The relationship between time averaged intensity weighted mean velocity, and time averaged maximum velocity in neonatal cerebral arteries.

It is usual practice to calculate the mean velocity of blood flow in neonatal cerebral vessels from the intensity weighted mean (IWM) Doppler shift signal. Theoretically however the maximum frequency envelope could be used for similar purposes, and indeed may have certain advantages. The purpose of this study was to confirm the suitability of the maximum frequency method. Good quality Doppler recordings from the anterior cerebral and middle cerebral arteries of both term and very low birth weight babies were analyzed by both methods and compared. A small number of recordings were then deliberately degraded, either by the addition of noise or by the use of inappropriate filters, and reanalyzed. The results of these comparisons suggest that the maximum frequency follower should be the follower of choice for neonatal cerebral blood flow studies.