Physics of Ultrasound Flashcards

1
Q

Define: sound

A

A mechanical wave that propagates through a medium

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2
Q

Discuss the interaction of sound with matter

A
  • Energy at the sound source produces vibrations which are carried by a longitudinal wave through matter to a receptor
  • Can NOT propagate through a vacuum
  • Amplitude, power, and intensity of sound wave all decrease as it travels through a medium as time and distance increase
  • Propagation speed - velocity of sound through a medium
    • all travels the same (regardless of frequency or source) through a specific medium
      • Density increases → speed decreases
    • Soft tissue = 1540 M/sec
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3
Q

Define: sound wave

A
  • Caused by particle vibration
    • Energy movement, not molecule movement
    • Requires a medium (can’t happen in vacuum)
  • Mechanical wave
    • specifically, a longitudinal wave - particles of the medium move parallel (in the same direction) as the motion or energy
  • Movement of the wave is caused by a series of compressions (areas of high pressure) and rarefactions (areas of low pressure) which creates a rhythmic and cyclic wave
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4
Q

Define: frequency

A

Number of cycles per 1 second

  • Determined by sound source
  • Inversely related with period (time it takes for one cycle to occur)
  • Unit: cycles/second or Hz
    • 1 cycle/sec = 1 Hz
    • 1000 cycles/sec = 1kHz
    • 1,000,000 cycles/sec = 1 MHz (megahertz)
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5
Q

7 parameters of a sound wave

A
  1. Wavelength- one compression + one rarefaction
  2. Period- the time it takes for one cycle to occur
  3. Frequency- the number of cycles per second, inversely related with period
  4. Amplitude*- loudness
  5. Power*
  6. Intensity*
  7. Propagation Speed- is the speed at which a sound wave travels through a medium

* refers to size/strength of wave

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6
Q

Define: amplitude

A
  • Strength of a sound wave by describing the magnitude of the wave
  • Measured by the difference between the maximum value of an acoustic variable and the baseline (average)
  • Initially determined by the source, but decreases as a wave propagates through tissue
  • Varies due to temp, pressure, and medium characteristics
  • Units: most commonly measured in decibels (dB) but can be reported in any unit of an acoustic variable
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7
Q

Define: acoustic impedance

A
  • Differences in transmissions due to tissue types
  • Greater difference → higher reflection → lower transmission through interface
  • Ie Air:Tissue = 100% reflected
  • Use coupling agent to reduce acoustic impedancebetween room air and skin surface
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8
Q

Define: attenuation

A
  • Decrease in amplitude/power/intensity with increase in travel distance
  • Can cause artifact
  • 4 mechanisms
  1. Absorption - converted to heat (greatest contributer to attenuation)
  2. Reflection - return to source (transducer), perpendicular incidence, two media have different impedances
  3. Refraction - bends or changes angles as it passes through tissue, not perpendicular to interface
  4. Scattering - increases with higher frequencies, permit imaging of parenchyma, sound strikes scatterers, scatter waves interact with each other, send back to transducer
  • Example:
    • High attenuation:
      • Bone
      • No thru transmission, shadows
    • Low attenuation
      • Water
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9
Q

Define: transducer

A
  • Anything that converts one type of energy into another
    • Examples:
      • Lightbulb - converts electrical energy to heat/light
      • Muscles - converts chemical energy into mechanical energy
      • Headphones- converts electrical energy to sound
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10
Q

Define: piezoelectric crystal

A
  • Special crystal in ultrasound transducer: when force (high frequency vibration) is applied to a crystal →excitation of molecules → electric charge
  • The charge can be detected, and amplified, and interpreted by the system
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11
Q

List and describe the components of an ultrasound transducer

A
  1. Electric connector - transmits electric signals to and from the unit
  2. Housing- protects the sonographer and patient from electrical shock and houses the transducer components
  3. Damping material - absorbs extra energy to reduce the pulse length (crystal ringing or noise) → improves image resolution
  4. Electrode - captures/exerts the electric charge either stimulating or produced by the crystal
  5. Piezoelectric crystal - thickness and material propagation speed determines operating frequency of the transducer
  6. Matching layer - decreases the amount of impedance mismatch between the transducer and the patient’s skin
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12
Q

Types of transducers

(electronic)

