Sound Waves Part 3 Flashcards

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1
Q

Interactions of US with Tissue

A beam of ________ is produced outside the patient’s body

The xrays are subsequently ________ (absorbed and scattered) as they pass through tissue

Ultimately, the transmitted ________ are recorded on film

For diagnostic US, the recorded image is based on the ________, not transmitted energy

A

X-ray
Attenuated
Photons
Reflected

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2
Q

The device that generates US waves and then detects the reflected energy is the ________

US wave is directed into the body to interact with ________, each tissue on its own characteristic way

Results of these interactions are then recorded for diagnosis in the form of ________ US

Sound may be:

________ - ________ - ________

A
Transducer
Tissues
Reflected
Incident
Transmitted 
Reflected
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3
Q

________ is the major interaction of interest

4 factors affecting reflected echo strength

________ = the junction of two media with different acoustic properties

________ of incidence = the angle from the normal (perpendicular or 90 degrees) at which the sound beam strikes the interface

________ / Normal incidence = a sound beam (incidence sound) intersects a smooth surface ( the boundary between two tissues). Larger than the width of the beam, at 90 degrees

________ incidence = a sound beam that intersects a smooth surface larger than the width of the beam, at less than 90 degrees (NOT perpendicular)

A

Interface
Angle
Perpendicular
Oblique

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4
Q

4 factors affecting reflected echo strength

Sound Attenuation

Sound __________ = The decrease in strength/intensity as a beam traverses a medium; the reduction in the intensity (amplitude) of an US beam as it travels through a medium; the weakening of sound as it propagates

Encompasses ________, ________, and ________; reflection may be included

Attenuation limits imaging ________ and must be compensated for

Sound ________ = the conversion of sound to heat; it is normally the dominant contribution to attenuation (in ST)

A
Attenuation
Absorption
Scattering
Divergence
Depth
Absorption
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5
Q

Attenuation

How loud is too loud?

Noise-induced hearing damage is related to the duration and volume if exposure. Government research suggests the safe exposure limit is _____ decibels for eight hours a days. Some common decibel levels:

Raindrops = 40 dB
Normal conversation = 60 dB
Busy city traffic = 85 dB
Hair dryers = 90 dB
Rock concerts = 105 dB
Chainsaws = 110 dB
An iPod at peak volumes = 115 dB
Jack hammers = 120 dB
Gunshot, fireworks = 140 dB

for ST:
Attenuation (dB) = 1/2 x _____ (MHz) x _______ (cm)

As frequency _______, attenuation _______
As pathlength _______, attenuation _______

ST = 1/2 ____/____/____

for a 1 MHz transducer, ____ dB of intensity is lost for ____ cm of travel

A
85
frequency
pathlength
increases
increases
increases
increases
dB
cm
MHz
1/2
1
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6
Q

4 Factors Affecting Reflected Echo Strength

_______ = The spreading out of a beam that results from a source of small physical dimensions or diffraction or scattering. Divergence degrades the US image by creating a loss of beam intensity and decreasing Lateral Resolution ( = beam width)

Rate of divergence increases

  • As the distance from sound source _______
  • As the diameter of sound source _______
  • Frequency of the sound source _______
A

Divergence
increases
decreases
increases

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7
Q

The magnitude of a cyclic variations gives an idea of the strength of _______

_______, _______, and _______ are the parameters relevant

A

sound
amplitude
power
intensity

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8
Q

Amplitude

Relates to the _______ of the sound wave

Equals the maximum variation of an _______ variable; maximum value minus the normal value; difference between average value and maximum value

NOT the difference between _______ and _______ values

Units are any unit of an acoustic variable

  • temperature = _______
  • pressure = _______ (Pa, MPa)
A
strength
acoustic
maximum
minimum
degrees
pascal's
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9
Q

Power

Rate at which _______ (capability of doing work) is transmitted; rate at which work is done; rate of energy flow over ENTIRE beam

Unit = _______ (W), _______ (mW)

Relates to the _______ of the sound wave

A

energy
watts
milliWatts
strength

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10
Q

Intensity

The concentration of _______ in a sound beam

The _______ of the beam divided by the beam’s cross sectional area

Relates to the _______ of the sound beam

_______ (Watts) per unit area (m^2)

Unit = W/m^2, mW/cm^2

A

energy
power
strength
power

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11
Q

Relationship Between Amplitude, Intensity, Power

Determined by the _______ source
Changes as they propagates through the body

Intensity is proportional to _______

Power is _______ = Intensity is _______
Power is _______ = Intensity is _______

Intensity is proportional to the wave’s _______ SQUARED

Amplitude is _______ = Intensity is _______
Amplitude is _______ = Intensity is reduced to _______-_______ of its original value

Power is proportional to the wave’s _______ SQUARED

A
sound
power
doubled
doubled
halved
halved
amplitude
Doubled
quadrupled
quatered
one-sixteenth 
amplitude
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12
Q

