Fetal Middle Cerebral Artery Doppler Ultrasound Normal Vs Abnormal Image Appearances | MCA USG

[@DrSamsImagingLibrary]

Watch More Ultrasound Videos: kzbin.info/aero/PL4cRFWfjMmf_P02uIGRTFiYNozGKuILAX Abdominal Ultrasound: kzbin.info/aero/PL4cRFWfjMmf_8Rxbgv4Ru77mxhAE9mN2L Gynecological Ultrasound: kzbin.info/aero/PL4cRFWfjMmf-J4vhXPWZbx5uRIwq77EBd Obstetric Ultrasound: kzbin.info/aero/PL4cRFWfjMmf-M-IH-Bq-LY-07LeEFdi5T

[@dr.ashwanisingh8737]

S/D ratio must always be more than 1 in any condition. How it can be 0.48 at 20 wks and 0.18 at 37 wks?

[@ultrasoundradiologycases8633]

Thanks for sharing and information 🙏🏻👍👍

[@robanvansh9493]

Hi mam, I am currently 32 weeks pregnant. At 29 weeks 6 days scan MCA pi = 1.81, ri = 0.83 and s/d = 5.85, PSV = 67.9 cms/sec, EDV = 11.6 cms/sec (19 centiles) Umbilical artery pi = 0.94, ri = 0.62 and s/d = 2.66 (37 centiles) PSV = 40.9 cms/sec, EDV = 15.4 cms/sec CPR = 1.926 EFW is 1223 +- 122.3 gms. Doc said fetal has anemic. After that, scan 31 weeks 2 days Umbilical artery PI =0.90 MCA PI = 2.36 MCA PSV = 66.14 cm/sec and doc said all parameters are below the 10th centiles for gestation s/o symmetrical IUGR EFW is 1399 gms So what does it mean? Does it mean any complications in pregnancy?

[@DrSamsImagingLibrary]

Hello. The report suggests growth restriction in the fetus. The baby is not growing well. I'm sorry. Please consult with your doctor for further management. Best Wishes!

[@MukeshKumar-gq4ij]

@@DrSamsImagingLibrary how parameters less than 10 centile please reply sir I don't understand this pls help me I hope u will sure reply 🙏❤

[@srinivasaraosirasapalli5104]

So nice concept, thanks a lot

[@MukeshKumar-gq4ij]

Good evening sir I hope u will be fine. What is difference between between color flow and power doppler &heart rate and mca can use power doppler or not pls reply sir 🙏❤

[@DrSamsImagingLibrary]

Hello! In Color doppler, we can see the direction of blood with red and blue colors, and we can also measure the blood flow velocity. Power doppler can only show presence of blood flow. It does not tell us about direction or velocity of blood flow. It is helpful in detecting minimal blood flow in small vessels. It is often used to complement Color Doppler, especially when assessing conditions like fetal cardiovascular distress, fetal anemia, or fetal hypoxia.

[@MukeshKumar-gq4ij]

@@DrSamsImagingLibrary Thank u so much sir ur great ❤🙏

[@MukeshKumar-gq4ij]

@@DrSamsImagingLibrary powe doppler uses example sir please reply sir 🙏❤

[@MukeshKumar-gq4ij]

@@DrSamsImagingLibrary good afternoon sir 🙏 may be cystic lesion in pouch of duglus or not pls reply sir 🙏❤

[@gumball6764]

Great job sir

[@shahrock6969]

If CPR is more than 1 normal; but MCA shows low resistance flow of RI 0.6 and PI of 1.1 - does it qualify for fetal hypoxia and brain sparing effect?

[@DrSamsImagingLibrary]

It indicate mild fetal hypoxia with early signs of brain sparing effect.

[@masumbillahprince]

lots of love for the vedio dear...

[@DrSamsImagingLibrary]

Thanks for watching!

[@MukeshKumar-gq4ij]

Good evening sir I hope you will be fine how to know mca doppler percentile pls reply and hep me pls reply sir 🙏🙏🙏❤❤❤

[@janaksingh2042]

Thanx sir🙏🙏

[@legendgamershreyash543]

Nice video sir

[@DrSamsImagingLibrary]

Thanks for watching!

[@factwalididi9494]

I m 12 weeks 1 day pregnant are my reading normal? *Right uterine artery- S/D - 3.62 PI -1.59 RI- 0.72 *Left uterine artery - S/D-4.90 PI-2.10 RI-0.80 👉Color Doppler in bilateral uterine artery show increase resistance flow with raised PI mean U artery PI -1.85

[@DrSamsImagingLibrary]

These are not normal. Your sonologist will monitor it further on upcoming ultrasound scans. Best Wishes!

[@janpartal1952]

Sir S/D Ratio tqa Muji be sekdoo plz

[@enaskaizen369]

Thanks a lot Could you explain radial and anti radial methods for the breast ultrasound

[@DrSamsImagingLibrary]

Most Welcome and thanks for your suggestion!

[@enaskaizen369]

@@DrSamsImagingLibrary 🤝 You're welcome

[@greeshmab1630]

Sir.. In the report its written MCA decreased diastolic flow Sd ratio 7.8, PI 1.9,RI:0.8. 33 weeks 3 days. So what does it means? Does it mean any complication?

[@DrSamsImagingLibrary]

Hello! These values may indicate IUGR (Intrauterine Growth Restriction). Please consult with your doctor for further evaluation and management. Best Wishes!

[@aleenajaved9560]

Sir in normal MCA u told SD ratio is normally increase so in this case why u are telling iugr

[@shailjapandey5333]

Sir Right uterine artery 1.00 PI/ 0.61 RI/2.58 SDratio Left uterine artery 0.78 PI/ 0.51 RI/ 2.04 SD ratio At 30 week 5 days pregnancy Normal or not?

[@DrSamsImagingLibrary]

They appear to be within normal range. If your overall report is normal then nothing to worry about.

[@rahaafzaly4149]

Hello, dear professor, please post a video of Toshiba Xario XG Knobology and send me ... Thanks...

[@DrSamsImagingLibrary]

Thank you I will try

[@rahaafzaly4149]

Thank i am waiting ?

[@dr.samirtawshikar9232]

Sir if s/ d ratio should be more than than umbilical artery then 0.18 how could be normal...umbilical artery sD IS 3...

[@DrSamsImagingLibrary]

Yes there was a mistake in the video

[@Tekiih]

Sir, 28 weeks pregnancy, MCA Pi 1.45, IR 0.79, S/D 4.81. Is there any problem?

[@DrSamsImagingLibrary]

Hello! Are amniotic fluid levels normal? And are fetal growth measurements within normal range?

[@dhruvthakkar9591]

Hello sir My wife having 25 weeks of pregnancy and having baby weight 700 gram and got high resistance in umbilical artery and uterine arteries and other artery are normal and got FGR-1 in report. Do we have change of riks and early delivery? Thank-you

[@DrSamsImagingLibrary]

Hello. Very sorry to hear about this. The report suggests fetal growth restriction. Your gynecologist will decide whether early delivery is to be done or not. Best Wishes!

[@dhruvthakkar9591]

@@DrSamsImagingLibrary thank you sir for your kind words. Hopefully weight increase as per time goes

[@sivaprakash-tv7kv]

Sir MCA RI 0.7 PI 1.1 SD 3.4 Impression Fetal MCA shows reduced PI(less than 10th centile for GA)- late IUGR Umbilical artery and CPR within normal range at present. Sir any severe problems or baby will catch up growth

[@DrSamsImagingLibrary]

Hi. How many weeks is the pregnancy? And is it the first time the MCA value is abnormal?

[@sivaprakash-tv7kv]

@@DrSamsImagingLibrary Doctor Yesterday I took both obs scan and Doppler Gestational age 32-33 weeks(usg) Gestational age 35-36 weeks(LMP) Reduced fetal growth -IUGR features 30.08.2023 Doppler impression IUGR with normal Doppler findings at present. (This is the first doppler) 13.09.2023 Doppler impression Fetal MCA shows reduced PI(

[@DrSamsImagingLibrary]

I'm very to sorry to hear about this. I understand your concerns. The reports suggest fetal growth restriction. It is best to consult with your gynecologist as they are examining your case and can provide the best advice. Best Wishes!

