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1842 – Christian Andreas Doppler
•Developed the early hypothesis of the Doppler Shift
•Frequency shift relative to motion
•Train whistle (relative to sound)
If a sound moves rapidly towards the observer
Audible frequency will increase
If a sound moves away rapidly
frequency will decrease
frequency will decrease
if moving toward you the pitch increases and once moving away from you it recedes
As red blood cells do not emit sound
we rely on the instruments to transmit sound through the tissue and to receive the echo from moving reflectors
the difference in the transmitted frequency and the reflected and changed frequency from moving blood is called
the Doppler shift
DOPPLER EFFECT Apparent change
in frequency of sound or light waves emitted by a source occurs as it moves away from or toward the observer.
DOPPLER EFFECT Sound that reflects
off a moving object undergoes a change in frequency.
DOPPLER EFFECT Objects moving toward the transducer
reflect sound at a higher frequency than that of the incident pulse; objects moving away reflect sound at a lower frequency.
Doppler imaging
The frequency of the reflected sound wave and is the same as the frequency transmitted only if the reflector is stationary
If the reflector is moving toward the transducer
the frequency of the echo will be higher than the transmitted frequency
If the reflector is moving away from the transducer
echo frequency will be lower than the transmitted frequency.
Two basic modes of transducer operation for medical diagnostic applications are
continuous wave and pulsed wave
Real-time instrumentation uses
only pulse-echo amplitude of returning echo to generate gray-scale information
Doppler instrumentation uses
both continuous and pulse-wave operations
Doppler shift is the difference between
receiving echo frequency and the frequency of the transmitted beam
This change in frequency of the reflected wave is caused by the relative motion between the reflector and the transducer’s beam
Doppler shift is usually only
a small fraction of the transmitted ultrasound frequency
Doppler shift frequency is proportional to
the velocity of moving the reflector or blood cell
Doppler effect produces a shift that is
the reflected frequency minus the transmitted frequency
When interrogating the same blood vessel with transducers of different frequencies
the higher frequency transducer will generate a larger Doppler shift frequency
Doppler angle
The angle that the reflector path makes with the ultrasound beam
As Doppler angle increases from 0 to 90 degrees
detected Doppler frequency shift decreases
At 90 degrees
the Doppler shift is zero, regardless of flow velocity
If the angle of the beam to the reflector exceeds 60 degrees
velocities will no longer be accurate.
The closer the Doppler angle is to zero
the more accurate the flow velocity
When a ceramic crystal is electronically stimulated
it deforms and vibrates and produces the sound pulses used in diagnostic sonography
The frequency of the transmitted signal depends on the size of thickness of the elements;
the small or thinner the elements, the higher the frequency
Frequency is expressed in Hertz
1 sound wave or cycle per second = 1 hertz
For diagnostic ultrasound, transmitted Doppler frequency is
between 2.0 –10 MHz
Sound is characterized according to its
Frequency
Frequency:
Describes the number of oscillations per second performed by particles of medium in which wave is propagating
1 oscillation/sec =
cycle/sec = 1 hertz (1 Hz)
1000 oscillations/sec =
1 kilocycle/sec = 1 kilohertz (1 kHz)
1,000,000 oscillations/sec =
1 megacycle/sec = 1 megahertz (1 MHz)
Velocity of propagation
Constant for given tissue
Not affected by the frequency or wavelength of pulse
in soft tissues, the assumed average propagation velocity is
1540 m/sec
Stiffness and density of the medium determine
how fast sound waves will travel through it
The more closely packed the molecules
the faster speed of sound
Velocity of sound differs greatly among
air, bone, and soft tissue
Sound waves travel slowly through
gas (air), at intermediate speed through liquids, and quickly through solids (metal)
Air-filled structures
impede sound transmission
Sound is attenuated through most
bony structures
Decibel (dB) unit
is used to measure the intensity (strength), amplitude, and power of an ultrasound wave
Using decibels allows sonographers to
compare the intensity or amplitude of two signals.
Power
The rate at which energy is transmitted
Power is the rate
of energy flow over the entire beam of sound and is often measured in watts (W) or milliwatts (mW)
Intensity
The power-per-unit area
Intensity is the rate
of energy flow across a defined area of beam and is measured in watts per square meter (W/m2) or milliwatts per square centimeter (mW/cm2).
Reflection
Occurs whenever the pulse encounters an interface between tissues with different acoustic impedances
Acoustic impedance
The measure of a material’s resistance to propagation of sound
Strength of reflection depends on the:
• Difference in acoustic impedance between tissues
•Interface size, surface characteristics, and orientation to the transmitted sound pulse
The greater the acoustic mismatch
the greater the backscatter, or reflection.
