Doppler profile correction factor
ID: doppler-profile-correction-factor
A Doppler profile correction factor converts a specified sampled velocity into the area-mean normal velocity needed to calculate volumetric flow rate. For a fixed opening of cross-sectional area and nonzero sampled trace , defineThe definition depends on both the spatial flow profile and what the instrument's sampled trace represents. A centerline trace, spectral mode and fastest detected envelope need not have the same correction. The primary ASE report distinguishes these spectral quantities and requires matched locations for velocity and area measurements.[ref]
Recommendations for Quantification of Doppler Echocardiography by Miguel A. Quiñones and others. PW Doppler and CW Doppler, printed pp. 168–169
Even if each instantaneous correction is known, the appropriate correction for a whole velocity-time integral is generally not its ordinary time average. Provided the denominator is nonzero,This velocity-weighted Doppler profile correction gives greater influence to intervals carrying more of the sampled velocity-time integral.
In an original two-interval calculation, each interval lasts one second. Let sampled velocities be 10 and 30 cm/s and instantaneous corrections 0.5 and 1.0. The sampled velocity-time integral is 40 cm, while its corrected counterpart is cm. Thus , whereas the ordinary average correction is 0.75. For , the latter would predict 30 mL instead of the model's 35 mL.
When the sampled velocity is nonnegative, this is a weighted mean and lies between the instantaneous corrections. Reversing fluid flow can create cancellation in the denominator, so that conclusion need not hold. A factor measured in a steady tube also cannot be assigned to a changing cardiac profile without evidence. The calculation explains an averaging requirement; it supplies no universal clinical correction.
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