Ultrasound

A-scans

  • Stand for amplitude scan

  • One transducer held at one angle to skin

  • Pulse partly reflected and partly transmitted at boundary between two tissues.

  • Transducer receives reflected pulse

  • Allows a 1D, cross-sectional image to be seen

  • Scan results shown as peaks on a voltage against time graph on an oscilloscope screen

  • Peaks may decrease with time as reflected pulse will have less energy due to energy losses within the body and because energy from original pulse is transmitted through the boundary.

  • Time taken is the time for the pulse to travel to the boundary and be reflected, so distance must be halved after being calculated.

  • Example of use is for finding tissue depths in the eyes or determining the thickness of bone.

B-scans

  • Stand for brightness scan

  • Transducer at different angles to the skin/multiple transducers used

  • Transducer moved over patient’s skin.

  • Reflected ultrasound pulses from between boundaries are received by the transducer

  • Each reflected pulse received forms a bright spot on computer screen

  • Each dot corresponds to the boundary between two tissues.

  • Dot brightness is proportional to the intensity of the reflected ultrasound pulse.

  • Repeated pulses allow computer to form image

  • Image formed is 2D and a section through the patient.

  • Effectively multiple A scans (do not write this in the exam, just to help understand it!)

  • Example of use is for imaging unborn child.