Doppler waveforms

Changed by Henry Knipe, 31 May 2016

Updates to Article Attributes

Body was changed:

Doppler waveforms are often misinterpreted and/or overlooked. They can provide great deal of information if carefully understood.

Radiographic features

Ultrasound
Doppler

The three basic waveforms are1,2:

  • triphasic
    • forward flow in systole
    • biphasicreverse flow in late systole / early diastole
    • forward flow in late diastole
  • biphasic
    • forward flow in systole
    • reverse flow in diastole
  • monophasic: single phase with slow acceleration/deceleration
    • high velocity
    • low velocity

Triphasic flow is considered normal, and monophasic flow is considered abnormal. Most authors consider biphasic flow abnormal, although some authors classify it as a normal waveform 2

  • -<p><strong>Doppler waveforms </strong>are often misinterpreted and/or overlooked. They can provide great deal of information if carefully understood.</p><p>The three basic waveforms are:</p><ul>
  • -<li>triphasic</li>
  • -<li>biphasic</li>
  • -<li>monophasic<ul>
  • +<p><strong>Doppler waveforms </strong>are often misinterpreted and/or overlooked. They can provide great deal of information if carefully understood.</p><h4>Radiographic features</h4><h5>Ultrasound</h5><h6>Doppler</h6><p>The three basic waveforms are <sup>1,2</sup>:</p><ul>
  • +<li>
  • +<strong>triphasic</strong><ul>
  • +<li>forward flow in systole</li>
  • +<li>reverse flow in late systole / early diastole</li>
  • +<li>forward flow in late diastole</li>
  • +</ul>
  • +</li>
  • +<li>
  • +<strong>biphasic</strong><ul>
  • +<li>forward flow in systole</li>
  • +<li>reverse flow in diastole</li>
  • +</ul>
  • +</li>
  • +<li>
  • +<strong>monophasic</strong>: single phase with slow acceleration/deceleration<ul>
  • -</ul>
  • +</ul><p>Triphasic flow is considered normal, and monophasic flow is considered abnormal. Most authors consider biphasic flow abnormal, although some authors classify it as a normal waveform <sup>2</sup>. </p>

References changed:

  • 2. Scissons R, Comerota A. Confusion of peripheral arterial Doppler waveform terminology. Journal of Diagnostic Medical Sonography. 2009;24 (4): 185-194. <a href="https://doi.org/10.1177/8756479309336216">doi:10.1177/8756479309336216</a>

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