SPI REVIEW QUESTIONS PART 3 (Doppler)

The Doppler effect occurs

all echoes from moving sources

Doppler effect depends on

the closing velocity between transducer and tissue, carrier frequency & u/s propagation velocity..

The shape of the sample volume in PW Doppler has a large effect on the content of the Doppler signal

True..

To measure flow velocity with color flow imaging

color a sample volume is placed in the faster streamline and set at angle correction parallel to vessel wall

To form the color flow image, the system samples down each Doppler image scan line for

the average Doppler shift frequency

Separating moving soft tissue from moving blood in a color flow image tests for

The relationship between amplitudes and frequencies of the Doppler signals

The smallest vessels that appear in a color flow image are about 1 mm. diameter. The smaller vessels are absent because

small vessels do not reflect as well as larger vessels do

Detecting color flow depends on

changes in echo signal phase (phase indicates direction for color assignment)

Power Doppler imaging is a good choice for

showing blood perfusion through the tissue

Power Doppler is limited because

It does Not show direction of flow

Turbulence in color flow vascular imaging appears as

A mottled pattern of colors or
mottled pattern of red and blue with changing saturations

What is the maximum velocity limit for a 3 MHz continuous wave Doppler image at 4 cm deep

CW has no maximum limit

Alasing occurs when the frequency shift exceeds

1/2 the PRF

When imaging the portal vein in the liver and no color is detected in the vein, what can you do to improve the sensitivity to flow?

Decrease PRF (decrease PRF for slow flow)

The packet size (or ensemble length) in color Doppler refers to the number of

pulses per scan line

If the Doppler angle of incidence is underestimated, what error will result?

Velocity estimate will be Inaccurate

The processing technique for determining direction in CW Doppler is

Fast Fourier Transform...

What method is used to steer the color box?

electronic time delays

If the frequency of the returning echo is higher than the fundamental transmited frequency, which will occur?

positive shift with red color

The Doppler spectral display shows

relative signal power at each frequency in the Doppler signal

If you increase the wall fiter during Doppler sampling it will:

reduce display of low-frequency shifts

What technique is used to perform the spectral analysis?

Fast Fourier Transform, technique

If you increase the transmit frequency of the color Doppler, what will happen?

improved sensitivity to slow flow

If you lower the color threshold, what will occur?

increased color fill within the vessel

The Doppler frequency shift is defined as

the difference between transmitted and received frequencies

From the Doppler equation, which would NOT be true?

increasing Doppler frequency will incase frequency shift

What does brightness of the Z axis on the Doppler spectrum refer to?

Amplitude

The Nyquist limit refers to

Sampling frequency required for Doppler samples without Aliasing

What can you adjust to improve the frame rate?

(Decrease size of color box & Decrease scan line density)

What adjustments can you make to decrease aliasing?

increase PRF

With the following scan parameters, what is the frequency at which aliasing will occur? 5 MHz fundamental frequency, 3 kHz PRF, 4 cm depth, 1.5 mm sample volume width.

3 kHz (Nyquist limit is PRF)

The faster technique used to obtain the MEAN Doppler frequency in color flow is

Autocorrelation

Color flow imaging in the vascular system usually uses

a linear sequenced (switched) array transducer

If you see spectral broadening in the spectral analysis display, it usually means

turbulent flow

Which of the following refer to the number of pulses used to measure the velocity along one scan line?

packet size & ensemble length

Which analysis method would show turbulence with color Doppler?

variance mode color display

Which term refers to the axial length of the sample volume

color gate

Spectral analysis is used for

Showing the distribution and magnitude of frequency shifts in the Doppler signal

What adjustments can you make to eliminate color flash artifact?

increase wall filter

Which of the following is NOT true for turbulent flow?

causes increase in pressure downstream

Which conditions are most likely produce turbulence?

5 mm diameter with 300 cm/sec velocity (Reynolds number = average speed x diameter x density)

Which of the following are true regarding color Doppler images?

