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Three-Dimensional Vascular Imaging and Power Doppler Angiographic Imaging

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Noninvasive Vascular Diagnosis

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Abstract

Current ultrasound technology allows noninvasive flow imaging techniques to generate images similar to conventional angiography as well as the efficient rendering of volumetric data into three-dimensional (3-D) images. Power Doppler particularly has been useful in this regard to more thoroughly evaluate the extracranial carotids and the peripheral arterial system. Enhanced diagnostic data has been seen in 76% of carotid studies and in 71% of studies of the peripheral arteries, including the aortoiliac system and renal arteries. Differentiation of total versus near total carotid artery occlusion was improved using power Doppler angiography compared to conventional duplex ultrasound with color Doppler imaging. 3-D image reconstruction allows more precise lumen measurements, with 87% agreement with conventional angiography. The sensitivity of 3-D imaging to a >50% diameter stenosis was 100% with positive predictive value of 81%. 3-D imaging was also able to detect all plaque surface ulcerations seen on conventional angiography. Additional vascular applications for 3-D imaging and power Doppler angiography include transcranial evaluation of the circle of Willis and its major branches, evaluation of overall perfusion of organs such as the kidney or liver, tumor vascularity and differentiation of benign versus malignant masses, and, in conjunction with an ultrasound contrast agents, better characterization of solid masses and atherosclerotic plaques.

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Author information

Authors and Affiliations

  1. Department of Surgery, Division of Vascular/Endovascular Surgery, West Virginia University – Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma & Shadi Abu-Halimah

  2. Vascular Imaging, Beaumont Health System, Royal Oak, MI, USA

    Phillip J. Bendick

Authors
  1. Ali F. AbuRahma
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  2. Shadi Abu-Halimah
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  3. Phillip J. Bendick
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Corresponding author

Correspondence to Ali F. AbuRahma .

Editor information

Editors and Affiliations

  1. Department of Surgery Division of Vascular/Endovascular Surgery, West Virginia University – Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma

  2. Department of Surgery, Division of Vascular Surgery and Endovascular Therapy The John Hopkins University School of Medicine, Baltimore, MD, USA

    Bruce A. Perler

Section Editor information

  1. No affiliation provided

    Jan Brunkwall

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AbuRahma, A.F., Abu-Halimah, S., Bendick, P.J. (2022). Three-Dimensional Vascular Imaging and Power Doppler Angiographic Imaging. In: AbuRahma, A.F., Perler, B.A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-030-60626-8_56

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  • DOI: https://doi.org/10.1007/978-3-030-60626-8_56

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-60625-1

  • Online ISBN: 978-3-030-60626-8

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