13d ago

Mock Physics Registry Review Flashcards

Meaning, Exponent, Prefix, Symbol Pairs

  • 10910^9$$10^9$$: Giga (G), 1,000,000,000 (Billion), Pairs with Nano (G&n)

  • 10610^6$$10^6$$: Mega (M), 1,000,000 (Million), Pairs with Micro (M & u)

  • 10310^3$$10^3$$: Kilo (k), 1,000 (Thousand), Pairs with milli (k & m)

  • 10210^2$$10^2$$: Hecto (h), 100 (hundred), Pairs with centi (h & c)

  • 10110^1$$10^1$$: Deca (da), 10 (Ten), Pairs with deci (da & d)

  • 10110^{-1}$$10^{-1}$$: Deci (d), 0.1 (Tenth), Pairs with Deca (da & d)

  • 10210^{-2}$$10^{-2}$$: Centi (с), 0.01 (Hundredth), Pairs with Hecto (h & c)

  • 10310^{-3}$$10^{-3}$$: Milli (m), 0.001 (Thousandth), Pairs with Kilo (k & m)

  • 10610^{-6}$$10^{-6}$$: Micro (u), 0.000001 (Millionth), Pairs with Mega (M & u)

  • 10910^{-9}$$10^{-9}$$: Nano (n), 0.000000001 (Billionth), Pairs with Giga (G&n)

  • Mnemonic: King Henry Died by Drinking Chocolate Milk

Acoustic Variables

  • Pressure: Pascals (Pa)

  • Density: Kg/cm³

  • Distance (Particle motion): cm, mm

  • Temperature (Sometimes): Celsius

Acoustic Parameters

  • Period

  • Frequency

  • Amplitude

  • Power

  • Wavelength

  • Propagation Speed

  • Intensity

Sound Frequencies

  • Infrasound: Below 20 Hz

  • Audible sound: Between 20 and 20,000 Hz

  • Ultrasound: Above 20 kHz

Speed

  • Determined by Stiffness and Density

  • Less Stiff (Slow)

    • Lung: 500 m/s

    • Fat: 1450 m/s

    • Soft Tissue: 1540 m/s

    • Liver and Blood: 1560 m/s

    • Muscle: 1600 m/s

    • Tendon: 1750 m/s

  • More Stiff (Fast)

    • Bone: 3500 m/s

Imaging

  • Shallow Imaging:

    • Less listening time

    • Short PRP

    • High PRF

    • Higher Duty Factor

  • Deep Imaging:

    • More listening time

    • Long PRP

    • Low PRF

    • Lower Duty Factor

Period and Frequency

  • Reciprocals

  • Frequency Period

  • Frequency Period

Parameters

  • Determined by Source

    • Period: No adjustment, Units: s, ms, us, Typical Values: 0.06-0.5 us

    • Frequency: No adjustment, Units: Hz, MHz, Typical Values: 2-15MHz

    • Amplitude: Yes adjustment, Units: Pa, kg/cm³, cm, Typical Values: 1MP-3MP

    • Power: Yes adjustment, Units: Watts, Typical Values: 4-90mW

    • Intensity: Yes adjustment, Units: W/cm², Typical Values: 0.01-300 W/cm²

  • Determined by both medium and source

    • Wavelength: No adjustment, Units: mm, distance, Typical Values: 0.1-0.8mm

  • Determined by medium

    • Speed: No adjustment, Units: m/s, Typical Values: 1,500-1,600

  • Determined by source and medium

    • Spatial Pulse Length

Pulse

  • Change with Depth

    • PRP

    • PRF

    • Duty Factor

  • Don't change with depth

    • Pulse Duration

Duration

  • Pulse Duration

    • Adjustable: No

    • Units: us, time

    • Determined By: Source

    • Typical Value: 0.5-3 us

  • PRP

    • Adjustable: Yes

    • Units: msec, time

    • Determined By: Source

    • Typical Value: 0.1-1ms

  • PRF

    • Adjustable: Yes

    • Units: Hz, per second

    • Determined By: Source

    • Typical Value: 1-10kHz

  • Spatial Pulse Length

    • Adjustable: No

    • Units: mm, distance

    • Determined By: Both

    • Typical Value: 0.1-1mm

  • Duty Factor

    • Adjustable: Yes

    • Units: None (percent)

    • Determined By: Source

    • Typical Value: 0.2-0.5%

Attenuation

  • More Attenuation

    • High Frequency

    • Longer Distance

  • Less Attenuation

    • Low Frequency

    • Short distance

  • Extremely low: Water, Biofluids

  • Low: Fat

  • Intermediate: Soft tissue, Muscle

  • High: Bone and Lung, Air

Decibel

  • Meaning

    • 3: 2x

    • 6: 4x

    • 9: 8x

    • 10: 10x

    • 20: 100x

    • 30: 1000x

    • -10: 1/10

    • -9: 1/8

    • -6: 1/4

    • -3: 1/2

Sound

  • Organized:

    • Sound back to transducer

    • Specular

  • Disorganized:

    • Sound in all directions

    • Rayleigh

    • Diffuse, Backscatter

Scattering

  • Low

  • Even higher

  • Extremely High

Speeds

  • Angle of Transmission

    • No refraction, transmission angle= incident angle

    • Speed 2 > Speed 1

      • Transmission angle > incident angle

    • Speed 2 < Speed 1

      • Transmission angle < incident angle

Time of Flight

  • Distance

  • Depth

    • 13 us = 1cm = 2cm

    • 26us = 2cm = 4cm

    • 39us = 3cm = 6cm

  • Use 13 microsecond rule!

Events

  • Reflection with normal incidence

    • Requirement: Different impedances required

  • Reflection with oblique incidence

    • Can't predict, Too complex!

  • Transmission

    • Requirement: Use law of conservation of energy

  • Refraction

    • Requirement: Oblique incidence, change in propagation speed

Acoustic

  • Component:

    • Active Element

    • PZT

  • Matching Layer

  • Backing Material

    • Acoustic Insulator

    • Electric Shield

  • Thickness:

    • Active element: ½ wavelength

    • Matching Layer: 14 wavelength

Transducer

  • Mechanical Transducer
    *Image shape: sector/fan
    *Beam steering: mechanical
    *Beam Focusing: fixed
    *Advantage: best slice thickness
    *Outdated Now

  • Linear Phased Array Transducer
    *Crystal #/Shape: 100-300 in a line
    *Image shape: Fan or sector
    *Beam Focusing: Phasing
    *Advantage: small footprint, no moving parts; can fit between ribs, good for cardiac
    *Damaged PZT: erratic steering

  • Annular Phased Array
    *Crystals #/Shape: multiple rings with common center
    *Image Shape: fan or sector
    *Beam Steering: mechanical
    *Beam Focusing: multi-focus
    *Advantage: multiple focal zones, Best slice thickness resolution
    *Damaged PZT: horizontal

  • Linear Sequential Arrays
    *Crystal #/Shape: 12-250, rectangular PZT side-by-side
    *Image Shape: rectangular, large footprint
    *Beam Steering: small groups fired simultaneously parallel to each other
    *Beam Focusing: electronically
    *Damaged PZT: vertical dropout
    *Used for superficial structures

