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2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

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Pulsed and Continuous Wave Doppler
Nyquist Limit
Fig.1.26

The Nyquist limit defines when aliasing will occur using PW Doppler (Fig. 1.26). The Nyquist limit specifies that measurements of frequency shifts (and, thus, velocity) will be appropriately displayed only if the pulse repetition frequency (PRF) is at least twice the maximum velocity (or Doppler shift frequency) encountered in the sample volume.

It is obviously desirable to use as high a PRF as possible for recording abnormally elevated velocity jets. The problem is that the maximum PRF is limited by the distance the sample volume is placed into the heart.

Fig.1.27

The closer the sample volume is located to the transducer the higher the maximum PRF that can be used. Conversely, the farther the sample volume is placed into the heart the lower the maximum PRF becomes. This occurs because the distance (and therefore pulse travel time) to and from the sample volume is much shorter in the near field and, therefore, pulse roundtrip transit time is much less when compared with greater distances. An example of the spectral velocity display with the sample volume located in the near field is shown in Figure 1.27. The maximum velocity that can be recorded without aliasing is 2.50 m/sec in either direction (Fig. 1.27 left panel arrow). When the sample volume is positioned farther into the field the maximum possible velocity in either direction is reduced to .70m/sec (Fig. 1.27, right panel arrow).

Fig.1.28

Note that with the Doppler system used in the previous example, the scale of the spectral display automatically changes. In some systems, the scale is fixed and the size of the spectral tracing will alter.
Figure 1.28
demonstrates mild aliasing when a high velocity jet is in the near field (A). Progressively more severe aliasing with distortion of the full profile occurs if this same jet is encountered at progressively increasing distances from the transducer face (B, C and D). At point D the aliased profile is so distorted as to be unrecognizable.

In a practical sense, the Nyquist limit is a descriptive term which specifies the maximum velocity that can be recorded without aliasing. This limit is controlled by two factors: depth into the tissue and transducer frequency

When dealing with valvular heart disease, most abnormal jets exceed 1.5 to 2.0 m/sec. Therefore, Doppler beginners should not expect to record easily the full flow profile of these abnormal jets using PW Doppler. In fact, most beginners should simply attempt to recognize the presence of aliasing. With experience, it will become easier to identify an aliased signal. The recognition of aliasing on the audio output is difficult.

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