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Edelman
Doppler Physics
107
Physics
Undergraduate 2
03/23/2011

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Term
Flow
Definition
Volume of blood moving during a particular time:
Term
Laminar FLow
Definition
Flow steamlines are alined and parallel, associate with normal physiology
Term
Plug flow
Definition
Parallel blood flow, red blood cells are aligned like a wall.
Term
Parabolic flow
Definition
Bullet shaped profile "Highest velocity is in the center of the lumen
Term
Disturbed flow
Definition
Parallel steamlines area altered , found at at stenosis or bif.
Term
Pulsatile flow
Definition
Occurs when blood moves with a variable velocity.
Term
Turbulent Flow
Definition
Chaotic flow patterns in many different directions and at many speeds
Term
Eddy currents
Definition
vortex appear as a small hurricane like swirling, rotational patterns in turbulent flow.. Turbulence is distal to stenosis.
Term
murmur or Brewy
Definition
Abnormal sound associated with turbulent flow,
Term
Thrill
Definition
Turbulence that is converted into a vibration.
Term
Energy gradient
Definition
Blood flows when tht total fluid energy at one location differ from the total fluid energy at another location
Term
Kenetic, pressure, gravitational
Definition
Types of energy associated with blood
Term
Kenetic energy
Definition
Energy associated with a moving object
Term
Pressure energy
Definition
Potential or stored energy
Term
Gravitational energy
Definition
Associate with elevation energy
Term
Viscous loss
Definition
Blood overcomming its internal stickiness
Term
Frictional loss
Definition
Energy is converted to heat as one object rubs against another
Term
Inertial loss
Definition
Relates to the tendency of a fluid to resist changes in its velocity.
Term
Pusiatile
Definition
Accelerating and deacceleration flow
Term
Phasic flow
Definition
When blood moves with a variable velocity
Term
Velocity changes
Definition
Found at stenosis, Velocity, which increases as blood flow through a stenosis is maximum at the most severe narrowin of the vessel.
Term
Stenosis
Definition
A narrowing in the lumen of a vessel
Term
Effects of Stenosis
Definition
Change in flow direction, increased velocity as vessel narrows, turbulence downstream from the stenosis, pressure gradient across the stenosis, loss of pusatitlity.
Term
Pressure gradient
Definition
= flow x resistance
Term
Steady Flow
Definition
When a fluid moves at a constant speed or velocity.
Term
Ohms law
Definition
Compairs blood flow with electrical flow.
Term
Poiseuille's law
Definition
Predicts the volume of flow of moving fluids. Assumes that there is no stenosis and you have to have a long narrow straight tube.
Term
Pressure difference increases
Definition
Volume rate increases
Term
FLow resistance increase
Definition
Volume rate decreases
Term
Tube length increase
Definition
Flow increases
Term
Tube radious increase
Definition
Flow decreases
Term
Volume flow rate
Definition
Volume flow rate must remain constant across a vessel even with stenosis.
Term
Viscosity increases
Definition
Flow resistance increases
Term
Continuity rule
Definition
Travels from a high pressure to a low pressure, to maintain a constant flow rate the blood must travel faster through the stenosis.
Term
Bernoulli effect
Definition
The pressure at the area of the stenosis must decrease explains, drop in pressure associated with high flow speeds at a stenosis
Term
Renolds number
Definition
predicts the onset of turbulent flow, when _________ reaches 2000 this is when turbulence occurs
Term
Venous Hemodynamics
Definition
The change of the veins sizes through increased pressure of the veins.
Term
Transmural pressure
Definition
Pressure that acts to expand the veins
Term
Hydrostatic pressure
Definition
Relates to the weight of blood pressing on a vessel measurement at a hight above or below the heart level
Term
Can be taken anywhere, because everything is at the level of the heart.
Definition
Blood pressure of a supine individual can be taken where:
Term
The pressure will be lower than normal at the head and higher than normal at the feet.
Definition
What would you find the blood pressure to be if the patient was standing?
Term
Decrease
Definition
When you exhale, blood flow in the arms and thorax does what
Term
Decrease
Definition
When you inhale the blood flow in the thorax and arms
Term
Doppler shift
Definition
When the sound beam hits a moving object
Term
Demodulation
Definition
Extractions of the Doppler shift
Term
20Hz-20kHz
Definition
Typical Doppler shift frequencys:
Term
Doppler shift (Hz)
Definition
Reflected frequency - transmitted frequency =?
Term
Positive Doppler shift
Definition
Red blood cells moving toward the transducer yealds
Term
Negative Doppler shift
Definition
When red blood cells are moving away from the transducer yeilds?
Term
Speed
Definition
Indicates the distance a red blood cell travels in 1 sec.
Term
Velocity
Definition
Magnitude with direction.
