SPI Flashcards
Bioeffects
Effect of US waves on living organisms, including their composition, function, growth, origin, development, and distribution
Acoustic exposure
The amount of acoustic energy the patient receives
ALARA
As low as reasonably achievable. Used to reduce bio effects in humans and the fetus
Cavitation
Interaction of the sound wave with microscopic has bubbles found in tissues
Epidemiology
Studies of various factors determining the frequency and distribution of diseases in the human community
Ergonomic
Study of the human body at work.
In vitro
Outside living organism
In vivo
In or on living tissue (animal testing)
Mechanical Index (MI)
Describes the likelihood of cavitation occurring
OSHA
An act passed by congress to assure safe and healthful working conditions
Pulse Average (PA)
Average intensity throughout the pulse duration.
For continuous wave, pulse average is equal to temporal peak
Spatial Average (SA)
Average intensity across entire sound beam.
Equal to total power across the beam/ beam area
Spatial Peak (SP)
Peak intensity found across the sound beam
Center
Temporal Average (TA)
Average intensity during pulse repetition period.
Equal to (PA)x duty factor
Temporal Peak (TP)
Greatest intensity during the pulse.
Thermal index (TI)
Relates to the heating of tissue.
FDA regulates
Ultrasound instruments according to the application, output intensities, and thermal and mechanical indexes
AIUM recommends
Prudent use of Ultrasound in the clinical environment by minimizing exposure time and output power
ALARA principle uses
High receiver gain and low output power
Power should be decreased in OB and Pediatric exams
Exposure should be kept to a minimum and benefits must outweigh risks.
Intensity
Power/area
W/cm^2
Varies across sound beam
Intensity is highest
In the center of the sound beam and falls off near the periphery.
Intensity starts
High and decreases near the end of the pulse.
Intensity with pulsed wave Doppler
Is greater than with continuous wave Doppler.
SATA
Spatial Average-Temporal Average
Lowest intensity for a given sound beam
Heat is most dependent to this intensity
Measured during both pulse and receiving time (prp)
SPTA
Spatial Peak-Temporal Average
Used to describe pulse Ultrasound intensities and determine bio effects
Measured during PRP
SAPA
Spatial Average- Pulse Average
Measured during pulse duration
SPPA
Spatial Peak- Pulse Average
Measured during pulse duration
Intensity that occurs during pulse
SATP
Spatial Average- Temporal Peak
Used to describe pulse Ultrasound intensities
The average intensity within the beam at the highest intensity in time
SPTP
Spatial Peak - Temporal Peak
Highest intensity value for a given sound beam
Peak intensity of sound beam in both time and space
Instrument Output
Imaging instruments have lowest output intensity
PW Doppler has highest output intensity
Determined by a hydrophone
Stable cavitation
Involves microbubbles already present in tissue
When pressure is applied microbubbles will expand and collapse
Bubbles can intercept and absorb a large amount of acoustic energy
Transient cavitation
Dependent of the pressure of the ultrasound pulse
May occur with short pulses
Bubbles expand and collapse violently
Aliasing
A misrepresentation of the Doppler shift in a negative direction occurring when the pulse repetition frequency is set too low
Exceeds nyquist limit
Bernoulli effect
Pressure reduction in a region of high flow speed
Bruit
Auscultatory sound within an artery produced by turbulent blood flow.
Clutter
Noise in the Doppler signal caused by high-amplitude Doppler shifts.
Doppler effect
Observed frequency change of the reflected sound resulting from movement relative to the sound source or observer.
Doppler shift
Frequency shift created between the transmitted frequency and received frequency by an interface moving with velocity at an angle to the sound.
Energy gradient
Energy difference between two points.
Flow
To move in a stream, continually changing position and direction.
Gate
Electronic device controlling the transmission or reception of a Doppler signal; size of the gate is determined by the beam diameter, receiver gate length, and length of the ultrasound pulse.
Hemodynamics
Science or physical principles concerned with the study of blood circulation.
Hue color map
The perceived color; any one or a combination of primary colors.
Hydrostatic pressure
The pressure created in a fluid system, such as the circulatory system.
The hydrostatic pressure is zero in supine
When upright the pressure is negative above the heart and positive below the heart.
Nyquist limit
The highest frequency in a sampled signal represented unambiguously; equal to one half the pulse repetition frequency
Doppler packet
Positioning of multiple pulsed Doppler gates over the area of interest.
Peak velocity
Maximum velocity at any given time
Plug flow
Speed is constant across the vessel
Pressure gradient
Difference in pressure required for flow to occur.
Pulsatility index
A parameter used to convey the pulsatility of a time-varying waveform.
Reynolds number
Predicts the onset of turbulent flow
Resistant index
Difference between the maximum and minimum Doppler frequency shifts divided by the maximum Doppler frequency shift.
Sample volume
Electronic device that controls the region of Doppler flow detection.