Color Doppler imaging can detect ureteral jets, which represent urine entering the bladder from the ureters. The presence of bilateral ureteral jets confirms ureteral patency. Gray scale may show hydronephrosis but does not directly assess flow.
According to Rumack’s Diagnostic Ultrasound:
“Color Doppler demonstrates ureteral jets within the bladder, confirming ureteral patency.”
[Reference:, Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017., AIUM Practice Parameter for Renal Ultrasound, 2020., —]
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