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This book provides a comprehensive and concise, review of the fundamental concepts and clinical indications for Transcranial Doppler (TCD) imaging. An overview of the physics of ultrasonography as it pertains to TCD is presented, as well as neuroanatomy and cerebrovascular physiology in healthy and diseased states. Recommended protocols for neuroimaging are reviewed and serves as a guide for existing neurovascular laboratories and medical systems seeking to develop laboratories that are in need of a guide to establish their own protocols. The most common, relevant and challenging clinical conditions where TCD is incorporated to assist with patient management are discussed. In addition, chapters provide a framework for building a neurovascular laboratory, including necessary equipment, steps to obtain national accreditation by accrediting bodies, and reimbursement procedures for tests performed. The book concludes with “clinical pearls” and “tricks of the trade”, which serve as a commentary to guide physicians and neurosonologists on best-practices for TCD acquisition and interpretation.
Principles of Transcranial Doppler Sonography
Overview of Pertinent Cerebral Vascular Anatomy
Cerebral Waveforms for Hemodynamic Assessment
Transcranial Doppler for Monitoring in the Neurocritical Care Unit
Transcranial Doppler in Subarachnoid Hemorrhage
Reversible Cerebral Vasoconstriction​ Syndrome (RCVS) and Vasculitis
Monitoring for Emboli Detection (Without and With Microbubbles)
Evaluation of Cerebral Circulatory Arrest
Intracranial Stenosis
Therapeutic TCD for Patients with Acute Cerebral Ischemia
Clinical Application of Cerebrovascular Physiology
Adult Traumatic Brain Injury
Traumatic Brain Injury – Pediatric
Cerebrovascular Reactivity Assessments in Traumatic Brain Injury
Transcranial Doppler Protocols and Procedures:​ Vasomotor Reactivity
Continuous Cerebral Autoregulation Monitoring Using TCD
Optic Nerve Sheath Diameter for Increased Intracranial Pressure
Cranial Ultrasound
Applications of Transcranial Doppler Ultrasonography in Sickle Cell Disease, Stroke, and Critical Illness in Children
Point of Care Transcranial Doppler
Cerebrovascular Physiology in the Setting of Temporary and Durable Mechanical Circulatory Support
Electroencephalo​graphy Versus Transcranial Doppler Ultrasonography Indications and Applications for Intracranial Monitoring
Moyamoya Disease
Vertebral Steal
Transcranial Doppler in Acute Bacterial Meningitis
TCD Equipment, Lab Accreditation, Reimbursement, and Practice Issues
Use of Transcranial Doppler in the Outpatient Ultrasound Lab
Protocols
Transcranial Doppler Non-Imaging for Adults
Transcranial Color Doppler Imaging for Adults
TCD Procedures and Protocols:​ Protocol for Monitoring for Emboli Detection (and With Microbubbles)
Protocol for Procedures:​ How to Obtain Measurements of the Optic Nerve Sheath Diameter in Adults and Children Utilizing Point-of-Care Ophthalmic Ultrasonography
Protocol for Extracranial Carotid Examination