Ultrasound Tutorial Flashcards

1
Q

What is ultrasound imaging?

A

Imaging modality using high frequency sound waves that can be used to image structures

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2
Q

How are US waves generated?

A

Electric field applied to piezoelectric crystal in the transducer causes its vibration

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3
Q

What happens when a sound wave encounters a change in tissue type/density?

A

Some waves are transmitted and others are reflected = reflected waves are used to generate an image

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4
Q

How is depth calculated?

A

Using the time it takes for US waves to return

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5
Q

What are the features of higher frequency US waves?

A

Have shorter wavelength so produce better image resolution

Have less depth penetration so can only be used to examine relatively superficial structures

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6
Q

What is the Doppler effect?

A

Frequency of transmitted sound is altered as it is reflected from moving object = can be used to examine flow

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7
Q

What should be between the skin and the probe using US?

A

Acoustic coupling gel must be between skin and probe

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8
Q

How can you tell direction of flow when using a colour Doppler?

A
Blue = flow is moving away from you
Red = flow moving towards you
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9
Q

How can you optimise the image on a US?

A
Pressure = minimise distortion
Align = move across skin surface and follow structures
Rotate = twist to get true short axis view
Tilt = rock to obtain best view possible
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10
Q

How does bone appear on US?

A

Hyperechoic periosteum with acoustic shadow below

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11
Q

How do vessels appear on US?

A
Artery = anechoic, pulsatile, usually round
Vein = Anechoic, non-pulsatile, compressible
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12
Q

How do nerves appear on US?

A

Circular or oval
Hyperechoic outline and speckled interior
More proximal nerves have predominantly hyperechoic interior

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13
Q

How do tendons appear on US?

A

Similar to nerves = blend into muscle proximally and become more prominent distally

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14
Q

How does muscle appear on US?

A

Hypoechoic mass = may have visible striae or hyperechoic fascia

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15
Q

What is acoustic shadowing?

A

Dark shadow appears behind an acoustically opaque structure is in line of US

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16
Q

What is post-cystic enhancement?

A

Inappropriately bright area behind fluid filled structure

17
Q

What is reverberation?

A

Commonly occurs where there is strongly reflecting interface close to and parallel to transducer = needle, vessel wall, muscle fascia