• J Med Imaging Radiat Oncol · Aug 2014

    Micro-bubble transcranial Doppler ultrasound for exclusion of right-to-left circulatory shunts: why should we provide the service?

    • Albert H Chiu, Elvie Haluszkiewicz, and William McAuliffe.
    • Neurological Intervention and Imaging Service of WA (NIISwa), Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
    • J Med Imaging Radiat Oncol. 2014 Aug 1; 58 (4): 464-8.

    AbstractMicro-bubble transcranial Doppler ultrasound is a study used for the identification and quantification of a right-to-left circulatory shunt which can be implicated in stroke. It is an underused technique in many centres. Micro-bubble transcranial Doppler ultrasound is non-invasive, innocuous, quick and requires no fasting or sedation. Published literature also suggests almost perfect concordance with transoesophageal echocardiography and potentially greater sensitivity. We believe there is a great potential for neuroradiologists to provide this service as part of the diagnostic workup in patients with cryptogenic stroke. © 2014 The Royal Australian and New Zealand College of Radiologists.

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