Physics Ch 21 Flashcards
An error in imaging
artifact
Causes of artifacts (4)
violation of assumptions, equipment malfunction, physics, operator error
Portions of an image that are brighter than surrounding tissues
hyperechoic
Portions of an image that are not as bright as surrounding tissues
hypoechoic
Without echoes
anechoic
Structures with equal echo brightness
isoechoic
A portion of tissue or an image that has similar echo characteristics throughout
homogenous
A portion of tissue or an image that has differing echo characteristics throughout
heterogenous
Artifacts appear when the assumptions are
not true
What are the 6 assumptions
- sound travels in a straight line 2. sound travels directly to a reflector and back 3. sound travels in soft tissue at exactly 1540 m/sec 4. reflections arise only from structures positioned in the beams main axis 5. imaging plan is very thin 6. strength of a reflection is related to the characteristics of the tissue creating the reflection
Appear on the display as multiple, equally spaced echoes caused by the bouncing of the sound wave between two strong reflectors positions parallel to the us system
reverberation
What assumption is not true with reverberation
2 sound travels directly to a reflector and back
Type of reverberation (ring down artifact) created when closely spaced reverberations merge
comet tail
Which assumption is not true with comet tail
2 sound travels directly to a reflector and back
Reverberation is located _____ to the sound beam main axis and at ______
parallel, increasing depths
Comet tail is located _____ to the sound beams main axis
parallel
Appears as a hypoechoic or anechoic region extending downward from a HIGHLY ATTENUATING structure
shadowing
Shadowing is _______ to the speed of sound in soft tissue
completely unrelated
Shadows are the same color as the image background, reflections missing are behind a _________ structure
highly attenuating
What assumption is not true with shadowing
6 strength of a reflection is related to the characteristic of the tissue creating the reflection
Type of shadowing (shadowing by refraction)
edge shadowing
Appears as a hypoechoic region extending down from the edge of a curved reflector
edge shadowing
What assumption is not true with edge shadowing
6 strength of a reflection is related to the characteristic of the tissue creating the reflection
Results when the beam spreads after striking a curved reflector
edge shadowing
Prevents visualization of true anatomy of the scan
edge shadowing
Appears as a hyperechoic region beneath tissue with abnormally LOW ATTENUATION
enhancement
Enhancement is completely _____ to the speed of sound in the tissue
unrelated
What assumption is not true with enhancement
6 the strength of a reflection is related to the characteristics of the tissue creating the reflection
Hyperechoic, result of too little attenuation, located beneath a structure with abnormally LOW attenuation
enhancement
Type of enhancement, focal banding, side to side region of an image that appears brighter than tissues at other depths
Focal enhancement
Has the appearance of incorrect use of TGCs
focal enhancement
In focal enhancement, where is focal banding most prominent and why
at the focus, where the sound beam intensity is greatest
What assumption is not true with focal enhancement
6 the strength of a reflection is related to the characteristics of the tissue creating the reflection
Hyperechoic side to side region, results from increased intensity at the focus
focal enhancement
Created when sound reflects off a strong reflector and is redirected toward a second structure. The redirection causes a replica of the structure to incorrectly appear on the image
mirror image
This artifact is located deeper than the real structure
mirror image
Another name for mirror image that is seen with color and spectral doppler
crosstalk
What assumption is not true with mirror image
1 sound travels in a straight line #2 sound travels directly to a reflector and back to the transducer
Second copy of a true reflector, a bright reflector lies on a straight line between the artifact and the transducer
mirror image
In mirror image, the true reflector and artifact are
equal distances from the mirror
Created when a sound wave propagates through the medium at a speed other than that of soft tissue. The correct number of reflectors are displayed, but they appear at different depths
Speed error/prop speed error
Speed errors appear as a ______ as if structures are _____ or ______
step off, split, cut
What assumption is not true with speed error
3 Sound travels in soft tissue at exactly 1540 m/s
Correct number of reflectors, improper depth, appears as a step off
speed error/prop speed error
In speed error, when the medium’s speed is slower than average speed in soft tissue (3)
go-return time is longer, reflectors placed too deep on image, distances are overestimated
In speed error, when the medium’s speed is faster than average speed in soft tissue (3)
go-return time is short, reflectors are located too shallow on the image, distances are underestimated
This artifact appears when the sound energy is transmitted in a direction other than along the beams main axis
lobes
Lobe artifacts degrade _____ resolution
lateral
Lobes are weaker than the primary beam and do not typically
create reflections that appear on an image
Can lobes create a reflection ever? When?
