CVTE 110 Doppler, Pulses Exam #1 Flashcards
(158 cards)
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.







































































