Ultrasonic Diagnosis of Cerebrovascular Disease, 1987 Doppler Techniques and Pulse Echo Imaging Developments in Cardiovascular Medicine Series, Vol. 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.

1. Introduction.- 2. Ultrasound physical concepts.- 3. Doppler instrumentation.- 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain.- 5. Normal blood flow in the arteries.- 6. Normal physiology and pathophysiology of human cerebral blood flow.- 7. Cranial blood flow measurement by means of Doppler ultrasound.- 8. Early carotid lesions and flow disturbances.- 9. Hemodynamics of arterial stenosis.- 10. Vascular bruits.- 11. Free hand Doppler techniques for examination of the extracranial arteries with continuous wave Doppler.- 12. Quantification of carotid stenosis using continuous wave Doppler and spectral analysis.- 13. Vertebral and basilar artery abnormalities.- 14. Doppler imaging.- 15. Clinical application of real-time Doppler color flow mapping of the carotid artery.- 16. Transcranial Doppler diagnosis.- 17. Real-time B-mode imaging of the carotid bifurcation.- 18. Clinical application of high resolution B-scan imaging with pulsed Doppler profiles (10mHz).- 19. Intraoperative Doppler sonography.- 20. Perioperative transcranial Doppler sonography.- 21. Conclusion.- Credit and recognition list.