Mesenteric Doppler Protocol

Structure Scan Label Landmarks Identified Images Stored
Plane
On
Body
Sagittal AORTA  Proximal aorta Gray scale
 Celiac artery
 SMA
 Proximal aorta Color Doppler
Aorta  Celiac artery
 SMA
 Proximal aorta Color & spectral Doppler with
 Celiac artery peak systolic velocity and end
 SMA diastolic velocity
Transver CELIAC AT  Proximal aorta Color Doppler
se ORIGIN  Celiac artery
 Splenic artery
Celiac  Common hepatic
Axis artery
 Proximal aorta Color & spectral Doppler with
 Celiac artery peak systolic velocity and end
diastolic velocity
Splenic Transver SPLENIC  Proximal aorta Color & spectral Doppler with
Artery se ARTERY  Celiac artery peak systolic velocity and end
 Splenic artery diastolic velocity
Common Transver HEPATIC  Proximal aorta Color & spectral Doppler with
Hepatic se ARTERY  Celiac artery peak systolic velocity and end
Artery  Hepatic artery diastolic velocity
Sagittal SMA AT  Proximal aorta Color Doppler
ORIGIN  SMA
 Proximal aorta Color & spectral Doppler with
 SMA peak systolic velocity and end
Superior
diastolic velocity
Mesenter
SMA PROX  Mid aorta Color Doppler
ic Artery
 Proximal SMA
 Mid aorta Color & spectral Doppler with
 Proximal SMA peak systolic velocity and end
diastolic velocity
Transver IMA AT  Distal aorta Color Doppler
Inferior se ORIGIN  IMA
Mesenter  Distal aorta Color & spectral Doppler with
ic Artery  IMA peak systolic velocity and end
diastolic velocity

Anatomical/Image Correlation

Celiac axis Superior Mesenteric
Artery
Inferior Mesenteric
Artery
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Mesenteric Doppler Protocol

Artery with
Tips
Doppler
 Scan planes listed above refer to transducer orientation on the body. You will be evaluating
each vessel in the sagittal plane of the vessel, even if your transducer is in a more
transverse plane on the body.
 It is extremely important that the patient has been fasting prior to the exam. If the patient
has not been NPO, that information must be relayed to the interpreting physician because
the criteria for evaluating waveforms will not be accurate.
 If a site includes pre- and postprandial imaging, the postprandial images must be labeled
accordingly.

Color Doppler
 Will vary with the presence/absence of pathology & curvature of the vessel
 Color images should relay the same information as your gray scale & spectral images
 Using a curved transducer will not allow you to steer your color box with the vessel direction
 Color bruit in any vessel is indicative of a stenosis
 Pay close attention to flow direction in splenic and hepatic arteries when stenosis is
suspected in the celiac artery

Spectral Doppler

 Have patient hold their breath when obtaining spectral waveforms to decrease movement
 Must use angle correct - Angle correct must be less than 60 degrees
 Gate (SV length) must be in center of vessel & small width
 Normal celiac artery is low-resistive, with PSV <125 cm/s
 Normal SMA is high-resistive, with PSV <125 cm/s
 Normal IMA is high-resistive
 SMA and IMA should change to low-resistive after a patient eats
 Elevated velocities with spectral broadening indicate a stenosis
 Velocities will be increased in patients with stents – compare to previous studies

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