7. Ultrasound Flashcards

1
Q

What is ultrasound?

A

mechanical oscillation or wave with a frequency (pitch) exceeding the upper limit of the audible range of the human ear, which is 20 000 Hz.

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2
Q

Describe Propagation of ultrasound

A

Ultrasound propagates with a velocity (c) characteristic for the medium, and it displays wave properties (see refraction).

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3
Q

What is damping of ultrasound?

A

Part of the energy that propagates in ultrasound is dissipated in the medium in the form of heat, hence transmitted intensity is attenuated

→ The damping is used to characterize the decrease of intensity

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4
Q

Formula for damping of ultrasound?

A

where J0 is the incident intensity and J is the intensity after passing through the layer.

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5
Q

Reflection of ultrasound

At the boundary surface of different media, part of the incident ultrasound wave is (1)___ and part of it (2)__

A
  1. reflected (reflection)
  2. penetrates into the medium
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6
Q

Reflection of ultrasound

If the direction of propagation of the incident ultrasound wave is not perpendicular to the boundary surface (skewed incidence)

→ then the ultrasound wave will ____

A

It will change its direction of propagation (refraction)

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7
Q

What is Acoustic impedance (Z )?

A
  • An important parameter that characterizes the acoustic properties of the medium.
  • It is defined as the product of the medium density (ρ) and the velocity (c) of the ultrasound in that medium (Z = ρ · c).
  • The surface of a medium is called boundary surface (or interface) if the acoustic impedance changes.
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8
Q

What is the formula for Acoustic impedance (Z )?

A

Z = ρ x c

  • ρ is the density of the medium
  • c is the velocity of the ultrasound in the medium.
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9
Q

What is the reflectivity (R)?

A

The measure of reflection from a surface, which is defined as the ratio of the reflected (JR) and the incident (J0) intensity

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10
Q

Reflection of ultrasound

The greater the acoustic impedance difference between two bounding media, the greater the ___

A

the intensity of reflected ultrasound

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11
Q

Reflection of ultrasound

On the liquid–gas or solid–gas interface ultrasound is ___

A

totally reflected

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12
Q

Reflection of ultrasound

On the liquid–gas or solid–gas interface ultrasound is totally reflected.

Because of this, a coupling medium (gel, water or oil) used in medical ultrasonography that helps to____

A

transfer the acoustic energy from the transducer into the body and back again.

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13
Q

Reflection of ultrasound

On the liquid–gas or solid–gas interface ultrasound is totally reflected.

Because of this, a coupling medium (gel, water or oil) is used in medical ultrasonography that helps to transfer (1)___ from the (2)___ into the body and back again.

A
  1. the acoustic energy
  2. transducer
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14
Q

Reflection of ultrasound

On the liquid–gas or solid–gas interface ultrasound is totally reflected.

Because of this, a coupling medium (gel, water or oil) is used in medical ultrasonography that helps to transfer (1)___ from the (2)___ into the body and back again.

A
  1. the acoustic energy
  2. transducer
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15
Q

What is direct piezoelectric effect?

A

Piezoelectric insulators (e.g., crystals) accumulate electric charge and become electrically polarized when mechanically strained (by pressure or tension).

→ A measurable potential difference builds up on the electrodes placed on the opposite sides of the strained crystal.

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16
Q

Detection of mechanical oscillations caused by ultrasound is based on ___ (which effect?)

A

Piezoelectric effect

-> Piezoelectric insulators (e.g., crystals) accumulate electric charge and become electrically polarized when mechanically strained (by pressure or tension).

→ A measurable potential difference builds up on the electrodes placed on the opposite sides of the strained crystal.

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17
Q

inverse piezoelectric effect

If voltage is applied on the electrodes of the piezoelectric material, it becomes deformed (contracted or stretched), hence the __ of the crystal changes

A

thickness

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18
Q

Ultrasound radiation is generated based on which effect?

