Ch 3 Image Formation with Echoes Flashcards

1
Q

Using focus on u/s machines improve what types of resolution?

A

-Lateral resolution (aka beam width resolution)
-Contrast resolution (b/c the focus increases the reflection strength of the returning echoes)

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2
Q

What is acoustic impedance?

A

-A measure of the resistance to sound traveling within a medium
-Determines how much of an incident sound wave is reflected back + how much is transmitted into the 2nd medium

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3
Q

Explain the variables in the formula: z = p x c

A

z: acoustic impedance (rayls)
p: density (kg/m^3)
c: propagation speed (m/s)

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4
Q

The greater the acoustic impedance mismatch b/w 2 mediums, the stronger or weaker the reflection?

A

Stronger (produces brighter echoes)

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5
Q

What does perpendicular incidence mean?

A

-A perpendicular direction of travel of the incident u/s wave to a boundary b/w 2 media
-The incident sound wave may be reflected back or transmitted into the next medium, depending on the impedances of the 2 media at the boundary

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6
Q

What happens if Z2 = Z1?

A

-There would be no reflection b/c there is no acoustic impedance mismatch
-There would be 100% transmission into the 2nd medium

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7
Q

What is the intensity reflection coefficient (IRC)?

A

-Another way to calculate the acoustic impedance mismatch via intensity
-It is the fraction of the incident intensity that is reflected

(IRC = reflected intensity / incident intensity)

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8
Q

If the difference in the impedances increases, will this increase or decrease the IRC?

A

Increase

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9
Q

When Z2 = Z1, what echogenicity will this produce on the u/s image?

A

-No echogenicity, will be anechoic
-No reflection

(ex. blood, fluid, bile)

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10
Q

When Z2 is significantly greater than Z1, what echogenicity will this produce on the u/s image?

A

-High echogenicity, will be hyperechoic

(ex. plaque, specular reflectors, bones, vessel walls, heart valves, calcifications)

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11
Q

When there is a small difference b/w Z2 + Z1, what echogenicity will this produce on the u/s image?

A

-Hypoechoic images
-Strong chance a mass may not be seen on the image

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12
Q

Why do we use u/s gel?

A

-B/c there is an enormous acoustic impedance mismatch with air + the matching layer of the probe
-The gel provides transmission of sound as it eliminates the layer of trapped air that would reflect sound + prevent the entrance of sound into the body

(the gel avoids the mismatch b/w the air + tissue)

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13
Q

What does oblique incidence mean?

A

-Oblique direction of travel of the incident u/s wave that is NOT perpendicular to the boundary b/w 2 media
-Reflected sound does NOT return to the probe, instead it travels off in another direction

(contributes to attenuation)

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14
Q

Is perpendicular or oblique incidence better in u/s?

A

Perpendicular!

-b/c more u/s waves will be reflected back to the probe + fewer will be “scattered” away, resulting in a better image

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15
Q

What 2 things is the transmission angle dependent on?

A

-Incidence angle
-Media propagation speeds

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16
Q

If the propagation speed through the 2nd medium is greater than the 1st medium, will the transmission angle be greater or smaller than the incidence angle?

A

Greater

(same speeds = same transmission angle)

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17
Q

What is refraction?

A

-Change in direction of sound when it crosses a boundary
-The “bending” of a wave at an interface b/w 2 media

(think of the pencil in a glass of water in bright sunlight, making it look bent)

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18
Q

Refraction causes what 2 artifacts?

A

-Lateral position artifact (where 1 side is the true reflector + the other is a false image - structure looks duplicated)

-Refractive/edge shadowing (2 dark lines on either side of a structure)

19
Q

What 2 things are required for refraction to occur?

A

-Oblique incidence
-Different propagation speed on either side of boundary

20
Q

What do specular reflections refer to?

A

-Mirror like reflections (ex. reflection off a smooth, calm lake)
-They occur from a surface that is large + smooth
-The angle of incidence always equals the angle of reflection

21
Q

Are specular reflectors angle or frequency dependent?

