NASA Technology Helps Detect and Treat Heart Disease and Strokes

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June 6, 2007

David E. Steitz
Headquarters, Washington
202-358-1730

Jane Platt
Jet Propulsion Laboratory, Pasadena, Calif.
818-354-0880

RELEASE: 07-132

NASA TECHNOLOGY HELPS DETECT AND TREAT HEART DISEASE AND STROKES

PASADENA, Calif. - NASA space technology is helping doctors diagnose 
and monitor treatments for hardening of the arteries in its early 
stages, before it causes heart attacks and strokes. 

Hospitals and doctors around the country are using ArterioVision 
software initially developed at NASA's Jet Propulsion Laboratory 
(JPL), Pasadena, Calif., along with a standardized, painless, 
non-invasive ultrasound examination of the carotid artery, which 
carries blood from the heart to the brain.

A standard carotid ultrasound measures plaque and blood flow within 
the artery. When an ultrasound is used with the software, the test 
measures the thickness of the inner two layers of the carotid artery 
- the intima and media. Medical Technologies International, Inc. 
(MTI) of Palm Desert, Calif., patented the ArterioVision software.

Arterial thickening provides the earliest evidence of atherosclerosis, 
or hardening of the arteries, the beginning stage of a disease 
process that leads to heart disease and stroke. Doctors can use this 
carotid intima media thickness (CIMT) measurement to calculate the 
age of the patient's arteries, which does not always match the 
patient's calendar age.

"You may look and feel one way on the outside, but your arteries 
actually could be much older than one realizes," said Dr. Howard N. 
Hodis of the Keck School of Medicine at the University of Southern 
California, Los Angeles. "Once patients see how thick their arteries 
are, there is much more incentive for them to change their lifestyle 
with dietary modification and exercise," he said. "Physicians also 
can use the test to monitor and change current medications."

The U.S. Food and Drug Administration has approved the new diagnostic 
tool, called the ArterioVision CIMT procedure. Robert Selzer, MTI 
chief engineer, worked in JPL's Image Processing Laboratory for 15 
years, where the technology was developed that ultimately led to the 
software used in ArterioVision.

"This is such a precise method of examining the carotid artery. It can 
distinguish between 256 shades of gray at a subpixel level," Selzer 
said. "You need that kind of detail to help catch heart disease as 
early as you can, often before there are any outward symptoms."

During the test, a patient lies on an examination table while a 
technician applies gel to the neck to image the carotid arteries, 
located on both sides of the neck near the skin's surface. The 
technician uses an ultrasound machine while following a patented 
protocol to capture specific images of the carotid artery wall. Using 
the ArterioVision software, the physician generates a CIMT 
measurement and a report that identifies the patient's risk profile 
when compared to people of the same gender and age.

JPL's Image Processing Laboratory was created in 1966 to receive and 
make sense of spacecraft imagery. In the lab, the NASA-invented Video 
Imaging Communication and Retrieval software has been used to process 
pictures from numerous space missions, including the Voyagers and 
Mars Reconnaissance Orbiter. Periodic upgrades of the imaging 
software have enabled greater accuracy and improved knowledge of our 
solar system, and have laid the groundwork for understanding images 
of all kinds.

The ArterioVision test was developed with JPL's Innovative 
Partnerships Program, designed to bring benefits of the space program 
to the public. "It is exciting to see this NASA-funded technology 
grow in sophistication over the years and help in the battle against 
one of the nation's leading health issues," said Ken Wolfenbarger, 
Innovative Partnerships Program manager at JPL. The American Heart 
Association says heart disease is the leading cause of death in the 
United States, while strokes are third, behind all forms of cancer.

Gary F. Thompson, chairman and chief executive officer of MTI, says 
the test is near and dear to his heart - literally and figuratively. 
"I was the first male in my family to reach 50, so I decided to 
celebrate by running the Los Angeles marathon, but I had a heart 
attack halfway through it and couldn't finish," Thompson said. "None 
of the non-invasive tests that I had prior to the marathon detected 
my silent heart disease, and I knew there had to be something better 
out there."

The California Institute of Technology, Pasadena, which manages JPL 
for NASA, licensed the ArterioVision device to MTI. For more 
information about ArterioVision, visit:

http://www.i-mti.com

For more information about NASA's Innovative Partnership Programs, 
visit:

http://www.ipp.nasa.gov

For information about NASA and agency programs, visit:

http://www.nasa.gov

	
-end-



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