CVTE 110 Doppler, Pulses Exam #1 Flashcards
What is DOPPLER ULTRASOUND?
Shift happens. This is good—it’s how we make our living,saving lives and stamping out disease.
Who is Christian Andreas Doppler? When was he alive?
1803 – 1853 Movement of stars toward or away, trumpet players on train, etc.
What is the Doppler effect?
Frequency shift due to motion Motion can be on the part of the source, the receiver, or both.Or a reflector (RBCs).In that case, the reflectors become secondary sources.
What happens when ultrasound is sent into tissue? How is backscattered ultrasound received from what went out?
Ultrasound is sent into tissue,gets scattered bymoving RBCs. Backscattered ultrasound from RBCs is received at a different frequency from what went out: ∆f
Very convenient feature:The change of frequency is?
The change of frequency is proportional to the velocity. Faster flow shifts frequency more. Slower flow shifts frequency less.
Faster flow shifts frequency ______.
More
Slower flow shifts frequency ______.
Less
How is the frequency shifted if the flow is toward the beam?
higher
Flow toward beam: frequency shifted ______
higher
How is the frequency shifted if the flow is away from the beam?
lower
Flow away beam: frequency shifted ______
lower
Trick question:
You get a stronger frequency shift when flow is toward the beam than when it’s away from the beam, right?
Toward the beam is better?
Nope.
A shift is a shift.
A plus or a minus doesn’t matter.
They’re both proportional to velocity.
Basic functions of Doppler ultrasound in medical diagnostic work:
- Estimate arterial stenosis
- Estimate cardiac valve pressure gradient 4 (V2)
- Evaluate flow character qualitatively (e.g., LE veins)
What influences the frequency shift?
- If the velocity of blood flow increases, the frequency shift increases. Faster flow makes bigger shift.
- If the operating frequency of the transducer increases,the frequency shift increases.Higher operating frequency makes bigger shift.
- If the angle of the Doppler beam relative to the direction of flow increases, the frequency shift decreases.Higher angle makessmaller shift.(This is the tricky relationship.)
On the left: 4 HHz
On the right: 8.2 MHz
(Same velocity, same angle)
On the left: 4 HHz
On the right: 8.2 MHz
(Same velocity, same angle)
If the angle of the doppler beam relative to the direction of flow increases, the frequency shift ________.
Higher ange makes _______ shift.
If the angle of the Doppler beam relative to the direction of flow increases, the frequency shift decreases.
Higher angle makes smaller shift.
(This is the tricky relationship.)
If the operating frequency of the transducer increases,the frequency shift ___________.
Higher operating frequency makes _________ shift.
If the operating frequency of the transducer increases,the frequency shift increases.Higher operating frequency makes bigger shift.
If the velocity of blood flow increases, the frequency shift _________.
Faster flow makes _______ shift.
If the velocity of blood flow increases, the frequency shift increases.
Faster flow makes bigger shift.
What happens to ∆f with different angles?
Radial artery with CW Doppler
The simple Doppler equation:
∆f: frequency shift ∆f = 2 fo V
fo: operating frequency (Hz) ___________
V: velocity (m/sec) c
c: speed of sound (a constant)
Velocity through a mitral valve is1.0 m/sec.
You’re using 2.5 MHz operating frequency.
What frequency shift will this create?
Change of operating frequency?
4 MHz vs. 8 MHz
(Same velocity in radial artery for bothsame angle of about 45°)
This equation assumes that the motion (i.e., the flow) is directly toward the receiveror directly away—
a 0° or 180° angle.
If the angle is other than 0° or 180°, you have to compensate.
How?
With a cosine.
What on earth is a cosine?
Don’t worry. It’s just a trig function of a given angle.It has a value between 0 and 1.
Angle Cosine Angle Cosine (Worth remembering the bold ones)
0° 1.000 10° 0.985
20° 0.940 30° 0.866
45° 0.707 60° 0.500
70° 0.342 90° 0.000
Angle Cosine
0° _______
45° _______
60° _______
90° _______
Notice how there’s little change for the _______ angles,
and rapid change for the _______ angles.
Much more error with _______ angles.
Notice how there’s little change for the lower angles,
and rapid change for the higher angles.
Much more error with higher angles.
The worst Doppler angle possible?
The worst doppler angle possible is 90°
Cosine of 90° is 0,
and 0 times anything is 0:
no frequency shift,so no waveform.
(Actually you get just junk along the baseline.)
The Doppler angle that gives the maximum frequency shift?
0°.
The cosine of 0° is 1.00, the maximum possible.
Echo uses 0°.
Vascular work—
can’t usually get a 0° angle in vessels,
so we use an intermediate angle, usually _______
50–60°.
the more complicated Doppler equation:
∆f = 2 fo V (cos 0 )
_______________
c
0 : angle of beam incidence relative to flow direction
cos: cosine function of that angle
Be careful to make the distinction between the angle ( 0 )
and the cosine of that angle.
Theta refers to the ______ ___ ________;
the cosine is a _________ __ ____ _____.
Theta refers to the angle of incidence;
the cosine is a function of that angle.
Where’s the flow going? Where’s the beam going?
Angles: acute and obtuseHow many of each are there?
So answer these, then.
- If operating frequency increases, does ∆f increase or decrease?
- If velocity of blood flow increases, does ∆f increase or decrease?
- If angle q increases, does ∆f increase or decrease? (Watch it.)
- Is the speed of sound in tissue likely to change appreciably?
