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.

Doppler fluximetry is a method to study the hemodynamic of fetus and placenta. Fluximetry is based on Doppler ultrasound. The resistance of blood flow in the vessels can be determined by quantitative or qualitative analyzing of sound waves depending on the pulsating blood flow.
Doppler fluximetry can be theoretically applied to vessels in every area of the body, but in practice insufficient size of some vessels is a limitation.

See also Doppler Effect.

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:

Hitachi Medical Systems America Inc.;
The EUB-525 is a mid-size ultrasound system with a full feature set. Capable of B-mode, M-mode, Doppler, color flow and color angiography it performs a variety of tasks in a simple and straightforward fashion. This system produces high quality images with excellent clarity and detail.

Echocardiography is the ultrasound examination of the heart. Depending on the used ultrasound system, echocardiograms can be two-dimensional slices or 3D real-time images of the heart. Based on the ultrasound principles the direction and speed of blood flow can be utilized e.g., to diagnose a leaking or stenosed valve or to identify intracardiac shunts.

Different types of echocardiography:
The transthoracic echocardiogram (images are taken through the chest wall) is a non-invasive, highly accurate and quick assessment of the overall health of the heart.
A more invasive method is to insert a specialized scope containing an echocardiography transducer (TEE probe) into the esophagus, and record images from there. The advantages are clearer images, since the transducer is closer to the heart.
Contrast echocardiogram (CE) is already a valuable tool to delineate endocardial borders, direct invasive procedures, detect intracardiac shunts, assess myocardial perfusion and viability, and quantify coronary flow reserve and blood volumes (see also hemoglobin). The mechanism of microbubble CE is based on the physical principles of rarefaction and compression, leading to volume pulsations of microbubbles, and it is this change that results in CE signal.
Stress echocardiograms are echocardiography exams used for detection of coronary artery disease.

See also Diastole, Bicycle Stress Echocardiography, Resistive Index, and M-Mode Echocardiography.