Spectral broadening widens the bandwidth of the returning Doppler shifted signal due to its interaction with scatterers traveling at different velocities. This can be seen with turbulent or disturbed flow distal to an arterial stenosis.

(CDI) Color Doppler imaging depicts the mean frequency shifts of the Doppler signal. Color [colour, Brit.] Doppler imaging is a method for visualizing direction and velocity of movement, such as of blood flow within the cardiac chambers or blood vessels. The flow direction and velocity information gathered by Doppler ultrasonography is color coded onto a gray scale cross-sectional image. The sensitivity of Doppler ultrasound is increased in conjunction with the use of vascular contrast agents.
Direction and blood flow velocity are coded as colors and shades:
Red - flow coming nearer to the probe.
Blue - flow coming away of the probe.

See also Bi-directional Illumination, Color Map.

(CPA) Color power angio is a Doppler measurement, which employs the Doppler effect to assess whether blood is moving towards or away from the probe. By calculating the frequency shift of a particular sample volume, its speed and direction can be determined and visualized. This is particularly useful in cardiovascular studies and essential in many areas such as determining reverse blood flow in the liver vasculature in portal hypertension. The CPA information is displayed as a color image superimposed on the 2D gray scale image.

See also Color Power Doppler.

(CPD) CPD is a type of color Doppler to visualize the presence of detectable blood flow. The flow information is based on the amplitude or strength of echoes received from moving cells and not on frequency shifts. Power Doppler is very sensitive to flowing blood but does not provide velocity or directional information.
CPD is less angle dependent than traditional color Doppler, but more sensitive to motion artifacts. Color power angio (CPA) provides better sensitivity to slow flow states.
The color maps for CPD are represented by a single continuous color (colour, Brit.). Because CPD does not provide directional information, no aliasing artifact occurs.

See also Directional Color Power Doppler.

Selective detection of the microbubble contrast medium can be enhanced by Doppler processing that removes signals with zero Doppler frequency shifts. This will remove tissue harmonics. By detecting overlong bursts of inverted pulses and using Doppler detection methods, very high sensitivity to microbubbles can be achieved. The bubbles can be detected at sufficiently low incident power levels to avoid destroying them. Pulse inversion Doppler has demonstrated the first real-time images of myocardial perfusion using perfluorocarbon gas agents.

See also Pulse Inversion Imaging, Myocardial Contrast Echocardiography, and Perfluorochemicals.