Relationships of five Doppler measures with flow in an in vitro model and clinical findings in newborn infants.

This report compares six Doppler ultrasound measures of blood flow: Pourcelot's pulsatility index, Gosling's pulsatility index, area under the curve, systolic amplitude, diastolic amplitude, and mean amplitude. Recordings from an in vitro arterial model and from the anterior cerebral arteries in 33 newborn infants with asphyxia, intraventricular hemorrhage, or normal state were analyzed. In the model, all measures had excellent correlation with flow. Neonates were correctly classified according to diagnosis by the Doppler measures as follows: Pourcelot's pulsatility index (100%), Gosling's pulsatility index (97%), diastolic amplitude (94%), mean amplitude (76%), area under the curve (70%), and systolic amplitude (58%). The best accuracy was obtained with the pulsatility indices.