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At least 235 records · Page 13Linked to original sources

Plethysmography. A treatise on its evolution, differential methodology and clinical utilization. 1973.

Plethysmography is the observation and use of volume changes in physiologic entities. The most influential short-term effect is caused by the pulsatile flow of blood. Attempts to convert these pulsatile volume changes into minimum required blood flow per unit of time have been successful clinically. Plethysmography can be accomplished by encapsulating digits, limbs and entire bodies. Volume changes in the member cause volume changes in the fixed chamber which then influences an observational medium. Plethysmography can also be accomplished with a strain gauge, direct application of electricity to flesh, changing opacity effects on tissue, ultrasound (the Doppler effect) or the piezoelectric method. The piezoelectric plethysmograph was successfully tested on 55 patients.

Blood Circulation↗

[New applications of echography: Doppler ultrasonography].

The Doppler effect, the different types of Doppler echography its functions and the parameters to evaluate the blood flow are defined. The clinical applications of Doppler in paediatrics are analyzed which are grouped in four great chapters: 1) cerebral blood flow. 2) renal flood flow: a.-native kidney, b.-transplanted kidney. 3) hepatic blood flow: a.-native liver, b.-transplanted liver. 4) characterization of mass, tissue and structures. Exploration technique of different organs are described and findings in different clinical sectors are referred to, emphasizing normal patterns.

Cerebrovascular Circulation↗

Testicular blood flow measured with a laser Doppler flowmeter: acute effects of catecholamines.

Laser Doppler flowmetry was used to continuously measure testicular blood flow in rats. The method was found applicable on surgically exposed testes. Regular oscillations in blood flow, with a periodicity of 8.6 +/- 0.7 cycles per minute (mean +/- SD), were observed in recordings from 22 to 23 rats. Clamping of the testicular artery reduced the blood flow signal to background values. Effects of catecholamines administered into the tail artery on testicular blood flow together with systemic effects on mean arterial blood pressure and heart rate were measured. It was found that noradrenaline as well as adrenaline caused a significant decrease in blood flow when 10 micrograms was injected. Only noradrenaline decreased the blood flow when 1 microgram was given. The large oscillations detected in the blood flow recordings disappeared quickly when 10 or 1 micrograms of both hormones was administered. It was concluded that catecholamines can exert rapid effects on testicular blood flow.

Animals↗

Doppler ultrasound in obstetric practice: 1.

The Doppler effect has been recognized for around 150 years. The practical application of the phenomenon to the study of fetomaternal haemodynamics has been applied for almost 20 years. This article considers the theory of the effect in relation to obstetric practice.

Blood Flow Velocity↗

[Simplified monitoring by ultrasound for anaesthesiology].

This is the description of a simplified method to assist the anaesthesiologist in monitoring and/or detecting venous and arterial diseases (i.e. stenosis) by ultrasound. The main problem for the anaesthesiologist is to monitor and measure the low blood pressure of new-borns during intra- and post-operative phases. In most cases it is difficult to localize the systolic pressure. We have developed a new device which, in connection with an analogic ratemeter, displays the heart rate based on the ultrasound doppler effect. Technique, application and first results are described.

Anesthesia↗

Doppler-shift compensation behavior in horseshoe bats revisited: auditory feedback controls both a decrease and an increase in call frequency.

Among mammals, echolocation in bats illustrates the vital role of proper audio-vocal feedback control particularly well. Bats adjust the temporal, spectral and intensity parameters of their echolocation calls depending on the characteristics of the returning echo signal. The mechanism of audio-vocal integration in both mammals and birds is, however, still largely unknown. Here, we present behavioral evidence suggesting a novel audio-vocal control mechanism in echolocating horseshoe bats (Rhinolophus ferrumequinum). These bats compensate for even subtle frequency shifts in the echo caused by flight-induced Doppler effects by adjusting the frequency of their echolocation calls. Under natural conditions, when approaching background targets, the bats usually encounter only positive Doppler shifts. Hence, we commonly believed that, during this Doppler-shift compensation behavior, horseshoe bats use auditory feedback to compensate only for these increases in echo frequency (=positive shifts) by actively lowering their call frequency below the resting frequency (the call frequency emitted when not flying and not experiencing Doppler shifts). Re-investigation of the Doppler-shift compensation behavior, however, shows that decreasing echo frequencies (=negative shifts) are involved as well: auditory feedback from frequencies below the resting frequency, when presented at similar suprathreshold intensity levels as higher echo frequencies, cause the bat's call frequency to increase above the resting frequency. However, compensation for negative shifts is less complete than for positive shifts (22% versus 95%), probably because of biomechanical restrictions in the larynx of bats. Therefore, Doppler-shift compensation behavior involves a quite different neural substrate and audio-vocal control mechanism from those previously assumed. The behavioral results are no longer consistent with solely inhibitory feedback originating from frequencies above the resting frequency. Instead, we propose that auditory feedback follows an antagonistic push/pull principle, with inhibitory feedback lowering and excitatory feedback increasing call frequencies. While the behavioral significance of an active compensation for echo frequencies below RF remains unclear, these behavioral results are crucial for determining the neural implementation of audio-vocal feedback control in horseshoe bats and possibly in mammals in general.

