The color Doppler image shows an artifact where high-velocity blood flow exceeds the Nyquist limit, resulting in color wrap-around or aliasing. This artifact is visualized as a mosaic pattern of colors that abruptly change, indicating that the velocity exceeds the color Doppler scale's maximum. Aliasing occurs when the sampling rate (pulse repetition frequency) is insufficient to accurately capture the high velocities, causing the display to cycle back to lower velocities.
[References:, ARDMS Sonography Principles & Instrumentation Guidelines, Hagen-Ansert SL. Textbook of Diagnostic Ultrasonography. 8th ed. St. Louis, MO: Mosby; 2017., , , ]
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