  • Curved, Convex, Curvilinear Array Transducer
    *Crystal #/Shape: 120-250 rectangular side-by-side
    *Image Shape: Blunted Sector
    *Beam Steering: some but not all crystals fired simultaneously
    *Beam Focusing: Electronically
    *Damaged PZT: Vertical drop out
    *Used for imaging large spaces… Abdomen/ OB

  • Vector Array
    *Crystals #/Shape: 120-250 rectangular shaped strips
    *Image Shape: trapezoidal, small footprint, fits between ribs
    *Beam Steering: combines linear and phased technology. Some but not crystals fired at one time
    *Combination of linear sequential and linear phased array

Imaging and Non-Imaging Transducer

  • Imaging Transducer

    • Short pulse duration and spatial pulse length

    • Uses backing material

    • Reduced sensitivity

    • Wide bandwidth

    • Lower Q-Factor

    • Improved axial resolution

    • Characteristics of High Frequency Pulse Wave Imaging Transducers

      • Thinner PZT crystal

      • PZT with higher speed

  • Non-Imaging Transducer

    • Long pulse duration and wavelength

    • No dampening

    • Increased sensitivity

    • Narrow bandwidth

    • High Q-Factor

    • Cannot create image

    • Characteristics of Low Frequency Pulsed Wave Imaging Transducers

      • Thicker PZT crystal

      • PZT with lower speed

    • "Thin fast guy wins the race, slow fat guy doesn't"

    • "Toast with a thick beer mug will produce low frequency sound, Toast with thin champagne glass will produce a high frequency sound"

Beam Diameter

  • Location

    • At the transducer: Equals transducer diameter

    • At the focus: ½ transducer diameter

    • At 2 near zone lengths: Equal transducer diameter

    • Deeper than 2 near zone lengths: Wider than transducer diameter

Focus

  • Small Diameter or Low Frequency X-ducer

    • Shallow Focus

    • More Divergence

  • Large Diameter or High Frequency X-ducer

    • Deep Focus

    • Less Divergence

Resolution

  • Axial Resolution (LARRD): Front-to-back; parallel

    • Determined By: Pulse length

    • Best With: Shortest pulse, highest frequency, fewest cycle

    • Does it Change?: Same at all depths

    • In Near field best with: Shortest pulse

    • In Far field best with: Shortest pulse

  • Lateral Resolution (LATA): Side-to-side; perpendicular

    • Determined By: Beam width

    • Best With: Narrowest beam

    • Changes with depth, best at focus

    • In Near field best with: Smallest diameter crystal

    • In Far field best with: Largest diameter crystal and highest frequency (least divergence)

Type

  • External: Lens, Fixed, conventional, or mechanical

  • Internal: Curved PZT, Fixed, conventional, or mechanical

  • Electronic: Phased array, Adjustable

Effects of Focusing

  • Beam diameter in near field and focal zone reduced

  • Focal depth is shallower

  • Focal zone smaller

  • Beam diameter in far zone increases

Beam Steering and Focus

  • Electronic

    • Sound

    • Pattern

    • Slope

  • Curvature

    • Focus

Characteristics

  • Frequency-CW: Frequency of electrical signals from US

  • Frequency-PW: Thickness of PZT and speed of sound in PZT

  • Focal Length: Diameter of ceramic and frequency of sound

  • Beam divergence: Diameter of ceramic and frequency of sound

  • Lateral resolution: Beam width

Mode

  • A-mode

    • X-axis: Depth

    • Y-axis: Amplitude

    • Z-axis: None

  • B-mode

    • X-axis: Depth

    • Y-axis: None

    • Z-axis: Amplitude

  • M-mode

    • X-axis: Time

    • Y-axis: Depth

    • Z-axis: Amplitude

Resolution

  • Better Axial Resolution

    • Shorter spatial pulse length

    • Shorter pulse duration

    • Higher frequencies (short wavelengths)

    • Fewer cycles per pulse (less ringing)

    • Lower numerical values

Transducer Type

  • Mechanical

    • Steering Technique: Mechanical

    • Focusing Technique: Fixed

    • Image Shape: Sector

    • Effect on Image (PZT Defective): Loss of entire image

  • Linear Sequential

    • Steering Technique: Electronic

    • Focusing Technique: Electronic

    • Image Shape: Rectangular

    • Effect on Image (PZT Defective): Drop out of image information from top to bottom

  • Phased Array

    • Steering Technique: Electronic

    • Focusing Technique: Electronic

    • Image Shape: Sector

    • Effect on Image (PZT Defective): Erratic steering and focusing

  • Annular Phased

    • Steering Technique: Mechanical

    • Focusing Technique: Electronic

    • Image Shape: Sector

    • Effect on Image (PZT Defective): Horizontal or side-to-side band of drop out

  • Convex

    • Steering Technique: Electronic

    • Focusing Technique: Electronic

    • Image Shape: Blunted sector

  • Vector

    • Steering Technique: Electronic

    • Focusing Technique: Electronic

    • Image Shape: Trapezoidal

Contrast

  • High Contrast

    • Very different

    • Black and white

    • Cardiac

  • Low Contrast

    • Less difference

    • Grayscale

    • Abdomen

  • Look at next # for possible of shades, highest shade will be 1 number less

    • 256 128 64 32 16 8 4 2 1

    • number of bits

    • fill in from left to right

Preprocessing vs Postprocessing

  • Preprocessing

    • Analog

    • Transducer to Memory

  • Postprocessing

    • Digital

    • Memory to Display

Factors Affecting Frame Rate

  • Speed of sound in the medium

  • Imaging depth

Imaging Depth

  • Shallow Imaging

    • Short go-return time

    • Short Ttime

    • Higher frame rate

    • Superior temporal resolution

  • Deep Imaging

    • Long go-return time

    • Longer Ttime

    • Lower frame rate

    • Poor temporal resolution

Systems Settings Affecting Frame Rate

  • Imaging depth

  • Number of pulses per frame

Factor Determining Number of Pulser per Frame

  • Number of focal points

  • Sector size

  • Line density

Focus Imaging

  • Single Focus

    • One pulse per scan line

    • Shorter Tframe

    • Higher frame rate

    • Better temporal resolution

    • Poor lateral resolution

  • Multi-Focus

    • Many pulses per scan line

    • Longer Tframe

    • Lower frame rate

    • Diminished temporal resolution

    • Improved lateral resolution

Sector Imaging

  • Narrow Sector

    • Fewer pulses per frame

    • Shorter Tframe

    • Higher frame rate

    • Superior temporal resolution

  • Wide Sector

    • More pulses per frame

    • Longer Tframe

    • Lower frame rate

    • Diminished temporal resolution

Line Density

  • Low Line Density

    • Widely spaced lines

    • Fewer pulses per frame

    • Shorter Tframe

    • Higher frame rate

    • Poor spatial resolution

    • Higher temporal resolution

  • High Line Density

    • Tightly packed spaced lines

    • More pulses per frame

    • Longer Tframe

    • Lower frame rate

    • Lower temporal resolution

    • Excellent spatial resolution

Frame Rate

  • Better: Higher Frame Rate

    • Shallower imaging

    • Single focus

    • Narrow sector

    • Low line density

  • Worse: Lower Frame Rate

    • Deeper imaging

    • Multiple focal points ( improved lateral res)

    • Wide sector

    • High line density (improved spatial res)

Receiver Functions

  • Amplification: Yes Adjustable,All signals treated equally,Effect on Image: Entire image made lighter or darker

  • Compensation: Yes Adjustable, Signals treated differently based on specific depths,Effect on Image: Images will be uniformly bright from top to bottom

  • Compression: Yes Adjustable, Signals treated differently depending on their strength, Effect on Image: Changes gray scale mapping

  • Demodulation: No Adjustable, Prepares electrical signals to be suitable for display, Effect on Image: None

  • Reject: Yes Adjustable, Only weak signals affected; strong signals remain unchanged,Effect on Image: Weak echos appear or are eliminated from image

Image

*Receiver Gain:
*Changes brightness of entire image, Alters signal-to-noise ratio
*Output Power:
*Changes brightness of entire image, Doesn't affect signal-to-noise ratio, Alters patient exposure, Bioeffects concerns, Decrease this first if image is too bright
*Increase this first if image is too dark

Pixel Density

  • Low Pixel Density

    • Few pixels per inch

    • Larger pixels

    • Poorly detailed image

    • Lower spatial resolution

  • High Pixel Density

    • Many pixels per inch

    • Smaller pixels

    • More detailed image

    • Higher spatial resolution

Pixels

  • Image element

  • Image detail

  • Spatial resolution

Bits

  • Computer memory

  • Grey shade

  • Contrast resolution

  • Few Bits per Pixel: Few shades of gray, Degraded contrast resolution

  • Many Bits per Pixel: More shades of gray, Improved contrast resolution

Imaging

  • Shallow Image

    • Shorter listening

    • Shorter PRP

    • High PRF

    • Improved axial res

  • Deep Image

    • More listening

    • Longer PRP

    • Low PRF

    • Higher spatial resolution

Coded Excitation

  • Provides

    • Higher signal to noise ratio

    • Improved spatial res

    • Improved contrast res

    • Deeper penetration

Preprocessing and Post Processing

  • Preprocessing:

    • Time gain compensation

    • Log compression

    • Wire magnification

    • Persistence

    • Spatial compounding

    • Edge enhancement

    • Fill-in interpolation

    • Write Magnification

      • Acquires new data

      • Preprocessing

      • Identical pixel size

      • More pixels than in the original ROI

      • Improved spatial resolution

      • May improve temporal resolution

  • Post Processing:

    • Any change after freeze

    • Black/white inversion

    • Read magnification

    • Contrast variation

    • 3-D rendering

    • B-color

    • Read Magnification

      • Uses old data

      • Postprocessing

      • Larger pixel size

      • Same number of pixels in original ROI

      • Unchanged spatial resolution

      • Unchanged temporal resolution

Type of Medium

  • Paper Media

    • Examples: Charts from pen writers

    • Advantages: Portable, Doesn't require device to read

    • Disadvantages: Bulky, hard to store, Difficult to display dynamic images

  • Magnetic Media

    • Examples: Computer devices, Computer memory, Magnetic tape, Video Tape

    • Advantages: Able to store large amounts of info efficiently

    • Disadvantages: Can be erased by strong magnetic fields, Bulky, difficult to store and retrieve

  • Chemically Mediated

    • Examples: Photographs, Flat films, Multiformat camera film

    • Advantages: Able to store and play dynamic images, Can record color, High resolution, Accepted in the medical community

    • Disadvantages: Requires chemical processing

  • Photographs

  • Optical Media

    • Examples: Laser disc, Compact disc

    • Advantages: Store huge amount of data, Inexpensive, Not erased by exposure to magnetic fields, Can produce color images

    • Disadvantages: Artifacts can arise from dirt or chemical contamination, Requires a display system, No standardized format for image display and storage

Mechancial Index

  • Lower MI

    • Small pressure variation

    • Higher frequency

  • Higher MI

    • Large pressure variation

    • Lower frequency

Shade

  • Fewer Shades

    • Few choices

    • Black and white (bistable)

    • Narrow dynamic range

    • High contrast

  • More Shades

    • Many choices

    • Gray scale

    • Wide dynamic range

    • Low contrast

Harmonics

  • Tissue Harmonics

    • Created during transmission

    • Occurs as sound propagates through tissue

    • Results from nonlinear behavior of transmitted beam

    • Weaker harmonic signal

  • Contrast Harmonics

    • Created during reflection off microbubbles

    • Occurs only when contrast agents are present with MIs greater than .1

    • Results from nonlinear behavior of microbubbles

    • Stronger harmonic signal

Beam Former

  • Functions of the Beam Former

    • Generating voltages that drive the transducer

    • Determining PRP, PRF, coding, frequency, and intensity

    • Steering, focusing, and apodization of the beam

    • Amplifying the returning echo voltages

    • Compensation for attenuation

    • Digitizing the echo voltage system

    • Directing, focusing, apodizing the reception beam

Signal Processer and Image Processor

  • Function of the Signal Processor

    • Bandpass filtering

    • Amplitude detection

    • Compression (dynamic range reduction)

  • Function of the Image Processor

    • Scan conversion

    • Preprocessing

    • Spatial compounding

    • 3-D acquisition

    • Storing image frames

    • Cine loop

    • Post processing

    • Gray scale

    • Color scale

    • D-to-A conversion

Stenosis

  • In a stenosis

    • Normal laminar flow pre- stenosis

    • Max velocity, lowest pressure

    • Post Stenotic

Aliasing

  • Less Aliasing
    *Slower blood velocity
    *Lower frequency x-ducer
    *Shallow gate (high PRF)

  • More Aliasing
    *Faster blood velocity
    *Higher frequency x-ducer
    *Deep gate (low PRF)

  • Strategy (Increase nyquist limit)
    *Adjust scale
    *New, shallower view (sample gate)
    *O baseline shift
    *CW Doppler

  • Method
    *Decrease Doppler shift
    *Lower frequency transducer
    *Aliasing remains, visually appealing

CW and Pulsed Doppler

  • CW Doppler:
    *Never aliases, but range ambiguity
    *Range ambiguity
    *Unlimited maximum velocity
    *No aliasing

  • Pulsed Doppler:
    *Range resolution
    *Sample volume
    *Region of overlap
    *Limited maximum velocity- nyquist
    *Aliasing

Doppler Transducer

  • Pulsed Doppler Transducer

    • At least 1 crystal

    • Dampened PZT

    • Low Q-factor

    • Wide bandwidth

    • Lower sensitivity

  • CW Doppler Transducer

    • At least 2 crystals

    • Undampened PZT

    • High Q-factor

    • Narrow bandwidth

    • Higher sensitivity

Measuring

  • Pulsed Wave

    • Accurately identifies location of flow

    • Range resolution

    • Moderately sensitive

    • Very good temporal resolution

    • Aliasing

    • Peak velocity measured

  • Continuous Wave

    • ID highest velocity jets anywhere along beam

    • Range ambiguity

    • Most sensitive

    • Very good temporal resolution

    • No aliasing

    • Peak velocity measurement

  • Color Flow

    • Provides 2D information directly on anatomic image

    • Range resolution

    • Moderately sensitive; size of color jet most affected by color Doppler gain settings

