109$$10^9$$: Giga (G), 1,000,000,000 (Billion), Pairs with Nano (G&n)
106$$10^6$$: Mega (M), 1,000,000 (Million), Pairs with Micro (M & u)
103$$10^3$$: Kilo (k), 1,000 (Thousand), Pairs with milli (k & m)
102$$10^2$$: Hecto (h), 100 (hundred), Pairs with centi (h & c)
101$$10^1$$: Deca (da), 10 (Ten), Pairs with deci (da & d)
10−1$$10^{-1}$$: Deci (d), 0.1 (Tenth), Pairs with Deca (da & d)
10−2$$10^{-2}$$: Centi (с), 0.01 (Hundredth), Pairs with Hecto (h & c)
10−3$$10^{-3}$$: Milli (m), 0.001 (Thousandth), Pairs with Kilo (k & m)
10−6$$10^{-6}$$: Micro (u), 0.000001 (Millionth), Pairs with Mega (M & u)
10−9$$10^{-9}$$: Nano (n), 0.000000001 (Billionth), Pairs with Giga (G&n)
Mnemonic: King Henry Died by Drinking Chocolate Milk
Pressure: Pascals (Pa)
Density: Kg/cm³
Distance (Particle motion): cm, mm
Temperature (Sometimes): Celsius
Period
Frequency
Amplitude
Power
Wavelength
Propagation Speed
Intensity
Infrasound: Below 20 Hz
Audible sound: Between 20 and 20,000 Hz
Ultrasound: Above 20 kHz
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
Shallow Imaging:
Less listening time
Short PRP
High PRF
Higher Duty Factor
Deep Imaging:
More listening time
Long PRP
Low PRF
Lower Duty Factor
Reciprocals
Frequency Period
Frequency Period
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
Change with Depth
PRP
PRF
Duty Factor
Don't change with depth
Pulse 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%
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
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
Organized:
Sound back to transducer
Specular
Disorganized:
Sound in all directions
Rayleigh
Diffuse, Backscatter
Low
Even higher
Extremely High
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
Distance
Depth
13 us = 1cm = 2cm
26us = 2cm = 4cm
39us = 3cm = 6cm
Use 13 microsecond rule!
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
Component:
Active Element
PZT
Matching Layer
Backing Material
Acoustic Insulator
Electric Shield
Thickness:
Active element: ½ wavelength
Matching Layer: 14 wavelength
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 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"
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
Small Diameter or Low Frequency X-ducer
Shallow Focus
More Divergence
Large Diameter or High Frequency X-ducer
Deep Focus
Less Divergence
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)
External: Lens, Fixed, conventional, or mechanical
Internal: Curved PZT, Fixed, conventional, or mechanical
Electronic: Phased array, Adjustable
Beam diameter in near field and focal zone reduced
Focal depth is shallower
Focal zone smaller
Beam diameter in far zone increases
Electronic
Sound
Pattern
Slope
Curvature
Focus
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
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
Better Axial Resolution
Shorter spatial pulse length
Shorter pulse duration
Higher frequencies (short wavelengths)
Fewer cycles per pulse (less ringing)
Lower numerical values
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
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
Analog
Transducer to Memory
Postprocessing
Digital
Memory to Display
Speed of sound in the medium
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
Imaging depth
Number of pulses per frame
Number of focal points
Sector size
Line density
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
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
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
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)
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
*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
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
Image element
Image detail
Spatial resolution
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
Shallow Image
Shorter listening
Shorter PRP
High PRF
Improved axial res
Deep Image
More listening
Longer PRP
Low PRF
Higher spatial resolution
Provides
Higher signal to noise ratio
Improved spatial res
Improved contrast res
Deeper penetration
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
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
Lower MI
Small pressure variation
Higher frequency
Higher MI
Large pressure variation
Lower frequency
Fewer Shades
Few choices
Black and white (bistable)
Narrow dynamic range
High contrast
More Shades
Many choices
Gray scale
Wide dynamic range
Low contrast
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
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
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
In a stenosis
Normal laminar flow pre- stenosis
Max velocity, lowest pressure
Post Stenotic
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 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
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
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
Change in flow direction
Increased velocity as a vessel narrows
Turbulence downstream from stenosis
Pressure gradient across stenosis
Loss of pulsatility
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
Laminar
Open Window
After stenosis
Turbulent
Disturbed
Bifurcation
Sharp curve
Spectral Broadening
Associated with pathology
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
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
Unfocused : 100 mW/cm²
Focused: 1 W/cm²
Power∝amplitude2$$Power \propto amplitude^2$$
Intensity(W/cm2)=Area(cm)Power(W)$$Intensity (W/cm^2) = \frac{Power (W)}{Area (cm)}$$
Intensity∝amplitude2$$Intensity \propto amplitude^2$$
Intensity∝power$$Intensity \propto power$$
Wavelength(mm)=Frequency1.54mm/us$$Wavelength (mm) = \frac{1.54mm/us}{Frequency}$$
Speed(m/s)=frequency(Hz)×wavelength(mm)$$Speed (m/s) = frequency (Hz) \times wavelength (mm)$$
Pulse Duration (us) = #cycles \times period (us)$$Pulse Duration (us) = #cycles \times period (us)$$
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=PRP1$$PRF= \frac{1}{PRP}$$
PRP=PRF1$$PRP=\frac{1}{PRF}$$
RayleighScattering∝Frequency4$$Rayleigh Scattering \propto Frequency^4$$
AttenuationCoefficient(dB/cm)=2Frequency$$Attenuation Coefficient (dB/cm)= \frac{Frequency}{2}$$
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+transmittedintensity$$Incident Intensity (starting) = reflected intensity + transmitted intensity$$
100%intensity=reflectioncoefficient(IRC%)+intensitytransmissioncoefficient(ITC%)$$100\% intensity = reflection coefficient (IRC\%) + intensity transmission coefficient (ITC\%)$$
$$IRC\%= \frac{Z2-Z1}{Z2+Z1} \times 100$$
ITC%=Reflected intensitytransmitted intensity×100$$ITC\%=\frac{transmitted \ intensity}{Reflected \ intensity} \times 100$$
=1−intensityreflectioncoefficient$$= 1- intensity reflection coefficient$$
Incidentintensity(W/cm2)=Reflected intensity+Transmitted intensity$$Incident intensity (W/cm²) = Reflected \ intensity + Transmitted \ intensity$$
Angle of incidence =Angle of reflection$$Angle \ of \ incidence \ = Angle \ of \ reflection$$
Snells Law:$$Snells \ Law:$$
$$\frac{Sin (Transmission \ angle)}{Sin (Incident \ angle)} = \frac{Speed \ of \ medium \ 1}{Speed \ of \ medium
Mock Physics Registry Review Flashcards
*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
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