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Indication of Colour
Doppler
OBSTETRICS COLOUR DOPPLER
- Brain sparing effect
during third trimester [fetal hypoxia], IUGR, Fetal anemia.
- Pregnancy induced
hypertension, Fetal brain edema during third trimester.
- Ductus venosus in
cardiac anomalies.
- Cord around neck, Vasa
previa.
- True Omphalocele. /
Pseudo Omphalocele, Bladder obstruction / Pelvic cystic mass.
- Pulmonary sequestration,
Klippel weber syndrome, Vein of Galen aneurysm, Vascular mass in
fetus.
- Placenta accreta,
Increata & Percreta, Choriangioma of placenta.
- Uterine synechiae.
GYNEC COLOUR DOPPLER
- Ovarian torsion, Ovarian
mass with vascularity, Cervical mass with vascularity.
- Endometrial malignancy,
Endometritis, Endometrial polyp, AV malformation.
- Retained products of
conception, Vascular fibroid, Adenomyosis, Pelvic varices.
- Persistent trophoblastic
neoplasia.
- Sonosalpingography
indications: Tubal block, Polyp, Sub mucosal fibroid,
Endometrial adhesions.
[Colour Doppler in infertility; 50% to 75% perifollicular flow
and good endometrial flow indicates good
changes of conception].
- 25% Perifollicular flow,
50% Perifollicular flow, 75-100 % Perifollicular flow pick up.
- Endometrial flow pick
up.
ARTERIAL COLOUR DOPPLER
- Assessment of disease in
patients with ischemic symptoms of the upper or lower limb, 50%
Stenosis, 75%
Stenosis, Total arterial occlusion [chronic], Arterial
thrombosis [acute].
- Post traumatic,
Secondary Raynauds, AV malformation, AV fistulae, Dissection.
- Diagnosis and follow up
of aneurysms [Traumatic, True & Pseudo] of the peripheral
arteries, Diagnosis of pulsatile lumps , Assessment of dialysis
shunt, Evaluation of bypass graft, Post angioplasty.
- Superficial and deep
palmer arch thrombus, Inter digital artery thrombus.
- Hyperdynamic
circulation, Compartment syndrome, Pseudo aneurysm.
- Colour Doppler guided
interventional procedure causing thrombosis in Pseudo aneurysm.
VENOUS COLOUR DOPPLER
- Deep vein thrombosis in
the upper or lower limb. Thrombophlebitis.
- Chronic deep vein
thrombosis [ sequelae of thrombosis ] with recanalization.
- Isolated thrombosis,
Mass causing compression of vein.
- Gastrocnemius muscle
vein & Soleal muscle vein thrombusis.
- Perforator incompetence.
- Valve incompetence in
deep vein, Venous ecstasia.
- Sapheno femoral junction
reflux, Sapheno popliteal junction reflux.
- LSV reflux, SSV reflux,
Dilated Soleal muscle vein and Gastrocnemius muscle vein with
reflux.
- Assessment of recurrent
varicose veins
- Vein mapping prior to
bypass grafts, Localization of vein for cannulation, Remaining
catheter in vein.
CAROTID COLOUR DOPPLER
- Symptomatic hemispheric
ischemia, Evaluation of carotid bruits.
- Subclavian steal
syndrome [ Cervical rib causing stenosis or Subclavian artery
stenosis ].
- Vertebrobasilar
insufficiency, Takayasus artritis extending in to carotid.
- Preoperative screening
prior to major vascular surgery like coronary bypass.
- Follow-up of known
disease, Monitoring of endarterectomy, Idiopathic invasive
fibrosis.
- Other indications
include pulsatile neck masses, Carotid dissection, History of
atherosclerotic cardiac or peripheral vascular disease, History
of cerebrovascular accidents, Carotid body tumor, Fibromuscular
dysplasia, Pseudo aneurysm, Ateriovenous fistula.
RENAL AND URINARY BLADDER COLOUR DOPPLER
- Renal artery stenosis,
Renal mass with hypervascularity, Acute pyelonephritis, Bladder
mass.
- To conform renal
perfusion in renal trauma, Arterivenous abnormalities.
- Diagnosis of renal vein
thrombosis in tumor, Dehydration (infant) &, Hypovolaemia.
- Fibro muscular dysplasia,
AV fistula for maturity, Stenosis or Arterial steal in CRF.
ABDOMINAL AORTA COLOUR DOPPLER
- Iliac arteries
evaluation to rule out aorto-iliac occlusion.
- Aneurysm type and
involving branches, Assessing flow in the celiac artery.
- Superior mesenteric
artery flow mapping for suspected mesenteric ischemia.
- As a routine
pre-transplant procedure; To evaluate vascular graft for patency.
SCROTUM COLOUR DOPPLER
- Torsion.
- Orchitis, Epididymitis,
Epididymo-orchitis, Epididymo orchitis with changes of
funniculitis.
- Trauma in testis.
- Varicocele grade 3 /
grade 2 / grade 1.
- Testicular abscess,
Testicular Infract or Mass, Epididymis mass.
COLOUR DOPPLER IN PORTAL HYPERTENSION (PORTAL V.)& HEPATIC
VEINS
- Portal vein
thrombosis-Acute / Partial / Chronic thrombosis.
- Hepatofugal flow /
Hepatopetal flow.
- Portocaval shunt,
Atretic portal vein with cavernous transformation, Dilated
coronary vein.
- Splenorenal shunt ,GB
varices, Paraumbilical collateral, Gastro duodenal collateral,
Intrahepatic collateral.
- Dilated portal vein with
recanalization of Ligamentum teres.
- Mass invading into
portal vein having vascularity ( Tumour thrombus ) , Budd Chiari
syndrome.
- Pre and post procedural
assessment of Tran's jugular porto-systemic shunt (TIPS)
procedures.
SOFT-TISSUE COLOUR DOPPLER
- Multi nodular goiter
with hypervascularity, Vascular thyroid adenoma, Hashimoto's
thyroiditis.
- Grave's disease, Thyroid mass, Parathyroid adenoma.
- Salivary glands show
increased vascularity, Acute lymphadenitis, Chronic
lymphadenitis, Malignant lymphnode.
- Muscle abscess, Mastitis
with breast abscess, Breast mass with vascularity.
- AV malformation anywhere
in body, Venous malformation, Eye mass.
COLOUR DOPPLER IN ABDOMEN
- Pancreatic mass
infiltration into celiac trunk and splenic vein.
- Intraperitoneal mass
causing encasement of SMA, Splenic tear, Psoas muscle
inflammation.
- Assessment of focal
liver disease.
- Medical jaundice,
Calculus cholecystitis, Chronic active hepatitis.
- Appendicitis with
vascularity, Rectal mass with vascularity.
- IVC, Iliac, SMV etc..
veins for thrombosis.
RENAL AND LIVER TRANSPLANT COLOUR DOPPLER
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