    • Reduced temp res due to multiple packets

    • Aliasing

    • Average velocity

  • Power Mode

    • Used with low flow velocity or flow of small vessels

    • Range resolution

    • Greater sensitivity than color flow

    • Lowest temporal resolution

    • Subject to flash artifact, not aliasing

    • No velocity

Stenosis Effects

  • Change in flow direction

  • Increased velocity as a vessel narrows

  • Turbulence downstream from stenosis

  • Pressure gradient across stenosis

  • Loss of pulsatility

Diaphragm Movement

  • Inspiration

    • Diaphragm moves downward

    • Thoracic pressure decreases

    • Abdominal pressure increases

    • Venous flow to heart increases

    • Venous flow to legs decrease

  • Expiration

    • Diaphragm moves up into thorax

    • Thoracic pressure increases

    • Abdominal pressure decreases

    • Venous flow to heart decreases

    • Venous flow to legs increase

Flow type

  • Laminar

    • Open Window

    • After stenosis

  • Turbulent

    • Disturbed

    • Bifurcation

    • Sharp curve

    • Spectral Broadening

    • Associated with pathology

Ultrasound Machine Assumption

  • Sound travels in a straight line

  • Sound travels directly to a reflector and back

  • Sound travels at a rate of 1,540 m/s

  • Reflections only arise from structures positioned in beams main axis

  • Imaging plane is extremely thin

  • Strength of reflection is related to characteristics of tissue creating the reflection

Artifact

  • Reverberation

    • Multiple reflectors placed equally on display

    • Caused by sound bouncing between two strong reflectors

    • Places too many reflections on image

  • Ring Down or Comet Tail Artifact

    • Form of reverberation

    • Comet tail by two close reflectors

    • Ring down by gas bubble that resonates

    • Hyperechoic line downward of reflector

  • Shadow

    • Hypoechoic or anechoic under strong attenuator

    • Result of too much attenuation

    • Prevents visualization of anatomy under

    • Can provide diagnostic information

  • Enhancement

    • Hyperechoic region under weakly attenuating structure

    • Bladder

    • Loss of visualization behind structure

    • Useful in diagnostic information

  • Mirror Image

    • Replica placed deeper in image

    • Reflection off of strong, flat reflector

    • Bright mirroring reflector lies on straight line between artifact and transducer

    • Cross talk on spectral

  • Focal Enhancement (Banding)

    • Abnormal brightness at focus

    • Can be reduced by TGC

  • Speed Error

    • Sound travels through medium other than soft tissue

    • Correct number of reflectors at incorrect depths

    • Makes image appear split or cut

    • When medium faster that soft tissue, reflector placed too shallow

    • When medium slower than soft tissue, reflector placed too deep

  • Lobes

    • When sound wave is transmitted in direction other than beams main axis

    • Degradation of lateral resolution

    • Reflection of strong reflector may appear

    • Subdicing or apodization fixes

  • Refraction

    • Pulse changes direction during transmission

    • Occurs at oblique boundary with different propagation speed

    • Degrades lateral resolution

    • Second copy of true reflector is usually produced nearly side by side

    • Change angle to fix

  • Slice Thickness Artifact

    • Geometry of the beam

    • Seen in anechoic regions and this hyperechoic line

  • Speckle

    • Form of noise

    • Tissue texture close to transducer

    • Harmonics fixes

Intensities

  • Unfocused : 100 mW/cm²

  • Focused: 1 W/cm²

Formulas

  • Poweramplitude2Power \propto amplitude^2$$Power \propto amplitude^2$$

  • Intensity(W/cm2)=Power(W)Area(cm)Intensity (W/cm^2) = \frac{Power (W)}{Area (cm)}$$Intensity (W/cm^2) = \frac{Power (W)}{Area (cm)}$$

  • Intensityamplitude2Intensity \propto amplitude^2$$Intensity \propto amplitude^2$$

  • IntensitypowerIntensity \propto power$$Intensity \propto power$$

  • Wavelength(mm)=1.54mm/usFrequencyWavelength (mm) = \frac{1.54mm/us}{Frequency}$$Wavelength (mm) = \frac{1.54mm/us}{Frequency}$$

  • Speed(m/s)=frequency(Hz)×wavelength(mm)Speed (m/s) = frequency (Hz) \times wavelength (mm)$$Speed (m/s) = frequency (Hz) \times wavelength (mm)$$

  • Pulse Duration (us) = #cycles \times period (us)$$Pulse Duration (us) = #cycles \times period (us)$$

  • Pulse Duration(us) = \frac{#cycles}{Frequency (MHz)}$$Pulse Duration(us) = \frac{#cycles}{Frequency (MHz)}$$

  • Spatial Pulse Length (mm)= #cycles \times wavelength (mm)$$Spatial Pulse Length (mm)= #cycles \times wavelength (mm)$$

  • PRF=1PRPPRF= \frac{1}{PRP}$$PRF= \frac{1}{PRP}$$

  • PRP=1PRFPRP=\frac{1}{PRF}$$PRP=\frac{1}{PRF}$$

  • RayleighScatteringFrequency4Rayleigh Scattering \propto Frequency^4$$Rayleigh Scattering \propto Frequency^4$$

  • AttenuationCoefficient(dB/cm)=Frequency2Attenuation Coefficient (dB/cm)= \frac{Frequency}{2}$$Attenuation Coefficient (dB/cm)= \frac{Frequency}{2}$$

  • TotalAttenuation(dB)=AttenuationCoefficient(dB/cm)×distance(cm)Total Attenuation (dB) = Attenuation Coefficient (dB/cm) \times distance (cm)$$Total Attenuation (dB) = Attenuation Coefficient (dB/cm) \times distance (cm)$$

  • Impedance(Rayls)=Density(kg/cm3)×propagationspeed(m/s)Impedance (Rayls) = Density (kg/cm^3) \times propagation speed (m/s)$$Impedance (Rayls) = Density (kg/cm^3) \times propagation speed (m/s)$$

  • IncidentIntensity(starting)=reflectedintensity+transmittedintensityIncident Intensity (starting) = reflected intensity + transmitted intensity$$Incident Intensity (starting) = reflected intensity + transmitted intensity$$

  • 100%intensity=reflectioncoefficient(IRC%)+intensitytransmissioncoefficient(ITC%)100\% intensity = reflection coefficient (IRC\%) + intensity transmission coefficient (ITC\%)$$100\% intensity = reflection coefficient (IRC\%) + intensity transmission coefficient (ITC\%)$$

  • $$IRC\%= \frac{Z2-Z1}{Z2+Z1} \times 100$$

  • ITC%=transmitted intensityReflected intensity×100ITC\%=\frac{transmitted \ intensity}{Reflected \ intensity} \times 100$$ITC\%=\frac{transmitted \ intensity}{Reflected \ intensity} \times 100$$

