Inter- and intra-observer accuracy in the Doppler measurements of hepatic artery resistance index, portal vein mean flow velocity, portal vein diameter, hepatic vein profile, and spleen size

1997 ◽  
Vol 6 ◽  
pp. S8
Author(s):  
C.S. Ng ◽  
J. O'Donoghue ◽  
S. Catnach ◽  
R. Williams ◽  
P. Farrant ◽  
...  
1991 ◽  
Vol 75 (5) ◽  
pp. 752-758 ◽  
Author(s):  
Jürgen Klingelhöfer ◽  
Dirk Sander ◽  
Manfred Holzgraefe ◽  
Christian Bischoff ◽  
Bastian Conrad

✓ The present study evaluates the interdependence of clinical stage, cerebral vasospasm, intracranial pressure (ICP), and transcranial Doppler ultrasonographic parameters. The mean flow velocity of blood in the middle cerebral artery and the index of cerebral circulatory resistance as a measure of the peripheral vascular flow resistance were determined in 76 patients with spontaneous subarachnoid hemorrhage. The ICP was measured using an epidural transducer in 41 patients. There was no case in which both high ICP and a high mean flow velocity were observed simultaneously. The investigations led to the following conclusions. 1) In patients with a resistance index of less than 0.5, changes in the mean flow velocity seem to reflect sufficiently the actual severity and time course of vasospasm. 2) During the time course of vasospasm, an increase in the resistance index above values of 0.6 with a simultaneously decreased mean flow velocity indicates a rise in ICP rather than a reduction in vasospasm. 3) With a pronounced increase in ICP, evaluation of the severity and time course of vasospasm by transcranial Doppler ultrasonography based solely upon the mean flow velocity can lead to false-negative results.


Author(s):  
Christoph Jörg ◽  
Michael Wagner ◽  
Thomas Sattelmayer

The thermoacoustic stability of gas turbines depends on a balance of acoustic energy inside the engine. While the flames produce acoustic energy, other areas like the impingement cooling system contribute to damping. In this paper, we investigate the damping potential of an annular impingement sleeve geometry embedded into a realistic environment. A cold flow test rig was designed to represent real engine conditions in terms of geometry, and flow situation. High quality data was delivered by six piezoelectric dynamic pressure sensors. Experiments were carried out for different mean flow velocities through the cooling holes. The acoustic reflection coefficient of the impingement sleeve was evaluated at a downstream reference location. Further parameters investigated were the number of cooling holes, and the geometry of the chamber surrounding the impingement sleeve. Experimental results show that the determining parameter for the reflection coefficient is the mean flow velocity through the impingement holes. An increase of the mean flow velocity leads to significantly increased damping, and to low values of the reflection coefficient.


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Christopher G Favilla ◽  
Ashwin B Parthasarathy ◽  
John A Detre ◽  
Michael T Mullen ◽  
Scott E Kasner ◽  
...  

Background: Optimization of cerebral blood flow is the cornerstone of clinical management in a number of neurologic diseases, most notably ischemic stroke. Intra-thoracic pressure influences cardiac output and has the potential to impact cerebral blood flow (CBF). Here we aim to quantify cerebral hemodynamic changes in response to increased respiratory impedance using a non-invasive respiratory device. Methods: Cerebral perfusion was measured under varying levels of respiratory impedance (6cm H 2 0, 9cm H 2 0, and 12 cm H 2 0) in 20 healthy volunteers. Simultaneous measurements of microvascular CBF and middle cerebral artery mean flow velocity (MFV), respectively, were performed with optical diffuse correlation spectroscopy (DCS) and transcranial Doppler ultrasound (TCD). Results: At the high level of respiratory impedance, mean flow velocity increased by 6.4% compared to baseline (p=0.004), but changes in cortical CBF were smaller and non-significant (Figure). Heart rate, cardiac output, respiratory rate, and end tidal CO 2 remained stable during all levels of respiratory impedance. There was small increase in mean arterial blood pressure, 1.7% (p=0.006), at the high level of respiratory impedance. In a multivariable linear regression model accounting for end tidal CO 2 and individual variability, respiratory impedance was associated with increases in both mean flow velocity (coefficient: 0.49, p<0.001) and cortical CBF (coefficient: 0.13, p<0.001). Conclusions: Manipulating intrathoracic pressure via non-invasive respiratory impedance was well tolerated and produced a small but measurable increase in cerebral perfusion in healthy individuals. Future studies in acute ischemic stroke patients with impaired cerebral autoregulation is warranted in order to assess whether respiratory impedance is feasible as a novel non-invasive therapy for stroke.


Ultrasound ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 174-179
Author(s):  
Sonay Aydin ◽  
Berna Ucan

Introduction Acute appendicitis is the most common reason for emergency abdominal surgery in the pediatric population. Ultrasound (US) is a widely used modality to diagnose acute appendicitis. The aim of this study was to evaluate the effectiveness of portal vein diameter and flow velocity in acute appendicitis diagnosis. Methods Portal vein diameter and flow velocity were measured in children who were referred to radiology with a clinical diagnosis of acute appendicitis. The largest appendix diameter and leukocyte count of the patients were recorded. A control group was created which consisted of healthy children, and their portal vein diameter and flow velocities were also measured. Results The median age of the population was 10 years (range, 3–17 years). Mean portal vein diameter was 7.53 ± 1.55 mm in the control group, 7.92 ± 1.88 mm in the other diagnosis group, and 8.76 ± 1.91 mm in the acute appendicitis group. Mean portal vein diameter was significantly higher in the acute appendicitis group (p = 0.001). Median portal vein flow velocity was 17 cm/s (10–29 cm/s) in the control group, 18.3 cm/s (8–27 cm/s) in the other diagnosis group, and 20.5 cm/s in the acute appendicitis group. Median portal vein flow velocity was significantly higher in the acute appendicitis group (p = 0.00). Conclusion Detecting an increase in portal vein diameter and/or flow velocity in equivocal cases may support other clinical signs associated with acute appendicitis. Portal vein diameter and flow velocity can serve as additional diagnostic markers in acute appendicitis cases.


