Skip to main content

Physiological Features of the Internal Jugular Vein from B-Mode Ultrasound Imagery

  • Conference paper
  • First Online:

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 10073))

Abstract

Traditional methods of capturing vital signs by monitoring electrical impulses are quite effective however this data has the potential to be extracted from alternative technology. Non-invasive monitoring using low-cost ultrasound imaging of arterial and venous vasculature has the potential to detect standard vital signs such as heart and respiratory rate as well as additional parameters such as relative changes in circulating blood volume. This paper explores the feasibility of using ultrasound to monitor these signals by detecting spatial and temporal changes in the internal jugular vein (IJV). Ultrasound videos of the jugular in the transverse plane were collected from a subset of healthy subjects. Frame-by-frame segmentation of the IJV demonstrates frequency characteristics similar to certain physiological systems. Heart and respiratory rate appear to be present in IJV cross-sectional area variations in select ultrasound clips and may provide information regarding the severity of a patient’s illness.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Agarwal, R., Kelley, K., Light, R.P.: Diagnostic utility of blood volume monitoring in hemodialysis patients. Am. J. Kidney Dis. 51(2), 242–254 (2008)

    Article  Google Scholar 

  2. Barbier, C., Loubières, Y., Schmit, C., Hayon, J., Ricôme, J.-L., Jardin, F., Vieillard-Baron, A.: Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med. 30(9), 1740–1746 (2004)

    Google Scholar 

  3. Barrett, K., Brooks, H., Boitano, S., Barman, S.: Ganong’s Review of Medical Physiology. McGraw-Hill, New York (2010)

    Google Scholar 

  4. Bartlett, M.S.: Smoothing periodograms from time series with continuous spectra. Nature 161(4096), 686–687 (1948)

    Article  Google Scholar 

  5. Bellows, S., Smith, J., Mcguire, P., Smith, A.: Validation of a computerized technique for automatically tracking and measuring the inferior vena cava in ultrasound imagery. Stud. Health Technol. Inform. 207, 183 (2014)

    Google Scholar 

  6. Cahoon, D.H., Michael, I.E., Johnson, V.: Respiratory modification of the cardiac output. Am. J. Physiol. Legacy Content 133(3), 642–650 (1941)

    Google Scholar 

  7. Dorland, W.A.N.: Dorlands Pocket Medical Dictionary (1960)

    Google Scholar 

  8. Dornhorst, A.C., Howard, P., Leathart, G.L.: Respiratory variations in blood pressure. Circulation 6, 553–558 (1952)

    Article  Google Scholar 

  9. Feissel, M., Michard, F., Faller, J.-P., Teboul, J.-L.: The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 30(9), 1834–1837 (2004)

    Article  Google Scholar 

  10. Halliburton, W.D.: Traube waves and Mayer waves. Q. J. Exp. Physiol. 12(3), 227–229 (1919)

    Article  Google Scholar 

  11. Julien, C.: The enigma of Mayer waves: facts and models. Cardiovasc. Res. 70(1), 12–21 (2006)

    Article  Google Scholar 

  12. Karami, E., Shehata, M., McGuire, P., Smith, A.: A semi-automated technique for internal jugular vein segmentation in ultrasound images using active contours. In: 2016 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI), pp. 184–187. IEEE (2016)

    Google Scholar 

  13. Lynn, S.B., Peter, G.S.: Bates’ Guide to Physical Examination and History Taking. Lippincott Williams & Wilkins, Philadelphia (2007)

    Google Scholar 

  14. Nakamura, K., Qian, K., Ando, T., Inokuchi, R., Doi, K., Kobayashi, E., Sakuma, I., Nakajima, S., Yahagi, N.: Cardiac variation of internal jugular vein for the evaluation of hemodynamics. Ultrasound Med. Biol. 42(8), 1764–1770 (2016)

    Article  Google Scholar 

  15. Palatini, P.: Need for a revision of the normal limits of resting heart rate. Hypertension 33(2), 622–625 (1999)

    Article  Google Scholar 

  16. Pellicori, P., Kallvikbacka-Bennett, A., Dierckx, R., Zhang, J., Putzu, P., Cuthbert, J., Boyalla, V., Shoaib, A., Clark, A.L., Cleland, J.G.F.: Prognostic significance of ultrasound-assessed jugular vein distensibility in heart failure. Heart 101(14), 1149–1158 (2015)

    Article  Google Scholar 

  17. Qian, K., Ando, T., Nakamura, K., Liao, H., Kobayashi, E., Yahagi, N., Sakuma, I.: Ultrasound imaging method for internal jugular vein measurement and estimation of circulating blood volume. Int. J. Comput. Assist. Radiol. Surg. 9(2), 231–239 (2014)

    Article  Google Scholar 

  18. Rivers, E., Nguyen, B., Havstad, S., Ressler, J., Muzzin, A., Knoblich, B., Peterson, E., Tomlanovich, M.: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N. Engl. J. Med. 345(19), 1368–1377 (2001)

    Article  Google Scholar 

  19. Shrout, P.E., Fleiss, J.L.: Intraclass correlations: uses in assessing rater reliability. Psychol. Bull. 86(2), 420–428 (1979)

    Article  Google Scholar 

  20. Sisini, F., Tessari, M., Gadda, G., Di Domenico, G., Taibi, A., Menegatti, E., Gambaccini, M., Zamboni, P.: An ultrasonographic technique to assess the jugular venous pulse: a proof of concept. Ultrasound Med. Biol. 41(5), 1334–1341 (2015)

    Article  Google Scholar 

  21. Takalo, R., Korhonen, I., Majahalme, S., Tuomisto, M., Turjanmaa, V.: Circadian profile of low-frequency oscillations in blood pressure and heart rate in hypertension. Am. J. Hypertens. 12(9 I), 874–881 (1999)

    Article  Google Scholar 

  22. Wolak, M.E., Fairbairn, D.J., Paulsen, Y.R.: Guidelines for estimating repeatability. Methods Ecol. Evol. 3(1), 129–137 (2012)

    Article  Google Scholar 

  23. Zengin, S., Al, B., Genc, S., Yildirim, C., Ercan, S., Dogan, M., Altunbas, G.: Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia. Am. J. Emerg. Med. 31(5), 763–767 (2013)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jordan P. Smith .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing AG

About this paper

Cite this paper

Smith, J.P., Shehata, M., Powell, R.G., McGuire, P.F., Smith, A.J. (2016). Physiological Features of the Internal Jugular Vein from B-Mode Ultrasound Imagery. In: Bebis, G., et al. Advances in Visual Computing. ISVC 2016. Lecture Notes in Computer Science(), vol 10073. Springer, Cham. https://doi.org/10.1007/978-3-319-50832-0_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-50832-0_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50831-3

  • Online ISBN: 978-3-319-50832-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics