Ultrasounds Flashcards

1
Q

Properties of ultrasounds

A

High frequency
Real-time imaging
Non-ionising
Cost effective

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2
Q

Difference between ultrasound B mode, M mode and Doppler mode

A

B mode:
Brightness mode
Displays anatomy of internal organs, tissues & structures

M mode:
Motion mode
Displays motion of tissue or organ over time

Doppler mode:
Detects velocity & direction of blood flow in vessels

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3
Q

Explain ultrasound reflection

A

Occurs when sound waves encounter boundary between tissues with different densities

Some sound waves are reflected back to transducer to create image

Amount of reflection depends on angle of incidence & difference in acoustic impedance between tissues

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4
Q

Explain ultrasound refraction

A

Occurs when sound waves pass through tissues with different acoustic properties causing them to change direction

Occurs when sound waves pass through tissues at oblique angle or when they encounter regions of different tissue density

Causes waves to be deflected away from transducer which decreases image quality

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5
Q

Explain ultrasound scatter

A

Occurs when sound waves encounter small structures within tissues (e.g. blood cells or cell membranes)

Amount of scatter depends on size & density of structures

Contributes to contrast of ultrasound image

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6
Q

How does frequency of an ultrasound affect the image

A

Low frequency (e.g. 3.5 MHz) - good depth of penetration but poor resolution

High frequency (e.g. 10 MHz) - poor depth of penetration but good resolution

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7
Q

How is an ultrasound image formed

A
  1. Transducer emits high-frequency sounds
  2. Sound waves reflected back as they encounter different tissues
  3. Reflected sound waves processed by computer
  4. Brightness & contrast of image adjusted
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8
Q

What is gain in ultrasounds

A

Gain is amplification applied to returning echo

Usually several gain controls (near-far field)

The further sound has to travel the quieter returning echo (gain adjusted to compensate)

Gain turned up for deeper tissues

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9
Q

What transducer is this and what is it used for

A

Sector transducer
Echocardiography, intrathoracic & intraabdominal organs, regions with small contact areas (brain, eye, joints)

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10
Q

What transducer is this and what is it used for

A

Phased array
Sector scanner with electronic steering of crystal emission 
Mainly echocardiography 

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11
Q

What transducer is this and what is it used for

A

Linear array
Multiple crystals arranged in line & sequentially triggered
Abdominal organs, muscles, joints & tendons

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12
Q

What transducer is this and what is it used for

A

Curvilinear
Multiple crystals arranged in arc 
Abdominal organs & pregnancy diagnosis 

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13
Q

What do homogenous and heterogenous mean in ultrasounds

A

Homogenous (uniform) - regular pattern throughout (most normal tissues)

Heterogenous (non-uniform) - irregular pattern (disease tissue)

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14
Q

What does anechoic mean

A

Structures produce no echo (all sound passes through)

Fluid (blood, urine, bile)

Appear black

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15
Q

What does hypoechoic mean

A

Structures produce little echo (most sound passes through)

Tissues with high water content (cartilage, muscle, renal medulla)

Dark grey appearance 

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16
Q

What does medium echogenicity mean

A

Medium echo 

Most soft tissues (liver, spleen, prostate, testes)

Medium to light grey appearance 

17
Q

What does hyperechoic mean

A

Lot of echo 

Gas, bone, dense connective tissue 

Appear white