  • =1intensityreflectioncoefficient= 1- intensity reflection coefficient$$= 1- intensity reflection coefficient$$

  • Incidentintensity(W/cm2)=Reflected intensity+Transmitted intensityIncident intensity (W/cm²) = Reflected \ intensity + Transmitted \ intensity$$Incident intensity (W/cm²) = Reflected \ intensity + Transmitted \ intensity$$

  • Angle of incidence =Angle of reflectionAngle \ of \ incidence \ = Angle \ of \ reflection$$Angle \ of \ incidence \ = Angle \ of \ reflection$$

  • Snells Law:Snells \ Law:$$Snells \ Law:$$

  • $$\frac{Sin (Transmission \ angle)}{Sin (Incident \ angle)} = \frac{Speed \ of \ medium \ 1}{Speed \ of \ medium


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Mock Physics Registry Review Flashcards

Meaning, Exponent, Prefix, Symbol Pairs

  • 10910^9: Giga (G), 1,000,000,000 (Billion), Pairs with Nano (G&n)
  • 10610^6: Mega (M), 1,000,000 (Million), Pairs with Micro (M & u)
  • 10310^3: Kilo (k), 1,000 (Thousand), Pairs with milli (k & m)
  • 10210^2: Hecto (h), 100 (hundred), Pairs with centi (h & c)
  • 10110^1: Deca (da), 10 (Ten), Pairs with deci (da & d)
  • 10110^{-1}: Deci (d), 0.1 (Tenth), Pairs with Deca (da & d)
  • 10210^{-2}: Centi (с), 0.01 (Hundredth), Pairs with Hecto (h & c)
  • 10310^{-3}: Milli (m), 0.001 (Thousandth), Pairs with Kilo (k & m)
  • 10610^{-6}: Micro (u), 0.000001 (Millionth), Pairs with Mega (M & u)
  • 10910^{-9}: Nano (n), 0.000000001 (Billionth), Pairs with Giga (G&n)
  • Mnemonic: King Henry Died by Drinking Chocolate Milk

Acoustic Variables

  • Pressure: Pascals (Pa)
  • Density: Kg/cm³
  • Distance (Particle motion): cm, mm
  • Temperature (Sometimes): Celsius

Acoustic Parameters

  • Period
  • Frequency
  • Amplitude
  • Power
  • Wavelength
  • Propagation Speed
  • Intensity

Sound Frequencies

  • Infrasound: Below 20 Hz
  • Audible sound: Between 20 and 20,000 Hz
  • Ultrasound: Above 20 kHz

Speed

  • Determined by Stiffness and Density
  • Less Stiff (Slow)
    • Lung: 500 m/s
    • Fat: 1450 m/s
    • Soft Tissue: 1540 m/s
    • Liver and Blood: 1560 m/s
    • Muscle: 1600 m/s
    • Tendon: 1750 m/s
  • More Stiff (Fast)
    • Bone: 3500 m/s

Imaging

  • Shallow Imaging:
    • Less listening time
    • Short PRP
    • High PRF
    • Higher Duty Factor
  • Deep Imaging:
    • More listening time
    • Long PRP
    • Low PRF
    • Lower Duty Factor

Period and Frequency

  • Reciprocals
  • Frequency Period
  • Frequency Period

Parameters

  • Determined by Source
    • Period: No adjustment, Units: s, ms, us, Typical Values: 0.06-0.5 us
    • Frequency: No adjustment, Units: Hz, MHz, Typical Values: 2-15MHz
    • Amplitude: Yes adjustment, Units: Pa, kg/cm³, cm, Typical Values: 1MP-3MP
    • Power: Yes adjustment, Units: Watts, Typical Values: 4-90mW
    • Intensity: Yes adjustment, Units: W/cm², Typical Values: 0.01-300 W/cm²
  • Determined by both medium and source
    • Wavelength: No adjustment, Units: mm, distance, Typical Values: 0.1-0.8mm
  • Determined by medium
    • Speed: No adjustment, Units: m/s, Typical Values: 1,500-1,600
  • Determined by source and medium
    • Spatial Pulse Length

Pulse

  • Change with Depth
    • PRP
    • PRF
    • Duty Factor
  • Don't change with depth
    • Pulse Duration

Duration

  • Pulse Duration
    • Adjustable: No
    • Units: us, time
    • Determined By: Source
    • Typical Value: 0.5-3 us
  • PRP
    • Adjustable: Yes
    • Units: msec, time
    • Determined By: Source
    • Typical Value: 0.1-1ms
  • PRF
    • Adjustable: Yes
    • Units: Hz, per second
    • Determined By: Source
    • Typical Value: 1-10kHz
  • Spatial Pulse Length
    • Adjustable: No
    • Units: mm, distance
    • Determined By: Both
    • Typical Value: 0.1-1mm
  • Duty Factor
    • Adjustable: Yes
    • Units: None (percent)
    • Determined By: Source
    • Typical Value: 0.2-0.5%

Attenuation

  • More Attenuation
    • High Frequency
    • Longer Distance
  • Less Attenuation
    • Low Frequency
    • Short distance
  • Extremely low: Water, Biofluids
  • Low: Fat
  • Intermediate: Soft tissue, Muscle
  • High: Bone and Lung, Air

Decibel

  • Meaning
    • 3: 2x
    • 6: 4x
    • 9: 8x
    • 10: 10x
    • 20: 100x
    • 30: 1000x
    • -10: 1/10
    • -9: 1/8
    • -6: 1/4
    • -3: 1/2

Sound

  • Organized:
    • Sound back to transducer
    • Specular
  • Disorganized:
    • Sound in all directions
    • Rayleigh
    • Diffuse, Backscatter

Scattering

  • Low
  • Even higher
  • Extremely High

Speeds

  • Angle of Transmission
    • No refraction, transmission angle= incident angle
    • Speed 2 > Speed 1
      • Transmission angle > incident angle
    • Speed 2 < Speed 1
      • Transmission angle < incident angle

Time of Flight

  • Distance
  • Depth
    • 13 us = 1cm = 2cm
    • 26us = 2cm = 4cm
    • 39us = 3cm = 6cm
  • Use 13 microsecond rule!