Animals↗

The physical principles of Doppler and spectral analysis.

The Doppler effect provides an ultrasonic method for the detection of echoes from moving structures, particularly flowing blood. In its most simple form, the continuous wave Doppler offers velocity information without depth resolution and is therefore used mainly for the examination of superficial structures. The pulsed Doppler, in combination with real-time imaging, provides a more flexible tool for the interrogation of selected sites in an ultrasound image for motion and flow. The recent development of Doppler flow imaging, in which limited Doppler information is displayed over an entire ultrasound image, usually in color and in real-time, promises to secure the association between Doppler and conventional ultrasound imaging techniques. Spectral analysis permits features of the Doppler signal to be identified which are associated with hemodynamic phenomena, such as flow disturbance and wave reflection. In addition, it allows the quantitative application of Doppler to the estimation of such physiological variables as velocity, flow rate, and pressure difference.

Blood Flow Velocity↗

Principles of Doppler and color flow.

Doppler methods are unique among clinical techniques in ultrasound in that they have the potential to offer information related to the function of an organ beside its morphology. After describing the Doppler effect, the instrumentation with both continuous and pulsed waves is precisely considered, together with the duplex scanner. The multigate pulsed system and the color-Doppler flow imaging are also described with their advantages and disadvantages. The analysis of the Doppler spectrum covers a large part of the paper, analysing the spectral display and the factors affecting content of the spectrum. The author stresses then the interpretation of color-Doppler images, the quantitative methods in Doppler, the addition of color hemodynamics and physics of blood flow and the abundant Doppler artifacts. Bioeffects considerations and future technical developments are then examined; in the final chapter the author describes the new instrumentation, quantitative measurements, Doppler tissue characterization.

Artifacts↗

[Arguments for and description of the Doppler venous examination (author's transl)].

Analysis of blood flow rates by Doppler effect on veins has many advantages: deep insertion of venous catheters, diagnosis of deep veins thrombosis, venous insufficiency, right heart cardiopathies, and supervision of medical and surgical treatment of venous disease. The agreement between Doppler examination and phlebography was, in venous thrombosis, 86.5 % for 110 examinations. Sensitivity of Doppler technique is 86%, specificity 91 %. If used to check permeability of vena cava interruption, concordance between Doppler ultrasound and isotopic phlebography was 90 % for 32 cases. The main limitation of the method is a poor sensibility in diagnosis of distal thrombosis and in not entirely occluding clots.

Arteriovenous Fistula↗

Transition from spirals to defect-mediated turbulence driven by a doppler instability.

A transition from rotating chemical spirals to turbulence is observed in experiments on the Belousov-Zhabotinsky reaction. The transition occurs when the waves near the spiral tip spontaneously break, generating defects. Measurements reveal that this defect-mediated turbulence is caused by the Doppler effect on the traveling waves. The observations are in good accord with numerical simulations and theory.

Doppler Effect↗

[The Doppler test: its practical importance in the study of lesions of the supra-aortic trunks].

Ultrasonography by the Doppler effect is of indisputable use in the investigation of lesions of the supra-aortic trunks leading to the brain. It allows a direct study of the extracranial carotidian and vertebral axes, and gives an idea of the intracerebral circulation. It detects the main lesions affecting them, provided that such lesions have hemodynamic repercussions. The Doppler does not replace arteriography, but is a complementary exam making it possible to decide on or to dismiss the need for it. Its harmlessness and simplicity make it a standard exam in cerebral vascular pathology.

