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Probes
Also called as transducers
it produces sound waves that have frequencies above threshold of human hearing
Linear Probe
Used in small areas and superficial structures
For breast, thyroid, blood vessels
Curvilinear probe
Used in deeper, large organs
For abdomen, pelvis
Phased Array
Used for examining the heart
Endocavitary probe
For endometrial
Inserts in vagina or in rectum
Condom and gel are essential (gel → condom → gel)
Transvaginal Ultrasound
Is used to see the internal organs in the pelvic area (only if there is with contact and consent)
It uses an endocavitary probe
Patient is in lithotomy position
Transrectal Ultrasound
Is used to see the internal organs in the pelvic area (used if there is NO contact)
It uses an endocavitary probe
Patient is in Sims position
Always ask the patient first if with contact or not
Breast Ultrasound
For breasts
Right is always right when scanning
Scanning in clockwise and away from the nipples
12-12 with zones A-C
Thyroid Ultrasound
For thyroid nodules
It uses linear probe
Whole Abdomen Ultrasound
Used for examining the abdomen except for the colon
Used for diagnosis of fatty liver, kidney, gallstone
Uses curvilinear probe
2D echocardiography
For examining the heart
Uses phased array
Sonographer
The one who operates the equipment that uses sound waves
Sonologist
The physician who integrates sonographic findings
Radiologic Technologist
Perform medical exams
Radiologist
the physician who specializes in radiology that reads the radiograph
Period
the time taken for one complete cycle
measured in seconds or microsecond (s or μs)
Wavelength (λ)
the length or distance of space over which one cycle occurs
it is the length of a wave or cycle
measured in millimeters (mm)
Amplitude
it is the maximum displacement that occurs in an acoustic variable (depth, height)
amplitude is defined by the difference between the peak (maximum) or trough (minimum) of the wave and the average value
unit of amplitude expressed in Pressure parameter → Pascals or MPa
Frequency
It is the number if cycle that occurs in one second
measured in hertz or Hz
Pulse Repetition Frequency (PRF)
number of pulses occurring in 1s and is usually expressed in kHz.
Pulse Repetition Period (PRP)
time from the beginning of one pulse to the beginning of the next. usually expressed in microseconds
Pulse Duration (PD)
time it takes for one pulse to occur.
Velocity
gano kabilis ang sound na magtravel through a particular medium
measured in m/sec
velocity of a sound wave in a medium is related to its wavelength and frequency.
Power
is the rate of energy transferred through the sound wave
Intensity
Concentration of energy in a sound wave
It is dependent on the power (watt) and the cross sectional area (cm2) of a sound beam
1794 – Lazzaro Spallanzani
First to study Ultrasound Physics by deducing Bats (echolocation)
1826 – Jean Daniel Colladon
Uses church bell (early ultrasound “transducer”) to calculate Speed of Sound through water
Proved sound travelled faster through water than air
He originally studied law
1842 – Christian Andreas Doppler
He suggests that the frequency of a sound wave depends on the speed of the source “Doppler Effect”
1880 – Pierre & Jacques Curie
Discovered the Piezo – Electric Effect which can be seen on the probes, phone watch it is located on the crystals that generate electric charge
1915 – Paul Langevin
After Titanic Sinking (1912) he invented the hydrophone (1st transducer) to detect icebergs and submarines during the WW1
1942 – Karl Dussik
The first physician to use ultrasound for medical diagnosis (brain tumor)
He is a psychiatrist / neurologist
He is the earliest pioneer of sonography
1948 – George Ludwig M.D
First described the use of ultrasound to diagnose gallstones
He is an American professor and chairman of medical research
1953 – Inge Edler and Hellmuth Hertz
Performed the first successful echocardiogram
Swedish and studies mitral stenosis
Edler is the father of echocardiogram
1958 – Ian Donald
Pioneer of OB-GYN Ultrasound
CAS (congenital anomaly scan) Ultrasound can see the baby abnormalities
1950s – Douglass Howry & Joseph Holmes
Pioneer of 2D B-mode Ultrasound
Early 1950s
Early scanning technique required the patient to be immersed in a bath of water in order to provide good transmission of sound wave into the body.
Late 1950s
The first contact compound B-scanner (using olive oil as a lubricant) was developed. This equipment used an articulating arm to produce static images
1966 – Don Baker, Dennis Watkins, and John reid
Pulsed Doppler Ultrasound Technology for veins
1970s
Continuous wave Doppler, spectral wave Doppler and Color doppler ultrasound instruments
Red and Blue = blood flow
1980s – Kazunori Baba
3D ultrasound technology and captured three-dimensional images of a fetus in 1986
1990s
4D (real time) capabilities and ultrasound guided biopsies
International Society of Ultrasound Obstetrics and Gynecology
ISUOG
World Federation for Ultrasound In Medicine and Biology
WFUMB