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Doppler shifts
sonographic instruments measure:
velocity
sonographic instruments calculate:
200-15,000 Hz
Doppler shift range
Doppler shift frequency
the difference of frequency of the received sound and the frequency of transmitted sound
duplex imaging
combination of 2D gray-scale imaging and Doppler information (color Doppler, power Doppler, spectral Doppler)
allows for placing sample volume in a specific vessel
color Doppler
presents real-time blood flow or tissue motion information along with gray-scale anatomic imaging
gray-scale
non-Doppler shifted echoes create ___________________
signal processer
Doppler shifted echoes are detected in the ________________
autocorrelation
the signal processor uses a mathematical technique called ______________
autocorrelation
determines the mean, variance, and sign of the Doppler shift signal at each location along the scan line
variance
measures dispersion or the spread around the mean
100-400
____________ Doppler samples (locations) per scan line
pulses
multiple _________________ are involved in all images with autocorrelation because they are required in the autocorrelation process
3-32
___________ pulses = 1 scan line with autocorrelation
1
____________ pulse = 1 scan line with gray-scale
frame rate
a bigger color box lowers the _______________ because it takes time to generate more scan lines
qualitative
the color map provides _________________ information
hue
color perceived by viewer
luminance
brightness
saturation
the amount of hue in a mix with white
Nyquist limit
upper limit of Doppler shift that can be properly displayed by pulsed-wave
PRF
if Doppler shift exceeds ½ the _____________, aliasing occurs
color aliasing
improper color progression—>red to yellow to green to blue
flow reversal
if there is _________________, red and blue will be separated by black
demonstrates blood flow (character of flow—>laminar, turbulent, speed)
determines direction of flow
demonstrates nonvascular motion
advantages of color Doppler:
angle dependence
lower FR
lack of detailed spectral info—>cannot quantify velocity
color Doppler limitations:
decrease output power
decrease color gain
to fix color bleeding:
decrease color gain
increase color reject
to fix color noise:
ensemble length/packet size
number of pulses used for each color scan line
if high—>improved accuracy, improved detection of slow flow, decreased FR
priority
selects gray-scale echo strength
lower strength echoes displayed as color
low
__________ PRF allows for display of slow flow (small fD)
high
___________ PRF is for fast flow or eliminating aliasing
noise
smoothing/persistence reduces ______________
color reject
threshold below which weak echoes are eliminated
reduces noise
wall filter
rejects frequencies below a threshold
too low—wall motion appears in color
too high—slow blood flow signals will be removed
flash
sudden burst of color beyond region of blood flow
improper display of color caused by movement of transducer or tissue (cardiac motion, artery pulsatility, respiration, talking, peristalsis)
decrease color gain, increasing wall filter, increasing PRF, decreasing persistence, reducing box size
to reduce flash:
mirror image
additional color display at wrong location
occurs when vessel lies proximal to a highly reflective interface
decrease output power, decrease color gain, change angle of insonation
to reduce mirror image artifact:
power Doppler
presents 2D Doppler information by color encoding the amplitude of the Doppler shifts
concentration/number
in power Doppler, the power of the Doppler shift is determined by the _________________ of the moving scatterers
not angle dependent
no aliasing
improved sensitivity (slow flow in small vessels)
advantages of power Doppler:
no directional information
no flow speed or character information
disadvantages of power Doppler:
spectral Doppler
presents Doppler shift frequencies in order
determines their sign
provides quantitative data for evaluating Doppler shift
phase quad detection
a quadrate phase detector separates forward and reverse Doppler shift voltages
splits received frequencies into 2 channels (positive shift and negative shift)
occurs within the signal processor
phase quad detection
___________________ is also known as Doppler shift detector
fast fourier transform
converts Doppler shift information into a visual spectrum
breaks down complex signals into individual frequencies which display as vertical lines
occurs within the signal processor
fast fourier transform
______________ is also known as the spectrum analyzer
continuous wave
detects the Doppler shift within the region of overlap between the beams of transmitting and receiving transducer elements
no depth selectivity
pulse wave
emits ultrasound pulses and receives echoes using a single element transducer or array
ability to select information from a particular depth (range gating, sample volume)
CW transducers
dual element transducer assemblies (one for transmitting and one for receiving)
not damped
the region over which Doppler info can be acquired (Doppler sample volume) is the region of overlap between the transmitting and receiving beams
oscillator
part of the beam former in CW Doppler instrument
produces a continuously alternating voltage that drives the transducer element
RE amplifier, quad phase detector, and audio frequency amplifier
the signal processor in a CW Doppler instrument includes:
PW transducers
damped using a single element transducer or array
pulses are longer than those used in imaging
Doppler cursor
line superimposed on the B-mode images that shows the path of the sound beam
used in both CW and PW
range gating
enables depth selectivity and a small Doppler sample volume
sampling system
PW is a ___________________
beam width
with sample volume, width is equal to the _______________ at the sample volume
length of the pulse
with sample volume, length is limited by the __________________
narrow
a small sample size leads to a ____________ range of fDs
broad
a large sample size leads to a ____________ range of fDs
spectral broadening
vertical thickening of the spectral trace (filling in of spectral window)
produced by disturbed or turbulent flow
can also be demonstrated with a large sample size in a vessel with laminar flow
inversely
the cosine of the angle and the Doppler angle are ______________ related
flow
the angle should be set parallel with ________________
Doppler gain
amplifies received Doppler signal
affects both spectral display (brightness) and volume
should be set high enough to display low flow, but not so high that it produces noise
Doppler output power
adjusts intensity of the transmitted beam
increased transmitted intensity increases sensitivity
should be balanced with Doppler gain
moderate setting is ideal
PRF
aka velocity scale
adjusts max velocity displayed on spectrum
low scale for low velocity flow and high scale for high velocity flow to avoid aliasing
fast
__________ sweep speed is good for detailed waveform analysis
slow
_____________ sweep speed is good for inclusion of multiple waveforms, venous response to limb compressions, demonstrate respiratory phasicity
wall filter
aka high-pass filter
removes data below selected frequency
too low—>may demonstrate artifacts
too high—>may eliminate low velocity flow
clutter/thump
high-intensity, low-frequency Doppler shifts
caused by heart, vessel wall, or cardiac valve motion
cross-talk
a type of mirror-image artifact
duplication of flow on the opposite side of the baseline
occurs when the quadrate phase detector is saturated and there is leakage into the opposite direction channel
important to determine if flow is real or artifact
decreasing Doppler gain
cross-talk can be eliminated by: