Echoes of deep lying structures within the body do not always come from the latest emitted sound pulse and can produce an aliasing artifact. Aliasing lowers the frequency components when the pulse repetition frequency is less than 2 times the highest frequency of a Doppler signal. This artifact can be problematical at Spectral or Color Doppler examinations.
Aliasing of the data displayed in pulsed wave technology is utilized as a benefit in determining transitions from laminar to turbulent flow.

See also Ultrasound Imaging Modes.

Peripheral veins are easily tested using a 5 to 10 MHz transducer. The venous walls are smooth, thin, and compressible. Venous ultrasound imaging requires the compression of the veins in the transverse view. If compression is performed in the longitudinal view, the vein may roll away from the transducer possibly creating a false-negative examination.
The lumen of the normal vein is echo free. Increasing the gain will display low level echoes representing venous blood moving towards the heart. When performing Doppler spectral analysis or color Doppler the gate should be placed in the center of the vessel. In case of a non-obstructing or recanalized thrombosis, the Doppler gate should be placed within the remaining vessel lumen for flow detection.

See also Maximum Venous Outflow and Zero Offset.

Spectral analysis is the quantitative analysis method to display the distribution of frequencies. A difficult Doppler signal is separated into the frequency components so that the range of frequencies in a Doppler shifted signal can be analyzed. This allows measurement of blood flow velocity by positioning of a probing cursor in the artery (on the screen), and the signal representing blood flow velocity is generated. The peaks and ebbs create the spectrum, corresponding to systolic and diastolic blood flow. The signal is both visual and auditory.

Spectral broadening widens the bandwidth of the returning Doppler shifted signal due to its interaction with scatterers traveling at different velocities. This can be seen with turbulent or disturbed flow distal to an arterial stenosis.

Variance is the modification of Doppler frequencies within each pixel during a pulse packet with color Doppler flow imaging. Variance is mapped to the color green and is used to detect turbulence. At low variance (laminar flow) pixels within each range gate are encoded in red or blue according to flow direction. At high variance (turbulent flow) a percentage of pixels within each range gate are encoded with green according to the degree of spectral broadening.