Document Type

Article

Rights

This item is available under a Creative Commons License for non-commercial use only

Disciplines

Radiology, nuclear medicine and medical imaging

Publication Details

Ultrasonics 96(2019) 48-54

Abstract

Objective: The objective of the study was to investigate whether clinically used ultrasonic contrast agents improved the accuracy of spectral Doppler ultrasound in the detection of low grade (< 50%) renal artery stenosis. Low grade stenoses in the renal artery are notoriously difficult to reliably detect using Doppler ultrasound due to difficulties such as overlying fat and bowel gas.

Methods: A range of anatomically-realistic renal artery phantoms with varying low degrees of stenosis (0, 30 and 50%) were constructed and peak velocity data was measured from within the pre-stenotic and mid-stenotic regions in each phantom, for both unenhanced and contrast-enhanced spectral Doppler data acquisitions. The effect of a 20mm overlying fat layer on the ultrasound beam distortion and phase aberration, and hence on the measured peak velocity data, was also investigated.

Results: The overlying fat layer produced a statistically significant underestimation (p

Conclusion: Contrast-enhanced Doppler ultrasound could significantly assist in the early detection of renal artery disease.

DOI

10.1016/j.ultras.2019.04.003

Share

COinS