Arterial resistivity index

Arterial resistivity index
Arterial resistivity index (right) from retinal laser Doppler imaging (left).
Purpose	measure of pulsatile blood flow

The arterial resistivity index (also called as Resistance index, abbreviated as RI), developed by Léandre Pourcelot [1], is a measure of pulsatile blood flow that reflects the resistance to blood flow caused by microvascular bed distal to the site of measurement. It is primarily used in ultrasound imaging to evaluate arteries and solid organ damage.

Calculation

The formula used to calculate resistance index is:^[1]

${\displaystyle RI={\frac {v_{systole}-v_{diastole}}{v_{systole}}}}$

Description

Resistance index	Description
0	Continuous flow
1	Systolic flow, but no diastolic flow
>1	Reversed diastolic flow

The RI is altered not by vascular resistance alone but by the combination of vascular resistance and vascular compliance.^[2][3]

Normal mean renal artery RI for an adult is 0.6 with 0.7 the upper limit of normal. In children, RI commonly exceeds 0.7 through 12 months of age and can remain above 0.7 through 4 years of age.^[4]

Medical uses

It is used in ultrasound testing of umbilical artery for placental insufficiency. RI should not exceed 0.60 at 30 weeks of gestation.^[5]

It is also used to assess the kidneys for medical renal disease, as can occur with diabetes or kidney transplants damaged by rejection.^[6] Following kidney transplantation, patients with an RI > 0.8 have an increased mortality.^[4][7]

Mapping of the local arterial resistivity index from laser Doppler imaging enables unambiguous identification of retinal arteries and veins on the basis of their systole-diastole variations, and reveal ocular hemodynamics in human eyes.^[8]

See also

• Pulsatility index
• Leandre Pourcelot (French)

References

1. Sistrom, Theodore E. Keats, Christopher (2002). Atlas de medidas radiológicas. Madrid: Harcourt. pp. 481. ISBN 978-84-8174-612-9.
2. Bude, RO; Rubin, JM (May 1999). "Relationship between the resistive index and vascular compliance and resistance". Radiology. 211 (2): 411–7. doi:10.1148/radiology.211.2.r99ma48411. PMID 10228522.
3. Boas FE, Desser TS, Kamaya A (2011). "Does separating the resistive index into pre- and post-glomerular resistance and vascular compliance improve the diagnostic accuracy of renal transplant doppler ultrasound?". American Journal of Roentgenology. 196 (5): A84 – A87. doi:10.2214/ajr.196.5_supplement.0a84.
4. American Journal of Roentgenology. 2003;180: 885-892. 10.2214/ajr.180.4.1800885
5. Hobbins, John C. (2007). Obstetric ultrasound : artistry in practice. Oxford: Blackwell. p. 37. ISBN 978-1-4051-5815-2.
6. K C, T; Das, SK; Shetty, MS (March 2023). "Renal Resistive Index: Revisited". Cureus. 15 (3): e36091. doi:10.7759/cureus.36091. PMC 10096815. PMID 37065373.
7. N Engl J Med. 2013 Nov 7;369(19):1797-806. doi: 10.1056/NEJMoa1301064.
8. Puyo, Léo, Michel Paques, Mathias Fink, José-Alain Sahel, and Michael Atlan. "Waveform analysis of human retinal and choroidal blood flow with laser Doppler holography." Biomedical Optics Express 10, no. 10 (2019): 4942-4963.