[@chetan6290]

Sir Fetal MCA S/D3.08, RI0.68, PI 1.09.. and usg shows early brain sparing and evidence of increased resistance to blood flow ..... Please advise

[@DrSamsImagingLibrary]

This report may suggest fetal growth restriction or IUGR. The baby's growth will be monitored on further ultrasound scans. Please consult with your Gynecologist

[@chetan6290]

@@DrSamsImagingLibrary currently baby's growth is ok in USG.

[@sonamsvenkateshwarlub4505]

Hello sir.I’m currently 36 weeks 1 day pregnant with mild raised PI(2.02) of MCA.Please let me know if there is any harm to my baby. Thank you in advance 🙏🏾

[@DrSamsImagingLibrary]

Hello, can you please state the entire impression of the report?

[@sonamsvenkateshwarlub4505]

Fetal Biometry: B.P.D. 90.1 mm, corresponding to 36 weeks 3 days Н.C. 326.5 mm, corresponding to 37 weeks 0 days A.C. 325.8 mm, corresponding to 36 weeks 3 days F.L. 71.4 mm, corresponding to 36 weeks 4 days Gestational Age : 36 weeks 5 days. E.F.W.: 2975 +/-434 gms ( 63.6 %) S. E.D.D: 23-09-2023 No cord around the neck. SPECTRAL DOPPLER STUDY : Artery: Umbilical MCA PSV. 61.1. 40.1 EDV. 27.5. 5.3 S/D. 2.2. 7.5 R.I. 0.55. 0.87 P.I. 0.77. 2.02 B/L Uterine arteries show normal mean PI No e/o early diastolic notching. IMPRESSION: Single live fetus seen in Cephalic Presentation at 36 weeks 5 days. No uteroplacental/ fetoplacental insufficiency. Normal CPR (2.6 - 88 th centile) Mild raised PI(2.0) of MCA.

[@sonamsvenkateshwarlub4505]

@@DrSamsImagingLibrary please see the above details of my report sir.

[@DrSamsImagingLibrary]

@@sonamsvenkateshwarlub4505 This value of PI does not indicate any abnormality according to standard charts

[@sonamsvenkateshwarlub4505]

Thank you so much for the reply sir.Really appreciate ur dedication 🙏🏾👌🏾👌🏾

[@sushmamainali4684]

Sir, S/D ratio of right MCA is 339.6 PI and RI are 1 respectively. What does it mean? Is the pregnancy risker? Does the resistance will changed automatically? What shall I do?

[@DrSamsImagingLibrary]

How many weeks is the pregnancy?

[@sushmamainali4684]

@@DrSamsImagingLibrary 23 weeks.

[@DrSamsImagingLibrary]

@@sushmamainali4684 It suggests increased resistance to blood flow in the MCA. This finding indicates a potentially higher risk of restricted blood flow to the fetal brain. It will need to be further monitored and evaluated on ultrasound. Please consult with your obstetrician regarding this matter for further management. Best Wishes!

[@sushmamainali4684]

@@DrSamsImagingLibrary Thank you🙏

[@DrSamsImagingLibrary]

Most Welcome!

[@shailjapandey5333]

Respected sir In normal pregnancy cpr should always greater than 1?

[@DrSamsImagingLibrary]

Yes, in normal cases, CPR is always greater than 1

[@shailjapandey5333]

Sir whats the normal range of mca PI? Please reply At 30 week pregnancy?

[@DrSamsImagingLibrary]

The normal PI range varies amongst different medical institutions but is usually between 2-3.6

[@shailjapandey5333]

@@DrSamsImagingLibrary thanks a lot sir for replying

[@DrSamsImagingLibrary]

Most Welcome!