4 Factors Affecting Reflected Echo Strength

Acoustic Impedance

The measure of ________ to sound traveling through a medium

Specular Reflectors

________ interfaces, ________ then the beam width

Produce ________-intensity, ________ reflections

Very ________ dependant

These are responsible for major organ outlines as seen by US; ________, ________

A
Resistance
Smooth
Larger
High
Unidirectional
Angle
Diaphragm
Pericardium
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13
Q

NonSpecular

________ - Tiny, punctate reflectors that scatter a small portion of the beam in almost all directions

________ Reflectors - may be scattered by a rough boundary between tissues or within tissues due to their heterogenous character.

________ provide the US texture within organs

Very ________ dependant

RBCs are a specific type of scattered called ________ scatterers

A
Scatterers
Diffuse
Scatterers
Frequency
Rayleigh
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14
Q

4 Factors Affecting Reflected Echo Strength

The degree of ________ impedance mismatch

Inherent ________ of the incidence ultrasound beam

The ________ at which the US beam strikes a reflecting surface

________ of the reflector

A

Acoustic
Strength
Angle
Size

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15
Q

Degree of Acoustic Impedance Mismatch of the Materials Making up the Reflecting Interface/Boundary

Acoustic Impedance

The measure of ________ to sound traveling through a medium

Unit = kg / m^3 / s or simply, the Rayl

Impedance = Density (kg/m^3) x Prop Speed (m/s)

Z = pc

Determined by the ________

Density ________ - Impedance ________
Prop Speed ________ - Impedance ________

Impedance is ________ PROPORTIONAL to Density and/or Propagation Speed

Acoustic Impedance

In Perpendicular incidence the amount of sound reflected depends on: incident ________ and ________ Mismatch of the 2 Media

No impedance difference = No ________

________ in impedance difference - ________ in reflection

The difference in acoustic impedance causes some portion of the sound to be ________ at an interface, which allows visualization of ST structures with US

A
Resistance
Medium
Increase
Increase
Increases
Increases
Directly
Intensity
Impedance
Reflection
Increase
 Increase
Reflected
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16
Q

Inherent Strength of the Incidence Ultrasound Beam

A powerful US pulse generates stronger ________ than week pulse

Why not use strong pulses always?

If ________ are too strong they overwhelm the US receiver causing a “white out”

Excessive beam strength can cause ________ damage

Excessive beam strength could generate ________ perceptible to the patient

A

Reflections
Echoes
Tissue
Heat

17
Q

Angle at which the US Beam Strikes a Reflecting Surface

To obtain maximum detection of the reflected signal, we must orient the transducer so the generated sound beam will strike an interface ________

A

Perpendicularly

18
Q

Size of the Reflector

Significantly affects strength of an US reflection; fall into 2 classes

Specular Reflectors

________ interfaces, ________ than the beam width

Produce ________-intensity, ________ reflections

Very ________ dependant

These are responsible for major organ outlines as seen by US; ________, ________

Scatterers

Tiny, punctate reflectors that ________ a small portion of the beam in almost all directions

________ provide the US texture within organs

Very ________ dependant

RBCs are a specific type of scatterer called ________ scatterers

A
Smooth
Larger
High
Unidirectional
Angle
Diaphragm
Pericardium
Scatter
Scatterers
Frequency
Rayleigh
19
Q

The B-Mode Display and “One” and “Two” Dimensional Displays

B-Mode Display

All standard ultrasound images are _______ modulated, or “B-Mode” images

Bright dots, or _______ (short for picture element) make up the picture

The _______ shade or brightness of each pixel is modulated (adjusted) in proportion to the strength or amplitude of each echo

The location of the dot relates to the _______ of the reflecting structure

One and Two Dimensional Displays

The B-mode display from a single US crystal is a ____-dimensional series of bright dots; this is an “ice-pick” or “searchlight” view

A single “ice-pick” line of B’mode information is of little application; however if the information can be stored in memory and multiple lines added to it then a ____ dimensional image (width and height) can be formed = B-scan

A
brightness
pixels
gray
depth
one
two
20
Q

One and Two Dimensional Displays

With _______ array (contains multiple elements that can be fired singly or in groups) devices, multiple “ice-pick” views are lined up side-by-side, like the teeth of a comb

The elements of a linear array are fired beginning at one end and proceeding to the other, resulting in a series of “echo lines” that collectively are called a _______

When the frame is complete, it is displayed on a TV screen, and the process of accumulating a new set of _____ “lines” begins again

In summary; each frame of an US image is made of individual scan lines; a single scan line is created by a _______ from the transducer

When several frames are acquired and presented in each second of time, it is called _____-time or _______ display

