Podcast
Questions and Answers
What adjustment should be made to capture slow flow with color Doppler?
What adjustment should be made to capture slow flow with color Doppler?
- Increase the pulse repetition frequency and decrease the wall filter
- Increase the Nyquist limit to 60 cm/s and wall filter to 8 cm/s
- Reduce the velocity scale or Nyquist limit to 40 cm/s and set the wall filter to 4 cm/s (correct)
- Maintain the current velocity scale and only adjust the color gain
Which of the following is a possible cause of mirror imaging artifact in Doppler ultrasound?
Which of the following is a possible cause of mirror imaging artifact in Doppler ultrasound?
- Insufficient color gain leading to signal dropout
- Doppler angle being too close to 90 degrees with increased gain (correct)
- Use of a high wall filter eliminating low-velocity signals
- Spectral broadening due to a small sample volume
What is the recommended action to correct for spectral signals overlapping due to beam width artifacts?
What is the recommended action to correct for spectral signals overlapping due to beam width artifacts?
- Increase the pulse repetition frequency (PRF)
- Decrease the color gain
- Adjust the focal zone and gain (correct)
- Increase the wall filter setting
What is the typical cause of color overgain artifact, and how can it be resolved?
What is the typical cause of color overgain artifact, and how can it be resolved?
How can aliasing, that exceeds the Nyquist limit, be resolved when using Doppler ultrasound?
How can aliasing, that exceeds the Nyquist limit, be resolved when using Doppler ultrasound?
What does the Bernoulli equation, $4V^2$, primarily calculate?
What does the Bernoulli equation, $4V^2$, primarily calculate?
What artifact results from strong reflectors or regurgitation displaying color signals on the side?
What artifact results from strong reflectors or regurgitation displaying color signals on the side?
Which of the following best describes the Flow Convergence region?
Which of the following best describes the Flow Convergence region?
Normally, the Lateral Annulus should not exceed which value?
Normally, the Lateral Annulus should not exceed which value?
What is the primary indicator of RV volume overload when assessing LV geometry?
What is the primary indicator of RV volume overload when assessing LV geometry?
What is indicated by an LV wall that has a thinned out Anteroseptal wall?
What is indicated by an LV wall that has a thinned out Anteroseptal wall?
Which of the following is considered a precursor to thrombus formation?
Which of the following is considered a precursor to thrombus formation?
How is Cardiac Output calculated?
How is Cardiac Output calculated?
What adjustment can be made to PISA Radius to clear flow convergence?
What adjustment can be made to PISA Radius to clear flow convergence?
In flow convergence, when does the flow exceed the Nyquist limit?
In flow convergence, when does the flow exceed the Nyquist limit?
Which of the following is the correct relationship between frequency and penetration of ultrasound waves?
Which of the following is the correct relationship between frequency and penetration of ultrasound waves?
What type of wave is an ultrasound wave?
What type of wave is an ultrasound wave?
Which acoustic parameter CANNOT be adjusted by the sonographer?
Which acoustic parameter CANNOT be adjusted by the sonographer?
If the frequency of an ultrasound wave is $5 \text{ MHz}$, what is its period?
If the frequency of an ultrasound wave is $5 \text{ MHz}$, what is its period?
Which of the following best describes rarefactions in sound waves?
Which of the following best describes rarefactions in sound waves?
What is the relationship between Pulse Repetition Period (PRP) and Pulse Repetition Frequency (PRF)?
What is the relationship between Pulse Repetition Period (PRP) and Pulse Repetition Frequency (PRF)?
What determines axial resolution?
What determines axial resolution?
Which of the following is NOT a component of attenuation?
Which of the following is NOT a component of attenuation?
Which of the following is a characteristic of Dyskinesia?
Which of the following is a characteristic of Dyskinesia?
What is the primary effect of the Valsalva maneuver on atrial pressure?
What is the primary effect of the Valsalva maneuver on atrial pressure?
A patient with Diastolic Dysfunction has a fused E/A wave on Doppler. Which maneuver is most appropriate to resolve this issue and separate the waveforms?
A patient with Diastolic Dysfunction has a fused E/A wave on Doppler. Which maneuver is most appropriate to resolve this issue and separate the waveforms?
What is the normal value for Flow propagation when using Color Doppler M mode as a marker of impaired relaxation?
What is the normal value for Flow propagation when using Color Doppler M mode as a marker of impaired relaxation?
Which finding during a diastolic stress test would be considered abnormal and indicative of pulmonary hypertension?
Which finding during a diastolic stress test would be considered abnormal and indicative of pulmonary hypertension?
What is the recommended method to accurately measure the Ejection Fraction of the Right Ventricle?
What is the recommended method to accurately measure the Ejection Fraction of the Right Ventricle?
