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34 D. Maulik: Chapter 3 Spectral Doppler: Basic Principles and Instrumentation<br />

ception and amplification of the returning signals,<br />

separation of the Doppler-shifted frequencies and determination<br />

of the directionality of flow in relation to<br />

the transducer, and spectral processing, which sorts<br />

the frequencies of the signal and determines their<br />

amplitude content. In addition, appropriate filtering<br />

is performed to eliminate the low-frequency/high-amplitude<br />

signals from tissue-sources and the high-frequency<br />

noise signals from the device. Doppler interrogation<br />

is performed by either CW Doppler transducers,<br />

which do not have range resolution, or PW<br />

transducers, which are capable of sampling a specific<br />

vascular location. Each approach has significant advantages<br />

and limitations. However, CW Doppler devices<br />

are seldom used at present for fetal investigation.<br />

Duplex Doppler ultrasonography combines twodimensional<br />

imaging with the Doppler modality that<br />

allows image-guided interrogation of vascular targets.<br />

This capability is particularly useful for fetal investigation.<br />

Of the various types of duplex transducers,<br />

the convex sequenced array and the linear phased array<br />

are commonly used for obstetrics and gynecology.<br />

References<br />

1. Evans DH, McDicken WN, Skidmore R, Woodcock JP<br />

(1989) Doppler ultrasound: physics, instrumentation<br />

and clinical applications. Wiley, Chichester<br />

2. Cooley JW, Tukey JW (1985) An algorithm for the machine<br />

calculation of complex Fourier series. Math<br />

Comp 19:297±301<br />

3. Brigham EO (1974) The Fast Fourier Transform. Prentice<br />

Hall, Englewood Cliffs, NJ<br />

4. Macpherson PC, Meldrum SJ, Tunstall-Pedoe DS (1981)<br />

Angioscan: a spectrum analyzer for use with ultrasonic<br />

Doppler velocimeters. J Med Eng Technol 5:84±89<br />

5. Johnston KW, Brown PM, Kassam M (1982) Problems<br />

of carotid Doppler scanning which can be overcome by<br />

using frequency analysis. Stroke 13:660±666<br />

6. Maulik D, Saini VD, Nanda NC, Rosenzweig MS (1982)<br />

Doppler evaluation of fetal hemodynamics. Ultrasound<br />

Med Biol 8:705±710<br />

7. Welch PD (1967) The use of fast Fourier transform for<br />

the estimation of power spectra: a method based on<br />

time averaging over short, modified periodogram. IEEE<br />

Trans Audio Electroacoust AU-15:70±73<br />

8. Hoskins PR (2002) Ultrasound techniques for measurement<br />

of blood flow and tissue motion. Biorheology<br />

39:451±459<br />

9. Kay SM, Marple SL (1981) Spectrum analysis ± a modern<br />

perspective. Proc IEEE 69:1380±1419<br />

10. Kadado T, Maulik D, Chakrabarti S (1994) Comparison<br />

of parametric and nonparametric spectral estimation<br />

of continuous Doppler ultrasound shift waveforms.<br />

IEEE Proc Digit Sig Process WS 6:145±148<br />

11. Gill RW (1985) Measurement of blood flow by ultrasound:<br />

accuracy and sources of error. Ultrasound Med<br />

Biol 11:625±631<br />

12. Jenkins GM, Watt DG (1969) Spectral analysis. Holden<br />

Day, London<br />

13. Maulik D, Nanda NC, Saini VD (1984) Fetal Doppler<br />

echocardiography: methods and characterization:<br />

methods and characterization of normal and abnormal<br />

hemodynamics. Am J Cardioil 53:572±578<br />

14. Bom N, Lancee CT, Honkoop J, Hugenholtz PC (1971)<br />

Ultrasonic viewer for cross-sectional analysis of moving<br />

cardiac structures. Biomed Eng 6:500±507<br />

15. Eggleton RC, Johnston KW (1974) Real time mechanical<br />

scanning system compared with array techniques.<br />

IEEE Proc Sonics (Ultrasonics Cat No 74-CH 0896-1;<br />

16)<br />

16. VonRamm RC, Thurston FL (1976) Cardiac imaging<br />

using a phased array ultrasound system. Circulation<br />

53:258±262<br />

17. Kremkau FW (1989) Transducers. In: Diagnostic ultrasound.<br />

Saunders, Philadelphia, pp 65±104<br />

18. Hatle L, Angelsen B (1985) Blood velocity measurement.<br />

In: Doppler ultrasound in cardiology. Lea & Febiger,<br />

Philadelphia, pp 32±73<br />

19. Angelsen BAJ, Kristoffersen K (1983) Combination of<br />

ultrasound pulse echo amplitude imaging and Doppler<br />

blood velocity measurement. In: Proceeding of cardiac<br />

Doppler Symposium. Martinus Nijhoff, The Hague.<br />

Clearwater, Florida<br />

20. Haberman S, Friedman Z (1998) Multigated simultaneous<br />

spectral Doppler imaging: a new ultrasound<br />

modality. Obstet Gynecol 92:299±302

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