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comet tail
"reverberation with the spaces squeezed out". appears as solid hyperechoic line directed downward. also called ring down artifact
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shadow
appears as hypoechoic or anechoic region extending downward from very strong attenuating medium. appears when the attenuation is higher in the tissue above the shadow than in surrounding tissue
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edge shadow
appears as hypoechoic region extending along the edge of a curved reflector. also called shadowing by refraction
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artifacts
- reverberations
- comet tail
- shadow
- edge shadow
- enhancement
- focal enhancement
- mirror image
- speed error
- lobes
- refraction
- lateral resolution
- axial resolution
- multi path artifacts
- curved and oblique reflectors
- temporal resolution
- spacial resolution
- slice thickness
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amplitude
the bigness of the wave. the difference between maximum value and the average or undisturbed value of an acoustic variable
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frequency
the number of particular events that occurs in a specific duration of time
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what causes aliasing
higher frequency transducers. only occur with pulsed doppler. when the doppler sampling rate is too low in comparison to the measured blood velocity
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speed of sound in soft tissue
1540 m/s
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speed of sound in lungs
500 m/s
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ways of eliminating aliasing
- raise the nyquest limit
- lower frequency transducer
- new view with shallower sample volume
- use continuous wave doppler
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meaning of different colors in color flow doppler
- black and white identifies anatomic structures
- color identifies blood flow velocities and function
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when you decrease frequency, you ____ frame rate
lower
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eliminating aliasing in pulsed wave doppler
- lower fequency transducer
- shallow sample volume
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when should you sterilize transducers
when an instrument penetrates the skin or mucous membrane
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mechanical index
the amount of contrast harmonics produced
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pressure sources that contribute to overall intervascular pressure
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cavitation
the interaction of sound waves with microscopic, stabilized gas bubles in tissue
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heating
tissue heating is related to the output characteristics of the transducer and the properties of the tissue
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highest temperature which adverse effects have not been demonstrated
39 deg. C
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reverberation
muliple, equally spaced echoes caused by te bouncing of a sound wave between two strong reflectors positioned parallel to the ultrasound beam
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ringdown
also known as comet tail. appears as solid hyperechoic line directed downward
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mirror image
created when sound reflects off of a strong reflector (mirror), and is redirected toward a second structure causing a replica or second copy to appear deeper
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side lobes
off axis sound beams, created by single element transducer, structures within side lobes can generate reflections and degrade lateral resolution
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refraction
occurs when a sound pulse changes direction during transmission. degrades lateral resolution
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sound wave
- carries energy
- mechanical wave
- cannot travel through vacuum
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reverberations are produced by?
the bouncing of the sound wave between two strong reflectors positioned parallel to the ultrasoud beam
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absorption
component of attenuation. occurs when ultrasonic energy is converted into another energy form, such as heat. directly related to frequency
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scattering
the random redirection of sound in many directions. happens when tissue interface is smaller or equal to the wavelength
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attenuation
the decrease in intinsity, power and amplitude as sound travels through a medium
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reflection
portion of the sound beam that is redirected when a beam strikes a boundry
weakens the portion of the sound wave that continues forward
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cause of side lobe artifacts
when a strong reflector is in the path of the lobe it creates a reflection. the system interprets the reflection as arising from a structure positioned along the beams main axis
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cause of grating lobes
- created by array transducers
- deminishes lateral resolution
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where shadowing artifacts are commonly seen
beneath the structure, hypoechoic or anechoic
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doppler shift
- directly related to frequency of the transmitted sound.
- directly related to velocity of blood cells
- created when transmitted sound waves strike red blood cells
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enhancements
artifact appears as a hyperechoic region beneath tissues with abnormally low attenuation. hyperechoic regions are same color as foreground. opposite of shadowing. helps characterize tissue
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when does aliasing occur on doppler
- with higher frequency transducers
- deep gate
- faster blood velocity
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quality assurance
the routing, periodic evaluation of an ultrasound system to guarantee optimal image quality
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quality assurance requirements
assesment of system components, repairs, preventive maintenance, record keeping
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tissue equivalent phantom
ultrasonic features similar to soft tissue, more suitable for modern systems, grayscale, tissue texture, multi-focus and adjustable focus
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focusing
improves lateral resolution by concentrating the sound energy into a narrower beam. external, internal, phased array
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what are you changing when you adjust focusing on a scanner
- beam diameter in near field and focal zone is reduced
- focal depth is shallower
- beam diameter in the far zone increases
- focal zone is smaller
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what parameters are not adjustable by operator
- period
- frequency
- wavelength
- speed
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pulse repetition frequency
the number of pulses that an ultrasound system transmits into the body each second
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pulse repetition period
the time from the start of one pulse to the start of the next pulse
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frame rate
the ability of the system to create numerous frames per second
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pulse duration
the actual time fromthe start of a pulse to the end of that pulse
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pulse length
the distance that a pulse occupies in space from the start oto the end of a pulse
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best angle of incidence for grascale
90
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best angle of incidence for doppler
0 or 180
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nyquist limit
the highest doppler frequency or velocity that can be measured without the appearance of aliasing
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2 types of useful artifacts
enhancement - helps provide valuable information that helps to characterize tissue
shadows - valuable diagnostic info that helps characterize tissue
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hydrophone
AKA microprobe. small hypodermic needle with a tiny piece of piezoelectric material attached to its end. measures the characteristics of a sound beam
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doppler shift
AKA doppler frequency - a result of relative motion between the sound source and the receiver. away from transducer is negative
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acoustic velocity
magnitude and direction
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advantages of power doppler
increased sensitivity to low velocity: unaffected by doppler angles (except 90 deg): no aliasing
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disadvantages of power dopper
- no measurement of velocity
- low frame rates
- susceptible to motion of transducer
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advantages of color doppler
- mean velocity measurements
- moderate sensitivity
- provides two dimensional flow info
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disadvantages of color doppler
- subject to aliasing
- reduced temporal resolution
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A L A R A
as low as reasonably achievable
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