In the context of Ischemic Heart Disease, what does Speckle Tracking assess, and what color indicates unhealthy cardiac tissue on the Bull's Eye chart?
In the context of Ischemic Heart Disease, what does Speckle Tracking assess, and what color indicates unhealthy cardiac tissue on the Bull's Eye chart?
Which coronary artery is most likely associated with SERP (Systolic Early Regional Pre-ejection) observed in the apical and mid-septum during a stress echo?
Which coronary artery is most likely associated with SERP (Systolic Early Regional Pre-ejection) observed in the apical and mid-septum during a stress echo?
Which statement best describes the M-mode characteristics seen with RV volume overload pattern?
Which statement best describes the M-mode characteristics seen with RV volume overload pattern?
What is the hemodynamic definition of the Vena Contracta?
What is the hemodynamic definition of the Vena Contracta?
A patient presents with classic indications of Aortic Stenosis, increased LV pressure, and LVH. How will the LV End-Diastolic Pressure be affected?
A patient presents with classic indications of Aortic Stenosis, increased LV pressure, and LVH. How will the LV End-Diastolic Pressure be affected?
What M-mode finding is most consistent with Calcific Aortic Stenosis (Degenerative)?
What M-mode finding is most consistent with Calcific Aortic Stenosis (Degenerative)?
What is the effect on End Systolic Volume, during an Ischemic Response to Dobutamine?
What is the effect on End Systolic Volume, during an Ischemic Response to Dobutamine?
What blood pressure value(s) indicates a Hypertensive Response to Exercise?
What blood pressure value(s) indicates a Hypertensive Response to Exercise?
What value is needed to calculate RVSP?
What value is needed to calculate RVSP?
What is the primary purpose of the matching layer in ultrasound transducers?
What is the primary purpose of the matching layer in ultrasound transducers?
In the context of ultrasound, what is axial resolution?
In the context of ultrasound, what is axial resolution?
What adjustment should be made to mitigate the side lobe artifact in an ultrasound image?
What adjustment should be made to mitigate the side lobe artifact in an ultrasound image?
If the imaging depth is doubled, what happens to the frame rate (FR) in real-time imaging?
If the imaging depth is doubled, what happens to the frame rate (FR) in real-time imaging?
What is the term for the bending of the ultrasound beam as it passes from one medium to another?
What is the term for the bending of the ultrasound beam as it passes from one medium to another?
What is the relationship between frequency and divergence in the far field for smaller diameter crystals?
What is the relationship between frequency and divergence in the far field for smaller diameter crystals?
What information is provided by spectral analysis of Pulsed Wave (PW) Doppler signals?
What information is provided by spectral analysis of Pulsed Wave (PW) Doppler signals?
Which of the following actions could cause aliasing in Pulsed Wave (PW) Doppler measurements?
Which of the following actions could cause aliasing in Pulsed Wave (PW) Doppler measurements?
What does 'Time of Flight' refer to in the range equation, within the context of soft tissue?
What does 'Time of Flight' refer to in the range equation, within the context of soft tissue?
What is the function of the demodulator in Doppler ultrasound?
What is the function of the demodulator in Doppler ultrasound?
Regarding ultrasound artifacts, what causes mirror imaging?
Regarding ultrasound artifacts, what causes mirror imaging?
What characteristics are associated with the Near Field Clutter artifact in ultrasound imaging, and how is it reduced?
What characteristics are associated with the Near Field Clutter artifact in ultrasound imaging, and how is it reduced?
How is contrast resolution affected by decreasing the dynamic range?
How is contrast resolution affected by decreasing the dynamic range?
In the context of Color Doppler, what does the aliasing pattern typically look like within a vessel?
In the context of Color Doppler, what does the aliasing pattern typically look like within a vessel?
Which of the following is true regarding refraction artifacts in ultrasound imaging?
Which of the following is true regarding refraction artifacts in ultrasound imaging?
Flashcards
Sound
Sound
A creation due to vibration of a moving structure.
Sound Waves
Sound Waves
Composed of compressions and rarefactions.
Compressions
Compressions
Regions of higher pressure in density within sound waves.