[@mitra456]

My MCA is written as Abnormal is doppler sonography .Does that mean that my baby would be having any defects 😢its written Low resistance flow

[@DrSamsImagingLibrary]

I'm very sorry to hear about your concern. If it is the first time the abnormal MCA has been reported, it may not lead to any defects. But if it has been reported multiple times, it may lead to fetal anemia or placental insufficiency. Further evaluation on follow up is required. Please consult with your doctor. Best Wishes!

[@mitra456]

@@DrSamsImagingLibrary Thank u for ur reply .It's the 1st time doppler done .9 months almost complete . We are consulting doctor .I just hope everything is fine

[@DrSamsImagingLibrary]

@@mitra456Most Welcome! Wish you all the best!

[@nikhilrose5935]

Hello Sir, what’s the meaning of middle cerebral artery compensated flow in pregnancy?

[@DrSamsImagingLibrary]

There may be a risk of growth restriction in the baby. It will be monitored on further ultrasound scans. Best Wishes!

[@nikhilrose5935]

@@DrSamsImagingLibrary Thank you so much for your reply Sir.

[@DrSamsImagingLibrary]

Most Welcome!

[@SamiaFakhar]

Asslam o Alaikum mam mra 8 months start e huwa h abi Doppler scan me 34 weeks a re hn or umbilical artery S/D ratio 3.3 h is me abnormality kya h guide plzzz

[@DrSamsImagingLibrary]

Hello. What are the values of umbilical artery RI and PI? A higher than normal S/D ratio may suggest placental insufficiency. Please consult with your doctor.

[@AkramKhan-y4i]

Sir fetal mca s/d 8 (pi 2.3 ri 0.8) umbilical artery s/d 4 (pi 1.36 ri 0.75) 28 wks pregnancy sir this is normal🙏

[@DrSamsImagingLibrary]

The MCA and umbilical artery values currently fall within normal range. Best Wishes!

[@AkramKhan-y4i]

Thanks sir

[@DrSamsImagingLibrary]

Most Welcome!

[@AkramKhan-y4i]

Mild plasenta insuffiency normal abnormal what is this

[@StumbleGuys-e7g]

What does it mean Abnormal a middle cerebral artery RI-0.69 , PI- 1.28

[@DrSamsImagingLibrary]

How many weeks is the pregnancy?

[@StumbleGuys-e7g]

@@DrSamsImagingLibrary week 21 + 3days please tell me what does it mean is it harmful ? They said go to specialist hospital

[@StumbleGuys-e7g]

How it should be ? And why they wrote abnormal and suggestive of anemia ?

[@DrSamsImagingLibrary]

@@StumbleGuys-e7g There is an issue with the blood flow of the baby. It will be monitored on further ultrasound scans

[@StumbleGuys-e7g]

@@DrSamsImagingLibrary my blood is negative with antibodies 256 is that the reason? Please tell me it’s very bad or only abnormal?

[@abhaadhikari5358]

Sir 36weeks 3 days fetal mca PI 1.05 is it normal ? Is it possible normal delivery ? Only PI 1.05 dr highlight and statement is abnormal fetal Mca Doppler indices. I’m very worried please sir response. Thanks in advance

[@DrSamsImagingLibrary]

Hello! An MCA PI of 1.05 at 36 weeks and 3 days is generally considered to be within the normal range. However, the interpretation of this value can depend on various factors, including the context of the pregnancy, the specific methodology used for the measurement, and the reference ranges established by the facility conducting the ultrasound. If the only concern is a borderline MCA PI, and there are no other complications, a normal delivery might still be possible. However, this depends on the overall assessment of fetal health. Best Wishes!

[@abhaadhikari5358]

@@DrSamsImagingLibrary thank you so much sir . Today My dr repeated doppler again Now today report is normal it is possible one day before report was not normal today she review again . Now report is normal

[@DrSamsImagingLibrary]

Most Welcome! Glad to hear that everything is normal. Yes, some changes might have occured due to an error in taking the measurements.

[@abhaadhikari5358]

@@DrSamsImagingLibrary so sweet of you sir . God bless you sir

[@DrSamsImagingLibrary]

@@abhaadhikari5358Thank You! God bless!