Specular reflectors
Large, smooth interfaces
When aligned perpendicular to the direction of the transmitted pulse
sound is reflected directly back to the active crystal elements in the transducer, and a strong signal is produced
When not oriented perpendicular to sound,
weaker signal is produced
Scattering
The redirection of sound in multiple directions, which produces a weak signal. This occurs when the pulse encounters a small acoustic interface or large interface that is rough (nonspecular reflector)
Refraction
Change in the direction of sound
Refraction occurs when sound encounters
the interface between two tissues that transmit sound at different speeds
(Refraction) Sound frequency remains constant
but the wavelength changes to accommodate the differences in the speed of sound
(Refraction) The result of this change in wavelength is
a redirection of the sound pulse as it passes through the interface
Absorption
The loss of sound energy, secondary to its conversion to thermal energy
Absorption is greater in
soft tissues than it is in fluid; i.e. is greater in bone than in soft tissues
Absorption is the major cause of
acoustic shadowing
Pulse duration
The amount of time the piezoelectric element vibrates after electrical stimulation
(Pulse duration) Each pulse consists of a band of frequencies called
bandwidth
Center frequency
• Produced by the transducer
• Resonant frequency of the crystal element
• Depends on the thickness of the crystal
Echoes that return to the transducer distort the crystal elements and
generate an electric pulse that is processed into the image
Higher-amplitude echoes produce greater crystal deformation and
generate larger electronic voltage, which is displayed as a brighter pixel
These two-dimensional images are known as B-mode or
brightness mode, images.
Resolution
of an imaging process distinguishes the adjacent structures in an object
Important measure of image quality
Determined by the size and configuration of transmitted sound pulse
(resolution) Always considered in three dimensions
axial, lateral, and azimuthal
Axial resolution
describes the ability to resolve objects that are located at different depths along the direction of the sound pulse within the imaging plane
Axial resolution depends on the
direction of the sound pulse, which, in turn, depends on the wavelength
Higher frequency probes produce
shorter pulses and better axial resolution but with less penetration
Lateral resolution
The ability to resolve objects within the imaging plane located side by side at the same depth from the transducer
Can be varied by adjusting the focal zone of transducer (point at which the beam is narrowest)
Beam width determines
lateral resolution
If two reflectors are closer together than the diameter or width of the transducer
they will not be resolved
Azimuthal (elevation) resolution:
The ability to resolve objects the same distance from the transducer but located perpendicular to the plane of imaging
Azimuthal resolution is also related to
the thickness of the tomographic slice
Slice thickness
is usually determined by the shape of crystal elements or characteristics of fixed acoustic lenses
Attenuation
The reduction in intensity and amplitude of a sound wave as it travels through a medium as some of energy absorbed, reflected, or scattered
The sum of acoustic energy losses
In human soft tissue, sound attenuates at a rate of
0.5 dB/cm per million hertz
If air or bone is coupled with soft tissue
attenuation increases
Attenuation through a solid calcium interface such as a gallstone produces
a shadow with sharp borders on the image
Differences in acoustic impedance in biologic tissues are generally so slight that
only a small component of the ultrasound beam is reflected at each interface
Exception is air-tissue and bone interfaces.
Anatomy beyond the lung and bowel
cannot be imaged because of air interference
Bone conducts sound at a
significantly faster speed than soft tissue
Real-time compound imaging allows
sound to be steered at multiple angles, including perpendicular to the body to produce the best image
Harmonics
are components whose frequencies are integral multiples of the lowest frequency (the “fundamental” or “first harmonic”)
Harmonic imaging involves
transmitting at frequency f and receiving at frequency 2f (the second harmonic)
(Harmonic Imaging) Filtering out fundamental frequency and creating images from echoes of the second harmonic should result in
an image relatively free of noise formed during the passage of sound through distorting layers of the body wall
Linear-Array Transducer
Activates a limited group of adjacent elements to generate each pulse
(Linear-Array Transducer) Pulses travel in the same direction (parallel) and are oriented perpendicular to the transducer surface.
Results in rectangular image
Linear-Array Transducer resolution
High resolution in the near field
Curved-Array Transducer
Uses a linear-array transducer with surface of transducer re-formed into a curved convex shape.
Produces a moderately sized, sector-shaped image with a convex apex.
(Curved-Array Transducer) resolution
Wider far field of view; slightly reduced resolution
(Curved-Array Transducer) use
Probe can be formatted for many different applications with varying frequencies for use in abdomen to smaller endoluminal scanning.
Pulsed Wave Doppler
Waves sent and received by the same crystal in the transducer
(Pulsed Wave Doppler) Two types
Spectral and Color Doppler
Transmitter
supplies electrical signals to the transducer for producing a sound beam