The work of D. Eugene Strandness, Jr., MD

Abstract

D. Eugene Strandness, Jr., MD, died on January 7, 2002. At this 10th Congress of the WFUMB, it is appropriate to reflect on the many contributions Dr. Strandness made to the field of medical ultrasound. His initial work was based on the use of strain gauge plethysmography for the evaluation of arterial and venous disease, and it established physiologic testing as a valid and important clinical tool. The use of Doppler ultrasound for the transcutaneous assessment of vascular disease was pioneered by Dr. Strandness at the University of Washington in the 1960s. Based on this early work, the noninvasive vascular laboratory gradually became established as an indispensable resource for patient care and research. In the 1970s, Dr. Strandness and the bioengineering group at the University of Washington investigated the use of real-time B-mode scanning in the evaluation of the carotid artery bifurcation. An early case in which the internal carotid appeared patent on the B-mode image but occluded by arteriography led to the “duplex” concept of combining B-mode imaging and Doppler flow detection in a single instrument. The prototype duplex scanner built at the University of Washington gave rise to modern commercial duplex systems. Dr. Strandness also participated in the early efforts to credential vascular technologists and accredit vascular laboratories, which continue today. On the personal side, Dr. Strandness was both inspiring and challenging. He seemed to have an unlimited supply of enthusiasm and ideas. Those who worked closely with him will remember him as a strong friend and advocate, with a broad smile and a generous sense of humor. At the end of his life, Dr. Strandness was still actively engaged in his work and looking toward the future. Ongoing projects in his laboratory included the development of 3-dimensional ultrasound imaging, refining methods for vein graft surveillance, and the natural history of venous thromboembolism. In this era of large multicenter trials and program projects, it is exceedingly rare for one person to make a real difference in a medical field. Dr. Strandness is one of these rare people. His work will be remembered, and his presence among us will be missed.