Term
Doppler shift
Definition
2 x speed of blood x transducer frequency x cosine of angle/ propigation speed =
Term
velocity of blood
Definition
Doppler shift depends on the:
Term
2 represent a double Doppler shift
Definition
Why is there a 2 in the Doppler equation?
Term
Directly proportional
Definition
Doppler shift and Transducer frequency are:
Term
Measurement of the Doppler frequency
Definition
The relationship between the direction and blood cell is traveling, and th direction in which the sound wave propagates
Term
Cosine
Definition
determines how much velocity is measured when the sound beam and flow direction are not parallel
Term
Measured velocity
Definition
= true velocity x cos
Term
0
Definition
what is the relationship between the actual velocity and measured velocity when the blood moves "perpendicular" to the sound beam?
Term
1
Definition
What is the relationship between actual velocity and measured velocity when the blood moves at at "60degree angle" to the beam?
Term
non directional Doppler
Definition
Very basic Doppler, "is there flow but not directional" "noncoherent"
Term
Bidirectional Doppler
Definition
Distinguishes the direction of flow "Phase quadrature"
Term
Phase quadrature
Definition
Process of graphically displaying the Doppler shift:
Term
Advantage of continuous wave Doppler
Definition
Accurately measure very high velocitys
Term
Disadvantage of continuous wave Doppler
Definition
Range ambiguity is associated with:
Term
Continuous wave Doppler
Definition
No TGC with
Term
Continuous wave
Definition
There is not backing or dampening material found in this transducer:
Term
1 crystal
Definition
How many crystals are in pulse wave transducer?
Term
Range resolution
Definition
Advantage of Pulse wave Doppler:
Term
Aliasing
Definition
Disadvantaged of pulse wave Doppler:
Term
Aliasing
Definition
False identity, not accurate when measuring high velocity:
Term
produce 2D images and perform Doppler
Definition
Duplex machine can:
Term
Aliasing
Definition
Only occurs with pulse wave Doppler:
Term
Nyquist Limit
Definition
Determines if you will have aliasing or not:
Term
Decreases
Definition
PRF _________ as it penetrates deeper.
Term
lower freq has less chance of aliasing
Definition
How does transducer frequency affect aliasing?
Term
Adjust the scale to its maximum, select lower freq transducer, Manipulate to a shallower depth, Use continuous wave Doppler, Use baseline shift.
Definition
How to avoid Aliasing:
Term
Gray shades of a specrum
Definition
Related to amplitude of the reflected frequency or # of red blood cells
Term
Continuous wave
Definition
Two crystas. range ambiguity, umlimited max level
Term
Pulse wave
Definition
One crystal, range resoulution, limit on max velostiy aliasing
Term
Imaging
Definition
Normal incidence (90 degree), higher frequency (improves resolution), pulse wave.
Term
Doppler
Definition
0 degree to 180 degree incidence, lower frequency (avoids aliasing), pulse wave or continuous wave
Term
Black on image means?
Definition
No Doppler shift
Term
Two primary types of color maps (dictionaries)
Definition
Velocity, Variance
Term
Color changes up and down, but not side to side.
Definition
Velocity Mode
Term
Towards Transducer
Definition
Color above the baseline means flow is going?
Term
Away from Transducer
Definition
Color below the baseline means flow is _________ from the transducer?
Term
Variance Mode
Definition
Allows us to identify turbulent flow
Left sided colors – indicate laminar flow (usually red & blue)
Right sided colors – indicate turbulent flow (usually yellow & green)
Term
Three components of a color:
Definition
Hue, Saturation, Luminance
Term
Hue
Definition
Color that is seen by viewer.
Term
Saturation
Definition
The amount of color (Hue)in the shades of white.
Term
Luminance
Definition
Brightness of the color or saturation.
Term
Doppler Packets
Definition
3-20 pulses are usually used
Term
Disadvantage of using more pulses.
Definition
Slow frame rate.
Term
Power Doppler
Definition
Angle independent, no aliasing, improved sensitivity, No direction or flow speed information, lower frame rate, susceptible to motion.
Term
Ghosting and Clutter
Definition
Picking up movement of the artery wall.
Term
Crosstalk
Definition
Mirror Image
Term
Spectral Analysis
Definition
Tool that breaks down complex signal into a basic form and identifies individual velocities which make up the reflected Doppler shift.
Term
Window
Definition
Area between baseline and waveform
Term
Envelope
Definition
Traces the outline of the waveform
Term
Spectral Broadening
Definition
Wider range of velocities (turbulent flow)
Term
Laminar flow
Definition
Clean spectral window
Term
Disturbed or Turbulent
Definition
Spectral window filled in
Term
Less bright waveform
Definition
Lower amount of red blood cells
Term
Autocorrelation
Definition
Digital technique used to analyze color flow Doppler
Term
Resistivity Index
Definition
Quantitative, Doppler-derived measurement of the vascular resistance of a segment of the arterial system
Term
Pulsatility Index
Definition
Similar to the resistive index.
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