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90 R. Chaoui, K.D. Kalache<br />

Fig. 7.11. A dorsal view to the fetus in 3D showing the<br />

spine and both kidneys. The progressive visualization of<br />

power Doppler demonstrates the descending aorta (Ao)<br />

and the bifurcation of both renal arteries. Ductus venosus<br />

is connected directly to the IVC<br />

Table 7.3. Renal anomalies amenable to 3D power Doppler<br />

application<br />

Agenesis of one or both kidneys<br />

Horseshoe kidney<br />

Pelvic kidney<br />

Abnormal vessel course in dysplastic renal anomalies<br />

approach enables the visualization of the pericallosal<br />

artery with its ramifications (Fig. 7.13) [17]. By selecting<br />

a lower velocity scale it is possible to obtain impressive<br />

images of the cerebral veins and the sagittal sinus.<br />

Conditions with possible benefit of 3D power<br />

Doppler, such as vein of Galen aneurysm (Fig. 7.14)<br />

and others, are listed in Table 7.4.<br />

Intracranial Vessels<br />

As with color Doppler two main vascular regions can<br />

be examined in 3D mode depending on the insonation<br />

plane. A transversal insonation allows easy reconstruction<br />

of the circle of Willis (Fig. 7.12), whereas a sagittal<br />

Fig. 7.13. Sagittal approach insonation of the brain enables<br />

the demonstration of the pericallosal artery arising<br />

from the anterior cerebral artery<br />

3<br />

Fig. 7.12. Circle of Willis as demonstrated with 3D PDU,<br />

with the anterior (ACA), middle (MCA), and posterior (PCA)<br />

cerebral arteries

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