Table 1.
Noninvasive imaging methods
| Technique | Method | Device | Variable unit | What does it measure? | Studies in youth with type 2 diabetes |
|---|---|---|---|---|---|
| Carotid thickness | |||||
| Carotid intima Media thickness | B mode ultrasound | Ultrasound with linear array transducer | mm | Thickness of the intima media layer of the carotid artery either in the common carotid, bulb carotid, or internal carotid | Ref. [32–36] |
| Carotid stiffness | |||||
| Young’s elastic modulus, Beta stiffness index | M mode Ultrasound | Ultrasound with linear array transducer | YEM (mm Hg/mm); beta (unitless) | Stiffness in the carotid artery | Ref. [33] |
| Arterial stiffness | |||||
| Brachial distensibility | Oscillmetric systolic/diastolic blood pressure | Pulsemetric DynaPulse | %change/mmHg | Resting distensibility of the medium muscular artery in the arm. Lower is worse | Ref. [44, 47] |
| Pulse wave velocity | Applanation tonometry | AtCor SphygmoCor | m/s | Speed of pulse wave along an arterial segment | Ref. [44, 47] |
| Augmentation index | Applanation tonometry | AtCor SphygmoCor | % | Increase in central systolic pressure due to reflected wave as a percentage of central pulse pressure | Ref. [44, 47] |
| Endothelial function | |||||
| Brachial artery flow mediated dilation | Ultrasound | Ultrasound | FMD max (%) | FMD max is maximum % change at any time period post occlusion (30 to 120 s) | Ref. [34, 52, 55•] |
| Peripheral arterial tonometry | EndoPat | Itamar | % | Increase in blood flow in the digit after release of occlusion normalized to the control finger | No published studies |
| Microvascular endothelial function | Laser Doppler | Perimed | Perfusion units | Change in perfusion units after heating | No published studies |