A

Inverse piezoelectric effect

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19
Q

Ultrasound source

______, which is converted into ultrasound, is produced by a sine wave oscillator

A

Alternating voltage of high frequency

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20
Q

Ultrasound source

Alternating voltage of high frequency, which is converted into ultrasound, is produced by a ___

A

sine wave oscillator

(Sine wave oscillators are used as references or test waveforms by many circuits. A pure sine wave has only a single or fundamental frequency—ideally no harmonics are present. Thus, a sine wave may be the input to a device or circuit, with the output harmonics measured to determine the amount of distortion.)

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21
Q

Ultrasound source

Alternating voltage of high frequency, which is converted into ___, is produced by a transducer

A

ultrasound

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22
Q

Ultrasound source

What is a transducer?

A

a device that converts electric signals into mechanical, and vice versa.

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23
Q

Ultrasound source

Structure of transducer?

A

It contains piezoelectric materials equipped with electrodes

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24
Q

Ultrasound source

The transducer converts the electrical energy into mechanical, thereby generating an (1)___ (via the (2)____) which is directed into the investigated part of the body

A
  1. ultrasound pulse
  2. inverse piezoelectric effect
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25
Q

How to detect ultrasound?

A
  1. In the “silent” phase that follows pulse transmission the transducer “switches into receiver mode”
  2. Waits for the echo signals reflected from the tissue surfaces of the examined body part.
  3. echoes of reduced intensity reach and deform the transducer material
  4. As a consequence of electric polarization in the transducer, the ultrasound is converted back into the electrical oscillation (via the direct piezoelectric effect)
  5. This signal is then conducted through a cable into the electronic amplifier
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26
Q

Detection of ultrasound

In the “silent” phase that follows pulse transmission the transducer “switches into receiver mode” and waits for the ___of the examined body part

A

echo signals

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27
Q

Detection of ultrasound

As a consequence of (1)___ in the transducer, the ultrasound is converted back into the (2)___ (via the (3)___), and this signal is then conducted through a cable into the (4)___

A
  1. electric polarization
  2. electrical oscillation
  3. direct piezoelectric effect
  4. electronic amplifier
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28
Q

Because the frequency of the reflected ultrasound changes if the ____ (Doppler effect, see later), the frequency spectrum of the echo contains further information as well.

A

reflecting surface is in motion

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29
Q

What is Doppler effect?

A

Change in the frequency (and wavelength) of the wave as a result of the relative motion of the source and the observer

30
Q

(1)_____ (transmission) and (2)____(reception) changes (3)___ in the transducer.

A
  1. Wave-packet release time
  2. detection time
  3. periodically
31
Q

What is pulse-echo method?

A
  • The distance (d ) between the reflecting boundary surface and the transducer can be calculated from the time (Δt) elapsed between the emission of the wave-packet-like ultrasound pulse into the medium and the return of its echo
    • provided that the velocity of the sound (c) is known in the given medium as follows…
32
Q

Diagnostic ultrasound imaging methods (modes)

Describe One-dimensional A-image (amplitude modulation)

A
  • A single transducer produces one ultrasound beam that propagates in a straight line.
  • In the image…
    • the horizontal axis represents time or the corresponding distance
    • the vertical axis denotes the intensity of the reflected echo signal
33
Q

Diagnostic ultrasound imaging methods (modes)

Describe One-dimensiona B-image (brightness modulation)

A
  • a single transducer produces one ultrasound beam that propagates in a straight line.
  • The brightness of pixels on the horizontal time scale is proportional to the amplitude of the reflected ultrasound signal.
  • Brightness is encoded usually on a gray scale
34
Q

Diagnostic ultrasound imaging methods (modes)

Describe Two-dimensional B-image (2D, brightness modulated)

A
  • An array of several transducers are specially synchronized in a way that the direction of the wavefront can be changed, and a plane (of fan shape) is scanned.
  • A series of one- dimensional B-images at different angles appears on the screen
  • Real image is reconstructed of one section of the scanned region of the biological sample.
35
Q

