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Ultrasound system
sophisticated device
2 major functions
prepare, transmit elelectrical signals to transducer
receive, process, analyze signals to create images
6 major components
Transducer
Pulser and beam former
Receiver
Dispay
Storage
Master Synchronizer
Transducer
transmission- reverse piezoelectric effect (electricity to vibration/sound)
reception- piezoelectric effect (convert sound waves back to electrical signals using pressure.)
Pulser
creates the electrical pulse that ring crysal during transmission
Beam former
controls and focuses the US beam
tells the transducer when to send signals and helps combine the echoes they receive
determines firing delay pattern for phased array systems
operates during transmission and reception
Pulser and beam former
controls electrical signals sent to transducer
receiver
recieves reflected sound and transforms returning signals for display
Display
visual presentation device (monitor, CRT, TV)
Storage
Archives U/S data (computer hard drives, CD, DVD)
Master synchronizer
Communicates with ALL individual components
organizes proper timing and interactions
prepares to operate as a single integrated system
(like an conductor of an orchestra, making sure all the different parts of the machine work together)
Transducer output
last adjustment because of bioeffects
low voltange= gentle vibration= weak reflections

other names for pulser voltage
Output gain
acoustic power
pulser power
energy output
transmitter output
power
gain (too vague)
TI
Thermal index (evaluating heat)

MI
Mechanical index (evaluating gas bubbles)

ALARA
as low as reasonably achievable
Noise
random and persistent disturbance that obscures or reduces signal clarity
Signal to Noise Ratio (SNR)
amount of contamination
Don’t increase your power
5:1 ratio is stronger than 2:1
better the output better the quality but not good for patient
What determines PRP?
Pulser
PRP
pulse repetition frequency, the time of the start of a pulse to the next pulse
PRF
Pulse repetition Frequency - number of pulses transmitted per second in ultrasound
What kind of relationship does PRP and PRF have
inverse
Pulser: PRP snd PRF determines
depth of view or depth
Shallow imaging requires more or less listening time?
less
Increased depth increases or decreases PRF?
decreases
Increased depth increases or decreases PRP?
increases
Apodization
reduces side lobes by adjusting voltages
dynamic aperture
changes number of crystals used based on depth
dynamic receive focus
changes focus with depth
Digital beam formers
produce signals in digital format
advantages: updates software only, stable systems, versatile range of transducers
Switch
component of beam former
like railroad tracks (goes to the correct direction)
protects the receiver, and directs returning signals
transmission- pulser to switch to transmission
reception- transducer to switch to receiver
what is a channel composed of?
single crystal (PZT element)
Wire
Electronics in the beam former/pulser
(# channels = # elements in array transducer)
5 functions of the receiver in order
amplification
compensation
comression
demodulation
reject
Amplification
each returning signal is made larger, EQUALLY
also called receiver gain (overall gain)
controlled by sonographer
units: 60-100dB
not used for top to bottom uniform brightness
can be adjusted by sonographer
all signals treated the same
brighter or darker

Does amplification improve SNR?
no
pre-amplification
during reception
improves signal quality before amplified
helps prevent electronic noise
Compensation
corrects for attenuation
variable amplification (shallower echoes need less amplification)
Goal: uniform grayscale brightness throughout
treats echoes DIFFERENTLY based on reflection
Other names for compensation
time gain compensation (TGC)
depth gain compensation (DGC)
swept gain
Higher frequency transducers attenuate more or less?
more, which requires more TGC, improved resolution in imaging.
delay
starts compensation
slope
extra amplification for ever-increasing depths
knee
depth at max amplification is on
far gain
max amount of amplitude

near gain
doesn’t need many adjustments because it is shallow
Compression
receiver function
alters the grayscale map
taking all the shades and compressing them to less shades
Sonagraphers can adjust one of two types
signals treated differently depending on strength

which has the highest frequency?
green
What are other names for compression?
log compression or dynamic range
Dynamic fTuning
higher f reflections for shallow images
lower f relections for deep
Increasing compression/dynamic range does what?
more shades of gray (high contrast means more blacks and whites)
Demodulation
cannot be altered by sonographer
changes electrical signal for TV display
two steps- Rectification and smoothing
no affect on image
prepares the signals
Does demodulation improve resolution
no, it happens automatically in the background
rectification
turning all negative voltages into positives
can not be adjusted by sonographer

Smoothing/ enveloping
puts an envelope around the bumps to even out rough edges (ex. TVs)
cannot be adjusted by sonographer

Reject
may eliminate or include low level signals (possibly noise)
sonographer can adjust
affect low level signals does not affect brightness
other names for reject
suppression and threshold
what causes an increase in bandwidth
damping
When do you decrease output power and increase receiver gain?
decrease output- when image is to bright
increase receiver gain- if image is dark
The power of a sound beam from a transducer is determined by the:
voltage of the pulsers signal

