A miniature transducer emits high-frequency sound waves into the vessel and detects the returning echoes. Differences in these echoes provide information about the lumen, vessel wall, and atherosclerotic plaque. Computer analysis organizes the signals into cross-sectional images, allowing clinicians to examine vascular structure from multiple positions as the catheter moves.
Angiography primarily depicts the vessel lumen, whereas Intravascular Ultrasound also shows structures within and beneath the vessel surface. This distinction helps identify plaque and characterize the vessel wall, even when the visible lumen does not fully represent the extent or arrangement of vascular disease. The added structural information supports more informed cardiovascular assessment.
IVUS can characterize atherosclerotic plaque while showing its relationship to the lumen and vessel wall. This cross-sectional perspective helps clinicians evaluate disease that may not be apparent from the vessel surface or lumen appearance alone. Plaque assessment therefore contributes to a more complete understanding of vascular structure during cardiovascular diagnosis and intervention.
The imaging process uses a catheter carrying a miniature ultrasound transducer inside the blood vessel. As the transducer moves through the vessel, it emits sound waves and receives returning echoes. A computer converts those signals into real-time images, enabling examination of vascular dimensions, the lumen, vessel wall, and plaque along the imaged segment.
Intravascular Ultrasound provides measurements of vessel dimensions and shows the relationship between the lumen, vessel wall, and plaque. Clinicians can use this information when planning and guiding stent placement, rather than relying only on the lumen appearance supplied by angiography. The structural measurements help support a more informed approach to vascular intervention.
After treatment, IVUS can be used to examine the restored vessel lumen and reassess surrounding vascular structure. Its images help clinicians determine whether treatment has adequately improved the lumen and how the result relates to the vessel wall and plaque. This post-intervention assessment adds structural information to evaluation of treatment outcome.