Chapter 21 Flashcards
Artifact = Error in Imaging and includes reflections that are:
Not Real
Not seen on the image
Not of correct size or shape
Not of correct brightness
Causes of artifact
Violation of assumptions
Equipment malfunction or poor design
The physics of ultrasound
Operator error
Hyperechoic:
tissues that appear brighter than normal
Hypoechoic:
tissues that appear less bright than normal
Anechoic:
an extreme form of hypoechoic meaning without echoes or echo free
Isoechoic:
structures with equal echo brightness
Homogenous:
tissue that has similar echo characteristics throughout
Heterogenous:
tissue that has differing echo characteristics throughout
6 imaging assumptions
-Sound travels in a straight line
-Sound travels directly to a reflector and back
-Sound travels in soft tissue at exactly 1,540 m/s
-Reflections arise only from structures positioned in the beam’s main axis
-The imaging plane is very thin
-The strength of a reflection is related to the characteristics of the tissue creating the reflection
Reverberation
-appears on the display as multiple, equally spaced echoes
-caused by the bouncing of the sound wave between a strong reflector and the probe or two strong reflectors positioned parallel to the beam
Characteristics of Reverberation
Appears in multiples
Appears equally spaced
Located parallel to the sound beam
Located at ever increasing depths
Comet Tail
Closely spaced reverberations merge i.e. “the spaces are squeezed out”
Solid hyperechoic line directed downward
AKA ring down artifact
Shadow
Hypoechoic or anechoic region extending downward from a very strong attenuating medium
Edge Shadow
Special form of shadowing that appears as a hypoechoic region extending along the edge of a curved reflector
AKA shadowing by refraction
Enhancement
Appears as a hyperechoic region beneath tissues with abnormally low attenuation (cystic or fluid filled structures)