Rarefactions
Rarefactions
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Frequency
Frequency
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Attenuation
Attenuation
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Pulse Duration
Pulse Duration
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Duty Factor
Duty Factor
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Sweep Speed
Sweep Speed
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Wall Filter (WF)
Wall Filter (WF)
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Tissue Doppler Imaging (TDI)
Tissue Doppler Imaging (TDI)
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Aliasing Resolution
Aliasing Resolution
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Color Aliasing
Color Aliasing
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Color Mirror Image
Color Mirror Image
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Bernoulli Principle
Bernoulli Principle
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Mean Velocity Calculation
Mean Velocity Calculation
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PISA Radius
PISA Radius
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Cardiac Output Formula
Cardiac Output Formula
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Continuity Equation
Continuity Equation
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D-Shaped LV
D-Shaped LV
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True Aneurysm
True Aneurysm
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Pseudoaneurysm
Pseudoaneurysm
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Supernormal Filling
Supernormal Filling
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Sound Reflection
Sound Reflection
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Incident Intensity
Incident Intensity
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Transmitted Intensity
Transmitted Intensity
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Axial Resolution
Axial Resolution
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Focal Depth
Focal Depth
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Doppler Shift
Doppler Shift
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Aliasing
Aliasing
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Matching Layer
Matching Layer
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Harmonics
Harmonics
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Temporal Resolution
Temporal Resolution
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Color Flow Doppler
Color Flow Doppler
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Beam Divergence
Beam Divergence
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Refractive Artifact
Refractive Artifact
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Wall Drop Artifact
Wall Drop Artifact
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Contrast Resolution
Contrast Resolution
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Impaired Relaxation
Impaired Relaxation
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E/A Ratio
E/A Ratio
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Valsalva Maneuver
Valsalva Maneuver
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Diastolic Dysfunction
Diastolic Dysfunction
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Wall Motion Abnormality
Wall Motion Abnormality
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Dyskinesia
Dyskinesia
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Speckle Tracking
Speckle Tracking
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Cardiac Remodeling
Cardiac Remodeling
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Effective Orifice Area
Effective Orifice Area
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Aortic Stenosis
Aortic Stenosis
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Bicuspid Aortic Valve
Bicuspid Aortic Valve
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Akinesia
Akinesia
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Tardokinesia
Tardokinesia
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Cherry on Top of the Bull’s Eye
Cherry on Top of the Bull’s Eye
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RV Volume Overload
RV Volume Overload
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Study Notes
Sound
- Sound is created by vibrations of a moving structure
- Sound waves consist of compressions and rarefactions
- Compressions are higher pressure areas
- Rarefactions are lower pressure areas
- Sound waves are longitudinal and mechanical waves
Wave Types
- Transverse waves have particles moving perpendicular to the wave direction.
- Longitudinal waves have particles moving parallel to the wave direction.
Time and Frequency
- Period is the time required to complete one cycle.
- Frequency is the number of cycles per unit time.
- Frequency is measured in MHz.
Ultrasound Frequency
- Ultrasound frequency ranges from 2 to 10 MHz.
- Higher frequency improves image quality.
- Frequency is inversely related to penetration.
Amplitude and Power
- Amplitude is the average between the maximum and average values.
- Sonographers can adjust amplitude.
- Power is the rate at which work or energy is transferred.
- Sonographers can adjust power.
Intensity
- Intensity is the concentration of energy in a sound beam.
- Sonographers can adjust intensity to control biological effects and safety.
Propagation Speed
- Propagation speed is the rate of sound traveling through a medium.
- The speed in soft tissue is 1.54 mm/microsecond.
Wavelength
- Wavelength is the length of a single cycle.
- The formula for calculating wavelength is 1.54/Frequency (MHz).
Pulse Duration
- Pulse duration is the time from the start to the end of a single pulse.
- Pulse duration is comprised of 2-4 cycles.
Repetition Frequency (PRF)
- PRF is the number of pulses that occur in 1 second.
- Sonographers can adjust PRF.
Pulse Repetition Period (PRP)
- PRP is the time from the start of one pulse to the start of the next pulse.
- Sonographers can adjust PRP.
- PRP x PRF = 1
Duty Factor
- Duty factor is the percentage of time the system transmits a pulse.
- Sonographers can adjust duty factor.
Spatial Pulse Length (SPL)
- SPL is the length or distance the pulse occupies in space.
- SPL determines axial resolution.
Attenuation
- Attenuation decreases the power, intensity, and amplitude of a sound wave.
- Attenuation is directly related to distance traveled and frequency.
Types of Attenuation
- Absorption: converts energy to heat
- Scattering: reflects energy to diffuse (backscatter) or specular ways
- Reflection: specular from smooth reflectors and diffuse from rough ones.
- Rayleigh Scattering: sound scattering uniformly in all directions when the reflector is smaller than the wavelength.
Other Key Concepts
- Range equation: describes the time of flight in soft tissue.
- Axial Resolution: ability to separate two structures parallel to the main beam.
- Lateral Resolution: ability to separate two structures side-by-side; improves in the near field.
- Contrast Resolution: ability to distinguish different shades of gray/shades of colors in an image.
- Dynamic Range: range of grayscale from black to white.
- Unfocused CW Transducer: beam diameter is equal to the transducer diameter at the end of the NZL.
- Focal Depth: distance from the transducer to the focal point.
- Phased Array: electric focusing and steering.
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