The Doppler Effect MUDr.Michal Jurajda ÚPF LF MU Brno Brief History  The Doppler effect was stated by Austrian physicist and mathematician Christian Johann Doppler in 1842.  Doppler was a professor at the Technical Institute of Prague and later at the Polytechnicum in Vienna The Doppler effect  The Doppler effect describes a change in the frequency of a wave, resulting from motion of the wave source or receiver, or in the case of a reflected wave, motion of the reflector. Java applet Medical Doppler ultrasound  Doppler ultrasound is used to detect and measure blood flow, and the major reflector is the red blood cell.  The Doppler shift is dependent on the insonating frequency, the velocity of moving blood, and the angle between the sound beam and direction of moving blood Equations cos2    f cdf v c vf df cos2   Doppler systems  Simple Doppler  Duplex systems • colour Doppler • pulsed Doppler Simple Doppler Colour Doppler Pulsed Doppler Measurement  Aproximate artery localization  gel - ultrasound conducting medium  Transducer positioning  Signal reading (hearing) Clinical use  Stenosis detection  Blood flow direction detection  Blood flow character assesment (laminar/turbulent)  Detection of venous flow Stenosis detection  segmental pressures  color-assisted duplex sonography Systolic amplification  Systolic pressure normally increases as the pressure wave travels distally, due to reflection of waves and high peripheral resistance, a process known as systolic amplification. Therefore, the systolic pressure measured at the ankle is normally slightly higher than in the arm. Segmental pressure  Ankle/Brachial Index  normal >1.0 TOS Thoracic outlet syndrom Steal fenomen Steal fenomen  Redirection of the blood flow in the colateral artery.  e.g. subclavian steal Practical trainning  Segmental pressure  TOS  Steal fenomen  Blood flow in the veins