Doppler Flashcards
Label
In terms of doppler instrumentation, the transducer is the same for what?
Same for 2D and all doppler applications
The frequency for doppler is lower than what? Why?
The frequency is lower than the frequency of the 2D images to account for the attenuation from the RBCs
In terms of doppler instrumentation, the pulse will generate 5-30 cycles pulses why?
For doppler to improve accuracy
The doppler shift detection is typically the result of what?
Quadrature phase detector where the transmitted signal (Reference signal) is duplicated and stored
In terms quadrature phase detector, the reference signals are same except what?
They are 1/4 out of phase with each other
In terms of quadrature phase detector, the returning signal is compared to what?
The reference signal to determine a positive or negative shift
In terms of quadrature phase detector, The resultant signal can be sent to what?
A loudspeaker or a spectral analyzer for imaging processing
What does this image represent?
Quadrature phase detector
The doppler shifted signal is complex and contains what?
All of the shifts that occur in the sample gate
In terms of doppler, the spectrum analyzer is a means of what? This is synonymous to what?
- Separating the individual doppler shifts form the complex beat frequency
- A prism separating the different hues that comprise white light
Doppler signals are separated into what? Through what technique?
Doppler shifted frequencies through the process of FFT (Fast Fourier transform)
FFT analyzes the complex doppler shift signal and does what?
Breaks the signal into its component or separate frequencies displaying both magnitudes and amplitude
In terms of FFT, depending on the speed of the processeor, FFT can produce what?
100-1000 spectra per second
In terms of FFT, the separate doppler shifts are plotted where?
On the Y axis over time
What does this image represent?
FFT with doppler shift
The magnitude of the doppler shift is the amount of what?
Positive or negative shift
+4kHz doppler shift is the same magnitude as what?
a -4kHz
The magnitudes are equal but the sign is opposite
Factors effecting magnitude are what? 3
- RBC velocity
- Angle of insonation
- Operating frequency
The amplitude (brightness) of the doppler shift represents what?
The number of RBCs that are contained within the sample volume
Two 4kHz doppler shifts have the same magnitude, but may not have what?
The same amplitude
Sample volume is comprised of what? 3
- Beam width
- Gate length
- The pulse length
The sample volume of PW is actually what?
A 3D volume that changes in size relative to depth
When the sample volume is placed in the far field, what happens?
It becomes very large
Aliasing occurs because of what?
Pulsed doppler is a sampling system and it is possible that the velocities of the RBCs will exceed the sampling limit of the machine
Aliasing occurs when what is exceeded?
Nyquist limit
What is the Nyquist limit?
(1/2) PRF
What are the 5 ways to correct for aliasing. What are they? And what are the most practical in clinical?
- Change the baseline
- Increase the PRF
- Lower the frequency
- Increase the doppler angle
- Switch to CW
What is a good way to get rid of aliasing in echo?
Continuous wave
What limits the amount of sampling?
Depth
(Depth decreases PRF)
Some machines are capable of operating in the high PRF mode when what happen? This exceeds what the Nyquist limit which allows the machine to do what? What does this mean?
- The velocities exceed the Nyquist limit
- Fire the next pulse before all of the echoes from the first pulse have returned
- This can help raise the Nyquist limit with complication (Range ambiguity)
With aliasing, it is possible to do what? The resultant spectral tracing could be what?
- Pick up flow from more than one depth
- Very complex displaying the flow profiles of multiple vessels
The sweep speed of the spectral trace can be altered to accommodate for what?
Different types of measurements
Fast sweeps are used for what measurements? Why?
- Intracycle measurements
- Due to easier calliper placements and increased accuracy for systolic events
Slow sweeps are more for what kind of measurements?
Intercycle measurements like rate and rhythm
CW works much the same as what?
Pulsed doppler with a similar block diagram
CW has an oscillator that produces what?
Continuous AC voltage for motion detection
In terms of CW, the echo signal can be sent to what/
A speaker or processed into an image just like PW
Doppler is sensitive to what?
Any motion, not just moving RBCs
A wall filter is used to reject what? What is the trade off?
- The low frequencies from wall motion of pulsatile vessels
- If set to high, it can reject real blood velocities in the lower frequency range
What does this image represent?
Wall filter
Colour doppler provides a complete qualitative observation of what/
Blood flow analysis over a wide field of view
What does colour doppler combines?
Anatomical detail from the 2D image and physiological hemodynamics with the colour overlay
What are some synonyms for colour doppler?
- Colour doppler image
- Colour flow imaging
- Colour flow mapping
- Color doppler
How many processes are there to acquire colour doppler?
Two
What is the process for getting colour doppler? What does this result in?2
- Standard 2D processes is first followed by the doppler processing
- This means several pulses per scan lines are required which has a high impact on the frame rate.
Colour doppler is processed using a technique called what?
Autocorrelation which is a mathematical means of rapidly determine the sign, mean, power and variance of the returning signal
There are typically how many doppler samples displayed per scan line? What does this do?
100-400 doppler sakes displayed per scan line which drastically reduces the frame rate
With autocorrelation, frame rates of 5- 50 Hz are typically depending on the what?
The depth and the size of the field of view
Ensemble length (AKA packet size) is what?
The number of pulses used for each colour scan line
In terms of ensemble length, the colour data represents what?
A mean or average of the velocities present
To calculate ensemble length, what do we need?
A mean velocity, a minimum of 3 pulses are required but more commonly 10 to 20 pulses are used
The longer the ensemble length, what happens to frame rate?
The slower the frame rate
Autocorrelation yields the following information about the blood flow? 4
- Sign (hue)
- Magnitude (saturation)
- Power (luminance)
- Variance
In terms of colour doppler the hue is what?
Simply the colour that you can see and represents the sign or direction of flow
In terms of colour doppler, saturation is what?
The amount of colour in a mix with white and represents the magnitude of the doppler shift or how fast the blood is travelling
In terms of colour doppler, more white is what in terms of saturation?
Less saturation and faster flow
In terms of colour doppler, what is luminance?
The brightness of the hue and saturation presented
Luminance’s represents what?
The power of the flow and tells us the RBC density within the field of view
More RBC travelling at the same velocity in a sample will appear how on the display?
Brighter
In terms of colour doppler, variance displays what?
The amount of velocities that are different than the mean
A variance map can give what?
A greater detail than the averaged velocities in a hue or saturation map
In terms of colour doppler, what is priority?
Priority determines whether or not the colour overlay will overwrite low level echoes
If priority is set low then what happens?
Precedence is given to non-doppler shifted weak echoes
A higher priority allows the colour to do what?
To overwrite the low 2D echoes
What does this image represent?
A mean doppler and a variance display on the right.
What is power doppler also known as?
Energy mode
The colour displayed with power doppler represents what?
The strength of the doppler shift as opposed to the velocity
What is a disadvantage of setting priority to low?
We could override actual issues like thrombus etc.
What does this image represent?
Priority control, we can see this with the white bar. The image on the right is the same image we just turned up the priority
Benefits of power doppler? 3
- Aliasing
- Less dependant on angle
- Very sensitive to low flow states
The down side of power doppler is what? 3
- There is no direction,
- Flow speed or character information
- Very susceptible to blooming artifacts