Doppler ultrasound is a medical imaging technique for calculating the relative velocity between two points by measuring the frequency shift of a sound wave transmitted from one point to the other, based on the Doppler effect. Continuous or pulsed Doppler is frequently used to examine cardiovascular blood flow. The combination of routine 2D-mode and Doppler ultrasound allows a complete evaluation of the heart's anatomy and function (including the fetal heart). See also Doppler Fluximetry in Pregnancy.
Doppler ultrasound depends on the fact that if a moving object reflects the ultrasound waves, the echo frequencies are changed. A higher frequency is created if the object is moving toward the probe//transducer and a lower frequency if it is moving away from it. How much the frequency is changed depends upon how fast the object is moving. Doppler ultrasound shows the different rates of blood flow in different colors on a monitor in real time.
The major Doppler parameters are the peak systolic velocity and the end-diastolic velocity. The peak systolic velocity ratio compensates the variability between different patients and instrumentations.

Different Doppler and duplex techniques:

Christian Johann Doppler first described the effect of motion of sound sources and the frequency change of the sound to the observer.
Doppler ultrasound uses this effect to detect and measure blood flow, and the major reflector is the red blood cell. Doppler ultrasound depends on the fact that if the reflecting surface is moving in relation to the transducer (blood flowing in a vessel) the frequency of the received ultrasound wave will be different from that of the transmitted wave. If blood cells are moving towards the transducer, they increase the frequency of the returning signal. As cells move away from the transducer, the frequency of the returning signal decreases.

See also Quadrature Detection and Doppler Techniques.

From SIUI Inc.;
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With latest imaging technologies, high-definition image quality and excellent practical functions, the Apogee 3500 offers optimal solutions for clinical ultrasonic examination.'

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(CAI) Color amplitude imaging shows the amplitude of the Doppler signal from moving blood flow. CAI is an ultrasound technique with increased dynamic range and flow sensitivity. The sensitivity of Doppler ultrasound increases markedly in conjunction with the use of vascular contrast agents.

See also Amplitude Map, Amplitude Indicator.

(CD) Color Doppler is an ultrasound imaging mode, which visualizes the presence, direction and velocity of flowing blood in a wide range of flow conditions. It provides an estimate of the mean velocity of flow within a vessel by color coding the flow and displaying it superimposed on the 2D gray scale image. The flow direction is arbitrarily assigned the color red or blue, indicating flow toward or away from the transducer.
Color (colour, Brit.) Doppler ultrasound is capable of evaluating a wider area than other Doppler modes than for example Duplex or power Doppler, and therefore makes it less likely to miss flow abnormalities. It is also easier to interpret. Color flow is not as precise as conventional Doppler and is best used to scan a larger area and then use conventional Doppler for detailed analysis at a site of potential flow abnormality.

Adjustments for color Doppler in case of too much color:
Adjustments for color Doppler in case of not enough color:
See also Color Power Doppler, Autocorrelation, Color Priority, Triplex Exam and Color Saturation.