Estimating vascular volume fraction in a network of small blood vessels with high-frequency power Doppler ultrasound

Quantitative images of high-frequency (>20 MHz) power Doppler ultrasound can be difficult to obtain in the presence of flow artifacts due to power Doppler´s sensitivity to operator-dependent acquisition settings. To improve flow quantification, color pixel density (CPD) can be plotted as a function of wall filter cut-off velocity to produce a wall-filter selection curve that can be used to estimate vascular volume fraction by locating the plateau along the curve. The behavior of the wall-filter selection curve in a multiple-vessel region of interest is studied using a custom-designed multiple-vessel flow phantom. The flow phantom is capable of mimicking a range of blood vessel sizes (200-300 mum), blood flow velocities (1-10 mm/s), and blood vessel orientations (long-axis and transverse). At high flow rates, single-vessel wall-filter selection curves superimpose to produce a multiple-vessel curve where the CPD at the left-most plateau corresponds with the actual vascular volume fraction. However, interpretation of the multiple-vessel wall-filter selection curve is not straightforward when the flow rate in the vascular network is low.