Differentiating tests

Duplex ultrasound is named as such because it produces two components: images

and waveforms. Technically, it’s a triplex because it can also be performed live! 

The two-dimensional (2D) imaging component of duplex ultrasound is in black and

white, and allows visualization of arterial plaque. Color Doppler imaging confirms
that plaque is not an artifact. As well, the velocities measured within the Doppler
waveforms give a percentage of obstruction. 

Figure 1. On a duplex ultrasound screen, arterial plaque can be assessed with two-dimensional (2D) black and
white imaging, color flow, waveforms, and velocity.

When should you order an arterial duplex

ultrasound?
There are three main reasons for ordering an arterial duplex ultrasound:

1. In the case of an abnormal ankle-brachial index (ABI).

2. If there is suspicion of an aneurysm.

3. If there is suspicion of a pseudoaneurysm. 

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