Artifacts *Pretty Important* Flashcards
What is an artifact?
Anything that owes not correctly display the structures or functions that are imaged
Artifacts may be as simple as what?
A few echoes in a cystic structure that shouldn’t be there or as complex as duplication of a structure where only one truly exists
Artifacts can be the result or related to what four things?
- Malfunctions equipment
- Defective recording device
- Improper operation of equipment
- Acoustic properties of tissues and propagation of sound waves
Some artifacts can really useful in helping the sonographer to do what?
Diagnose or delineate structures like in the case of enhancement or shadowing
Some artifacts can be extremely confusing, what are a couple?
Some are extremely confusing like beam width artifact or refractive duplication
Many artifacts occur because assumptions are made about how sound propagates in tissue such as what four things?
- All tissues have the same acoustic velocity (1540 m/s)
- The sound beam always travels in a straight line
- Echo strength indicates organ echogenicity only
- The distance to each reflector equals the round trip time
Artifacts can be categorized as one of the following four things?
- Not real (not representing actual interfaces)
- Missing
- Improperly located
- Improper brightness, shape, or size
Ultimately artifacts belong to one of 2 groups
- The propagation group
- The attenuation group
What are some examples of propagation artifacts?
- Axial resolution
- Lateral resolution
- Section thickness
- Acoustic speckle
- Reverberation
- Mirror image
- Multiparty
- Refraction
- Grating and slide lobes
- Speed error
- Range ambiguity
When would we seen axial resolution artifacts?
When there are objects less than 1/2 the SPL apart in the axis of the bean are demonstrated as a single echo
What is artifacts in lateral resolutions? What is it referred to?
When the beam width artifacts that is also referred to as point spreading
What does point spreading look like?
- When reflectors appear smeared across the screen in areas where the beam is wide
- Can be accentuated with increased gain or TGC
How to correct for Point spreading? 3
- Lower the overall gain
- TGC adequately
- Scan in the near zone with a properly adjusted focus
What is this image known as?
Image broadening
What does this image demonstrate?
Image broadening artifact
What is one way to effect the axial resolution artifact?
Use a higher frequency
What is an artifact seen in slice thickness? What is it known as?
- Sometimes known as volume averaging
- Can account for the filling in of an anechoic structure with false debris
How does slice thickness happen? What is the assumption?
- Under the assumption that all returning echoes come back from center of the beam
- There are echoes that form in front and behind the structure that are compressed into a 2D image
How do we account for volume average?
Repositioning the probe so that the narrowest portion of the Z- axis is at the desired location
What does this image demonstrate?
Slice thickness artifact
What does this image demonstrate?
Slice thickness
What is acoustic speckle a result of? 2
- Several off axis reflections from scatter reflection in the parenchyma
- Constructive and destructive interference occurs and creates heterogeneous brightness in the image
What does this image demonstrate?
Acoustic speckle
What is reverberation artifact? When do we normally see it?
- The reflection of sound between the transducer and a strong interface
- Often seen near the probe surface or in fluid filled structures
What does reverberation look like?
- Multiple equally spaced linear lines that get weaker with depth
- Looks like rungs of a ladder
What can account for reverberation?
Changing your window and using harmonics is the best way to eliminate the artifact
What is one way to tell the difference between section thickness artifacts and slice thickness artifacts?
Where is the focus?
What does this image demonstrate?
Reverberation
What does this image demonstrate?
Reverberation artifact
What artifact is shown by the yellow arrows?
Reverberation
What kind of artifact is comet tail?
A reverberation artifact
What is comet tail?
Specifically a short range reverberation between two very closely spaced Specular reflectors
What kind of objects results in reverberation?
- Metal clips
- Metal pellets
- Biopsy needle
- Metal IUCD
- Thin layers of things that cause comet tail
Is comet tail useful?
It can be used to diagnose
What does this image demonstrate?
Comet tail
What does this image demonstrate?
Comet tail artifact. The IUCD is not as long, note the lengthening and the echogenicity of the IUCD
What kind of artifact is ring down?
Reverberation artifact
What does ring down artifact look like?
Similar to comet tail without the discrete echoes and instead appears as a continuous stream of long echoes
What is ring down artifact?
A resonance phenomena associated with gas bubbles in which gas vibrates and becomes a new source of sound
Is ring down useful?
Yes, just like comet tail this artifact can be useful for diagnosis
What does this image demonstrate?
Ring down artifact
What does this image demonstrate?
Ring down artifact
What does this image demonstrate?
Ring down artifact
What is a mirror image artifact?
Artifact that results in a duplication of an object due to an odd angled strong reflector
How does this mirror image happen?
The machine assumes the beam is travelling in a straight line but when the beam is reflected by a Specular reflector towards the object and then returned to the probe along the same path
What does this image demonstrate?
Mirror image artifact
What does this image demonstrate?
Mirror image artifact
What does this image demonstrate?
Mirror image
What is the assumption for multiple atrifacts? Why is this a problem?
- This artifact is again the result of the assumption that beam travels in a straight line
- In reality the beam may take several off axis vectors before returning to the probe resulting in the incorrect location of the echoes
What is the solution to correct for multiple artifacts?
Getting more perpendicular to the structure of interest
What is a refractive artifact?
Refers to the direction of the beam when an interface is struck at the angle of both media have different velocities