Blood flow velocity profiles in the aortic annulus: a 3-dimensional freehand color flow Doppler imaging study.

BACKGROUND: The use of a single sample volume in Doppler measurements of the velocity time integral (VTI) in the aortic annulus may introduce errors in calculations of stroke volumes, shunts, regurgitant fractions, and aortic valve area. To study the blood flow velocity distribution and assess this potential error, we used a dynamic 3-dimensional color flow Doppler imaging method. METHODS AND RESULTS: Seventeen healthy volunteers were studied. The ultrasound data were captured from 10 to 20 heartbeats at a high frame rate (mean 57 frames per second) while freely tilting the transducer in the apical position. A magnetic position-sensor system recorded the spatial position and orientation of the probe. The raw digital ultrasound data were analyzed off-line with no loss of temporal resolution. Blood flow velocities were integrated across a spherical surface that tracked the aortic annulus during systole. The ratios of the systolic maximum to the systolic mean VTI ranged from 1.2 to 1.5 (mean 1.4). At the time of systolic peak flow, the ratios of the maximum to the mean velocity ranged from 1.1 to 2.0 (mean 1.5). The location of the maximum velocities and VTI showed individual variation. CONCLUSION: The blood flow velocity profile was nonuniform. By using a single sample volume in Doppler measurements of the VTI in the aortic annulus, errors ranging from 20% to 50% may be introduced in calculations of stroke volumes.

Imaging and quantifying transverse flow velocity with the Doppler bandwidth in a phase-resolved functional optical coherence tomography.

The Doppler bandwidth extracted from the standard deviation of the frequency shift in phase-resolved functional optical coherence tomography (F-OCT) was used to image the velocity component that is transverse to the optical probing beam. It was found that above a certain threshold level the Doppler bandwidth is a linear function of flow velocity and that the effective numerical aperture of the optical objective in the sample arm determines the slope of this dependence. The Doppler bandwidth permits accurate measurement of flow velocity without the need for precise determination of flow direction when the Doppler flow angle is within +/-15 degrees perpendicular to the probing beam. Such an approach extends the dynamic range of flow velocity measurements obtained with the phase-resolved F-OCT.