Optimizing Image Quality When Evaluating Blood Flow at Doppler US: A Tutorial (original) (raw)
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Blood flow imaging - a new real-time, flow imaging technique
IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control, 2000
This paper presents a new method for the visualization of two-dimensional (2-D) blood flow in ultrasound imaging systems called blood flow imaging (BFI). Conventional methods of color flow imaging (CFI) and power Doppler (PD) techniques are limited as the velocity component transversal to the ultrasound beam cannot be estimated from the received Doppler signal. The BFI relies on the preservation and display of the speckle pattern originating from the blood flow scatterer signal, and it provides qualitative information of the blood flow distribution and movement in any direction of the image. By displaying speckle pattern images acquired with a high frame rate in slow motion, the blood flow movement can be visually tracked from frame to frame. The BFI is easily combined with conventional CFI and PD methods, and the resulting display modes have been shown to have several advantages compared to CFI or PD methods alone. Two different display modes have been implemented: one combining BFI with conventional CFI, and one combining BFI with PD. Initial clinical trials have been performed to assess the clinical usefulness of BFI. The method especially has potential in vascular imaging, but it also shows potential in other clinical applications.
IEEE Transactions on Biomedical Engineering, 2000
A common clinical practice during single-point Doppler analysis is to measure the centerline maximum velocity and to recover the time-averaged flow rate by exploiting an assumption on the shape of velocity profile (a priori formula), either a parabolic or a flat one. In a previous study, we proposed a new formula valid for the peak instant linking the maximum velocity and the flow rate by including a well-established dimensionless fluid-dynamics parameter (the Womersley number), in order to account for the hemodynamics conditions (Womersley number-based formula). Several in silico tests confirmed the reliability of the new formula. Nevertheless, an in vivo confirmation is missing limiting the clinical applicability of the formula. An experimental in vivo protocol using cine phase-contrast MRI (2-D PCMRI) technique has been designed and applied to ten healthy young volunteers in three different arterial districts: the abdominal aorta, the common carotid artery, and the brachial artery. Each PCMRI dataset has been used twice: 1) to compute the value of the blood flow rate used as a gold standard and 2) to estimate the flow rate by measuring directly the maximum velocity and the diameter (i.e., emulating the intravascular Doppler data acquisition) and by applying to these data the a priori and the Womersley number-based formulae. All the in vivo results have confirmed that the Womersley numberbased formula provides better estimates of the flow rate at the peak instant with respect to the a priori formula. More precisely, mean performances of the Womersley number-based formula are about three times better than the a priori results in the abdominal aorta, five times better in the common carotid artery, and two times better in the brachial artery.
Ultrasonics, 2010
Ultrasonic imaging is often used to estimate blood flow velocity. Currently, estimates are carried out using Doppler-based techniques. However, there are a number of shortcomings such as the limited spatial resolution and the inability to estimate longitudinal flows. Thus, alternative methods have been proposed to overcome them. Difficulties are notably encountered with high-frequency imaging systems that use swept-scan techniques. In this article, we propose to compare four vector velocity estimation methods that are complementary to Doppler, focusing on 40 MHz, high-frequency imaging. The goal of this study is to evaluate which method could circumvent the limitations of Doppler methods for evaluation of microcirculation, in the vessels having diameter on the order of 1 mm. We used two region-based approaches, one decorrelation-based approach and one spatiotemporal approach. Each method has been applied to seven flow sequences with various orientations and mean velocities. Four sequences were simulated with a system approach based on a 3D set of moving scatterers. Three experimental sequences were carried out by injecting blood-mimicking fluid within a gelatin phantom and then acquiring images with Visualsonics, Vevo 660 system. From velocity estimates, several performance criteria such as the normalized mean error or the normalized mean standard deviation were defined to compare the performance of the four estimators. The results show that region-based methods are the most accurate exhibiting mean errors less than 10% and mean standard deviation less than 13%. However, region-based approaches are those that require the highest calculative cost compared to the decorrelation-based method, which is the fastest. Finally, the spatiotemporal approach appeared to be a trade-off in terms of computational complexity and accuracy of estimates. It provides estimates with errors less than 10% for mean velocity and the CPU time is approximately 17 s for a ROI of size 40 Ã 80 pixels.
Conventional echo color Doppler versus ULA-OP in the assessment of venous flow model
Veins and Lymphatics, 2017
The quantification of venous flows can be obtained by multiplying cross sectional area, measured on a B-mode video-clip, by velocity values, obtained with Doppler measurements. The Doppler angle between ultrasound (US) line and blood flow requires a manual adjustment. Establishing this parameter is critical in order to calculate blood velocity. However, the operator dependency gives high variable results. It is worth noting that a new class of vector Doppler devices can enhance the accuracy and precision of measurements. Such technology uses a double US line that leads to automatically know the Doppler angle. By comparing in an…