Duplex Sonography

Duplex sonography is a noninvasive imaging technique that combines grayscale ultrasound with Doppler measurements to visualize anatomy and assess blood flow in real time. A transducer emits high-frequency sound waves, and returning echoes form a two-dimensional image while frequency shifts caused by moving blood reveal flow direction and velocity through color or spectral Doppler. In medicine, this method evaluates blood vessels for narrowing, obstruction, aneurysms, and thrombosis, and it can assess circulation in organs and transplanted tissues. Because it provides structural and hemodynamic information without ionizing radiation, duplex sonography supports diagnosis, treatment planning, and follow-up of vascular disease.

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Research

JoVE Journal - Biology

Iterative Optimization of DNA Duplexes for Crystallization of SeqA-DNA Complexes

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2012

Crystal structure of protein–DNA complexes can provide insight into protein function, mechanism, as well as, the nature of the specific interaction. Here, we report how to optimize the length, sequence and ends of duplex DNA for co-crystallization with Escherichia coli SeqA, a negative regulator of replication initiation.

Helicase Activity Measurement of a Target Protein Using Biotin-Labeled RNA Duplexes

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2025

In this video, we demonstrate the procedure to determine the helicase activity of a target protein to unwind the biotin-labeled dsRNA substrate. The activity of the enzyme was identified by analyzing the electrophoretic mobility shift, followed by a chemiluminescence assay using chemiluminescent enzyme-conjugated streptavidin.

Duplex Digital PCR for Simultaneous Quantification of Dual Genetic Markers

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2025

In this video, we demonstrate the duplex digital PCR (ddPCR) technique — a modification of the traditional PCR technique that is useful in detecting two different genetic markers simultaneously. A single PCR reaction is partitioned into nanoliter-sized emulsified droplets that are independently amplified, and the detection of differently colored fluorescence amplification signals from the fraction of droplets is used to compute the initial concentration of the target sequences.

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

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2025

The protocol described here provides the basics of spine sonoanatomy and a quick, straightforward method for performing ultrasound-guided neuraxial anesthesia. Additionally, two handheld devices that enhance portability are presented, one of which uses pattern recognition software to aid in epidural space localization.

Image Acquisition using Portable Sonography for Emergency Airway Management

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Cited by 1 •

2022

Point of care ultrasound (POCUS) is increasingly being utilized in airway management. Presented here are some clinical utilities of POCUS, including differentiating endotracheal and esophageal intubation, identification of the cricothyroid membrane in the event a surgical airway is required, and measuring anterior neck soft tissue to predict difficult airway management. ...

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