AVR) values, as well as several geometrical features of the retinal vasculature. RetinaCAD identifies important landmarks in the retina, such as the blood vessels and optic disc, and performs artery/vein classification and vessel width measurement. The estimation of the CRAE, CRVE and AVR values on 480 images from 120 subjects has shown a significant correlation between right and left eyes and also between images of same eye acquired with different camera fields of view. AVR estimation in retinal images of 54 subjects showed the lowest values in people with diabetes or high blood pressure thus demonstrating the potential of the system as a CAD tool for early detection and follow-up of diabetes, hypertension or cardiovascular pathologies.

Abstract
In this paper we describe an algorithm for heart sound classification (classes Normal, Murmur and Extrasystole) based on the discretization of sound signals using the SAX (Symbolic Aggregate Approximation) representation. The general strategy is to automatically discover relevant top frequent motifs and relate them with the occurrence of systolic (S1) and diastolic (S2) sounds in the audio signals. The algorithm was tuned using motifs generated from a collection of audio signals obtained from a clinical trial in a hospital. Validation was performed on a separate set of unlabeled audio signals. Results indicate ability to improve the precision of the classification of the classes Normal and Murmur.

Abstract
The assessment of the cardiovascular system condition based on multiple parameters allows a more precise and accurate diagnosis of the heart and arterial tree condition. For this reason, the interest in non-invasive devices has presently increased in importance. In this work, an optical probe was tested in order to validate this technology for measuring multiple parameters such as Pulse Wave Velocity (PWV) or Augmentation Index (AIx), amongst others. The PWV measured by the optical probe was previously compared with the values obtained with the gold-standard system. Another analysis was performed in 131 young subjects to establish carotid PWV reference values as well as other hemodynamic parameters and to find correlations between these and the population characteristics. The results allowed us to conclude that this new technique is a reliable method to determine these parameters. The range of the obtained values for local PWV are in agreement with the values obtained by other studies, and significant correlations with age and smoking status were found. The AIx varied between -6.15 % and 11.46 % and exhibit a negative correlation with heart rate, and dP/dt(max) shows a significant decrease with age.

Abstract
In this chapter we discuss the cell-free layer (CFL) developed adjacent to the wall of microgeometries containing complex features representative of the microcirculation, such as contractions, expansions, bifurcations and confluences. The microchannels with the different geometries were made of polydimethylsiloxane (PDMS) and we use optical techniques to evaluate the cell-free layer for red blood cells (RBCs) suspensions with different hematocrit (Hct). The images are captured using a high-speed video microscopy system and the thickness of the cell-free layer was measured using both manual and automatic image analysis techniques. The results show that in in vitro microcirculation, the hematocrit and the geometrical configuration have a major impact on the CFL thickness. In particular, the thickness of the cell-free layer increases as the fluid flows through a contraction–expansion sequence and that this increase is enhanced for lower hematocrit. In contrast, the flow rates tested in these studies did not show a clear influence on the CFL thickness. © Springer Science+Business Media Dordrecht 2014.