Test Material Flashcards

1
Q

What happens to the Doppler frequency shift when the beam angle changes relative to the vessel axis? Describe what happens when the angle:

a. increases
b. decreases
c. is perpendicular to the vessel axis

A

a. decrease
b. increase
c. no Doppler shift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

a. What happens to the spectral waveform as the sample volume is moved from wall to wall passing through the center stream?
b. What happens to the spectral waveform as the sample volume size (axial dimension) is increased in a normal cardiac waveform.

A

a. When it hits the wall the window is filled in and fuzzy and the velocity is lower. Center less filled in window with nice crisp window and the peak will increase will be true peak.
b. Spectral trace more broad, less crisp window, window filled in.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

With the spectrum analyzer set to a velocity scale, what will happen to the following when the angle cursor is rotated from 0 degrees and a calculation package is adjusting the velocity?

a. the spectral waveform?
b. to the velocity scale, hence the measurement of peak velocity of the waveform? Why?

A

a. If angle is guessed correctly the true velocity will be displayed as the calc compensates for angles not at zero. if angle is guessed wring velocity could be falsely large or small.

b.

  • Scale adjusts as angle correct is changed
  • Linked to calculation package to correct for angle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

With the spectrum analyzer set to frequency, what will happen to the following when the angle cursor is rotated and a calculation package is adjusting the velocity?

a. to the spectral waveform
b. to the frequency scale? Why?

A

a. Nothing

b. Nothing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

a. What happens to the spectral waveform if the PRF scale is increased? decreased?
b. At what point does aliasing occur?
c. When is it beneficial to increase PRF scale?
d. In what situation would you decrease the PRF scale?

A

a. Increased- decreased spectral wave form size
Decreased- increased spectral wave form size

b. Nyquist limit and 1/2 PRF
c. to eliminate aliasing and high velocity

d. 1. Low velocity
2. to increase depth of spectral trace
3. to improve measurement accuracy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

a. What happens to the spectral waveform when the wall filter is increased?
b. Why is this important?
c. In what situation would you want to increase the wall filter when doing

  echo scanning?

d. What is the normal wall filter setting for doing cardiac scanning?

A

a. low frequencies above and below baseline disappear
b. to eliminate wall motion- not to delete lwo velocity flow

c. 1. wall motion
2. valve motion
3. turbulence

d. 400 Hz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens as you move the focal zone to the spectral trace? To the image?

A
  1. Clears window of spectral trace

2. Improves resolution of image

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is the Doppler gain set to an optimal level? How do you know that you are not over or under gaining a signal? Why is setting the Doppler gain important?

A

To eliminate garbage, go to threshold and then back off. If you see mirror imaging back off. You can lose peak frequency and under calculate if under setting. You can add to peak frequency and over calculate if over setting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List two things that can be done to alleviate aliasing of the Doppler signal using the controls for you spectral display.

a.

b.

A

a. Increase velocity range “scale”

b. move baseline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

a. What part of the vessel is the most important to see when taking spectral waveforms?
b. What instrument controls might you change to improve the image to see plaque character better, i.e., to have a better gray scale?

A

a. The center so you need to see valves or two walls

b. dynamic range increase, gain, TGC, Post and Pre processing, focus zone in range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

At what angle to the surface of the vessel wall are the normal double lines visualized in a vessel?

.

A

90 degrees, called pignoli lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

a. What do the lighter shades of color represent in the typical color map?
b. What does the black area represent?
c. What happens to the black area on the color bar if the wall filter increases?

A

a. high frequency, high velocity
b. color wall filter, no doppler shift
c. expands, becomes larger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If the color bar is in velocity, how are these velocities values calculated? What do they mean?

A

They are calculated at an angle of 0 degrees, no angle correction is assumed. They measure mean not peak velocities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a. What do the colors truly represent?

b. How does the color information differ from the spectral waveform information?

A

a. Mean frequency shifts, translated to velocity, direction of flow

b. color mean
spectrum peak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

a. What happens to the overall PRF if the zero baseline is shifted?
b. Why would you want to shift the zero baseline?

A

a. same but more information on one side

b. decrease aliasing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

a. When would you want to increase the color PRF?

b. What information may get “lost” or not be seen when you increase the PRF?

A

a. increased frequencies, high frequencies

b. low frequencies

17
Q

a. What happens to the color wall filter when the PRF is increased? Decreased?
b. How can you tell if the wall filter is increased other than by looking at the numbers?

A

a. increased- increased wall filter
decreased- decreased wall filter

b. size of black space between positive and negative shifts

18
Q

a. What happens to the frame rate if the PRF is decreased?

b. How might you increase the frame rate in this case?

A

a. frame rate is decreased
b. smaller box/ spectrum, decrease color sensitivity (ensemble length, packet size, dwell time), decreases line density, decreases foci, decrease depth

19
Q

What happens to the color bar. if the color invert button is depressed?

A

Reverses it

20
Q

a. When would you want to change the color sensitivity?

b. What do you sacrifice to increase the color sensitivity?

A

a. to make the color display more robust, fuller, distinguish size of regurgitation.
b. frame rate

21
Q

Where should the focal zone be placed for optimal imaging, Doppler, and color information?

A

At level of ROI or just below it.

22
Q

Why is the echo vs write priority important in doing echo scanning?

A

In order to see levels of gray scale and color separately.

23
Q

Describe the specific color pattern of aliasing. Contrast this pattern to the color pattern seen in a directional change. How does this affect your choice in color maps.

A

Extreme white to extreme white color that wrap around. Alias
Dark color to black to dark color wrap around. Flow Reversal
Get two colors that contrast

24
Q

What six functions affect the frame rate and explain how each will affect it.

  1.  
  2.  
  3.
  4.
  5.
  6.
A
  1. Decrease sector width, increase FR
  2. Decrease color sensitivity, increase FR
  3. Decrease PRF, Decrease FR
  4. Decrease Depth, Increase FR
  5. Decrease focal zones, Increase FR
  6. Decrease lines per frame, Increase FR