[@sabahumeira7773]

Hello sir please reply.. My baby's scan shows low resistance flow in mca but cpr is maintained.. N RI:0.67 PI:1.25 n iam 36 weeks 3days pregnant Does this need emergency delivery what will happen to baby

[@DrSamsImagingLibrary]

Your gynecologist will decide regarding delivery of the baby because all parameters will need to be evaluated. Best Wishes!

[@ghousebasha4942]

Same my baby MCA shows 3centile what is your baby centile

[@ghousebasha4942]

What decision take ur doctor how is ur baby

[@Chickody]

Hope your baby is ok

[@masudreza4473]

Thank you sir

[@DrSamsImagingLibrary]

Most Welcome!

[@dr.samirtawshikar9232]

Very nice thank u

[@DrSamsImagingLibrary]

Most Welcome!

[@hemantjaiswal007]

Sir.plz tell what is " MCA shows abnormal waveform with poor dialostic blood flow.. 31week 4 days

[@DrSamsImagingLibrary]

It may suggest cardiovascular abnormality, growth restriction or fetal anemia. Please evaluate it closely. Best Wishes

[@hemantjaiswal007]

@@DrSamsImagingLibrary .. Thanks sir.. What should I do?

[@shreebhumi]

@@hemantjaiswal007 adverse prognosis. Brain might affect i faced same issue and decided

[@hemantjaiswal007]

@@shreebhumi ..Thnx

[@shreebhumi]

@@hemantjaiswal007you decided anything? All well??Our doctor discussed and we followed his instructions

[@kanikakainth4275]

Hi Sir increased diastolic in mca means is thr any issue for baby pls reply

[@DrSamsImagingLibrary]

Yes it is abnormal and an indicator of growth restriction. Please monitor it closely. Best Wishes!

[@ghousebasha4942]

How is your baby Plzzz Rply I'm having the same thing plzzzz reply h

[@kanikakainth4275]

@@DrSamsImagingLibrary how to monitor ??

[@kanikakainth4275]

@Ghouse Basha dnt knw I have schedule ultrasound on 35 weeks

[@ghousebasha4942]

@@kanikakainth4275 how many weeks are you

[@DrVidyaPrasadGupta786]

Sir Respectfully requesting you please make video on Xray , CT scan and MRI also Thanks a lot sir from India 💗💗💗 Hope you will didn't disappoint me

[@DrSamsImagingLibrary]

Thank you very much for watching! Yes, all imaging modalities will be covered. We are going in a sequence that is why other modalities haven't been uploaded yet. Once all main ultrasound topics are covered, we will move to X-Ray, then CT and MRI. Do not worry they will surely be uploaded. Thank you for understanding.

[@dr.vasudevanjayaperumal4928]

Sir thanks. Kindly tell what's normal SD ratio level

[@DrSamsImagingLibrary]

Sir, thank you for watching! MCA S/D ratio value is variable but in normal cases it must be higher than S/D Ratio of umbilical artery.

[@mghosh4640]

If cpr is 3.77. 99 percentile this is normal or not

[@DrSamsImagingLibrary]

It is normal. If you have any concerns, please consult with your doctor.

[@PUPSKOSAVAPATTI-lp4ke]

My right uterine artery 2.80 amd left 2.56 its notmal sir

[@DrSamsImagingLibrary]

Can you confirm that these values are of S/D ratio or some other parameter?

[@PUPSKOSAVAPATTI-lp4ke]

@@DrSamsImagingLibrary i don't know sir, in impression they said MEAN UTERINE ARTERY PI IS INCREASED MORE THAN THE 95 TH CENTILE. it's normal in 3 month

[@DrSamsImagingLibrary]

Increased mean uterine artery PI may indicate intrauterine growth restriction or preeclampsia. It is not normal. Please consult with your doctor for further evaluation and management. Best Wishes!

[@PUPSKOSAVAPATTI-lp4ke]

@@DrSamsImagingLibrary thank for the reply sir

[@bhartishingate2354]

😢

[@AllInOne-zd2ke]

🥰❤️❤️🤲