Lee Jongmin
Department of Radiology, School of Medicine, Kyungpook National University, Daegu, Korea.
Ultrasonography. 2024 Nov;43(6):413-423. doi: 10.14366/usg.24126. Epub 2024 Sep 19.
The cardiovascular system operates through complex hemodynamic processes involving pulsatile blood flow, varying viscosity, and the branching architecture of vessels. Interactions between blood flow and the vascular wall, which are characterized by shear and normal stress, along with wall stiffness, are crucial for maintaining vascular health. Doppler ultrasonography is a highly valuable noninvasive tool for assessing these hemodynamic parameters, enabling the measurement of key indices such as blood flow velocity, flow patterns, wall shear stress, and wall stiffness. This paper emphasizes the clinical significance of these indices and methods of measuring them using Doppler ultrasonography while addressing potential challenges. Accurate interpretation of these measurements is vital for reliable cardiovascular diagnostics and effective clinical decision-making.
心血管系统通过复杂的血流动力学过程运行,这些过程涉及脉动血流、变化的粘度以及血管的分支结构。血流与血管壁之间的相互作用以剪切力和法向应力为特征,连同血管壁硬度,对于维持血管健康至关重要。多普勒超声检查是评估这些血流动力学参数的一种非常有价值的非侵入性工具,能够测量诸如血流速度、血流模式、壁面剪切应力和血管壁硬度等关键指标。本文强调了这些指标的临床意义以及使用多普勒超声检查测量它们的方法,同时探讨了潜在挑战。准确解读这些测量结果对于可靠的心血管诊断和有效的临床决策至关重要。