Velocity in CCA is 100 cm/sec,and operating frequency is 5 MHz. The angle of incidence is 60°.
What is the frequency shift?
(Be sure to use whole units…)
Note the difference between this and the echo result for the same velocity. Why?
We don’t use ∆f to grade stenosis or valve area.
What do we use it for?
We get the ∆f back from the moving blood, then use another form of the Doppler equation to estimate the velocity that created that ∆f.
The actual information that the scanner gets is ________ _________.
What are they caused by?
What is your job when using doppler and why?
The actual information that the scanner gets is frequency shifts
(caused by given velocities)
The meaning of those shifts can change depending on the variables in the Doppler equation.Your job is to use the Doppler intelligently (and humbly) so that the raw ∆f information really does have meaning.
Solving for velocity instead of frequency:
∆f c
Ve = __________
2 fo (cos 0 )
[Ridgway uses Ve, meaning velocity estimate, to keep in mind the limitations of our accuracy.]
Now answer these questions:
- If ∆f increases, does Ve increase or decrease?
- If operating frequency increases, does Ve increase or decrease?
- If angle q increases, does Ve increase or decrease? (Really watch it.)
You use 5 MHz Doppler and a 60° angle to get a 4 KHz peak frequency shift from an ICA.
What is the velocity?
(The answer will be in m/secif you calculate with whole units.)
Doppler processing:
- Audio output
- Zero-crossing detector
- Spectral analysis (FFT)
- Color flow
- Power Doppler
Zero-crossing detector:
Detects crossings of zero!(Counts zero-crossings of signal to estimate return frequencies)
Single-line tracing resulting from average of shifts
Also known as “analog Doppler”
Spectral analysis:
Fast Fourier Transform
FFT
Analyzes (breaks down) the complex signalinto component frequencies
Unlike analog Doppler, this allows all the frequency shifts to be displayed rather than just an average.
Note: Page 336 in Edelman—bottom waveform is overgained to simulate spectral broadening.
Not true turbulence.
You want true turbulence?
This is true turbulence.Note the high amplitude(bright pixels)nearer to and underthe baseline.
Here you can see individual pixels.
Elements of the FFT display:
X:
Y:
Z:
X = time
Y = ∆f (Ve)
Z = echo strength at a given ∆f at a given moment
(i.e., how much blood moving at that speed…) Indicated by pixel brightness
Pixel brightness suggests echo strength at that ∆f.
(Doppler gain should show gray scale, not just bleached-out white.
Overgained Doppler is a common mistake.)
Which pixels suggest more blood at a given speed? Picture on front or back of note card?
Another trick question:
Can you use spectral analysis with CW Doppler?
It’s only for PW Doppler, right?
No, CW frequency shifts can be processed with FFT too, but you’d expect a wider range of frequency shifts, since you get all the flow along the beam,across the entire lumen (not just center stream).
Echo often uses CW with spectral analysis.
Aliasing:
Display shows cut-off waveforms with the peaks “wrapped around” on other side of display.
Cause:∆f exceeds the Nyquist limit.
Aliasing has to do with _____ ____
Aliasing has to do with sampling rate
You must sample each cycle at least twice to yield a reasonable estimate of frequency.
Usual example: The wagon wheel in “Stagecoach” (1939, John Wayne, John Carradine, Thomas Mitchell, et al.)
Sample rate:
Think of movie frames acting like a strobe light, catching action at intervals.Wagon wheel spoke,rolling to the right:
The wheel doesn’t get all the way aroundbefore the next capture…
The Nyquist–Shannon sampling theorem is a
fundamental result in the field of information theory, in particular telecommunications and signal processing. The theorem is commonly called the Shannon sampling theorem, and is also known as Nyquist–Shannon–Kotelnikov, Whittaker–Shannon–Kotelnikov, Whittaker–Nyquist–Kotelnikov–Shannon, WKS, etc., sampling theorem, as well as the Cardinal Theorem of Interpolation Theory. It is often referred to as simply the sampling theorem. Sampling is the process of converting a signal (for example, a function of continuous time or space) into a numeric sequence (a function of discrete time or space). The theorem states that:
Exact reconstruction of a continuous-time base band signal from its samples is possible if the signal is band limited and the sampling frequency is greater than twice the signal bandwidth.
Nyquist limit (Harry Nyquist in 1923) represents:
represents the upper limit of frequencies that can be processed normally.
We need to sample often enough to get accurate ∆f processing:
at least TWICE the peak frequency.
Nyquist limit =
And PRF =
Nyquist limit = 1/2 the PRF
(pulse repetition frequency:pulses of ultrasound per second)
And PRF = twice the Nyquist limit
The Nyquist limit means sampling at a rate at least TWO TIMES the highest frequency in the signal.
The Nyquist limit is a result of the ____.
PRF (the sampling rate).
If you sample 10,000 times per second, the Nyquist limit is automatically half of that.
Again, that’s because you need two samples per Hz of signal that you want to display.
If you have Doppler running with a 12,000 Hz PRF, what is the upper limit of ∆f that can be processed without aliasing?
12,000/2 = 6,000 HzAnything higher than 6 KHz will alias: wrap around from the bottom of the display.
Note that this phenomenon happens only with PW Doppler.
CW has NO ___
CW has no PRF:
it’s always sending and always receiving, so no aliasing with CW.
(In other words, CW samples continuously instead of intermittently.)
What influences the likelihood of aliasing?
Anything that changes PRF or frequency shift.
Lower PRF:
lower Nyquist limit