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Optimization of Doppler
spectrum


Tips and tricks
Steps for optimization
. Zoom to the area of interest ..


. adjust the focus.


.apply the colour Doppler.


- narrow the color box .


.adjust the gain.


.Apply the pulsed wave.


-adjust the gate to cover the vessel.


.adjust the angle.


.adjust the velocity scale (PRF ).


.Adjust the baseline &
f
ilter.
Types of the Doppler


Spectral Dopplers (pw)
Color Doppler (C)
Color duplex =


Color image + 2D


—color triplex =


Color Doppler


+ 2D image+pulsed
wave
Color Bar and color map
Power Doppler (PD)
. No illeasing .


. Angle independent.


. The sensitivity mor than color Doppler
for detection of low velocity vessels.


. Distinguish pre- occlusive from
occlusive lesions .


. Superior depiction of plaque surface
morphology.


. Useful in imaging tortious small vessels


. Used to look for tumor vessels inside
the organs
The key board of us machines
C= color


pw = pulsed wave


PW = power Doppler
When press


PW. Button
Power Doppler


PD button
Color Doppler


C button
Color
Doppler
and pW
Steps for optimization


Zoom and focus
. Zoom at the area of
interest


- set the focus


At the region of interest
Color Doppler ( C )


Operator press ( C) button Color box appear on the screen the adjusting
from( set) and move it by trackball


should be small and super
f
icial
Adjusting color gain
Color gain should be set as high as possible


Without displaying random color speekles
Apply PW


Adjusting Sample Gate — size and position
The size of the gate about 2 - 5 mm


It must to be small


With small vessel


for example


2 mm size in ductus
.the gate size is wide with a big
vessel


For example


3 mm size in umbilical artery
The gate should
be positioned over
the central part of
the studied
vessels
Angle of insinuation
- the angle between he ultrasound beam
and the blood
f
low inside the vessel 60 <


The closure to zero more accurate


>60 cause signi
f
icant underestimation of
the velocity
No di
ff
erent
change in pi
and Ri value
value
between the
angle


30 0r 50


Degree
Adjusting color velocity scale
(PRF)1–High scale velocity


( absence of
f
low)


2–optimum scale and normal
vasclar
f
low


3–low scale


( color aliasing )
PRF


Is the number of
ultrasound pulses
estimated


By the transducer
over designated
period of time .


— after increasing
the velocity scale


Automagically
increases the PRF
Color Doppler aliasing
Velocity scale range
12 cm / second
Velocity scale range


23 cm /sec
Adjusting base line
Normal basline
line
Inverted line is
corrected by inverter
button in key board
Dropped
baseline
Invert button
Changing wall
f
ilter
Loss of low
velocity
f
low of
wave form
above base line
Wave form appear
above baseline
when reducing
wall
f
ilter
For
example
To get rid of aliasing
. if the frequency
exceeds half PRF


Aliasing occurs


The correction of
aliasing by
.change the velocity-
scale
. Change the base line


. Use a lower us
frequency
Doppler in obstetric
-Uterine artery Doppler.


.umbllical artery Doppler.


. Middle cerebellar artery Doppler.


. Ductus venosus Doppler .
Presentation 2 DOPPLER.pdf

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Presentation 2 DOPPLER.pdf

  • 2. Steps for optimization . Zoom to the area of interest .. . adjust the focus. .apply the colour Doppler. - narrow the color box . .adjust the gain. .Apply the pulsed wave. -adjust the gate to cover the vessel. .adjust the angle. .adjust the velocity scale (PRF ). .Adjust the baseline & f ilter.
  • 3. Types of the Doppler Spectral Dopplers (pw)
  • 4. Color Doppler (C) Color duplex = Color image + 2D —color triplex = Color Doppler + 2D image+pulsed wave
  • 5. Color Bar and color map
  • 6. Power Doppler (PD) . No illeasing . . Angle independent. . The sensitivity mor than color Doppler for detection of low velocity vessels. . Distinguish pre- occlusive from occlusive lesions . . Superior depiction of plaque surface morphology. . Useful in imaging tortious small vessels . Used to look for tumor vessels inside the organs
  • 7. The key board of us machines C= color pw = pulsed wave PW = power Doppler
  • 8. When press PW. Button Power Doppler PD button Color Doppler C button Color Doppler and pW
  • 9. Steps for optimization Zoom and focus . Zoom at the area of interest - set the focus At the region of interest
  • 10. Color Doppler ( C ) Operator press ( C) button Color box appear on the screen the adjusting from( set) and move it by trackball should be small and super f icial
  • 11. Adjusting color gain Color gain should be set as high as possible Without displaying random color speekles
  • 12. Apply PW Adjusting Sample Gate — size and position The size of the gate about 2 - 5 mm It must to be small With small vessel for example 2 mm size in ductus .the gate size is wide with a big vessel For example 3 mm size in umbilical artery The gate should be positioned over the central part of the studied vessels
  • 13. Angle of insinuation - the angle between he ultrasound beam and the blood f low inside the vessel 60 < The closure to zero more accurate >60 cause signi f icant underestimation of the velocity No di ff erent change in pi and Ri value value between the angle 30 0r 50 Degree
  • 14. Adjusting color velocity scale (PRF)1–High scale velocity ( absence of f low) 2–optimum scale and normal vasclar f low 3–low scale ( color aliasing ) PRF Is the number of ultrasound pulses estimated By the transducer over designated period of time . — after increasing the velocity scale Automagically increases the PRF
  • 15. Color Doppler aliasing Velocity scale range 12 cm / second Velocity scale range 23 cm /sec
  • 16. Adjusting base line Normal basline line Inverted line is corrected by inverter button in key board Dropped baseline Invert button
  • 17. Changing wall f ilter Loss of low velocity f low of wave form above base line Wave form appear above baseline when reducing wall f ilter For example
  • 18. To get rid of aliasing . if the frequency exceeds half PRF Aliasing occurs The correction of aliasing by .change the velocity- scale . Change the base line . Use a lower us frequency
  • 19. Doppler in obstetric -Uterine artery Doppler. .umbllical artery Doppler. . Middle cerebellar artery Doppler. . Ductus venosus Doppler .