Summary:
Duplex transcranial sonography is a non-invasive examination method which makes possible direct
visualization of basic segments of arteries of the circle of Willis along with angular correction during
dopplerometric examinations which provides more accurate information on actual flow rates. The
authors examined a total of 435 subjects with other than cerebrovascular diseases or healthy subjects
aged 11 to 90 years. The authors assessed the maximum flow rate (peak systolic velocity – PSV), the
velocity at the end of the diastole (end diastolic velocity – EDV) and the resistance index (RI) in the
following arteries: horizontal M1 section of the a. cerebri media (ACM), precommunicating A1 section
of the a. cerebri anterior (ACA), precommunicating section P1 of the a. cerebri posterior (ACP) in
intracranial portions of the vertebral artery (AV) and a. basilaris (AB). The authors found mean angular
corrected values of PSV, EDV and RI, incl. values of standard deviations (SD) for the following age
groups: under 20 years, 21–30 years, 31–40 years, 41–50 years, 51–60 years, 61–70 years, 71–90 years. They
observed a gradual decline of flow rates and increased resistance in relation to age and higher PSV in
some arteries in women before the menopause. Assessment of mean flow rates in the cerebral arteries
in the healthy population is essential for the further application of transcranial duplex sonography in
cerebrovascular diseases.
Key words:
transcranial duplex sonography, mean flow rates
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