A

-Angle dependent (think we must get the right angle to reflect off the lake)

-Frequency independent

22
Q

Does perpendicular or oblique incidence give us the brightest reflection strength?

A

Perpendicular = hyperechoic

(oblique = hypoechoic + less reflective)

23
Q

Give 2 examples of specular reflectors?

A

-Diaphragm
-Heart walls + valves

24
Q

What is scattering (aka back scatter)?

A

-Reflection of the sound wave that gets redirected in many different directions (they scatter everywhere)
-The reflecting surface is rough

25
Is scattering angle or frequency dependent?
-Frequency dependent (higher frequencies create a stronger echo) -Little to no angle dependence
26
Do most of our echoes arise from scattering or specular reflectors?
Scattering! It allows for imaging of tissue parenchyma + organ boundaries
27
Do lower or higher frequencies create a coarse or fine speckle pattern?
Lower: coarse Higher: finer - structures are more defined (think higher end gets finer things)
28
What is speckle?
-Form of acoustic noise -Gives tissue a grainy appearance + shows the impression of tissue texture -We must note that this speckle/grainy appearance is just an artifact due to the constructive + destructive interference, it is NOT a representative of true tissue characteristics!
29
Differentiate constructive + destructive interference with speckle?
Constructive: -2 waves superimpose -Higher amplitude Destructive: -2 waves superimpose + partially or totally cancel each other out -Lower amplitude
30
How does constructive + destructive interference result in a speckle pattern?
-Scattered echoes interact with each other causing constructive + destructive interference with the sound waves -This pattern occurs when these signals get added together + we acquire varying degrees of larger + smaller signals
31
Differentiate heterogeneous + homogeneous speckle patterns?
Hetero: -irregular speckle pattern -ex. breast tissue, skeletal muscle, adipose tissue Homo: -uniform consistent speckle pattern -ex. liver, myocardium
32
What is rayleigh scattering?
-Reflecting structures that are very small (with respect to wavelength) -Very weak amplitude/brightness (is the weakest reflective mechanism for imaging, as it is dark/anechoic on 2D imaging)
33
Is rayleigh scattering angle or frequency dependent?
-Frequency dependent (more back scatter with higher frequencies) -Angle independent (b/c it is a scatter reflection)
34
Give an example of rayleigh scattering?
Sound reflecting RBCs (need CD to visualize blood)
35
What is rouleaux flow?
-Clumping of slow flow RBCs -Increases amplitude -This can be a normal finding, or can be an indicator of a hemodynamic problem (such as embolization or thrombus formation)
36
What does rouleaux flow typically look like?
-"Smoke" or "spontaneous contrast" -Commonly seen in veins due to blood pooling (ex. seen in LA or LAA in heart due to thrombus formation)
37
What is the range?
-Distance from probe to an echo generating structure -Can determine the exact location of each echo on its scan line
38
What 2 items of info are required to determine the exact location of each echo on its scan line?
-Direction where the echo came from -Distance to the reflector or scatterer where the echo was produced (the u/s machines can NOT measure distance directly)
39
Depth location is based on that it takes ___ microseconds for every 1cm of round trip travel (to reflector + back to probe)?
13 microseconds (b/c round trip) (6.5 microseconds of travel from probe to reflector only - single trip)
40
What happens if sound travels through mediums with slightly different propagation speeds other than the assumed speed of 1540 m/s?
-When speed of sound is slower or faster, the u/s machine will place that reflector deeper or shallower than reality -Known as speed error artifact (faster = too shallow, slower = too deep)
41
A broken needle with speed error artifacts is referred to as what sign?
The bayonet sign
42
Anything man-made put into the body should be suspected for what type of artifact?
Speed error artifact (ex. needles, pacemakers, mechanical valves, wires, clips)
43
If propagation speed of the medium is higher than 1540 m/s, the echoes will arrive sooner + be placed where?
Too shallow
44
If propagation speed of the medium is slower than 1540 m/s, the echoes will arrive later + be placed where?
Too deep