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Power Doppler
- Does not show direction of flow
- also known as color power/energy mode
- the strength of teh reflected signal is processed
- strength is also known as amplitude
- The signal is processed without regard to the blood's direction or speed
- The brightness is directly related to the number of moving blood cells
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PDI Transmit Frequency
As in color Doppler, changing the transmit Doppler frequency in PDI can have a dramatic effect on the receiced signal
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Power Doppler Advantages
- Improved sensitivity to low flow or slow velocity
- Unaffected by Doppler angles
- No aliasing since velocity info is ignored
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Power Doppler Disadvantages
- Very slow frame rate
- Lower temporal resolutions (susceptible to motion of transducer, patient or soft tissue, flash artifact)
- No flow direction
- No velocity measurement
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Aliasing
- Doppler sampling rate is too low in comparison to measured blood velocity
- Aliasing occurs when the doppler shift frequency exceeds haf the PRF
- This is called the Nyquist Limit
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How to correct Aliasing
- Lower transmit frequency
- Adjust scale to its maximum (adjusting teh scale will adjust the PRF)
- Select a lower frequency transducer (doppler shift directly related to transmit frequency)
- Repostion the transducer so teh area of interest is shallower (this increases the PRF)
- Adjust the baseline
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Mirror Image or Ghosting
- Duplicates a structure on the other side of a strong reflector
- Common around the diaphragm and the pleura because of the total reflection from the air-filled lung
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Ghosting or Flash
- Occurs in color doppler
- Anything within the field of view that moves relative to the transducer is shown in color (generate blotches of color that can obscure a large portion of the field of view)
- Correct by (increasing wall filter, decreasing persistence, reducing the width of the color box
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Color Blossoming of Bleed
- It is the extension of color beyond the region of flow ot the adjacent tissue
- Eliminate color bleed by decreasing the color gain or transmit power
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Color Noise or Clutter
- Random variation in signal detection causes area w/o flow to be encoded with color
- Increase filter or threshold to eliminate he low level echoes
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Color Bruit: Visible
- Useful flow phenomenon
- A mixture of color is seen withing the soft tissue adjacent to the blood vessel as a result of the vessel wall vibration (it is a valuable marker of vascular pathology, teh wall vibration is an indication of a severe flow disturbance)
- Can be seen in AV fistulae, arterial stenosis, and pseudoaneurysms
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Spectral Doppler Bruit
- A small strong signal prominent above and below the baseline
- Occurs in systole
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