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The Doppler technique uses reflections from moving red blood cells to characterize blood flow (Beers and Berkow, 1999; Gottdiener et al, 2004). Spectral Doppler echocardiography uses ultrasound to record the velocity, direction, and type of blood flow in the cardiovascular system.
Spectral Doppler permits graphic display of velocities over time. Velocity curves provide information about absolute velocities and the direction of blood flow as well as how velocity changes in a certain region (pulsed-wave Doppler) or along a certain Doppler line (continuous-wave Doppler).
Structure and Components of Doppler Spectra The Doppler spectrum is a time-velocity waveform that represents variation in intravascular blood flow velocities during the cardiac cycle (,2). Time is represented along the horizontal axis, and frequency shift (velocity) is depicted along the vertical axis (,Fig 1).
Color Doppler / Duplex provides flow information within a region of interest (ROI), while spectral Doppler provides information within a \u201csample volume\u201d. Doppler is primarily used in longitudinal views but can also useful in a transverse view.
Pulsed Wave Doppler (PW) PW Doppler is a type of spectral Doppler that gives us, the user, an option to measure blood flow velocities at a very specific location, or in a given sample. The specific area in which the velocity of the blood flow is measured is called the \u201csample volume\u201d or \u201crange gate\u201d.
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Color Doppler. These colors show the speed and direction of blood flow in real time. Power Doppler, a newer type of color Doppler.
Spectral analysis provides visual information on the distribution (spectrum) of Doppler-shift frequencies resulting from the distribution of scatterer velocities (speeds and directions) encountered within the sample volume.
Spectral Doppler is unique in the sense that it displays blood flow measurements graphically, as opposed to just visually like with color Doppler or just audibly. With spectral Doppler, not only is the velocity of blood flow displayed on a graph, but it also shows the velocity of blood flow spread over time.
Pulsed Wave Doppler (PW) PW Doppler is a type of spectral Doppler that gives us, the user, an option to measure blood flow velocities at a very specific location, or in a given sample. The specific area in which the velocity of the blood flow is measured is called the \u201csample volume\u201d or \u201crange gate\u201d.
Spectral waveforms reflect the physiologic status of the organ supplied by the vessel, as well as the anatomic location of the vessel in relation to the heart. In addition, the waveforms may be affected by age- and development-related hemodynamic differences.

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