Doppler twinkling artifact: physical mechanisms and place in diagnostic practice. State of the art-Reference-Cited by-同舟云学术

Doppler twinkling artifact: physical mechanisms and place in diagnostic practice. State of the art

Published:2022-12-28 Issue:1 Volume:27 Page:120-134
ISSN:2408-9516
Container-title:Medical Visualization
language:
Short-container-title:Medicinskaâ vizualizaciâ

Author:

Gromov A. I.¹^ORCID,Sapozhnikov O. A.²^ORCID,Kaprin A. D.³^ORCID

Affiliation:

1. N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Radiologiсal Center of the Ministry of Health of Russian Federation; A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of the Russian Federation

2. Lomonosov Moscow State University; Center for Industrial and Medical Ultrasound, Applied Physics Laboratory, University of Washington

3. National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; P. Hertsen Moscow oncology research institute – Branch of National Medical Research Radiological Centre of the Ministry of Healthcare of the Russian Federation; The Peoples' Friendship University of Russia

Abstract

The twinkling artifact has been known to specialists in ultrasound diagnostics since 1996. However, until now there is no understanding of the reasons for its appearance, and the place of its application in diagnostics.Material and methods. Electronic databases (PubMed, E-library, Web of Science) were searched studies using the keyword – “twinkling artifact”. The scientific publications on the Doppler twinkling artifact from the moment of the first reports about its existence is systematized and analyzed. The authors' own developments on this topic are presented. Modern views on this phenomenon and its place in ultrasound diagnostics are described. An explanation of the physical mechanisms of this phenomenon is given.Results. Recommendations are formulated for practitioners on changing the settings of an ultrasound scanner in order to increase twinkling artifact detectability. The directions of using the artifact to obtain additional diagnostic signs of pathological changes, which currently include the diagnosis of nephro-, uretero- and choledocholithiasis, are determined.Conclusions. The high efficiency of the use of the twinkling artifact for the diagnosis of small kidney stones, comparable with the capabilities of computed tomography, has been shown.

Publisher

Vidar, Ltd.

Subject

Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Reference89 articles.

1. Smith R.C., Varanelli M. Diagnosis and management of acute ureterolithiasis: CT is truth. Am. J. Roentgenol. 2000; 175 (1): 3–6. http://doi.org/10.2214/ajr.175.1.1750003

2. Sorensen M.D., Harper J.D., Hsi R.S. et al. B-mode ultrasound versus color Doppler twinkling artifact in detecting kidney stones. J. Endourol. 2013; 27 (2): 149–153. http://doi.org/10.1089/end.2012.0430

3. Aytaç S.K., Özcan H. Effect of color Doppler system on the twinkling sign associated with urinary tract calculi. J. Clin. Ultrasound. 1999; 27 (8): 433–439. http://doi.org/10.1002/(sici)1097-0096(199910)27:8<433::aid-jcu4>3.0.co;2-1

4. Lee J.Y., Kim S.H., Cho J.Y., Han D. Color and power Doppler twinkling artifacts from urinary stones: clinical observations and phantom studies. Am. J. Roentgenol. 2001; 176 (6): 1441–1445. http://doi.org/10.2214/ajr.176.6.1761441

5. Gromov A.I., Zykin B.I., Kubova S.Yu., Sytnik K.A. Tissue dopplerography. II. Diagnosis of stones in the distal ureter. Echography. 2003; 2 (4): 376–382. (In Russian)

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Informativeness of the doppler twinkling artifact in the diagnosis of urinary tract calculi;Russian Military Medical Academy Reports;2023-10-17