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The Doppler cascade: umbilical artery → MCA → ductus venosus

Umbilical artery
Middle cerebral artery
Ductus venosus
◀ HealthyCritical ▶
Normal↑ S/DAbsent EDFReversed + spareDV reversal

Schematic — idealized teaching traces, not measured velocities. Drag from healthy to critical (the slider snaps to the five checkpoint stops): umbilical-artery end-diastolic flow falls to absent then reversed, the MCA shows brain-sparing, and only late does the ductus-venosus a-wave reverse.

Cascade per ISUOG Practice Guidelines (updated) 2021
Extracted from the Pulse-Wave Doppler in Prenatal Diagnosis lecture · built with academic-deck-pro · mfm.media