Image A demonstrates the optimum gain setting. Image B is the same patient with a lower gain setting.
Selecting a color gain setting that is too high causes color “noise.” Noise is the term for very low amplitude signals that are usually below the flow detection threshold. Increasing the gain increases the amplitude of these signals, raising them above the flow detection threshold. These color noise signals appear as random multicolored speck overlaying the blood flow in the chambers.
To set color gain correctly; increase the gain until you see obvious color noise. Then, decrease the color gain to the point where the noise just begins to disappear.
Note: Excess color gain can introduce variance-like color artifacts; in the same way that excess spectral Doppler gain can cause spectral broadening.