Evidence mapPaperPMID 41749236Full record

ArticleBiomedical engineering online2026

Investigating the early diagnostic value of popliteal artery wall shear stress in lower extremity arterial disease in type 2 diabetes patients using color Doppler ultrasound combined with WSS quantitative analysis.

Yuxin Zhao, He Wang, Junyi Gu, Yuqing Sun, Bo Zhang

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Article in Biomedical engineering online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Yuxin ZhaoDepartment of Ultrasound in Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
He WangDepartment of Ultrasound in Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
Junyi GuDepartment of Ultrasound in Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
Yuqing SunDepartment of Ultrasound in Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
Bo ZhangDepartment of Ultrasound in Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China. zhangbodongfang@qq.com.

Funding

The Important Weak Subject Construction Project of Shanghai Pudong New Area Health Commission PWZbr2022-12
6 · The paper itself

Abstract

backgroundThe global increase in type 2 diabetes mellitus (T2DM) has contributed to a growing burden of lower extremity arterial disease (LEAD), often detected at advanced stages due to limitations in current diagnostic methods. While the ankle-brachial index (ABI) is widely used, it provides no structural information; advanced imaging such as DSA, CTA, or MRA involves radiation, contrast agents, or high cost. Color Doppler ultrasound (DUS) offers a non-invasive and economical alternative for hemodynamic assessment. This study proposes an integrated approach combining DUS with custom MATLAB-based software to quantify wall shear stress (WSS) in the popliteal artery, aiming to establish WSS as a potential early marker of LEAD in T2DM patients.

resultsIn a study comparing T2DM patients to controls, T2DM groups showed significantly altered blood pressure, blood lipids, and blood viscosity, along with reduced WSS values, indicating advanced arterial damage. Specifically, WSS was lower in T2DM groups with normal and thickening IMT and those with plaque formation compared to controls. The optimal WSS cutoff for predicting LEAD was 1.82 dyne/cm

conclusionsNon-invasive WSS measurement using DUS provides a valuable diagnostic tool for early LEAD detection in T2DM patients. Reduced WSS in the popliteal artery is a predictive marker of disease onset, offering potential for earlier intervention and better management of LEAD, ultimately improving patient outcomes.

Indexed as

Diabetes Mellitus, Type 2Lower ExtremityPopliteal ArteryShear StrengthStress, MechanicalUltrasonography, Doppler, ColorAgedEarly DiagnosisFemaleHumansMaleMiddle AgedAtherosclerosisColor Doppler ultrasoundLower extremity arterial diseasePopliteal arteryType 2 diabetes mellitusWall shear stress

Identifiers

PMID41749236
PMCPMC13040689

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.