Ultrafast power Doppler imaging for ischemic encephalopathy: A case report

doi:10.12998/wjcc.v11.i31.7640

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 11, Issue 31

This Article

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (4882)

All Articles published online

The chart showing PDF series, WORD series, HTML series, Figures (1-3) series.

Item

Count

PDF

142

WORD

HTML

1733

Figures (1-3)

503

Sum=2400

Featured Article

The chart showing Browse series, Download series.

Item

Count

Browse

316

Download

1012

Sum=1328

Publishing Process of This Article

Item

Count

Browse

266

Download

751

Sum=1017

Nov 6, 2023 (publication date) through Feb 23, 2026

Times Cited of This Article

Times Cited (1)

Journal Information of This Article

Publication Name

World Journal of Clinical Cases

ISSN

2307-8960

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Nov 6, 2023; 11(31): 7640-7646
Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7640

Ultrafast power Doppler imaging for ischemic encephalopathy: A case report

Li-Jie Huang, Jian-Feng Jiao, Qiong He, Jian-Wen Luo, Yi Guo

Li-Jie Huang, Qiong He, Jian-Wen Luo, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing 100084, China

Jian-Feng Jiao, Yi Guo, Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Medicine, Tsinghua University, Beijing 102218, China

Co-first authors: Li-Jie Huang and Jian-Feng Jiao.

Author contributions: Huang LJ and Jiao JF contributed to manuscript writing and editing, these authors contributed equally to this work; He Q contributed to data collection and analysis; Luo JW and Guo Y contributed to conceptualization and supervision; and all authors read and approved the final manuscript.

Informed consent statement: The patient’s legal guardian provided informed written consent to publish this case report and any accompanying images.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Yi Guo, MD, Doctor, Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing 102218, China. gya01246@btch.edu.cn

Received: September 4, 2023
Peer-review started: September 4, 2023
First decision: September 13, 2023
Revised: September 26, 2023
Accepted: October 23, 2023
Article in press: October 23, 2023
Published online: November 6, 2023
Processing time: 62 Days and 19.1 Hours

Abstract

BACKGROUND

Severely elevated intracranial pressure due to various reasons, such as decreased cerebral perfusion, can lead to devastating neurological outcomes, such as brain herniation. Decompression craniectomy is a life-saving procedure that is commonly performed for such a critical situation, but the changes in cerebral microvessels after brain herniation and decompression are unclear. Ultrafast power Doppler imaging (uPDI) is a new microvascular imaging technology that utilizes high frame rate plane/diverging wave transmission and advanced clutter filters. uPDI significantly improves Doppler sensitivity and can detect microvessels, which are usually invisible using traditional ultrasound Doppler imaging.

CASE SUMMARY

In this report, uPDI was used for the first time to observe the brain blood flow of a hypoperfusion area in a 4-year-old girl who underwent decompression craniectomy due to refractory intracranial hypertension (ICP) after malignant brain tumor surgery. B-mode imaging was used to verify the increased densities of the cerebral cortex and basal ganglia that were observed by computed tomography.

CONCLUSION

uPDI showed the local blood supplies and anatomical structures of the patient after decompressive craniectomy. uPDI is potentially a more intuitive and noninvasive method for evaluating the effects of severe ICP on cerebral microvessels.

Keywords: Decompression craniectomy; Ultrafast power Doppler imaging; Cortical layer necrosis; Luxury perfusion; Case report

Core Tip: Decompression craniectomy is a life-saving procedure for severe intracranial hypertension (ICP), but its effects on cerebral microvessels are unclear. We used ultrafast power Doppler imaging (uPDI), a new noninvasive and highly sensitive microvascular imaging technology, to observe the brain blood flow of a 4-year-old girl who underwent decompression craniectomy after malignant brain tumor surgery. uPDI showed the local blood supplies and anatomical structures of the patient after decompressive craniectomy. uPDI is potentially a more intuitive and noninvasive method for evaluating the effects of severe ICP on cerebral microvessels.