We investigated 60 patients with cerebrovascular disorders using a three-dimensional transcranial Doppler blood flow mapping system. A composite display of the circle of Willis is created with computer assistance, allowing accurate vessel identification and optimal data documentation of blood flow velocity and direction in the basal cerebral arteries. The basilar artery was insonated in every p...

BACKGROUND AND PURPOSE Patients may experience clinical deterioration (CD) after treatment with intravenous recombinant tissue plasminogen activator (rt-PA). We evaluated the ability of flow findings on transcranial Doppler to predict CD and outcomes on modified Rankin Scale. METHODS Patients with acute stroke received intravenous rt-PA within 3 hours of symptom onset at four academic centers...

Power-based transcranial color-coded sonography and contrast-enhanced transcranial color-coded sonography are ultrasonographic techniques that allow improved visualization of vascular structures. The present study was designed to investigate and compare the diagnostic capacity and applicability of both methods in the assessment of intracranial vessels of the circle of Willis (33 patients) and t...

Full digital design with coded excitation for Doppler ultrasound system is proposed to offer full-depth examination, and to improve system SNR and penetration. The experimental platform is developed based on a Doppler phantom and a transcranial Doppler system. Raw radiofrequency signals are collected from the Doppler phantom using the transcranial Doppler system, which alternately transmits non...

BACKGROUND Beta-thalassemia is a type of anemia in which the patients may require splenectomy and this can lead to thrombocytosis with increased risk of stroke. Transcranial Doppler ultrasound is a method for determining cerebral vessel stenosis. OBJECTIVES The aim of this study was to investigate whether the risk of a future stroke secondary to cerebral artery stenosis can be predicted with ...

BACKGROUND AND PURPOSE Brain imaging abnormalities were reported in up to 44% of children with sickle cell disease (SCD). The prevalence of neuroimaging abnormalities in adult patients with SCD and their relationship to transcranial Doppler is still unclear. Our objectives were to study the frequency of MRI and MR angiography abnormalities in adults with SCD and to define what transcranial Dopp...

BACKGROUND AND PURPOSE Carotid angioplasty and stenting (CAS) has a higher incidence of periprocedural stroke compared with endarterectomy. Identifying CAS steps with the highest likelihood of embolization may have important implications. We evaluated CAS safety by correlating the findings of procedural transcranial Doppler with postprocedure diffusion-weighted imaging (DWI) lesions. METHODS ...

Background: The aim of the present study was to explore clinical effect and predict prognosis severe craniocerebral injury patients with decompressive craniectomy by combining transcranial Doppler (TCD) invasive intracranial pressure (ICP).

BACKGROUND AND PURPOSE Cerebral infarction in sickle cell disease is associated with arterial narrowing or occlusions of intracranial arteries. Primary stroke prevention would be feasible if a noninvasive screening test could be developed to detect intracranial disease in patients before symptoms develop. METHODS To determine the sensitivity and specificity of transcranial Doppler in detectin...

BACKGROUND Transcranial Doppler monitoring enables the detection of emboli passing through intracranial arteries. Comparison of the different intracranial vessels with respect to emboli detection can be of use in identifying the source of embolism. CASE DESCRIPTION We report the case of a patient with an acute posterior cerebral artery (PCA) infarct on the right side, with evidence for high-d...