A
linear
frame
echo
pulse
real
dynamic
21
Q

Temporal Resolution
The Ability to Evaluate Rapid Motion

The ability to distinguish closely spaced events in time; improves with _______ frame rate’ scanning speed is expressed as the frame rate and is closely related to temporal resolution

The _______ the frame rate, the better the ability to image rapidly moving structures, to overcome patient motion artifacts (breathing), perform rapid survey scans of a region

When discussing frame rate, consider:

Each frame is made up of multiple _______ lines

Each scan line requires a _______

After each pulse, the system must wait to collect all echoes emerging from that line; the amount of wait time is _______ dependant on the maximum depth setting

Each _______ on each scan line requires a pulse

A
increased
higher
scan
pulse
directly
focus
22
Q

Temporal Resolution
Abbreviations, Definitions, Terms used to define scanning speed limitations

PRF = _______ _______frequency = number of pulses per second

FR = _______ rate - The number of frames or images created each second; reported in units per second or Hz

LPF or N = Number of _____ per frame - Each frame of an US image is made of individual scan lines; a single scan line is created by a pulse from the transducer

NF = Number of _______ regions - Each focal zone along a particular line of site requires an individual pulse

P or R = Image _______/maximum depth of _______ - Depth of the frame; Not how deep the anatomy is displayed on the frame

The relationship of lines per frame, frame rate, number of focuses and maximum imaging depth (ST) is

P x LPF x FR x NF < 77,000

77,000 is a constant - it never changes

if, PRF (Hz) = LPF x FR x NF

then,

P x PRF < 77,000

An improvement in any parameter must be at the expense of another parameter

A
pulse repetition
frame
lines
focal
depth
penetration
23
Q

Transducer Types

Multiple Element Construction

Arranged in construction as

_______ - _______ - _______

Multiple Element Operation

Arranged by operation as

_______ / _______ / _______ - _______ - _______

Multiple Element Construction
Arranged in construction as
Linear - Curvilinear - Annular

_______ Array = Multiple small rectangular crystals in a straight row = a wavelength wide

Curved/Convex/_______ Array = Multiple small rectangular crystals about a wavelength wide, in a curved row arranged along an arc

_______ Array = Elements are concentrically arranged ring

A
Linear
Curvilinear
Annular
sequenced
switched
segmental
vector
phased
linear
curvilinear
annular
24
Q

Transducer Types

Multiple Element Operation
Arranged by operation as
Sequenced / Switched / Seqmental - Vector - Phased

Sequenced / Switched / Segmental

Each Crystal or group produces an US beam and receives the returning echo along ____ line of sight

Vector

Scan lines originate from different points across the top of display and travel out in different directions

Transducers have a flat _____ and small _____ print

Image similar to _______ array

Phased

Contains compact line of elements, each about ____ wavelength wide

All crystals excited at or nearly at the same time (less than ____ ms time difference)

Entire array produces ____ line of sight each time the crystal elements

Resulting _____ pulse sent in specific direction

A
one
face
foot
convex
1/4
1
one
sound
25
Q

Transducer Care and Maintenance

Heat Sterilization

If heated above the Curie temperature, depolarization of transducer will occur resulting in loss of _______ properties

Check manufacturer for preferred agents for _______ and _______

Dropping / Impact

May damage _______ interior

Cracked transducer surface may lead to _______ shock

Cable Damage

Damage may lead to loss of _______, Intermittent operation, and/or excessive _______ noise on the display

A
piezoelectric
cleaning
sterilization
probe
electrical
sensitivity
electrical
26
Q

Basics of Beam Formation, Steering and Focusing

Many US instruments utilize a “phased-array” US crystal to _______, _______, and _______ the US beam

Each crystal elements produces a “wavelet” , or little US wave; the wavelets merge at a short distance from the crystal to form a unified “____-front”

A

create
steer
focus
wave

27
Q

Beam Steering

Performed to sweep US beams over a scanned volume during imaging require transmission _____ delay lines

Time Delays are accomplished by offsetting the firing of crystals by small _____ delays (10^-9 sec)

Array transducers produce only ____ line of sight each time the elements are excited

The beam must be steered throughout the _____ of view to allow data collection along different lines of sight

Direction of the ____ is changed electronically by altering the excitatior sequence of the crystal elements

A
time
time
one
field
beam
28
Q

Beam Steering

Time delays associated with beam steering are longer than _______, but less than microseconds

Greater the difference in delays, the _______ the sector angle

A

nanoseconds

greater

29
Q

Beam Focusing

Performed to improve lateral resolution and slice thickness; improves _______ resolution within the focal zone

Because most crystals in an array belong to multiple firing groups, focusing requirements cannot be achieved by _______ means

Phasing, using time delay lines, is usually performed to _______ the beam

Accomplished by offsetting the firing of crystals by _______ time delays (10^-9 sec)

A

spatial
mechanical
focus
small