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Optical Screening System Detects Carotid Artery Stenosis

By MedImaging International staff writers
Posted on 25 Jan 2021

A non-invasive, user-friendly, and easy-to-operate assessment tool enables early detection of carotid artery stenosis (CAS), an indicator of stroke.

The Pulxion Medical Technology (Taipei, Taiwan) PulStroke is a digital video device that records a short (20 second) clip of the neck under light emitting diode (LED) light with one simple click. A cloud-based platform uses dynamic video processing, feature extraction, and artificial intelligence (AI) algorithms to analyze the data, delivering the screening results to a smartphone or computer within five minutes. Studies have shown that the accuracy of PulStroke is higher than 90%, when compared to carotid ultrasound.

“The mission of the company is to develop AI-based imaging technology, with the goals of translating the research work into clinical solutions and commercial products,” said Thomas Hsu, CEO of Pulxion. “With this device, Pulxion plans to promote its use at chain pharmacies and clinics, healthcare centers, and local communities for general public who might have stroke issues without foreseeable symptoms. Early detection is the key to the preventive medicine.”

“About 85 percent of strokes are caused by ischemia, or a blockage in an artery that supplies blood to the brain. People with cardiovascular diseases might suffer a stroke without foreseeable symptoms, so early detection is key to prevention,” said cardiologist Kao Hsien-li, MD, of National Taiwan University Hospital (NTUH), who developed the technology. “The degree of stenosis affects the dynamics of blood flow, subtle changes in which are reflected through pulsations that can be detected by image motion analysis.”

Historically, carotid calcification has been detected by x-ray imaging. With the advent of ultrasound Doppler examination of vascular pathology, carotid 2D grey scale has become the routine study for CAS in vascular laboratories.

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67 (545.97854614258): SELECT fid FROM jos_deeppockets WHERE id=294786706 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294786706 AND published='1' LIMIT 1

68 (48.160552978516): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

69 (38.14697265625): select jos_twitters.link from jos_twitters where cat=10

70 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

71 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

72 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

73 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294786706 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294786706 AND published='1' LIMIT 1

74 (31.948089599609): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

75 (320.9114074707): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (221.96769714355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (36.954879760742): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

78 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (42.200088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (31.948089599609): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

95 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

110 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

111 (58.889389038086): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (44.822692871094): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

114 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

115 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (515.93780517578): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (566.00570678711): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (334.9781036377): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

119 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

120 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

121 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

122 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

123 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

124 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

125 (299.93057250977): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 27286.052703857): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

127 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

128 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

129 (477.07557678223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294786706 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294786706 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (!!!!! 473672.15156555): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (72.956085205078): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

132 (65.088272094727): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

134 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

136 (65.088272094727): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

138 (469.20776367188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (386.95335388184): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=215

141 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=215

142 (528.09715270996): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (379.08554077148): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

145 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

146 (!!!!! 9449.0051269531): TRUNCATE TABLE jos_trademed_module

147 (95.844268798828): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (75.817108154297): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294786706 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (826.83563232422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

152 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

153 (!!!!! 1065.0157928467): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

154 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

155 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

156 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294786706 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294786706 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (29.087066650391): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

158 (27.179718017578): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

159 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

161 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294786706 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294786706 AND published='1' LIMIT 1

162 (38.14697265625): select jos_twitters.link from jos_twitters where cat=10

163 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

164 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

165 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

166 (285.86387634277): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1405.0006866455): insert into jos_banners_delta values (14615,'2025-04-29 21:24:40','3.144.134.101','view'),(14202,'2025-04-29 21:24:40','3.144.134.101','view'),(14203,'2025-04-29 21:24:40','3.144.134.101','view')

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