Ultrasonic Diagnosis of Cerebrovascular Disease: Doppler Techniques and Pulse Echo Imaging (Developments in Cardiovascular Medicine (61))

This book is designed as a definitive report on current capabilities of ultrasound imaging and Doppler evaluation of the cerebral circulation, both extracranial and intracranial. The basic chapters are directed to the beginner in ultrasound and hemodynamics and for the expert in updating newly available modalities and techniques new to the field. The ultrasonic and hemodynamic principles are presented for physicians and vascular technologists in a practical way to avoid unnecessary mathematics. The aim is for maximum clinical utilization so that available equipment may be used more efficiently and provide more accurate diagnosis. The selection of authors represents a wide range of the expertise available in the world today. M.P. Spencer Contents Preface V Contributors IX 1. Introduction 1 Merrill P. Spencer, M.D. 2. Ultrasound physical concepts 7 Merrill P. Spencer, M.D., Ronald E. Hileman, Ph. D., John M. Reid, Ph. D 3. Doppler instrumentation 29 Robert S. Reneman, MD., Ph. D., A.P.G. Hoeks, Ph. D. 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain 43 Robert Ackerstaff, M.D. 5. Normal blood flow in the arteries 57 Merrill P. Spencer, M.D. 6. Normal physiology and pathophysiology of human cerebral blood fuw ~ P.C.M. Mosmans, M.D., E.J. Jonkman, M.D Front Matter....Pages I-X Introduction....Pages 1-6 Ultrasound physical concepts....Pages 7-28 Doppler instrumentation....Pages 29-41 Normal anatomy, anatomical anomalies and collateral pathways of the blood supply to the brain....Pages 43-56 Normal blood flow in the arteries....Pages 57-73 Normal physiology and pathophysiology of human cerebral blood flow....Pages 75-86 Cranial blood flow measurement by means of Doppler ultrasound....Pages 87-102 Early carotid lesions and flow disturbances....Pages 103-115 Hemodynamics of arterial stenosis....Pages 117-146 Vascular bruits....Pages 147-156 Free hand Doppler techniques for examination of the extracranial arteries with continuous wave Doppler....Pages 157-177 Quantification of carotid stenosis using continuous wave Doppler and spectral analysis....Pages 179-192 Vertebrobasilar arterial abnormalities....Pages 193-209 Doppler imaging....Pages 211-218 Clinical application of real-time Doppler color flow mapping of the carotid artery....Pages 219-226 Transcranial Doppler diagnosis....Pages 227-240 Real-Time B-Mode imaging of the carotid bifurcation....Pages 241-255 Clinical applications of high resolution B-scan imaging with pulsed Doppler profiles (10 MHz)....Pages 257-268 Intraoperative Doppler sonography....Pages 269-282 Perioperative transcranial Doppler sonography....Pages 283-290 Conclusion....Pages 291-300 Back Matter....Pages 301-306