الفهرس | Only 14 pages are availabe for public view |
Abstract Duplex instrumentation has become remarkably sophisticated and the latest advancement ColorDuplex Sonography, is dramatic indeed. With Color Duplex Imaging, blood flow information IS superimposed in color on the B-mode U/S image, permitting the visual assessment of blood flow. This technology has already affected duplex examination techniques significantly, and the clinical application of color-duplex are sure to have wide ranging effect (Zwiebel W.J., 1992). Color Doppler Imaging of the orbit shows promise in evaluation of several types of orbital abnormalities. The most prom1smg use is for evaluation of vascular disorders. Screening for orbital vances and cavernous-carotid fistulae iseasily accomplished. Color Doppler Imaging can also be useful in diagnosis of ocular ischemia, central retinal vessel occlusion, and anterior ischemic optic neuropathy. In cases of inflammatory disease it may be helpful in searching for complications of infection and in monitoring the size of fluid collections. In cases of tumors, Color Doppler Imaging can be used to monitor lesion size and in surgical planning. More work needs to be done to determine the role of Color Doppler Imaging in evaluation of trauma and congenital abnormalities. An understanding of the basic anatomy of the orbit, examination techniques, and common disease processes in the orbit will allow the radiologist to offer this potentially valuable modality to referring clinicians (Belden C.J. et al., 1995). With Color Doppler Imaging, it is now possible to obtain reproducible information regarding blood flow velocities in the central retinal artery and to a lesser degree, in the short posterior ciliary arteries. In Doppler Ultrasonography, the association of lower flow velocities, particularly end diastolic velocity, with higher resistive index probably reflects an increased down stream resistance. This lower blood flow velocity found in patients with glaucoma could, however be a primary change or just secondary to the disease process (Nocolela- Marcelo T., et al., 1996). The interpretation of the results of any blood flow analysis of the eye in the human must be performed with care because of the complex interaction of various parameters in haemodynamics. |