Water ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1786
Author(s):  
Jitendra Kumar Vyas ◽  
Muthiah Perumal ◽  
Tommaso Moramarco

Streamflow measurements during high floods is a challenge for which the World Meteorological Organization fosters the development of innovative technologies for achieving an accurate estimation of the discharge. The use of non-contact sensors for monitoring surface flow velocities is of interest to turn these observed values into a cross-sectional mean flow velocity, and subsequently, into discharge if bathymetry is given. In this context, several techniques are available for the estimation of mean flow velocity, starting from observed surface velocities. Among them, the entropy-based methodology for river discharge assessment is often applied by leveraging the theoretical entropic principles of Shannon and Tsallis, both of which link the maximum flow velocity measured at a vertical of the flow area, named the y-axis, and the cross-sectional mean flow velocity at a river site. This study investigates the performance of the two different entropic approaches in estimating the mean flow velocity, starting from the maximum surface flow velocity sampled at the y-axis. A velocity dataset consisting of 70 events of measurements collected at two gauged stations with different geometric and hydraulic characteristics on the Po and Tiber Rivers in Italy was used for the analysis. The comparative evaluation of the velocity distribution observed at the y-axis of all 70 events of measurement was closely reproduced using both the Shannon and Tsallis entropy approaches. Accurate values in terms of the cross-sectional mean flow velocity and discharge were obtained with average errors not exceeding 10%, demonstrating that the Shannon and Tsallis entropy concepts were equally efficient for discharge estimation in any flow conditions.


1994 ◽  
Vol 120 (12) ◽  
pp. 1385-1400 ◽  
Author(s):  
Martin J. Teal ◽  
Robert Ettema ◽  
John F. Walker

Owing to observational difficulties the distinction between a ‘suspended’ load of solids transported by a stream and a ‘ bed-load ’ has long remained undefined. Recently, however, certain critical experiments have thrown much light on the nature of bed-load transport. In particular, it has been shown that bed-load transport, by saltation, occurs in the absence of fluid turbulence and must therefore be due to a separate dynamic process from that of transport in suspension by the internal eddy motion of a turbulent fluid. It has been further shown that the forward motion of saltating solids is opposed by a frictional force of the same order as the immersed weight of the solids, the friction coefficient approximating to that given by the angle of slip. The maintenance of steady motion therefore requires a predictable rate of energy dissipation by the transporting fluid. The fluid thrust necessary to maintain the motion is shown to be exerted by virtue of a mean slip velocity which is predictable in the same way as, and approxim ates to, the terminal fall velocity of the solid. The mean thrust, and therefore the transport rate of saltating solids, are therefore predictable in terms of the fluid velocity close to the bed, at a distance from it, within the saltation zone, of a ‘centre of fluid thrust’ analogous to the ‘centre of pressure’. This velocity, which is not directly measurable in water streams, can be got from a knowledge of stream depth and mean flow velocity. Thus a basic energy equation is obtained relating the rate of transporting work done to available fluid transporting power. This is shown to be applicable to the transport both of wind-blown sand, and of water-driven solids of all sizes and larger than that of medium sand. Though the mean flow velocity is itself unpredictable, the total stream power, which is the product of this quantity times the bed shear stress, is readily measurable. But since the mean flow velocity is an increasing function of flow depth, the transport of solids expressed in terms of total stream power must decrease with increasing flow depth/grain size ratio. This considerable variation with flow depth has not been previously recognised. It explains the gross inconsistencies found in the existing experimental data. The theoretical variation is shown to approximate very closely to that found in recent critical experiments in which transport rates were measured at different constant flow depths. The theory, which is largely confirmed by these and other earlier experiments, indicates that suspension by fluid turbulence of mineral solids larger than those of medium sands does not become appreciable until the bed shear stress is increased to a value exceeding 12 times its threshold value for the bed material considered. This range of unsuspended transport decreases rapidly, however, as the grain size is reduced till, at a certain critical size, suspension should occur at the threshold of bed movement.


2020 ◽  
Vol 17 (5) ◽  
pp. 1221-1236
Author(s):  
Hui-Huang Fang ◽  
Shu-Xun Sang ◽  
Shi-Qi Liu

Abstract The three-dimensional (3D) structures of pores directly affect the CH4 flow. Therefore, it is very important to analyze the 3D spatial structure of pores and to simulate the CH4 flow with the connected pores as the carrier. The result shows that the equivalent radius of pores and throats are 1–16 μm and 1.03–8.9 μm, respectively, and the throat length is 3.28–231.25 μm. The coordination number of pores concentrates around three, and the intersection point between the connectivity function and the X-axis is 3–4 μm, which indicate the macro-pores have good connectivity. During the single-channel flow, the pressure decreases along the direction of CH4 flow, and the flow velocity of CH4 decreases from the pore center to the wall. Under the dual-channel and the multi-channel flows, the pressure also decreases along the CH4 flow direction, while the velocity increases. The mean flow pressure gradually decreases with the increase of the distance from the inlet slice. The change of mean flow pressure is relatively stable in the direction horizontal to the bedding plane, while it is relatively large in the direction perpendicular to the bedding plane. The mean flow velocity in the direction horizontal to the bedding plane (Y-axis) is the largest, followed by that in the direction horizontal to the bedding plane (X-axis), and the mean flow velocity in the direction perpendicular to the bedding plane is the smallest.


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