Doppler color image is superimposed over the B mode image

Which of the following will decrease frame rate?

increasing line density

When using Duplex scanning, how many pulses per san line are usually used to create the gray scale image?

1-2

If you increase the packet size, what will result?

decreased frame rate

Which control on the control panel adjusts Doppler PRF?

Spectral velocity scale

When you increase the Doppler frequency, what occurs?

Increased Doppler frequency shift

What should you adjust to improve color Doppler sensitivity to flow?

lower wall filter setting

If you lower the PRF, which of the follow occur?

Nyquist limit is decreased

What part of the Doppler spectrum in color-encoded with color Doppler

the frequency shift

What color would represent flow at 90 degrees to the sound beam?

black

What color is usually represented as moving toward the transducer?

red

Why does the frame rate decrease when adding color to the gray scale image?

more pulses are required for each scan line

Which control determines the gray-scale brightness at which color willdisplay instead of gray-scale?

priority

With reference to the Doppler equation, the frequency shift will increase by increasing the ________

Transmit frequency

What affects the spatial resolution of the color image?

frequency and line density

What happens if you increase the Doppler transmit frequency?

increased Doppler frequency shift

What happens if you increase the Doppler angle?

Doppler frequency shift decreases

The velocity estimation would have the greatest error at which Doppler angle?

70 degrees

Another term for ensemble length or dwell time is:

packet size

Which of the following occur to Doppler frequency shift with high velocities in the vessels?

increased frequency shift

appearance of the spectral window on the Spectral waveform display is affected by

(Turbulent flow, Doppler gain, Sample volume size)
ALL OF THE ABOVE

What must be known to calculate the velocity from the Doppler shift information?

(Doppler frequency, Angle of incidence, speed of sound in tissue)
All of the above

Which control would y you use to increase the amplification of the color Doppler signal?

color gain

Which of the following could result in color Doppler display?

(Blood flow, Motion from respiration, Cardiac motion, transducer motion)
Any of the above

Which control removes low frequencies and displays a clean zero baseline?

high pass filter

Continuous wave (CW) Doppler

does not alias

Although the signals from CW Doppler are not as complex only pulsed doppler can do

depth location

Which of the following is true about pulsed Doppler?

determines depth by echo arrival time

CW Doppler does not alias because

the transducer is continuously sending and receiving which shows the changing flow patterns rather than sampling at intervals

Which statement is NOT true of CW Doppler?

aliasing can occur at the very high frequencies always

In pulsed Doppler, which of the following do not affect the shape and size of the sample volume?

spectral scale range

When measuring flow velocity, the pixel color represents

movement of both blood and/or tissue

When comparing CW and pulsed wave Doppler, which apply?

CW has a duty cycle of 1.00

If the returning echoes have a lower frequency than the transmitted frequency, the refector is

moving away from the transducer

It the fow is toward a transducer of 2 MHz, the frequencies of the Doppler shift should be ____________ 2 MHz

much less than

Ifa 5 MHz transducer displays a peak shit of 12 kHz, what shift would the same vessel display with a 2.5 MHz transducer?

6 kHz

If a Doppler shift of 3 kHz is displayed with an angle of 40 degrees, what will the shift be at 60 degrees

less than

H the scanner does not have the ability to display the Spectral analysis waveform, it will not show

the distribution of the range of frequencies

The range gate determines

volume the sample volume length along the length of the beam direction

The frequency of the Doppler samples is determined by the

The pulse repetition

Aliasing is more likely at lower Doppler frequencies when the sample is

farther from the transducer

Adjustments to overcome aliasing do NOT include

using a higher fundamental frequency

Range (depth) discrimination is poorest with

CW Doppler

If you increase the packet size (ensemble length), the results is

better velocity estimates with lower frame rate

The term variance refers to

velocity range

The most accurate measurement of velocity distribution is with

Pulsed Doppler

The scanning term that displays gray scale and a spectral waveform is called

Duplex scanning