High-Quality Imaging: To produce high-quality images without artifacts, sonographers must understand the basic principles of ultrasound.
Acoustics
Definition: Acoustics is a branch of physics dealing with sound; it involves the generation, propagation, and reception of sound waves.
Ultrasound: Defined as sound frequencies greater than 20 ext{ kHz} (normal human hearing range: 20 ext{ Hz} to 20 ext{ kHz}).
Sound Waves: Result from mechanical energy creating alternating compression and rarefaction in the medium. Diagnostic ultrasound uses short sound pulses with frequencies ranging from 1 ext{ MHz} to 20 ext{ MHz}.
Ultrasound Mechanism
Transducer: Contains piezoelectric elements that convert electrical signals into mechanical vibrations, producing ultrasound images. The transducer directs sound beams into the body, with signals reflecting back, absorbing, or scattering.
Velocity of Sound: Average velocity in soft tissues is 1540 ext{ m/sec}, determined by the stiffness and density of the medium.
Measurement of Sound
Decibel (dB): Used to measure intensity, amplitude, and power of ultrasound waves, allowing for comparison.
Frequency: Measured in Hertz (Hz); defined as the number of oscillations per second:
1 ext{ Hz} = 1 ext{ cycle/sec}
1 ext{ kHz} = 1000 ext{ Hz}
1 ext{ MHz} = 1,000,000 ext{ Hz}
Important for determining resolution in ultrasound imaging.
Propagation of Sound in Tissue
Reflection: Occurs at interfaces between different acoustic impedances. Larger impedance differences result in stronger reflections.
Scattering and Refraction: Scattering occurs with small or rough interfaces; refraction is the change in direction of sound waves at interfaces with different transmission speeds.
Absorption: Loss of sound energy as it converts to thermal energy, higher in bone than in soft tissue.
Image Resolution
Three Types of Resolution:
Axial Resolution: Ability to distinguish objects at different depths, better with higher frequency (shorter wavelength) transducers.
Lateral Resolution: Ability to distinguish objects at the same depth; affected by the transducer's focal zone.
Azimuthal (Elevation) Resolution: Ability to resolve objects at equal distance perpendicularly to imaging plane, related to slice thickness.
Attenuation
Definition: Sum of energy loss due to absorption, scattering, and reflection, reducing intensity as sound travels through a medium.
Rate of Attenuation in Soft Tissue: 0.5 ext{ dB/cm} per 1 ext{ MHz}. Attenuation is significant in interfaces involving air and bone.
Transducer Selection in Clinical Imaging
Selection depends on the type of ultrasound examination and the specific imaging requirements, considering factors like frequency, resolution, and depth penetration.