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Updated: Jul 31, 2026

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Functional Transcranial Doppler Ultrasound for Monitoring Cerebral Blood Flow
Published on: March 15, 2021
Transcranial Doppler ultrasonography: year 2000 update
V L Babikian1, E Feldmann, L R Wechsler
1Department of Neurology of Boston University, MA, USA.
Summary
This review reassesses transcranial Doppler ultrasonography (TCD) clinical uses. It provides an updated evaluation based on technology assessment, expert experience, and literature review for neuroimaging professionals.
Area of Science:
- Neurology
- Medical Imaging
- Neurosonology
Background:
- Transcranial Doppler ultrasonography (TCD) is a key non-invasive neuroimaging technique.
- Its clinical utility requires regular reassessment due to technological advancements and evolving practice.
- Existing guidelines may not fully reflect current applications.
Purpose of the Study:
- To provide an updated assessment of the primary clinical applications of TCD.
- To synthesize current knowledge on TCD technology and its practical use.
- To establish a consensus on TCD's role in neuroimaging.
Main Methods:
- A comprehensive literature review was conducted.
- Personal experiences and case studies were incorporated.
- A structured technology assessment framework was applied.
Main Results:
- TCD remains valuable for cerebrovascular disease assessment, including stroke and vasospasm.
- Emerging applications in neurocritical care and monitoring are highlighted.
- The evaluation confirms TCD's established and potential clinical roles.
Conclusions:
- Transcranial Doppler ultrasonography is a vital tool in modern neurology.
- Regular updates are necessary to optimize TCD's clinical application.
- This assessment supports TCD's continued use and development in neuroimaging.
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