Events

  • Reflection with normal incidence
    • Requirement: Different impedances required
  • Reflection with oblique incidence
    • Can't predict, Too complex!
  • Transmission
    • Requirement: Use law of conservation of energy
  • Refraction
    • Requirement: Oblique incidence, change in propagation speed

Acoustic

  • Component:
    • Active Element
    • PZT
  • Matching Layer
  • Backing Material
    • Acoustic Insulator
    • Electric Shield
  • Thickness:
    • Active element: ½ wavelength
    • Matching Layer: 14 wavelength

Transducer

  • Mechanical Transducer
    *Image shape: sector/fan
    *Beam steering: mechanical
    *Beam Focusing: fixed
    *Advantage: best slice thickness
    *Outdated Now
  • Linear Phased Array Transducer
    *Crystal #/Shape: 100-300 in a line
    *Image shape: Fan or sector
    *Beam Focusing: Phasing
    *Advantage: small footprint, no moving parts; can fit between ribs, good for cardiac
    *Damaged PZT: erratic steering
  • Annular Phased Array
    *Crystals #/Shape: multiple rings with common center
    *Image Shape: fan or sector
    *Beam Steering: mechanical
    *Beam Focusing: multi-focus
    *Advantage: multiple focal zones, Best slice thickness resolution
    *Damaged PZT: horizontal
  • Linear Sequential Arrays
    *Crystal #/Shape: 12-250, rectangular PZT side-by-side
    *Image Shape: rectangular, large footprint
    *Beam Steering: small groups fired simultaneously parallel to each other
    *Beam Focusing: electronically
    *Damaged PZT: vertical dropout
    *Used for superficial structures
  • Curved, Convex, Curvilinear Array Transducer
    *Crystal #/Shape: 120-250 rectangular side-by-side
    *Image Shape: Blunted Sector
    *Beam Steering: some but not all crystals fired simultaneously
    *Beam Focusing: Electronically
    *Damaged PZT: Vertical drop out
    *Used for imaging large spaces… Abdomen/ OB
  • Vector Array
    *Crystals #/Shape: 120-250 rectangular shaped strips
    *Image Shape: trapezoidal, small footprint, fits between ribs
    *Beam Steering: combines linear and phased technology. Some but not crystals fired at one time
    *Combination of linear sequential and linear phased array

Imaging and Non-Imaging Transducer

  • Imaging Transducer
    • Short pulse duration and spatial pulse length
    • Uses backing material
    • Reduced sensitivity
    • Wide bandwidth
    • Lower Q-Factor
    • Improved axial resolution
    • Characteristics of High Frequency Pulse Wave Imaging Transducers
      • Thinner PZT crystal
      • PZT with higher speed
  • Non-Imaging Transducer
    • Long pulse duration and wavelength
    • No dampening
    • Increased sensitivity
    • Narrow bandwidth
    • High Q-Factor
    • Cannot create image
    • Characteristics of Low Frequency Pulsed Wave Imaging Transducers
      • Thicker PZT crystal
      • PZT with lower speed
    • "Thin fast guy wins the race, slow fat guy doesn't"
    • "Toast with a thick beer mug will produce low frequency sound, Toast with thin champagne glass will produce a high frequency sound"

Beam Diameter

  • Location
    • At the transducer: Equals transducer diameter
    • At the focus: ½ transducer diameter
    • At 2 near zone lengths: Equal transducer diameter
    • Deeper than 2 near zone lengths: Wider than transducer diameter

Focus

  • Small Diameter or Low Frequency X-ducer
    • Shallow Focus
    • More Divergence
  • Large Diameter or High Frequency X-ducer
    • Deep Focus
    • Less Divergence

Resolution

  • Axial Resolution (LARRD): Front-to-back; parallel
    • Determined By: Pulse length
    • Best With: Shortest pulse, highest frequency, fewest cycle
    • Does it Change?: Same at all depths
    • In Near field best with: Shortest pulse
    • In Far field best with: Shortest pulse
  • Lateral Resolution (LATA): Side-to-side; perpendicular
    • Determined By: Beam width
    • Best With: Narrowest beam
    • Changes with depth, best at focus
    • In Near field best with: Smallest diameter crystal
    • In Far field best with: Largest diameter crystal and highest frequency (least divergence)

Type

  • External: Lens, Fixed, conventional, or mechanical
  • Internal: Curved PZT, Fixed, conventional, or mechanical
  • Electronic: Phased array, Adjustable

Effects of Focusing

  • Beam diameter in near field and focal zone reduced
  • Focal depth is shallower
  • Focal zone smaller
  • Beam diameter in far zone increases

Beam Steering and Focus

  • Electronic
    • Sound
    • Pattern
    • Slope
  • Curvature
    • Focus

Characteristics

  • Frequency-CW: Frequency of electrical signals from US
  • Frequency-PW: Thickness of PZT and speed of sound in PZT
  • Focal Length: Diameter of ceramic and frequency of sound
  • Beam divergence: Diameter of ceramic and frequency of sound
  • Lateral resolution: Beam width

Mode

  • A-mode
    • X-axis: Depth
    • Y-axis: Amplitude
    • Z-axis: None
  • B-mode
    • X-axis: Depth
    • Y-axis: None
    • Z-axis: Amplitude
  • M-mode
    • X-axis: Time
    • Y-axis: Depth
    • Z-axis: Amplitude

Resolution

  • Better Axial Resolution
    • Shorter spatial pulse length
    • Shorter pulse duration
    • Higher frequencies (short wavelengths)
    • Fewer cycles per pulse (less ringing)
    • Lower numerical values

Transducer Type

  • Mechanical
    • Steering Technique: Mechanical
    • Focusing Technique: Fixed
    • Image Shape: Sector
    • Effect on Image (PZT Defective): Loss of entire image
  • Linear Sequential
    • Steering Technique: Electronic
    • Focusing Technique: Electronic
    • Image Shape: Rectangular
    • Effect on Image (PZT Defective): Drop out of image information from top to bottom
  • Phased Array
    • Steering Technique: Electronic
    • Focusing Technique: Electronic
    • Image Shape: Sector
    • Effect on Image (PZT Defective): Erratic steering and focusing
  • Annular Phased
    • Steering Technique: Mechanical
    • Focusing Technique: Electronic
    • Image Shape: Sector
    • Effect on Image (PZT Defective): Horizontal or side-to-side band of drop out
  • Convex
    • Steering Technique: Electronic
    • Focusing Technique: Electronic
    • Image Shape: Blunted sector
  • Vector
    • Steering Technique: Electronic
    • Focusing Technique: Electronic
    • Image Shape: Trapezoidal

Contrast

  • High Contrast
    • Very different
    • Black and white
    • Cardiac
  • Low Contrast
    • Less difference
    • Grayscale
    • Abdomen
  • Look at next # for possible of shades, highest shade will be 1 number less
    • 256 128 64 32 16 8 4 2 1
    • number of bits
    • fill in from left to right

Preprocessing vs Postprocessing

  • Preprocessing
    • Analog
    • Transducer to Memory
  • Postprocessing
    • Digital
    • Memory to Display

Factors Affecting Frame Rate

  • Speed of sound in the medium
  • Imaging depth

Imaging Depth

  • Shallow Imaging
    • Short go-return time
    • Short Ttime
    • Higher frame rate
    • Superior temporal resolution
  • Deep Imaging
    • Long go-return time
    • Longer Ttime
    • Lower frame rate
    • Poor temporal resolution

Systems Settings Affecting Frame Rate

  • Imaging depth
  • Number of pulses per frame

Factor Determining Number of Pulser per Frame

  • Number of focal points
  • Sector size
  • Line density

Focus Imaging

  • Single Focus
    • One pulse per scan line
    • Shorter Tframe
    • Higher frame rate
    • Better temporal resolution
    • Poor lateral resolution
  • Multi-Focus
    • Many pulses per scan line
    • Longer Tframe
    • Lower frame rate
    • Diminished temporal resolution
    • Improved lateral resolution

