Abstract

Commercial duplex ultrasound systems primarily measure peak velocity of blood flow to provide important information in diagnosing vascular disease. However, due to errors caused by intrinsic spectral broadening (ISB), the accuracy decreases as the Doppler angle increases. In general, vascular technologists and surgeons keep the Doppler angle under 60°. Even at 60°, ISB can produce an overestimation of peak velocity as high as 40%. This would indicate the necessity of reducing the Doppler angle even lower than 60°. Since most vessels in the body run parallel with the skin surface and criteria requiring a Doppler angle of say 45° or less would be difficult to achieve. Using the transverse Dooppler equation as a correction for ISB, in conjunction with the classical Doppler equation, accurate peak velocity measurements were obtained at Doppler angles as high as 80°. Corrections were made using both phased sector and linear array transducters for steered and unsteered beams. However, for beams steered at large angles, 20° or more, corresponding to Doppler angles of <70°, the transverse Doppler equation failed to correct ISB errors in measurements made. This may be due to the experimental setup and not due to limitations in the transverse Doppler equation.

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