Yes, when a strong reflector is in the path of the lobe
What assumption is not true with lobe
4 reflections only arise from structures positioned in the beams main axis
Lobes are located
side by side and at the same depth
Lobes created by mechanical probe are called
side lobes
Lobes created by array transducers are called
grating lobes
How to reduce grating lobes
subdicing, apodization
Dividing the PZT element into small pieces
subdicing
An extension of subdicing where elements are applied at different voltages-elements close to the center of the sound beam are excited with higher voltages, while the outermost elements are excited with lower voltages
apodization
Created when a sound pulses changes direction during transmission
refraction
Refraction occurs when a sound wave strikes a boundary with ______ and the media has ______. AKA _____
oblique incidence, different prop speeds, “transmission with a bend”
Refraction artifact degrades _____ resolution
lateral
What assumption is not true with refraction
1 Sound travels in a straight line
Related to dimension of the beam that is PERPENDICULAR to the imaging plan
slice thickness
What are the other names for slice thickness
section thickness, partial volume
Slice thickness artifact is involved with
elevational resolution
Elevational resolution is determined by the thickness of
the imaging plane
What assumption is not true with slice thickness
5 the imaging plane is very thin
The true reflector lies either above or below the assume imaging plan, but is displayed within the image. FILLS IN FLUID FILLED STRUCTURES
slice thickness
Reducing slice thickness artifact involves
using a 1 1/2 dimensional array transducer which provides a thinner imaging plane
Occurs when a pair of side by side reflectors are closer than the width of the sound beam
lateral resolution artifact
What is another name for lateral resolution artifact
point spread artifact
Lateral resolution artifact reflectors are also called
point spread artifact
Lateral resolution reflectors are positioned _____ and depend on _____
perpendicular to the sound beam, beam width (least likely to occur at the focus where the beam is the smallest)
_____ occurs when a long pulse strikes two closely spaced structures ____ to the sound beam and only ____ will appear on the image
axial resolution, parallel, one reflection
Reducing axial resolution artifact involves
higher frequency transducer (shorter pulses, less ringing)
Created when sound pulses glance off a second structure on the way to or from the primary reflector. As a result, the transmit path length differs from the return path length
Multipath artifact
What assumption is not true with multipath artifact
2 sound travels directly to a reflector and back
Subtle nonspecific changes that cannot be explicitly identified on the image
multipath artifact
When sound beam strikes a curved or oblique reflector, some of the reflected sound may be directed away from the transducer. The amplitude of the reflection received by the transducer may be less than expected
Curved and Oblique reflectors
Reflections may be absent on the image, may appear too weak on the image, may appear different from other similar reflecting boundaries
curved and oblique reflectors
Results in less accurate positioning of moving reflectors
temporal resolution artifact
Spatial resolution is related to
overall detail
Spatial resolution is determined by
line density, axial/lateral resolution
With spatial resolution and high line density, greater number of _______ per frame and _______, the image exhibits great detail and the spatial resolution is _____
horizontal scan lines, high pixel density, exceptional
With spatial resolution and low line densit, the imafe exhibits _______ and the spatial resolution is _____
less detail, poor
Occurs when a reflecting structure is located deeper than the imaging depth of the image. This reflector is placed at a shallow location on the image
range ambiguity artifact
Small amplitude choes and results from many sources (including electrical interference, signal processing and spurious reflection)
noise
Noise is more likely to affect ______ hypoechoic regions rather than bright echogenic areas
low level
What are the two types of noise
speckle, clutter
Results from constructive and destructive interference of small sound wavelets. Give image a grainy appearance, especially in shallow portions of an ultrasound image
Speckle
Presence of false echo signals arising from locations outside of the main sound beam. Side lobes, grating lobes and section thickness artifact are sources of this
Clutter
Reducing noise involves using
harmonic imaging
The goal of harmonic imaging is to selectively distinguish meaningful _________ and this _____ the signal-to-noise ratio
reflections from noise, increases