Sector Imaging

  • Narrow Sector
    • Fewer pulses per frame
    • Shorter Tframe
    • Higher frame rate
    • Superior temporal resolution
  • Wide Sector
    • More pulses per frame
    • Longer Tframe
    • Lower frame rate
    • Diminished temporal resolution

Line Density

  • Low Line Density
    • Widely spaced lines
    • Fewer pulses per frame
    • Shorter Tframe
    • Higher frame rate
    • Poor spatial resolution
    • Higher temporal resolution
  • High Line Density
    • Tightly packed spaced lines
    • More pulses per frame
    • Longer Tframe
    • Lower frame rate
    • Lower temporal resolution
    • Excellent spatial resolution

Frame Rate

  • Better: Higher Frame Rate
    • Shallower imaging
    • Single focus
    • Narrow sector
    • Low line density
  • Worse: Lower Frame Rate
    • Deeper imaging
    • Multiple focal points ( improved lateral res)
    • Wide sector
    • High line density (improved spatial res)

Receiver Functions

  • Amplification: Yes Adjustable,All signals treated equally,Effect on Image: Entire image made lighter or darker
  • Compensation: Yes Adjustable, Signals treated differently based on specific depths,Effect on Image: Images will be uniformly bright from top to bottom
  • Compression: Yes Adjustable, Signals treated differently depending on their strength, Effect on Image: Changes gray scale mapping
  • Demodulation: No Adjustable, Prepares electrical signals to be suitable for display, Effect on Image: None
  • Reject: Yes Adjustable, Only weak signals affected; strong signals remain unchanged,Effect on Image: Weak echos appear or are eliminated from image

Image

*Receiver Gain:
*Changes brightness of entire image, Alters signal-to-noise ratio
*Output Power:
*Changes brightness of entire image, Doesn't affect signal-to-noise ratio, Alters patient exposure, Bioeffects concerns, Decrease this first if image is too bright
*Increase this first if image is too dark

Pixel Density

  • Low Pixel Density
    • Few pixels per inch
    • Larger pixels
    • Poorly detailed image
    • Lower spatial resolution
  • High Pixel Density
    • Many pixels per inch
    • Smaller pixels
    • More detailed image
    • Higher spatial resolution

Pixels

  • Image element
  • Image detail
  • Spatial resolution

Bits

  • Computer memory
  • Grey shade
  • Contrast resolution
  • Few Bits per Pixel: Few shades of gray, Degraded contrast resolution
  • Many Bits per Pixel: More shades of gray, Improved contrast resolution

Imaging

  • Shallow Image
    • Shorter listening
    • Shorter PRP
    • High PRF
    • Improved axial res
  • Deep Image
    • More listening
    • Longer PRP
    • Low PRF
    • Higher spatial resolution

Coded Excitation

  • Provides
    • Higher signal to noise ratio
    • Improved spatial res
    • Improved contrast res
    • Deeper penetration

Preprocessing and Post Processing

  • Preprocessing:
    • Time gain compensation
    • Log compression
    • Wire magnification
    • Persistence
    • Spatial compounding
    • Edge enhancement
    • Fill-in interpolation
    • Write Magnification
      • Acquires new data
      • Preprocessing
      • Identical pixel size
      • More pixels than in the original ROI
      • Improved spatial resolution
      • May improve temporal resolution
  • Post Processing:
    • Any change after freeze
    • Black/white inversion
    • Read magnification
    • Contrast variation
    • 3-D rendering
    • B-color
    • Read Magnification
      • Uses old data
      • Postprocessing
      • Larger pixel size
      • Same number of pixels in original ROI
      • Unchanged spatial resolution
      • Unchanged temporal resolution

Type of Medium

  • Paper Media
    • Examples: Charts from pen writers
    • Advantages: Portable, Doesn't require device to read
    • Disadvantages: Bulky, hard to store, Difficult to display dynamic images
  • Magnetic Media
    • Examples: Computer devices, Computer memory, Magnetic tape, Video Tape
    • Advantages: Able to store large amounts of info efficiently
    • Disadvantages: Can be erased by strong magnetic fields, Bulky, difficult to store and retrieve
  • Chemically Mediated
    • Examples: Photographs, Flat films, Multiformat camera film
    • Advantages: Able to store and play dynamic images, Can record color, High resolution, Accepted in the medical community
    • Disadvantages: Requires chemical processing
  • Photographs
  • Optical Media
    • Examples: Laser disc, Compact disc
    • Advantages: Store huge amount of data, Inexpensive, Not erased by exposure to magnetic fields, Can produce color images
    • Disadvantages: Artifacts can arise from dirt or chemical contamination, Requires a display system, No standardized format for image display and storage

Mechancial Index

  • Lower MI
    • Small pressure variation
    • Higher frequency
  • Higher MI
    • Large pressure variation
    • Lower frequency

Shade

  • Fewer Shades
    • Few choices
    • Black and white (bistable)
    • Narrow dynamic range
    • High contrast
  • More Shades
    • Many choices
    • Gray scale
    • Wide dynamic range
    • Low contrast

Harmonics

  • Tissue Harmonics
    • Created during transmission
    • Occurs as sound propagates through tissue
    • Results from nonlinear behavior of transmitted beam
    • Weaker harmonic signal
  • Contrast Harmonics
    • Created during reflection off microbubbles
    • Occurs only when contrast agents are present with MIs greater than .1
    • Results from nonlinear behavior of microbubbles
    • Stronger harmonic signal

Beam Former

  • Functions of the Beam Former
    • Generating voltages that drive the transducer
    • Determining PRP, PRF, coding, frequency, and intensity
    • Steering, focusing, and apodization of the beam
    • Amplifying the returning echo voltages
    • Compensation for attenuation
    • Digitizing the echo voltage system
    • Directing, focusing, apodizing the reception beam

Signal Processer and Image Processor

  • Function of the Signal Processor
    • Bandpass filtering
    • Amplitude detection
    • Compression (dynamic range reduction)
  • Function of the Image Processor
    • Scan conversion
    • Preprocessing
    • Spatial compounding
    • 3-D acquisition
    • Storing image frames
    • Cine loop
    • Post processing
    • Gray scale
    • Color scale
    • D-to-A conversion

Stenosis

  • In a stenosis
    • Normal laminar flow pre- stenosis
    • Max velocity, lowest pressure
    • Post Stenotic

Aliasing

  • Less Aliasing
    *Slower blood velocity
    *Lower frequency x-ducer
    *Shallow gate (high PRF)
  • More Aliasing
    *Faster blood velocity
    *Higher frequency x-ducer
    *Deep gate (low PRF)
  • Strategy (Increase nyquist limit)
    *Adjust scale
    *New, shallower view (sample gate)
    *O baseline shift
    *CW Doppler
  • Method
    *Decrease Doppler shift
    *Lower frequency transducer
    *Aliasing remains, visually appealing

CW and Pulsed Doppler

  • CW Doppler:
    *Never aliases, but range ambiguity
    *Range ambiguity
    *Unlimited maximum velocity
    *No aliasing

  • Pulsed Doppler:
    *Range resolution
    *Sample volume
    *Region of overlap
    *Limited maximum velocity- nyquist
    *Aliasing