Arterial Occlusive Diseases↗

[A experimental device for ultrasonic control of ear ossicle prosthesis function].

A device designed by the author is intended for functional control over prosthetic auditory ossicle efficacy in experiment. The device employs Doppler effect and lies inside the frame adjusted for the experimental conditions. The device provides standard conditions for determining amplitude-frequency characteristics and signal transmission factor in the range 128-2000 Hz. As illustration, measurements of transmission from the T-shape prosthesis are described.

Doppler Effect↗

Doppler-broadening of positron annihilation in a biological environment.

The aim of this study was to investigate the Doppler effect of the 511 keV gamma peak from positron annihilation in biological matter. The broadening of the annihilation peak is due to positron annihilation with electrons that have high momentum. In aqueous solutions annihilation depends on the temperature and it is linked positronium formation. Measurements in vivo, on human brain, were taken during the diagnosis of positron emission tomography (PET) on healthy patients by injecting them with the beta emitter of short lifetime 18F. The Doppler-broadening in biological tissues rich in water content decreased significantly compared to biological solutions and water.

Body Water↗

[Visual identification of Doppler sounds in gas embolisms].

The method of choice for the early detection of air metabolism during neurosurgical operations in a sitting position is that of continuous cardiac auscultation using Doppler effect ultrasound apparatus. In the present study, involving 15 patients, an air embolism was produced by the injection of 2 ml of CO2 into the right heart and acoustic changes were recorded on paper using a photographic process. These optical changes, although variable, were invariably present and characteristic of aire emboli and represent an additional element in early diagnosis.

Adult↗

[Plate thermography in post-operative monitoring (author's transl)].

The authors report the data obtained from plate thermography--a technique based on the liquid crystal principle--in more than 200 patients with arteritis. More specifically, the study compares the results of arteriography, Doppler effect velocimetry and plate thermography before and after surgery in two groups of patients with similar conditions (20 cases of aorto-bifemoral prosthesis and 10 cases of lumbar sympathectomy). The results were comparable in both groups, as well as in most of the 200 patients operated upon in the same unit for various arterial diseases of the lower limb. Plate thermography is easy to perform and constitutes a reliable method for monitoring peripheral blood circulation after surgery.

Aorta↗

[Ultrasonic study of the brain circulation in patients with Paget's disease. Preliminary results].

The authors present a preliminary study on ultrasonic measurement of flow rate, using the Doppler effect, in patients suffering from Paget's disease of the cranium. In the 12 patients studied there was external carotid hypervascularization with a continuous flow in the superficial temporal artery. Even though only a few cases have been studied, there seems to be a close correlation between the levels of hydroxy prolinuria and of alkaline phosphatasaemia and thus between the evolution of the disease and the index of resistance. The value of this non-traumatic method in the therapeutic surveillance of Paget's disease of the cranium is beyond doubt.

Alkaline Phosphatase↗

A new model of arterial hemodynamics.

The determination of arterial blood flow parameters on the basis of ultrasound investigation requires a new hydrodynamic model of arterial circulation. Unlike previous research (Womersley, Bergel) considering the arterial pressure of its gradients to be known, the present model uses blood flow velocity and arterial radius magnitude easily obtained by ultrasound (Doppler effect). Processing these data requires the thorough analysis of rheological characteristics of blood flow and of arterial wall behaviour (elastic deformability). It has been assumed that: a) blood is a homogeneous and isotropic fluid; b) the artery has a cylindrical symmetry of a circular cross-section at any time moment; c) the pressure in the artery cross-section is constant. Because arterial dynamics has an undulatory character the Fourier analysis of the modified Navier-Stokes equations has been used. Finally, a simplified relation for blood pressure determination has been obtained.

Arteries↗

[Evaluation of the function of heart valve prostheses by Doppler echocardiography. Primary findings].

The authors have executed an investigation on the functional evaluation of the valvular prosthesis, availing themselves of the use of the Echocardiography complete of Doppler effect and executing echocardiography tracings not according to the standard position, but putting the sound in correspondence with the cardiac apex. This method has been considered valid to obtain olways images of the movable element for all the types of the prosthesis and for amy situation of theirs. Furthermore the classic position of the sound can't be respected either for the eventual cardiomegaly, either for the manipulations that the heart undergoes inevitable during the operation, either for the pleurapericardic adhesions, alla factors that induce a change of the anatomic focuses.

Cardiac Catheterization↗