Diagnostic ultrasound imaging methods (modes)

Describe M-image (motion)

A
  • In the 2D B-image one direction is chosen, and a sequence of one-dimensional B-images is plotted vertically as a function of time
  • We obtain information about the position of the given surface as a function of time.
36
Q

Diagnostic ultrasound imaging methods (modes)

Describe reconstructed 3D image (tomography)

A
  • Three-dimensional image of the biological object can be reconstructed from the 2D B-images of a large number of parallel planes scanned, that can be processed further by a computer.
  • The 3D-rendered dataset can be manipulated orientationally (i.e., turned around arbitrary axes), or different image sections can be calculated.
37
Q

Diagnostic ultrasound imaging methods (modes)

Describe Reconstructed 4D-image

A

Sequence of several reconstructed 3D images, where the 4th dimension is time.

In this method an ultrasound movie is created.

38
Q

The Doppler effect is a change in the frequency (and wavelength) of the wave as a result of the relative motion of the source and the observer.

Similarly to the phenomenon described above, the frequency of the ultrasound reflected from a ___

A

moving boundary surface

39
Q

Doppler effect

The relationship between Doppler shift and the relative velocity

A

The Doppler shift ( f – f0) is proportional to the relative velocity (􏷈 v/c) and the incident frequency.

40
Q

Doppler methods

Describe Doppler time-velocity image

A

At the selected section of the indicated direction in the 2D B-image, Doppler-frequency-shift that corresponds to the velocity of the observed surfaces is plotted as a function of time (Fig. 11, right).

41
Q

Doppler methods

Describe Color-coded Doppler image

A

The color-coded velocity of the moving body parts is superimposed on the grayscale 2D B-image (Fig. 11, left).

42
Q

Doppler methods

Describe Doppler flow meter

A

it allows the measurement of the velocity of blood flow in larger blood vessels according to ..

  • 􏷈 v is the velocity of blood flow
  • c is the ultrasound velocity in the medium
  • f – f0 is the Doppler shift
  • Θ is the angle between the ultrasound beam and the axis of the blood flow
43
Q

Detection of blood flow based on the Doppler-effect

Describe

A

The ultrasound, reflected from the corpuscular elements of blood is converted to the electric signal in the second transducer (detector).

The difference between the frequency of the original and the reflected ultrasound signal is proportional to the flow velocity of blood (Doppler effect).

After amplification, this difference signal is audible by use of a loudspeaker.

44
Q

The radar principle – distance measurement by ultrasound – US-A-image

Describe

A

Using a special ultrasound-head

→ short ultrasound pulses are emitted in air towards a reflecting surface, and the same ultrasound head detects the echo signal.

→ Both the signal of the emitted ultrasound and the reflected echo signal are visualized on the screen of the oscilloscope

45
Q

Measurements using a water-filled phantom (model)

What are the 7 steps?

A
  1. Measure the distances of the individual threads of a fishing line thread system from the transducer on the screen (use the cursor).
  2. Measure the depth of penetration of the different transducers (3.5 MHz, 5 MHz) by moving the stick inside the phantom.
  3. Measure the lateral and axial resolution by changing the position of the mobile fishing line threads at different distances from the transducer.
  4. Place the water-filled rubber gloves into the phantom (Fig. 15.), and observe the images of different sections of different layers.
  5. Place the air-filled rubber gloves into the phantom, and note the shadow formation.
  6. Place the glycerol- and alcohol-filled rubber gloves into the phantom.
  7. Turn the device into M mode and observe the M-image of the ruler that is moved back and forth in the water of the phantom. Turn the device into Doppler mode and observe the velocity changes of the ruler movement in time (listen to the sound corresponding to this movement by loudspeakers).
46
Q

Measurements using a water-filled phantom (model)

Measure the distances of the individual threads of a fishing line thread system from the transducer on the screen (use the cursor).

→ Make a ___

→ That is, plot the distance data as a function of the real thread-to-transducer distances.

