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Karin Reuter-Rice, PhD, CPNP-AC, FCCM, FAAN 

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1 Transcranial Doppler Ultrasound Use in Pediatric Traumatic Brain Injury 
Karin Reuter-Rice, PhD, CPNP-AC, FCCM, FAAN  Journal of Radiology Nursing  Volume 36, Issue 1, Pages 3-9 (March 2017) DOI: /j.jradnu Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions

2 Figure 1 Example of a mean flow velocity of the left middle cerebral artery (L-MCA) at a depth of 50 mm with a flow of 101 cm/s and a pulsatility index (PI) of 0.52 (For interpretation of the references to color in this figure, the reader is referred to the web version of this article.). Journal of Radiology Nursing  , 3-9DOI: ( /j.jradnu ) Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions

3 Figure 2 A change in the quality of the waveform when the left middle cerebral artery (L-MCA) is interrogated from a depth of 50 to 55 mm. PI = Pulsatility index (For interpretation of the references to color in this figure, the reader is referred to the web version of this article.). Journal of Radiology Nursing  , 3-9DOI: ( /j.jradnu ) Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions

4 Figure 3 Example of mean flow velocities of the L-MCA, BA, and R-MCA. The color Doppler flow tracings demonstrate an L-MCA at a velocity of 87.0 cm/s at a depth of 50 mm and a PI of 1.50, BA velocity of 51.2 cm/s at a depth of 70 mm with a PI of 1.29, and an R-MCA velocity of 92.4 cm/s at a depth of 50 mm with a PI of L-MCA = Left middle cerebral artery; R-MCA = right middle cerebral artery; BA = basilar artery; PI = pulsatility index (For interpretation of the references to color in this figure, the reader is referred to the web version of this article.). Journal of Radiology Nursing  , 3-9DOI: ( /j.jradnu ) Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions

5 Figure 4 First 24 hr transcranial Doppler results in a 4-year-old girl admitted to hospital for a severe traumatic brain injury. L-MCA = Left middle cerebral artery; PI = pulsatility index; BA = basilar artery; R-MCA = right middle cerebral artery; L-EX-ICA = left extracranial internal carotid artery; R-EX-ICA = right extracranial internal carotid artery (For interpretation of the references to color in this figure, the reader is referred to the web version of this article.). Journal of Radiology Nursing  , 3-9DOI: ( /j.jradnu ) Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions

6 Figure 5 First 24 hr transcranial Doppler results in a 15-year-old boy admitted to hospital for a severe traumatic brain injury. L-MCA = Left middle cerebral artery; PI = pulsatility index; BA = basilar artery; R-MCA = right middle cerebral artery; L-EX-ICA = left extracranial internal carotid artery; R-EX-ICA = right extracranial internal carotid artery (For interpretation of the references to color in this figure, the reader is referred to the web version of this article.). Journal of Radiology Nursing  , 3-9DOI: ( /j.jradnu ) Copyright © 2016 Association for Radiologic & Imaging Nursing Terms and Conditions


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