Vascular and Doppler

Carotid and vertebral Doppler report template

A structured carotid and vertebral doppler report template used for carotid / neck vascular doppler. It covers 8 sections and 38 fields, and includes a one-click normal preset.

Demonstration content. Review and approve this template with your clinical lead before clinical use. Reference values shown in SonoTez are notes only and are never applied automatically.

Technique

Grey-scale, colour and angle-corrected spectral Doppler (angle ≤ 60°) ultrasound of the extracranial carotid and vertebral arteries.

Sample normal carotid and vertebral doppler report

This is the text SonoTez generates when the doctor applies the template's normal preset. Measurements are left for the doctor to enter.

Technique

Grey-scale, colour and angle-corrected spectral Doppler (angle ≤ 60°) ultrasound of the extracranial carotid and vertebral arteries.

Findings

Right carotid

Right CCA, ICA and ECA are patent with normal spectral waveforms.

No right carotid plaque is seen.

Right ICA: no stenosis (SRU 2003 criteria).

Right vertebral artery

The right vertebral artery shows antegrade flow.

Left carotid

Left CCA, ICA and ECA are patent with normal spectral waveforms.

No left carotid plaque is seen.

Left ICA: no stenosis (SRU 2003 criteria).

Left vertebral artery

The left vertebral artery shows antegrade flow.

Impression

No sonographic evidence of internal carotid artery stenosis on either side. Antegrade flow in both vertebral arteries.

What to include: sections and measurements

Right carotid

  • CCA PSV (distal) (cm/s)
  • CCA EDV (cm/s)
  • ICA PSV (highest) (cm/s)
  • ICA EDV (cm/s)
  • ICA/CCA PSV ratio calculated
  • ECA PSV (cm/s)
  • Spectral waveforms: normal · abnormal (describe)
  • Waveform description
  • Plaque: none seen · present
  • ICA stenosis category (doctor-assessed): no stenosis · < 50% stenosis · 50–69% stenosis · ≥ 70% stenosis, less than near occlusion · near occlusion · occlusion …
  • Far-wall CCA IMT (mm)

Right plaques repeatable

  • Site: cca · carotid bulb · proximal ica · eca
  • Echogenicity: predominantly hypoechoic · mixed · predominantly echogenic · calcified with shadowing
  • Surface: smooth · irregular · ulcerated
  • Length (mm)

Right vertebral artery

  • Flow direction: antegrade · reversed · bidirectional (to-and-fro) · no flow detected
  • PSV (cm/s)
  • Waveform: normal low-resistance · high-resistance · tardus-parvus · mid-systolic notch

Left carotid

  • CCA PSV (distal) (cm/s)
  • CCA EDV (cm/s)
  • ICA PSV (highest) (cm/s)
  • ICA EDV (cm/s)
  • ICA/CCA PSV ratio calculated
  • ECA PSV (cm/s)
  • Spectral waveforms: normal · abnormal (describe)
  • Waveform description
  • Plaque: none seen · present
  • ICA stenosis category (doctor-assessed): no stenosis · < 50% stenosis · 50–69% stenosis · ≥ 70% stenosis, less than near occlusion · near occlusion · occlusion …
  • Far-wall CCA IMT (mm)

Left plaques repeatable

  • Site: cca · carotid bulb · proximal ica · eca
  • Echogenicity: predominantly hypoechoic · mixed · predominantly echogenic · calcified with shadowing
  • Surface: smooth · irregular · ulcerated
  • Length (mm)

Left vertebral artery

  • Flow direction: antegrade · reversed · bidirectional (to-and-fro) · no flow detected
  • PSV (cm/s)
  • Waveform: normal low-resistance · high-resistance · tardus-parvus · mid-systolic notch

Study notes

  • Technical notes / limitations

Other findings

  • Other findings

Writing the impression

Answer the clinical question first, list the remaining findings in order of importance, and keep anything new out of the impression. If a structure was not fully seen, say so and give the reason. See how to write an ultrasound report for wording and certainty terms.

Write your next report in SonoTez

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