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Cap. 3 — Espectro & Doppler Colorido — John S. Pellerito & Joseph F. Polak (7ª Ed., págs. 56–81)
Seção 1: Fundamentos • Capítulo 3 Integral (Págs. 56 a 81)

Imagem de Fluxo Doppler e Análise Espectral

Aprenda a ler o espectro por etapas: tempo, velocidade e brilho. Depois conecte a forma da onda, a anatomia e os ajustes para interpretar o fluxo com mais clareza.

Base: Introduction to Vascular Ultrasonography, Pellerito & Polak, 7ª edição, capítulo 3. Autores do capítulo: John S. Pellerito e Joseph F. Polak. Explicações por analogias, figuras originais e prática comentada.

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Unidades
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Novos quadros didáticos
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Figuras do capítulo
24
Estudo pessoal
Marcações e notas
Ferramentas Quantitativas de Bancada

4 Calculadoras Interativas de Hemodinâmica & Doppler (Capítulo 3)

Calcule o Índice de Pourcelot (RI), Índice de Pulsatilidade de Gosling (PI), Relação S/D, Métricas de Aceleração (AT / AI) para Tardus-Parvus, Relação de Velocidade Sistólica (SVR) e Débito Volumétrico Arterial (Q = V · A).

Fixação Ativa

25 Flashcards de Alto Rendimento • Capítulo 3

Memorização ativa das Tabelas 3.1 e 3.2, Equação Doppler (Eq. 3.1), envelope espectral e eixo Z, índices RI/PI, padrão Tardus-Parvus, paradoxo da velocidade > 80%, autocorrelação em cores, Power Doppler, B-Flow e checklist de 10 passos.

Treinamento Intensivo

Simulado Modo Prova (25 Questões Comentadas)

Banco completo com as 25 questões clínicas do Capítulo 3 no formato oficial de múltipla escolha com gabarito analítico detalhado.

Prática Diária

Consulta Rápida (6 Tabelas de Bancada: Tabelas 3.1, 3.2, Índices e Checklist)

Tabelas síntese das alterações espectrais de obstrução arterial (Tabela 3.1), checklist sistemático de 10 passos para fluxo não detectado (Tabela 3.2), índices de pulsatilidade e resistência, comparativo técnico das modalidades e guia de resolução de artefatos.

Fontes Científicas (Página 81)

54 Referências Bibliográficas Oficiais do Capítulo 3 (1 a 54)

Corpus bibliográfico integral citado por John S. Pellerito e Joseph F. Polak no Capítulo 3.

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  25. Dodd GD 3rd, Memel DS, Zajko AB, et al. Hepatic artery stenosis and thrombosis in transplant recipients: Doppler diagnosis with resistive index and systolic acceleration time. Radiology. 1994;192:657-661.
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  30. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA. 1995;273:1421-1428.
  31. Hallam MJ, Reid AW, Cooper GG. Color Doppler ultrasound in the assessment of internal carotid artery stenosis. Clin Radiol. 1995;50:459-463.
  32. Erickson SJ, Mewissen MW, Foley WD, et al. Stenosis of the internal carotid artery: assessment using duplex ultrasound. AJR Am J Roentgenol. 1989;152:1299-1305.
  33. Bluth EI, Stavros AT, Marich KW, et al. Carotid duplex sonography: a multicenter recommendation for standardized imaging and Doppler criteria. Radiographics. 1988;8:487-506.
  34. Robinson ML, Sacks D, Perlmutter GS, Marinelli DL. Diagnostic criteria for carotid duplex sonography. AJR Am J Roentgenol. 1988;151:1045-1049.
  35. Hunink MG, Polak JF, Barlan MM, O'Leary DH. Detection and quantification of carotid artery stenosis: comparison of tests. Radiology. 1993;188:635-643.
  36. Carpenter JP, Lexa FJ, Davis JT. Determination of duplex Doppler ultrasound criteria for severe internal carotid artery stenosis: correlation with arteriography. Stroke. 1995;26:113-120.
  37. Moneta GL, Edwards JM, Chitwood RW, et al. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of 70% to 99% internal carotid artery stenosis with duplex scanning. J Vasc Surg. 1993;17:152-159.
  38. Faught WE, Mattos MA, van Bemmelen PS, et al. Color-flow duplex scanning of internal carotid artery tortuosity, kinks, and coils. J Vasc Surg. 1994;19:790-798.
  39. Polak JF. Hyperperfusion and elevated velocities in the contralateral carotid artery. AJNR Am J Neuroradiol. 1997;18:1439-1440.
  40. Henderson RD, Steinman DA, Eliasziw M, Barnett HJM. Effect of contralateral carotid artery stenosis on carotid duplex velocity criteria. Stroke. 2000;31:129-134.
  41. Buschmann IR, Buschmann EE. Arteriogenesis: basic concepts and clinical applications. Eur Heart J. 2004;25:1286-1294.
  42. Rubin JM, Bude RO, Carson PL, et al. Power Doppler US: a potentially useful alternative to mean frequency-based color Doppler US. Radiology. 1994;190:853-856.
  43. Bude RO, Rubin JM. Power Doppler sonography. Radiology. 1996;200:21-23.
  44. Griewing B, Morgenstern C, Driesner F, et al. Cerebrovascular duplex ultrasound: power Doppler versus conventional color Doppler. Stroke. 1996;27:241-245.
  45. Steinke W, Ries S, Artemis N, et al. Power Doppler imaging of carotid artery stenosis: comparison with color Doppler flow imaging and contrast angiography. Stroke. 1997;28:1981-1987.
  46. Wachsberg RH. B-flow, a non-Doppler technology for imaging blood flow. Ultrasound Q. 2007;23:231-238.
  47. Clevert DA, Johnson T, Michaely H, et al. High-grade internal carotid artery stenosis: comparison of digital subtraction angiography with B-flow and color Doppler flow ultrasound. Ultraschall Med. 2006;27:543-550.
  48. Clevert DA, Jung EM, Rupp N, Reiser M. Evaluation of internal carotid artery stenosis: comparison of contrast-enhanced ultrasound, B-flow and color Doppler. Clin Hemorheol Microcirc. 2007;37:373-379.
  49. Umphrey HR, Scoutt LM. Advanced ultrasound imaging of the carotid arteries: B-flow and contrast-enhanced ultrasound. Ultrasound Clin. 2011;6:319-332.
  50. Middleton WD. Color Doppler image of the carotid artery. Ultrasound Q. 2002;18:99-114.
  51. Middleton WD, Foley WD, Lawson TL. Flow reversal in the normal carotid bulb: a color Doppler study. Radiology. 1988;169:725-728.
  52. Ku DN, Giddens DP, Phillips DJ, Strandness DE Jr. Hemodynamics of the normal human carotid bifurcation: in vitro and in vivo studies. Ultrasound Med Biol. 1985;11:13-26.
  53. Phillips DJ, Greene FM Jr, Langlois Y, et al. Flow velocity patterns in the carotid artery: normal subjects. Ultrasound Med Biol. 1983;9:39-50.
  54. Reneman RS, Spencer MP. Local Doppler audio spectral analysis. Ultrasound Med Biol. 1979;5:1-11.