A

calibration diagram

47
Q

Measurements using a water-filled phantom (model)

Measure the distances of the individual threads of a fishing line thread system from the transducer on the screen (use the cursor).

→ Make a calibration diagram.

What does this diagram plot?

A

plot the distance data as a function of the real thread-to-transducer distances.

48
Q

Measurements using a water-filled phantom (model)

Measure the ___ of the different transducers (3.5 MHz, 5 MHz) by moving the stick inside the phantom.

A

depth of penetration

49
Q

Measurements using a water-filled phantom (model)

Place the (1)____ (Fig. 15.), and observe the (2)___ of different layers.

A
  1. water-filled rubber gloves into the phantom
  2. images of different sections
50
Q

Measurements using a water-filled phantom (model)

Place the air-filled rubber gloves into the phantom, and note the ___

A
  1. water-filled rubber gloves into the phantom
  2. images of different sections
51
Q

Measurements using a water-filled phantom (model)

Turn the device into M mode and observe the (1)___ of the ruler that is moved back and forth in the water of the phantom.

Turn the device into Doppler mode and observe the (2)___of the ruler movement (3)____(listen to the sound corresponding to this movement by loudspeakers).

A
  1. M-image
  2. velocity changes
  3. in time
52
Q

Is wave on water surface longitudinal?

A

No

53
Q

Is vibration of a spring transverse or longitudinal?

A

Transverse

54
Q

Which law of light can apply for ultrasound as well?

A

The law of refraction

55
Q

What is inverse piezoelectric effect?

A

If an electric voltage is applied on the electrodes of the piezoelectric material, it becomes deformed (contracted or stretched)

56
Q

Describe time sharing mode of transducer

A

pulses instead of continuous wave ultrasound

57
Q

time sharing mode: pulses instead of continuous wave ultrasound
→ Why is it useful?

A

This enables the usage of the same transducer, and improves resolution

58
Q

What is resolving limit?

A

the distance between two object details which can be just resolved as distinct objects

59
Q

What is the best resolving limit?

A

The smaller the better

60
Q

What is Resolution (resolving power)?

A

the reciprocal of the resolving limit (the greater the better)

61
Q

Definition of axial resolving limit

A
  • depends on the pulse length. → The axial resolving limit is the half of the pulse length.
  • Pulse length is inversly proportional to the frequency.

(Axial resolution is the ability to see the two structures that are side by side as separate and distinct when parallel to the beam. So a higher frequency and short pulse length will provide a better axial image.)

62
Q

Definition of lateral resolving limit

A
  • the minimum separation of two interfaces aligned along a direction perpendicular to the ultrasound beam.
  • It depends on the beam width (or beam shape)

(Lateral resolution is the image generated when the two structures lying side by side are perpendicular to the beam. This is directly related to the width of the ultrasound beam. Narrower the beam better is the resolution. The width of the beam is inversely related to the frequency.)

63
Q

Focusing

→ increases the (1)___

→ reduces the (2)___

A
  1. divergence of the beam in the far field regime
  2. depth sharpness.
64
Q

What is the beating phenomenon? Which effect does it relate to?

A

The phenomenon in which the beating frequency equals to the difference of the two interfering frequency → related to Doppler effect

65
Q

4 Doppler curves

A
66
Q

Describe this Doppler curve

A

flow can be represented by one velocity in each moment

67
Q

Describe this Doppler curve

A

flow can be represented by one velocity in each moment

68
Q

Describe this Doppler curve

A

flow can be represented by a velocity distribution in each moment

69
Q

What is compressibility?

A

relative volume decrease over pressure

70
Q

What does this image indicate?

A

Speed of ultrasound in various materials.

71
Q

What is is proportional to frequency in the diagnostic range?

A

Absorption coefficient

72
Q

What is specific attenuation
for soft tissues?

A

homogeneous tissue model

  • Ratio of damping to the product of frequency and layer thickness