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Doppler Imaging: Basic Principles and Clinical Application

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Intraoperative Ultrasound (IOUS) in Neurosurgery

Abstract

Doppler imaging is a technique that enables to obtain information about blood flow in selected vessels; it is superimposed to the B-Mode imaging in order to obtain a colorimetric representation of blood flow encoding blood direction and velocities. Moreover, it enables to achieve a graphical representation of blood velocity along the cardiac cycle. In neuroscience, it is widely utilized in imaging blood flow of the supra-aortic trunks, both as a vascular screening in asymptomatic patients and as imaging modality for the follow-up of carotid plaques or for the detection of diseases of the vascular wall. In neurosurgery, intraoperative Doppler imaging enables to reach a good visualization of macrovascularized lesions, increasing the accuracy and safety of the interventions.

Doppler imaging is an operator-dependent technique that should be performed by a trained operator with extensive knowledge of the principles of imaging generation.

The physical principles and main clinical applications of this technique will be discussed in this chapter.

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Author information

Authors and Affiliations

  1. Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico C. Besta, via Celoria 11, Milan, 20133, Italy

    Valentina Caldiera MD & Elisa Ciceri MD

  2. Department of Cerebrovascular Diseases, Fondazione IRCCS Istituto Neurologico C. Besta, Milan, Italy

    Luigi Caputi MD

Authors
  1. Valentina Caldiera MD
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  2. Luigi Caputi MD
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  3. Elisa Ciceri MD
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Correspondence to Valentina Caldiera MD .

Editor information

Editors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italy

    Francesco Prada

  2. UO Radiologia Oncologica, Humanitas Univ. and Research Hospital UO Radiologia Oncologica, Busto Arsizio, Italy

    Luigi Solbiati

  3. UO Radiologia, Ospedale Valduce, Como, Como, Italy

    Alberto Martegani

  4. Istituto Neurologico C. Besta, Fondazione IRCCS, Milano, Italy

    Francesco DiMeco

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Caldiera, V., Caputi, L., Ciceri, E. (2016). Doppler Imaging: Basic Principles and Clinical Application. In: Prada, F., Solbiati, L., Martegani, A., DiMeco, F. (eds) Intraoperative Ultrasound (IOUS) in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25268-1_9

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  • DOI: https://doi.org/10.1007/978-3-319-25268-1_9

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