Which has a greater # of shades of gray?
left
Delay would be deeper with a 3 or 7 MHz TRX?
3
Bistable
-two choices black or white
how ultrasound started
Grayscale
different levels of brightness
white- strong (bones)
gray- intermediate (liver, kidney, spleen)
black- weak
helps distinguish tissue
brightness
determines brilliance of displayed signals
higher overall gain, overall image brighter
contrast
determines range of brilliance
high contrast is dark blacks and whiter whites
most extreme contrast is bistable
Scan converter
makes gray scale possible
stores the data and displays on monitor
now digital
Analog numbers
real world numbers
continuous, no limits
digital numbers
discrete values
associated with computer devices
limited choices of numbers
disadvantages of Analog scan converters
image fade
image flicker- switching between read and write modes
instability- room temp, length of use
deterioration
Digital scan converters advantages
uniformity/ consistant gray scale
stable
durable
fast processing
accurate
digitizing
converts images into numbers then re-translates for display
Pixels
picture element
smallest building block of a digital picture
divide picture into a grid, each box is a pixel
more pixels per inch the better the spatial resolution
PPI and DPI meanings
PPI- pixels per inch
DPI-dots per inch
if you increase the pixel density what happens to the spacial resolution?
it’s improved
What happens to the pixel size if you increase the pixel density?
the size decreases because there is better resolution
BIT
smallest amount of computer memory
binary digit
bistable value of zero or one
Binary number
2 choices 0-1
Byte
8 bits
word
2 bytes
16 bits
Entire pixel is how many shades of gray?
one shade
each pixel is assigned a group of bits
Shades of gray calculation
2^ number of bits
ex. 2^5th
2×2×2×2×2=32
5 bits= 32 shades of gray
How many shades of gray is in 4 bits?
16 shades of gray
2^4 = 2×2×2×2
How many bits are needed to represent 6 shads of gray?
3 because 2³ = 8
more bits means what?
more shades of gray
improves contrast resolution
What happens if you increase pixel density?
more pixels per square inch
smaller pixels
increase the overall image detail/ resolution
spacial resolution
Voxel
unit of graphic info that defines a point in 3D space
smallest unit in volume rendering of ultrasound data
when choosing an US system to display subtle differences in grayscale (greater contrast resolution) what would you choose?
a system with more bits
When choosing an ultrasound system with better spacial resolution what would you choose?
a system with more pixels
Analog to Digital
(a to d converter, preprocessing, digital memory storage, post processing, d to a converter, video dispay)
convert analog to digital (A to D)
preprocessing happens before digital information is stored in the scan converters
info is still in digital form, continues to be processed by the US computer
scan converters are digital (tv monitors are analog (not flat screens) signals must be re-converted to analog for display using D to A converter
signal is now analog (flat screens dont have to do the last step)
preprocessing
any processing of the reflected signals before storage
post processing
any processing after storage in the digital scan converter or changes after you freeze your image
Pre and post processing are determined my what?
whether data has been stored in scan converter
Functions that are preprocessing
TGC
log compression
write magnification
persistence
spacial compounding
edge enhancement
fill-in interpolation
functions that are post processing
any changes after freeze frame
black/white inversion
read magnification
contrast variation
3-D rendering
Magnification
zoom function (greater detail)
two different methods: read and write
Region of interest magnified to fill the entire screen
used to evaluate anatomic detail
Read magnification
after information has been stored in scan converter (post processing)
scan anatomy, freeze and store into converter, then magnify
like when you take a picture on your phone and zoom in, it doesn’t make the image clearer because its the same image just zoomed in
same # of scan lines and same # of pixels just magnified
does not temporal resolution
Write magnification
before data is stored or frozen (pre proocessing)
system zooms live over what you want to magnify and dit rewrites/rescans the information
more scan lines, and more pixels better resolution
only scans the area you ask it to
may improve temporal resolution
if ROI depth is less than original depth temporal resolution improved?
yes
what happens to the frame rate with less depth
it increases
Coded excitation
creates a longer pulse, spreading intensity overtime to keep the value within the FDAs limits
improves image quality
variety of frequencies
occurs in pulser
improves SNR, axial, spacial, contrast resolution
deeper penetration
spatial compounding
taking multiple frames from different angles and combining them to get a better image
phased array TRX
reduces graininess
minimizes shadowing
slows down the frame rate and temporal resolution (more pulses slow things down)
(angles space)
frequency compounding
taking US signals with different frequencies and combining them into one clearer image
reflected signals are divided into sub bands of frequencies and combined
reduces: noise and speckle artifacts (less grainy)