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Diagnostic ultrasound ( PDFDrive )

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e30

APPENDIX

Ultrasound Artifacts: A Virtual Chapter

Aliasing and Velocity Scale Errors

Aliasing is an artifact due to undersampling of Doppler signal,

resulting in incorrect estimation of low velocity. To measure

the Doppler frequency shit appropriately by pulsed Doppler, at

least two samples from the cycle are required (Nyquist limit). If

the pulse repetition frequency is less than twice the maximum

frequency shit produced by movement of the target, aliasing

results. he Doppler signal wraps around either the spectrum

(spectral Doppler) or the color scale (color Doppler). he most

common methods for correcting for aliasing are to shit the

baseline down or up, or increase the pulse repetition frequency

(or velocity scale). A lower-frequency transducer can also be

used to help in correcting for aliasing. As angulation approaches

90 degrees, directional ambiguity can occur, suggesting bidirectional

low. Errors in Doppler angle correction can also lead to

misleading assessments of low velocity.

FIG. A.56 Tissue Vibration Artifact. Spectral waveform at site of

superior mesenteric artery stenosis shows very high systolic velocity,

and diastolic velocities of greater than 500 cm/sec. Color portion of the

image shows color bruit consisting of color outside the vessel near

the stenosis site. Color bruit is believed to be caused by tissue vibration. 23

(See Chapter 12, Fig. 12.27A.)

Click for video showing tissue vibration artifact in patient

with stenotic superior mesenteric artery with color bruit (Video

A.20). (See also Video 12.11.)

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