Diagnostic Ultrasound Flashcards

1
Q

What are the 3 main equations for acoustic impedance? (z)

A

z = P/v (P = local pressure, v = local particle velocity)
z = pc (pressure x velocity)
z = sqrt(pk) (sqrt(pressure x stiffness))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the symbols for density, stiffness and acoustic impedance?

A

p, K, Z

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Generally, what is the factor of difference between the strongest and weakest echoes returning?

A

10 **5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the Doppler Equation?

A

fr = 2 ft v/c cos(theta)D

fr = frequency received
ft = frequency transmitted
v = target velocity
c = speed of sound (1540)
fD = Doppler frequency of Doppler shift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the technical name for a Doppler Waveform Display?

A

Sonogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the mathematical algorithm that converts the time domain of a sonogram to frequency?

A

Fourier transform

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How would you describe slow moving blood flow in a normal vessel?

A

Parabolic flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the amplitude of the Doppler signal depend on?

A

The number of RBCs reflecting back the signal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the greyscale spectrum divided into?

A

Frequency bins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a disadvantage of CW Doppler?

A

Multiple vessels within the relatively large sample volume will be detected together and superimposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is an advantage of CW Doppler?

A

It has no velocity limit - can detect very high velocities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is range gating?

A

Only detecting signals from a particular depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does sample volume depend on?

A

Pulse length and range gate length

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What condition needs to be met to detect the Doppler frequency?

A

The wave must be sampled at least twice in each period - this is known as the Nyquist Limit
- PRF = 2.fmax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What happens when a wave is sampled at less than twice per time period?

A

Aliasing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How can the maximum velocity of particles detected without aliasing be increased?

A

Decrease transmit frequency or depth

17
Q

What happens to maximum particle velocity detected without aliasing as depth increases?

A

This decreases

18
Q

How many cycles do PW Doppler pulses usually consist of?

A

6 - 7 cycles per pulse

19
Q

What happens to bandwidth as pulse length increases?

A

It becomes narrower

20
Q

What phenomena describes how a shorter pulse length (e.g. to look at narrow region of vessel) causes Doppler frequencies to become less well defined?

A

ISB - Intrinsic Spectral Broadening

21
Q

What is ISB?

A

A single target moving at velocity v will produce a range of Doppler frequencies, not just 1. This is related to the US scanner’s construction and cannot be avoided

22
Q

What are the 2 explanations of ISB?

A

1.Transmitted pulses have a finite bandwidth and produce a range of velocities.
The shorter the pulse, the greater the pulse bandwidth, hence the greater the ISB.

  1. The beam is produced by a transducer of finite width. There will be a range of Doppler angles - producing a range of Doppler frequencies
23
Q

What factors increase ISB?

A
  1. A very short range gate
  2. A short pulse length
  3. A very narrow beam
  4. Larger Doppler angles of Ionisation i.e. closer to 90 degrees
24
Q

Why do we not use angles of <45 degrees for PW Doppler?

A

At shallow angles, there is poor penetration of ultrasound into the vessel lumen - can cause errors in velocity measurement

25
What is wall thump?
Echoes from vessel wall can reflect much stronger than from the blood in the lumen
26
How is wall thump reduced?
Using a high-pass filter to remove the low frequencies of the wall signal
27
Why do we reduce the steer of the colour box or PW direction at depth?
To improve penetration of the signal
28