final pt 2 Flashcards
Empirical approach
searches for a relationship between exposure and response
Contrast: shrinking and swelling
bubbles shrink when exposed to compression and they expand when exposed to rarefaction
What is the primary investigative technique of epidemiology?
reviewing data from patients
What is the intensity most related to tissue heating?
thermal mechanism (TI)
Bioeffects study in nonliving things:
In vitro
What type of transducers cause the least amount of temp elevation in tissues?
(gray scale imaging)
The possibility of patient or technologist shock:
cracked transducer housing and frayed wires
When is it safe to perform an US?
when the benefits outweigh the risks
Electronic component used for gray scale imaging:
scan converters
Know all the preprocessing functions:
TGC
log compression(dB)
write magnification
persistence
spatial compounding
edge enhancement
fill-in interpolation
Know all the processing functions:
any change after freeze frame
black/white inversion
read magnification
contrast variation
3-D rendering
What function steers the scan lines in different directions?
sloped pattern in phased array transducer
(spatial compounding?)
Advantages of PACS systems:
instant access to archived studies
no degradation of data
ability to electronically transmit images and reports to remote sites
Signal from the transducer to the receiver:
pulser-determines amp
beam former-firing patterns
Know the requirements for contrast agents:
safe
metabolically inert(metabolized throughout system, then removed)
long lasting
strong reflector of US
small enough to pass through capillaries
Harmonics vs fundamental frequencies
fundamental-initial freq of probe
harmonics-double the fundamental freq
Acceleration and deceleration of velocities from cardiac contraction:
pulsatile
Acceleration and deceleration of velocities from respiration:
phasic
Flow pattern with normal physiological states:
laminar
Reynolds number for turbulent flow:
> 2,000
What are the effects of a stenosis?
change in flow direction
increased velocity as vessel narrows
turbulence downstream from the stenosis
pressure gradient across the stenosis
loss of pulsatility
Know hydrostatic pressure at all locations:
Supine- all numbers are 0
ankle- 100mmHg
knee- 75mmHg
waist- 50mmHg
mid chest- 0mmHg
top of head- -30mmHg
What is it referred to when the vessel collapses (venous)?
coaptation
Venous flow in the leg decreases, what is the patient doing?
inspiration
What is the Doppler shift when source and receiver are moving apart?
negative Doppler shift
What is the typical range of Doppler shift?
20Hz to 20,000Hz (range of audible sound)
Phenomenon with high velocities appear negative:
aliasing
Five ways to eliminate aliasing:
adjust the scale to its maximum (increase Nyquist limit)
select a new ultrasonic view with a shallower sample volume (increases Nyquist limit)
select a lower freq transducer (decreases Doppler shift)
use baseline shift (aliasing remains but display is more appealing)
use continuous wave Doppler (never aliases, but range ambiguity)
Horizontal access of the Doppler spectrum:
time
What is Doppler shift inversely related to?
propagation speed
Basic Doppler system just identified a freq shift:
(Power Doppler?)
Know traveling towards the transducer and away (Doppler shifts)
towards- positive (arteries)
away- negative (veins)
Primary advantage of pulsed wave
range resolution (being able to select the exact location where velocities are measured)
Primary advantage of continuous wave
ability to accurately measure very high velocities
What is the limitation for color Doppler imaging?
no measurement of velocity or direction
lower frame rate
more time needed to acquire data
reduced frame rate
decreased temporal resolution
What is the area of interrogation for Doppler?
sample volume or gate
What method will have increased sensitivity to low flow states?
Power Doppler
(color Power Doppler?)
Portions of the image that are brighter than surrounding tissues:
hyperechoic
Structures without echoes
anechoic
similar echo characteristics
isoechoic (homogeneous?)
Know the cause for artifacts
violation of assumptions
equipment malfunction or poor design
the physics of ultrasound
operation error
Which artifact has multiple equally spaced parallel lines?
reverbations
Which artifact is unrelated to the US pulse?
refraction
(enhancement?)
Which artifact produces an image with incorrect number of reflectors?
side lobe artifacts, grating lobe, refraction
Two distinct reflectors, one is an artifact, one is deeper than the other:
mirror image
What is the artifact if they are side by side?
side lobe, grating lobe, refraction
(lateral resolution?)
Which artifact creates only one reflection from two reflectors?
Axial resolution
What are lobes created by array transducers called?
grating lobes
Refraction at the edge of circular structure:
edge shadow (shadowing by refraction)
What is it called when there is too much gain in the focal zone?
focal enhancement
Which artifact occurs when you see reflectors at incorrect depths?
speed error or range ambiguity
a grainy appearance
speckle
What artifact occurs when your PRF is too high?
range ambiguity
What artifact is found only with Doppler?
crosstalk
Know about tissue equivalent phantom:
similar to soft tissue
speed of sound
attenuation
scattering characteristics
echogenicity
Know about informed consent:
autonomy
Know about gold standard:
a perfect technique, for ex MRI or angiography, that we deem 100% accurate to which our US results are compared
(all tests confirm the same result: MRI, CT, Xray, US)
Ability to position echoes in their correct position along a distance perpendicular to the sound
(lateral resolution?)
Stratigically located pin cysts in masses, what kind of phantom?
tissue equivalent phantom
Know the intensity imits for unfocused and focused transducers:
unfocused- 100mw/cm2
focused- 1w/cm2
Know the appropriate way to introduce yourself to the patient:
first action when sonographer enters the room
state your name and what type of exam you are performing
Use of more active elements to receive reflections with a greater time of flight:
dynamic apeture
Lateral resolution improves with what?
multi-focusing
(narrower beam, smaller field of view)
Know all about temporal resolution
depends on frame rate, “real time movie”, depth and # of pulses
Know all about spatial resolution
more pixels= more detail ^ line density
Know all about contrast resolution
more shades of gray= better contrast resolution
Know how to calculate the time it takes to make a single image when given the frame rate
Tframe= number of pulses * PRP
Imaging depth is 15cm, with 100 lines. The number of pulses making up the scan is what?
100
Of the receiver functions, which one treats the signal differently due to depth of the reflector?
TGC (compensation)
Output power vs receiver gain
output power:
changes brightness of entire image, alters signal-to-noise, alters patient exposure, bioeffect concerns, decrease this first if image is too bright
receiver gain:
changes brightness of entire image, does not affect signal-to-noise ratio, does not change patient exposure, no bioeffect concerns, increase this first if image is too dark
Mechanical transducer
1 crystal
fan shape (secter)
entire image lost
focusing- fixed lens
steering- mechanical
Linear sequential (switched)
transducer
120-250 crystals
rectangle shaped
drop out (drop down)
focusing-electronic: curved elements and external lens
steering- electronic: phasing
Linear phased array transducer
200 crystals
sector shape
poor steering and focusing
focusing- electronic: curved elements and external lens
steering- electronic: phasing
convex sequential transducer
over 200 crystals
blunted sector shape
drop out of image
focusing- electronic: curved elements and external lens
steering- electronic: phasing
vector transducer
200 crystals
flat top sector (trapezoid)
poor steering and focusing
focusing- electronic: curved elements and external lens
steering- electronic: phasing
3D/4D
over 200 crystals
rectangle shape/checkerboard shape
drop down
focusing- electronic: both in lateral and thickness
steering- electronic: phasing
annular phased transducer
5 crystals- in concentric rings
sector shape
horizontal drop out
focusing- electronic: multiple zones
steering-mechanical: motor physically moves the ringed-element array