Doppler effect: Frequency change from transmitting and reflected sound waves based on source relative to receiver
Positive frequency shift: When reflector is moving toward ultrasound beam
Negative frequency shift: When reflector is moving away from ultrasound beam
Doppler shift: Difference between transmitting and reflected frequency emitted from transducer
Defined as ΔF = 2F₀V cos Ø/c
ΔF is Doppler shift
F₀ is transmit frequency
V is velocity of blood flow
Ø is angle of incidence between US beam and direction of blood flow
c is speed of sound in tissue
Note that Doppler shift is highly dependent on angle of incidence and can be maximized with Ø = 0⁰ or minimized with = 90⁰
PDI: 1 of 3 commonly used Doppler techniques
Measured by strength of Doppler signal
Unlike color Doppler imaging (CDI), PDI is independent of velocity and direction of blood flow
Since there is no velocity or direction, aliasing is eliminated
Less dependent on angle of insonation than CDI
Amplitude: Strength of returning signal is dependent on density of red blood cells, sample volume, attenuation of surrounding tissue, and blood vessel in relation to sample volume size
Greater density of red blood cells within sample volume results in greater amplitude
Rouleaux effect: Cluster of red blood cells within blood vessel
Increased thickness (density) or cluster of red blood cells results in more reflective power Doppler signal
This effect is visualized mostly in central, larger vessels due to plug flow
Plug flow has less turbulence to disrupt clumping of red blood cell or Rouleaux flow
Depth: With increasing depth and attenuation, return of ultrasound signal is weaker
Important to use appropriate depth to optimize PDI
IMAGING ANATOMY
Anatomic Considerations
Technical Considerations
CLINICAL IMPLICATIONS
Diagnostic Checklist
Selected References
Evans DH: Colour flow and motion imaging. Proc Inst Mech Eng H. 224(2):241-53, 2010
Rubens DJ et al: Doppler artifacts and pitfalls. Radiol Clin North Am. 44(6):805-35, 2006
Evans DH et al: Doppler Ultrasound: Physics, Instrumentation and Signal Processing, 2nd Ed. Wiley Publishing, 2000
Allan PL et al: Clinical Doppler Ultrasound Philadelphia: Churchill Livingstone, 2000
Doppler effect: Frequency change from transmitting and reflected sound waves based on source relative to receiver
Positive frequency shift: When reflector is moving toward ultrasound beam
Negative frequency shift: When reflector is moving away from ultrasound beam
Doppler shift: Difference between transmitting and reflected frequency emitted from transducer
Defined as ΔF = 2F₀V cos Ø/c
ΔF is Doppler shift
F₀ is transmit frequency
V is velocity of blood flow
Ø is angle of incidence between US beam and direction of blood flow
c is speed of sound in tissue
Note that Doppler shift is highly dependent on angle of incidence and can be maximized with Ø = 0⁰ or minimized with = 90⁰
PDI: 1 of 3 commonly used Doppler techniques
Measured by strength of Doppler signal
Unlike color Doppler imaging (CDI), PDI is independent of velocity and direction of blood flow
Since there is no velocity or direction, aliasing is eliminated
Less dependent on angle of insonation than CDI
Amplitude: Strength of returning signal is dependent on density of red blood cells, sample volume, attenuation of surrounding tissue, and blood vessel in relation to sample volume size
Greater density of red blood cells within sample volume results in greater amplitude
Rouleaux effect: Cluster of red blood cells within blood vessel
Increased thickness (density) or cluster of red blood cells results in more reflective power Doppler signal
This effect is visualized mostly in central, larger vessels due to plug flow
Plug flow has less turbulence to disrupt clumping of red blood cell or Rouleaux flow
Depth: With increasing depth and attenuation, return of ultrasound signal is weaker
Important to use appropriate depth to optimize PDI
IMAGING ANATOMY
Anatomic Considerations
Technical Considerations
CLINICAL IMPLICATIONS
Diagnostic Checklist
Selected References
Evans DH: Colour flow and motion imaging. Proc Inst Mech Eng H. 224(2):241-53, 2010
Rubens DJ et al: Doppler artifacts and pitfalls. Radiol Clin North Am. 44(6):805-35, 2006
Evans DH et al: Doppler Ultrasound: Physics, Instrumentation and Signal Processing, 2nd Ed. Wiley Publishing, 2000
Allan PL et al: Clinical Doppler Ultrasound Philadelphia: Churchill Livingstone, 2000