Test 2: lecture 9 Flashcards

1
Q

benefit of ultrasound vs xray

A

can see slices (parts of the organ)

can see blood flow- real time

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2
Q

what is ultrasound

A

high frequency sound that is produced in cycles and creates waves

2-20 MHz (very high range)

different substances will have a different speed of ultrasound

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3
Q

Each propagation medium has specific characteristics in terms of its ability to ____

A

transmit ultrasound

speed through different materials is different

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4
Q

how is ultrasound produced?

A

piezoelectric effect

transduction from mechanical energy to electrical

pressure waves → electrical (+/-)

electric hits crystal causes release of pulse → goes into patient and is bounced back this hits crystal → electrical and is interpreted

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5
Q

the higher the frequency the ____ the pulse

A

shorter

a 3 cycle long pulse is shorter at 7 MHz than at 3 MHz

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6
Q

Any medium in which ultrasound can be propagated
is characterized by a quantity called ____

A

ACOUSTIC IMPEDANCE. → Z

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7
Q

4 things that can happen to an ultrasound wave

A

Perpendicular specular reflection

Non perpendicular specular reflection and
refraction

Scattering

Absorption (transformation in heat)

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8
Q

perpendicular specular reflection

A

beam hits a new Z at a 90 degree (acoustic impedance→ new tissue with different ability to bounce back)

small amount of beam is bounced back as the reflected echo

rest of beam continues through new substance as transmitted ultrasound

the bigger the difference between the 1st and 2nd substance the bigger the reflected echo

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9
Q

___ helps seeing the border of an organ

A

perpendicular specular reflection → image of interfaces

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10
Q

____ does not contribute to image formation

A

non perpendicular specular reflection and refraction

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11
Q

non perpendicular specular reflection and refraction

A

hits interface between two different Z at an angle → reflected echo bounced back at an angle away from probe → lost in space and does not contribute to image formation

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12
Q

when ultrasound hits a rough interface what happens

A

scattering

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13
Q

two ways to have scattering of the ultrasound

A

beam hits rough interface

beam hits internal structure (small part of the parenchyma)

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14
Q

if you increase the ultrasound frequency what happens to the depth of tissue you can see

A

increased frequency → decrease in depth

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15
Q

The distance D between the transducer and the location where the echo originates from is calculated based on the____using the mean velocity of US in soft tissue: 1540 m/sec

A

TIME OF FLIGHT (T)

D= (c x T)/2

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16
Q

hyper echoing

A

the more bounce back→ the bigger echo→ white on ultrasound

hit a dense object that sound can not pass through easily, most of the sound bounced back as a large each

17
Q

B mode

A

brillance (2D)

gives 2D picture of that is absorbing or bouncing back

each image is the result of the juxtaposition of many contiguous lines and represents a cross section of the patient

18
Q

M mode

A

single line of ultrasound

used to study motion

19
Q

____ ability of the system to display separately scatterers that are close to each other

A

resolution

decrease in space between two = increased resolution

ability to tell the different between two points

20
Q

what happens to penetration and resolution with high frequency

A

high frequency = increased resolution but decreases depth

21
Q

axial resolution

A

the ability to recognize two different objects at slightly different depths from the transducer along the axis of the ultrasound beam

axial resolution= spatial pulse length (SPL)/2

increase SPL= decreased frequency = worse resolution but better depth

decreased SPL= increased frequency= better resolution but decreased depth

22
Q

SPL and resolution

A

increase SPL= decreased frequency = worse resolution but better depth

decreased SPL= increased frequency= better resolution but decreased depth

23
Q

____ the ability to distinguish objects that are side by side

A

lateral resolution

24
Q

at focal distance what happens to lateral resolution

A

focal distance is where the beam becomes smaller (focuses in)

focal distance = increased lateral resolution (can tell the difference between side by side object)

25
Q

doppler effect

A

the frequency of the echo will be different when you hit a moving structure

bounce back will be (original frequency + delta shift in frequency)

26
Q

+ delta shift

    • delta shift
A

+ → moving object moving toward the doppler

  • → moving object moving away from the doppler
27
Q

spectral doppler

A

artery → see flow

28
Q

color coded doppler

A

see flow in an area → away or toward transducer → change in color

red= + = toward transducer

29
Q

Ultrasound is produced by:

A piezoelectric crystal

An electric crystal

A gain device

A speaker

A damping material

A

A piezoelectric crystal

30
Q

Ultrasound cannot be heard by human ears because:

It is an electromagnetic radiation

Its frequency is less than 10,000 Hz

Its frequency is more than 20,000 Hz

Its wavelength is more than 20,000 mm

It is not produced by a speaker

A

Its frequency is more than 20,000 Hz

31
Q

Which of the following does NOT contribute to the formation of a 2D ultrasound image:

Reflection at a rough interface

Interaction of ultrasound with tissue

Scattering by little packet of cells in parenchyma

Heat formation

Perpendicular specular reflection

A

Heat formation

32
Q

Which ONE of the following is NOT a mode of display of ultrasound images?

Color-Doppler mode

B-mode

Spectral Doppler mode

T2-weighted imaging mode

2D mode

A

T2-weighted imaging mode