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Objects in motion will produce echoes that come back at a slightly different __ than what was sent out
frequency
Moving __ the sound source = higher received frequency
towards
Moving towards the sound source = __ received frequency
higher
Moving __ from the sound source = lower received frequency
away
Moving away from the sound source = __ received frequency
lower
The difference between the reflected and transmitted frequencies is called the __ or __
frequency shift or doppler shift
If the frequency is __ than the transmitted, Its a positive shift
greater
if the frequency is greater than the transmitted, Its a __ shift
positive
if the frequency is __ than the transmitted, its a negative shift
less
if the frequency is less than the transmitted, Its a __ shift
negative
What three things does doppler shift tell you?
presence, direction, and magnitude
Doppler shift equation =
__
2 x freq x V x cos / C
What three things affect the doppler shift?
velocity, frequency, and angle
Velocity is __ related to shift
directly
velocity
Increase in blood velocity = __ doppler shift
increase
frequency is __ related to shift
directly
Increase in transducer frequency = __ doppler shift
increase
Angle is __ related to shift
inversely
Increase in angle (closer to 90) = __ doppler shift
decrease
At __ degrees/perpendicular = NO shift
90
At 90 degrees/perpendicular = __ shift
NO
At __ degrees/parallel or __ degrees = greatest shift
0 or 180
At 0 degrees/parallel or 180 degrees = __ shift
greatest
Doppler shift info __ and superimposed or ‘pasted’ onto B-mode image (duplex).
colorized
Color only displays __ and average __
direction, velocities
__ is displayed and the range it’s able to detect (maximum velocity)
PRF
Slow flow = __
low scale
Fast flow = __
high scale
Closer to __ = higher doppler shift and therefore, brighter color
parallel
Closer to parallel = higher doppler shift and therefore, __
brighter color
__ = NO doppler shift and so black
perpendicular
Flow separations and any vessel that __ or __ will show both red and blue part of the flow moves towards and then away
loops, curves
Blue on top and red on bottom
__ means away or downhill
red
Correctly use color doppler
__ the box in the direction of the vessel angle
steer
Correctly use color doppler
The size of the box should just cover the area of __
interest
Correctly use color doppler
Adjust the scale to fit the type of __ you are evaluating
flow
Correctly use color doppler
Adjust __ so color fills in the vessel but down not __ out of the vessel walls
gain, bleed
Pulsed doppler
What are the benefits to pulsed doppler
position and size
Pulsed doppler is specific and __ can be measured
velocities
Pulsed doppler is __
quantitative
__ - which breaks down the signal into separate components according to velcoity (magnitude of shift) and time (location)
spectral analysis
spectral analysis which breaks down the signal into separate components according to __ (magnitude of shift) and __ (location)
velocity, time
How to correctly use PW doppler
Sample at __ of flow/vessel with sample angle steered in direction of vessel and __ to vessel walls
center, parallel
How to correctly use PW doppler
If the angle is not parallel, __ measurement will be inaccurate
velocity
How to correctly use PW doppler
Generally, ideal angles are __ degrees
45-60
How to correctly use PW doppler
Sample gate should be approximately __ the size of the vessel
1/3
Power doppler
AKA __ or __ doppler
energy, amplitude
Power doppler
Only __ color
one
What three things does power doppler map?
magnitude, power, and amplitude of doppler signal
Power doppler
Only detects and displays the __ of flow NOT __
presence, direction
Power doppler
what is the benefit of power doppler?
sensitive to slow flow
Continuous wave doppler = __
non-imaging
Continuous wave doppler
Requires __ crystals
2
Continuous wave doppler
one for __ and other for __
transmitting, receiving
Continuous wave doppler
only used as flow detector or to measure severely __ velocities
elevated
Continuous wave doppler
__ - unable to determine depth or location
range ambiguous
Continuous wave doppler
Cannot choose a __
location
Doppler optimization
Scale
__ the scale = not sensitive enough
decrease
Doppler optimization
Scale
__ the scale = aliasing
increase
Doppler optimization
Wall filters and high pass filters - __/__
low frequency/high amplitude
Doppler optimization
__ wall filter = not sensitive enough
decrease
Doppler optimization
Gain
__ gain to enhance the strength of the doppler signal
increase
Doppler optimization
Gain
__ if bleeding out of vessel
decrease
Doppler optimization
Problem - Aliasing
Shift exceeds the __ limit
nyquist
Doppler optimization
Problem - Aliasing
nyquist limit - __
½ PRF
Doppler optimization
Problem - Aliasing
Increase __ or __
scale or PRF
Doppler optimization
Problem - Aliasing
Lower __
baseline
Doppler optimization
Problem - Aliasing
Decrease __
transducer frequency
Doppler optimization
Problem - Aliasing
Increase __
doppler angle
Doppler optimization
Problem - SLOW FLOW
Low velocity flow will produce a small doppler shift. The opposite of __
aliasing
Doppler optimization
Problem - SLOW FLOW
Lower __ and __
scale and wall filter
Doppler optimization
Problem - SLOW FLOW
Increase three things
frequency, color gain, and packet size
Doppler optimization
Problem - SLOW FLOW
decrease __
angle (closer to parallel)
Doppler optimization
Problem - SLOW FLOW
Use __
power doppler