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Tissue harmonics and contrast agents both rely on what idea
non-linear behavior
when the non-linear behavior is the result of a sound beam interacting with the soft tissue
tissue harmonics are created
when the non-linear behavior is the result of sound beams interacting with the bubble
contrast harmonics are created
compressions vs rarefraction speeds
compressions travel faster
rarefractions travel slower
fundamental frequency
the frequency of the transmitted sound wave. linear, predictable
harmonic frequency
twice the transmitted frequency, aka second harmonic. NON-LINEAR, unpredictable, created in the MEDIA.
Harmonics
multiples of the transducer frequency, and are created in the tissues (not in the transducer or receiver)
Non-linear behavior
creates harmonics, as a sound wave travels in the body, an amount of energy is converted from fundamental frequency to harmonic frequency due to nonlinear behavior
The small difference in speeds between rarefractions and compressions is
non-linear behavior (distorts the sound wave and creates harmonics)
A transducer transmits a sound pulse with a fundamental frequency of 2MHz. In the harmonic mode waht is the new MHz
4MHz
The less sinusoidal the wave becomes
the stronger harmonics created
near field harmonics
okay harmonics, less distortion
mid field
good harmonics, best picture
far field
strongest harmoincs, too much attenuation to use
Harmonics improves the SNR where
in the near and mid field of the image
What kind of beams are required for harmonics
strong beams (best lateral resolution close to the focal point)
Harmonic signal improves the image in what 3 ways
1-harmonic beam is narrow, improving lateral resolution
2-grating lobes (and their artifacts) are eliminated because only strong beams can create
3-near field artifacts and sound distortion cannot occur
what happens to axial resolution with a narrow bandwidth
degrades axial resolution.
Pulse inversion harmonics
positive and negative pulses transmit down each scan line (fundamental frequency) The negative pulse is the “inverse” of the positive, cancelling the fundamental reflections because of destructive interference. Only harmonic reflections remain and create the image.
Major disadvantage of pulse inversion
frame rate is half that of fundamental imaging.
DEGRADES temporal resolution IMPROVES spatial resolution
Pulse inversion harmonics use what type of transducers
wide-bandwidth/broadband
Power modulation harmonics
a weak beam is emitted, another beam 2x stronger than the weak beam is emitted, fundamental echoes return and the machine doubles the weak echoes. Just the harmonics are left.
contrast agents and examples
microbubbles, used to highlight anatomy
definity, optison, imogent, lumason
3 ways contrast agents help
1- identify lesions when the echogenicity is similar to surrounding
2- characterize lesions through documentation of arterial and venous phases
3- added doppler detection in weak flow areas
5 contrast characteristics
1- safe
2- metabolically inert
3- long persistence (lasting)
4- strong reflector of ultrasound
5-small enough to pass through capillaries
compression causes the bubble to
shrink
rarefraction causes the bubble to
expand
what type of impedance difference do contrast agents have
large impedance difference, creating strong reflections
formula for peak rarefraction pressure
mechanical index= peak rarefraction pressure/ square root of frequency
peak rarefraction pressure
how little pressure at the rare fraction portion of the wave. the amount of expansion the bubble will go under is
Mechanical index
force of a sound beam has on a media.
Lower mechanical index
small pressure variations, higher frequency
higher mechanical index
large pressure variations, lower frequency
the microbubbles are the size of what
red blood cells, resonate at frequencies between 2 to 4 MHz.
Low, mid, high MI in relation to harmonics
Low <1= no harmonics
Mid 0.1-1= some harmonics (non linear behavior of bubbles)
High >1= greatest harmonics, bubbles burst too much expansion, strong beamq