Artifacts Flashcards
error in imaging
artifact
artifacts include reflections that are described as…
not real, not seen on image, incorrect shape/size/position/brightness
causes of artifacts
violation of assumption
equipment malfunction / poor design
the physics of ultrasound
operator error
portions of an image that are brighter than surrounding tissues, or tissues that appear brighter than normal
hyperechoic
portions of an image that are not as bright as surrounding tissues, or tissues that appear less bright than normal
hypoechoic
extreme form of hypoechoic, meaning entirely without echoes
black
anechoic
structures with equal echo brightness
isoechoic
a portion of tissue or an image that has similar echo characteristics throughout
hoomgenous
a portion of tissue or an image that has differing echo characteristics throughout
heterogeneous
6 assumptions used in imaging systems
- sound travels in a straight line
- sound travels directly to a reflector and back
- sound travels in soft tissue at exactly 1540 m/s
- reflections only arise from structures positioned in the beams main axis
- the imaging plane is very thin
- the strength of a reflection is related to the characteristics of the tissue creating the reflection
appear on the display as multiple equally spaced echoes caused by the bouncing of the sound wave between two strong reflectors positioned parallel to the US beam
reverberation
characteristics of reverberation
appear in multiples
appear equally spaced
are located parallel to the sound beams main axis
are located at ever increasing depths
with reverberation, do shallow or deep echoes correspond to true anatomic structures
shallow - real
deep - artifact
reverberation with the spaces squeezed out
appears as a solid hyper echoic line directed downward
also known as ring down artifact
comet tail
how is comet tail artifact created
when closely spaced reverberations merge
do comet tails appear when reflecting surfaces are located in an area of high/low propagation speed
high speed (such as a mechanical heart valve)
comet tail can also arise from…
resonance of small gas bubbles
characteristics of a comet tail
appears as a single long hyper echoic echo (bright white line)
located parallel to the sound beams main axis
this type of artifact appears as hypo echoic or anechoic region extending downward from a highly attenuating structure
(they are the same color as the image background)
shadows
what causes shadowing
when too much attenuation occurs, deep reflectors do not appear on the image
(attenuation is higher in the tissue above the shadow than in the surrounding tissue)
characteristics of shadowing
hypo or anechoic
result of too much attenuation
located beneath the structure with abnormally high attenuation
prevents visualization of true anatomy on the scan
how is shadowing related to the speed of sound in a medium
UNRELATED
type of artifact that is a special form of shadowing that appears as a hypo echoic region extending down from the edge of a curved reflector
edge shadow
what happens during edge shadow artifact
the sound beam refracts (transmits with a bend) at the edge of a curved reflector, the beam diverges and results in a drop in intensity that causes edge shadowing
edge shadow is also called
shadowing by refraction
characteristics of edge shadow
hypo or anechoic
results when the beam spreads after striking a curved reflector
extends downward from the curved reflectors edge, parallel to the beam
prevents visualization of true anatomy on the scan
artifact that appears as a hyper echoic region beneath tissues with abnormally low attenuation
enhancement
enhancement artifact is the opposite of…
shadowing
how is enhancement artifact related to speed of sound
UNRELATED
characteristics of enhancement
hyper echoic
result of too little attenuation
located beneath a structure with abnormally low attenuation