Doppler Transducer

  • Pulsed Doppler Transducer
    • At least 1 crystal
    • Dampened PZT
    • Low Q-factor
    • Wide bandwidth
    • Lower sensitivity
  • CW Doppler Transducer
    • At least 2 crystals
    • Undampened PZT
    • High Q-factor
    • Narrow bandwidth
    • Higher sensitivity

Measuring

  • Pulsed Wave
    • Accurately identifies location of flow
    • Range resolution
    • Moderately sensitive
    • Very good temporal resolution
    • Aliasing
    • Peak velocity measured
  • Continuous Wave
    • ID highest velocity jets anywhere along beam
    • Range ambiguity
    • Most sensitive
    • Very good temporal resolution
    • No aliasing
    • Peak velocity measurement
  • Color Flow
    • Provides 2D information directly on anatomic image
    • Range resolution
    • Moderately sensitive; size of color jet most affected by color Doppler gain settings
    • Reduced temp res due to multiple packets
    • Aliasing
    • Average velocity
  • Power Mode
    • Used with low flow velocity or flow of small vessels
    • Range resolution
    • Greater sensitivity than color flow
    • Lowest temporal resolution
    • Subject to flash artifact, not aliasing
    • No velocity

Stenosis Effects

  • Change in flow direction
  • Increased velocity as a vessel narrows
  • Turbulence downstream from stenosis
  • Pressure gradient across stenosis
  • Loss of pulsatility

Diaphragm Movement

  • Inspiration
    • Diaphragm moves downward
    • Thoracic pressure decreases
    • Abdominal pressure increases
    • Venous flow to heart increases
    • Venous flow to legs decrease
  • Expiration
    • Diaphragm moves up into thorax
    • Thoracic pressure increases
    • Abdominal pressure decreases
    • Venous flow to heart decreases
    • Venous flow to legs increase

Flow type

  • Laminar
    • Open Window
    • After stenosis
  • Turbulent
    • Disturbed
    • Bifurcation
    • Sharp curve
    • Spectral Broadening
    • Associated with pathology

Ultrasound Machine Assumption

  • Sound travels in a straight line
  • Sound travels directly to a reflector and back
  • Sound travels at a rate of 1,540 m/s
  • Reflections only arise from structures positioned in beams main axis
  • Imaging plane is extremely thin
  • Strength of reflection is related to characteristics of tissue creating the reflection

Artifact

  • Reverberation
    • Multiple reflectors placed equally on display
    • Caused by sound bouncing between two strong reflectors
    • Places too many reflections on image
  • Ring Down or Comet Tail Artifact
    • Form of reverberation
    • Comet tail by two close reflectors
    • Ring down by gas bubble that resonates
    • Hyperechoic line downward of reflector
  • Shadow
    • Hypoechoic or anechoic under strong attenuator
    • Result of too much attenuation
    • Prevents visualization of anatomy under
    • Can provide diagnostic information
  • Enhancement
    • Hyperechoic region under weakly attenuating structure
    • Bladder
    • Loss of visualization behind structure
    • Useful in diagnostic information
  • Mirror Image
    • Replica placed deeper in image
    • Reflection off of strong, flat reflector
    • Bright mirroring reflector lies on straight line between artifact and transducer
    • Cross talk on spectral
  • Focal Enhancement (Banding)
    • Abnormal brightness at focus
    • Can be reduced by TGC
  • Speed Error
    • Sound travels through medium other than soft tissue
    • Correct number of reflectors at incorrect depths
    • Makes image appear split or cut
    • When medium faster that soft tissue, reflector placed too shallow
    • When medium slower than soft tissue, reflector placed too deep
  • Lobes
    • When sound wave is transmitted in direction other than beams main axis
    • Degradation of lateral resolution
    • Reflection of strong reflector may appear
    • Subdicing or apodization fixes
  • Refraction
    • Pulse changes direction during transmission
    • Occurs at oblique boundary with different propagation speed
    • Degrades lateral resolution
    • Second copy of true reflector is usually produced nearly side by side
    • Change angle to fix
  • Slice Thickness Artifact
    • Geometry of the beam
    • Seen in anechoic regions and this hyperechoic line
  • Speckle
    • Form of noise
    • Tissue texture close to transducer
    • Harmonics fixes

Intensities

  • Unfocused : 100 mW/cm²
  • Focused: 1 W/cm²

Formulas

  • Poweramplitude2Power \propto amplitude^2
  • Intensity(W/cm2)=Power(W)Area(cm)Intensity (W/cm^2) = \frac{Power (W)}{Area (cm)}
  • Intensityamplitude2Intensity \propto amplitude^2
  • IntensitypowerIntensity \propto power
  • Wavelength(mm)=1.54mm/usFrequencyWavelength (mm) = \frac{1.54mm/us}{Frequency}
  • Speed(m/s)=frequency(Hz)×wavelength(mm)Speed (m/s) = frequency (Hz) \times wavelength (mm)
  • Pulse Duration (us) = #cycles \times period (us)
  • Pulse Duration(us) = \frac{#cycles}{Frequency (MHz)}
  • Spatial Pulse Length (mm)= #cycles \times wavelength (mm)
  • PRF=1PRPPRF= \frac{1}{PRP}
  • PRP=1PRFPRP=\frac{1}{PRF}
  • RayleighScatteringFrequency4Rayleigh Scattering \propto Frequency^4
  • AttenuationCoefficient(dB/cm)=Frequency2Attenuation Coefficient (dB/cm)= \frac{Frequency}{2}
  • TotalAttenuation(dB)=AttenuationCoefficient(dB/cm)×distance(cm)Total Attenuation (dB) = Attenuation Coefficient (dB/cm) \times distance (cm)
  • Impedance(Rayls)=Density(kg/cm3)×propagationspeed(m/s)Impedance (Rayls) = Density (kg/cm^3) \times propagation speed (m/s)
  • IncidentIntensity(starting)=reflectedintensity+transmittedintensityIncident Intensity (starting) = reflected intensity + transmitted intensity
  • 100%intensity=reflectioncoefficient(IRC%)+intensitytransmissioncoefficient(ITC%)100\% intensity = reflection coefficient (IRC\%) + intensity transmission coefficient (ITC\%)
  • IRC%=Z2Z1Z2+Z1×100IRC\%= \frac{Z2-Z1}{Z2+Z1} \times 100
  • ITC%=transmitted intensityReflected intensity×100ITC\%=\frac{transmitted \ intensity}{Reflected \ intensity} \times 100
  • =1intensityreflectioncoefficient= 1- intensity reflection coefficient
  • Incidentintensity(W/cm2)=Reflected intensity+Transmitted intensityIncident intensity (W/cm²) = Reflected \ intensity + Transmitted \ intensity
  • Angle of incidence =Angle of reflectionAngle \ of \ incidence \ = Angle \ of \ reflection
  • Snells Law:Snells \ Law:
  • $$\frac{Sin (Transmission \ angle)}{Sin (Incident \ angle)} = \frac{Speed \ of \ medium \ 1}{Speed \ of \ medium