A

LINEAR

  • Produces rectangular shaped image
  • Elements fired in small groups in sequence
  • Often used in vascular and small parts, high-resolution OB
  • Tend to have mid range- higher frequencies
  • PEARLS: high resolution, short focal depth, great for superficial structures
  • PITFALLS: poor penetration as we look at structures deeper in tissue

CURVED

  • Curved image shape
  • Firing is sequenced
  • Electronically focused
  • Used for Abdominal, OB, Gyn
  • Tends to have lower frequencies
  • PEARLS: Great penetration, good “general use” probe
  • PITFALLS: Not as much detail resolution of some structures

ENDOCAVITY ARRAY

  • Curved image shape
  • Used for GYN, OB (especially early OB), and endo-rectal imaging
  • Tends to have highest frequencies
  • PEARLS: Great resolution, ability to visualize structures that cannot be seen transabdominally
  • PITFALLS: Slightly more invasive, limited range of motion, limited penetration on some patients
  • PROBES MUST ALWAYS BE COVERED WHILE IN USE AND DISINFECTED WITH HIGH LEVEL DISINFECTANT
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13
Q

Define: refraction

A

Bends or changes angles as it passes through tissue, not perpendicular to interface

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14
Q

Define: resolution

A
  • Ability to delineate 2 closely related objects
  • 2 types
  1. Lateral - perpendicular to main axis of beam. Varies by depth and focal length.
  2. Axial - along main axis of beam. Independent of depth, but related to the pulse length of wave
  • Low resolution → artifact (loss of detail) and two separate structures may be displayed as one
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15
Q

Define: dynamic range

A

aka contrast resolution?

  • the difference between the largest and smallest amplitudes within a signal
  • Is the distribution of the grayscale of the reflected signal
  • Low dynamic range image appears “black and white” with only a few “in-between” grayscale levels
    • Too low and image compression occures
  • High dynamic range image has more shades of grey, are often “softer,” and have more preserved subtleties in the image presentation
    • Too high and image lacks contrast needed for diagnosis
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16
Q

Echogenicity

A
  • Amplitude of a reflector
  • On an ultrasound image this is displayed as shades of gray with the highest amplitude echoes the brightest, and the lowest amplitude echoes the blackest
17
Q

Define: gain

A
  • Compensates for attenuation
  • 2 types of adjustments
    • Overall gain - increases or decreased the “brightness” or echogenicity of an entire image
    • Time gain compensation or TGCs - increase or decrease the gain at a corresponding depth in your image
  • Ideally adjusted to demonstrate the “blackest blacks” while preserving the echoes of midrange grays
18
Q

Name 3 types of artifact

A
  • Enhancement
    • Increase amplification of reflectors that lie behind a poorly attenuating structure (bladder)
  • Shadowing
    • No thru transmission of Sound wave
    • Bone/air
  • Reverberation
    • Produced by multiple reflections
    • Sound bounces back and forth between two strong reflectors
    • Top of fluid pocket or bladder
19
Q

Doppler effect

A
  • Effect of differing frequencies with motion.
  • Commonly heard when a vehicle sounding a siren or horn approaches, passes, and recedes from an observer.
  • Received frequency is higher (compared to the emitted frequency) during the approach, it is identical at the instant of passing by, and it is lower during the recession
20
Q

Define beam intensity and describe potential bioeffects

A

Intensity - the concentration of the energy in the cross-section of the sound beam. Directly related to power and amplitude

Bioeffects

  • Thermal hazard - absorption of the sound beam is the conversion of sound energy to heat
    • Monitored on the ultrasound unit at thermal index or TI
  • Cavitation - for areas of the body where gas bubbles are present, vibrations from sound waves can excite these gas bubbles → burst and potentially damage surrounding tissues
    • Monitored on the ultrasound unit as mechanical index or MI (< 1.9 ok)
21
Q

Define: Megahertz

A
  • 1,000,000 cycles/sec = 1 MHz
  • measure of frequency
22
Q

Define: transmission

A
  • The amount of sound that passes through the tissue
  • Useless in diagnostic medical ultrasound where image production relies on reflection back to the probe
23
Q

Assumptions of imaging system

(artifact results if any are not true)

A
  1. 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/s.
  4. Reflections arise only from structures in the beam’s main axis.
  5. The imaging plane is very thin.
  6. The strength of the reflection is related to the characteristics of the tissue.