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Ultrasonic pulsed-Doppler signals from deep-lying vessels in the normal abdomen and pelvis are described. The signal characteristics combine to produce a Doppler "signature" that is specific for each vessel. The clinical potential of this method of deep flow detection is considered in relation to three areas of Doppler signal analysis: first, qualitative indication of the presence, direction, or absence of flow in a structure; second, more quantitative description of time velocity waveforms and Doppler spectral content; and third, the estimation of absolute volume flow. Limitations of these methods for the abdominal signals obtained are discussed.

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Preliminary observations of rapid relief of ischemic rest pain following application of a foot impulse compression device prompted this study to quantify its immediate effects.Blood flow was calculated by means of a duplex ultrasound imager interfaced with a Doppler spectrum analyzer.Twelve normal subjects and 10 patients with peripheral vascular disease (mean Doppler ankle/brachial systolic pressure index = 0.62 (range 0.33-0.74) were studied. Mean resting blood flow ( SD) was not significantly different in the two groups: 55.6 24.0 in normal subjects and 48.3 29.8 in the arteriopaths (p = > 0.1). During five minutes of pump application in a 45-degree foot-down position, mean popliteal blood flow increased by 93% in normal subjects (p < 0.0001) and 84 % in peripheral vascular patients (p < 0.03); there was no change in the opposite limb. In 5 normal subjects a "placebo" device produced no significant change in flow (p >0.