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Questions and Answers
What is the frequency range typically used in ultrasound?
What is the frequency range typically used in ultrasound?
Which term describes tissues that appear darker on an ultrasound image due to lesser reflected sound waves?
Which term describes tissues that appear darker on an ultrasound image due to lesser reflected sound waves?
What is the primary purpose of the transducer in an ultrasound system?
What is the primary purpose of the transducer in an ultrasound system?
Which type of ultrasound probe is typically used for imaging superficial structures?
Which type of ultrasound probe is typically used for imaging superficial structures?
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What phenomenon occurs when ultrasound waves change direction while passing through tissues of different speeds?
What phenomenon occurs when ultrasound waves change direction while passing through tissues of different speeds?
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What type of ultrasound mode produces a 2D grayscale image based on tissue density?
What type of ultrasound mode produces a 2D grayscale image based on tissue density?
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Which of the following is NOT a factor that affects the amount of echo returned in ultrasound imaging?
Which of the following is NOT a factor that affects the amount of echo returned in ultrasound imaging?
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What type of tissue would likely appear anechoic on an ultrasound image?
What type of tissue would likely appear anechoic on an ultrasound image?
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What does Power Doppler measure in ultrasound?
What does Power Doppler measure in ultrasound?
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In transverse section imaging, how is the orientation of the patient's left side represented?
In transverse section imaging, how is the orientation of the patient's left side represented?
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Which type of artifact in ultrasound creates a dark area behind a dense object?
Which type of artifact in ultrasound creates a dark area behind a dense object?
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What is a primary limitation of ultrasound imaging?
What is a primary limitation of ultrasound imaging?
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What is primarily assessed in a cardiac ultrasound?
What is primarily assessed in a cardiac ultrasound?
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Which of the following conditions would likely present with posterior enhancement on an ultrasound image?
Which of the following conditions would likely present with posterior enhancement on an ultrasound image?
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Which ultrasound mode utilizes waveforms to represent blood flow velocity over time?
Which ultrasound mode utilizes waveforms to represent blood flow velocity over time?
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What is a significant advantage of ultrasound imaging?
What is a significant advantage of ultrasound imaging?
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What is the primary purpose of therapeutic ultrasound in physiotherapy?
What is the primary purpose of therapeutic ultrasound in physiotherapy?
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Which type of ultrasound is best suited for chronic conditions requiring deep heating?
Which type of ultrasound is best suited for chronic conditions requiring deep heating?
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What is the effect of pulsed ultrasound?
What is the effect of pulsed ultrasound?
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At what frequency is therapeutic ultrasound suitable for superficial penetration, such as treating tendons?
At what frequency is therapeutic ultrasound suitable for superficial penetration, such as treating tendons?
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Which intensity range is appropriate for acute conditions or sensitive areas?
Which intensity range is appropriate for acute conditions or sensitive areas?
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What is the purpose of using a coupling medium during ultrasound therapy?
What is the purpose of using a coupling medium during ultrasound therapy?
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How long should ultrasound therapy typically be applied to an area?
How long should ultrasound therapy typically be applied to an area?
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Which physiological effect does NOT result from thermal ultrasound?
Which physiological effect does NOT result from thermal ultrasound?
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Study Notes
Ultrasound Basics
- Sound is a vibration that travels through a medium, like air.
- Ultrasound is sound with a frequency higher than humans can hear.
- Normal human hearing range is from 12 Hz to 20 kHz.
- Ultrasound uses frequencies typically between 2 and 20 MHz.
Tissue Interaction
- Reflection: Sound waves bounce off tissue boundaries with different densities.
- Absorption: Some sound waves are absorbed by tissue, reducing reflected echoes.
- Refraction: Sound waves change direction when passing through tissues with varying speeds.
Basic Terminology
- Echogenicity: The ability of a tissue to reflect sound waves, showing up as brightness on the image.
- Hyperechoic: Bright, like bone or fat.
- Isoechoic: Similar brightness to surrounding tissues.
- Hypoechoic: Darker than surrounding tissues, like muscle.
- Anechoic: Black, like fluid-filled structures (e.g., cysts, bladder).
Ultrasound Components
- Transducer: The probe, containing piezoelectric crystals that send and receive ultrasound waves.
- Cable: Carries electrical signals to and from the probe.
Types of Ultrasound Probes
- Linear probe: High frequency (5-15 MHz), used for superficial structures (e.g., thyroid, blood vessels).
- Curvilinear probe: Lower frequency (2-5 MHz), used for imaging larger body areas like the abdomen and pelvis.
- Phased array probe: Narrow beam, used for imaging the heart and structures between ribs.
- Endocavitary probe: Specialized probe used for transvaginal or transrectal imaging.
Basic Ultrasound Modes
- B-mode (Brightness Mode): Creates a two-dimensional grayscale image based on tissue density.
- M-mode (Motion Mode): Displays the movement of structures over time, primarily used for cardiac imaging.
- Doppler Mode: Used to visualize blood flow.
- Color Doppler: Shows the direction and velocity of blood flow.
- Spectral Doppler: Provides a waveform representing blood flow velocity.
- Power Doppler: Very sensitive to low-flow states, but doesn't show direction.
Doppler Ultrasound
- Doppler ultrasound measures the frequency change of reflected ultrasound waves to assess the speed and direction of moving objects, including blood flow.
Ultrasound Orientation
- Transverse section (TS): Shows the body in a horizontal plane.
- Longitudinal section (LS): Shows the body in a vertical plane.
- Image orientation reflects the patient's anatomy. Left side on the image=right side of the patient, and vice versa.
Ultrasound Artifacts
- Acoustic shadowing: Dark area behind a dense object (like gallstones).
- Posterior enhancement: Bright area behind a fluid-filled structure.
- Reverberation: Repeated echoes creating a comet-tail-like effect.
Abdominal Ultrasound
- Examines liver, kidneys, gallbladder, pancreas, and spleen.
- Reports typical appearances based on tissue echoes.
MSK Ultrasound
- Examines tendons muscles and joints for injuries.
Shoulder Ultrasound
- Evaluates shoulder anatomy and detects possible problems
Knee Ultrasound
- Examines knee anatomy and detects possible problems
Pelvic and Obstetrical Ultrasound
- Examines the uterus, ovaries, and bladder.
- Monitors fetal growth and development during pregnancy.
Cardiac Ultrasound
- Examines heart function and structure.
Small Part and Soft Tissue Ultrasound
- Examines thyroid, breast, scrotal and other soft tissue regions.
Thyroid Ultrasound
- Images the thyroid gland.
Ultrasound Advantages and Limitations
- Advantages: Safe (no ionizing radiation), real-time imaging, portable, relatively inexpensive.
- Limitations: Limited penetration (obese/gassy patients), operator-dependent, limited imaging behind bone or air-filled structures.
Ultrasound Therapy (or Physical Therapy Ultrasound)
- Used to promote tissue healing, pain reduction, and improved mobility.
- Uses high-frequency sound waves for deep heating or mechanical effects.
Ultrasound Therapy Equipment
- Continuous ultrasound: Constant waves to produce heat.
- Pulsed ultrasound: Pulsed waves produce non-thermal effects.
Ultrasound Application Techniques
- Coupling medium (gel) is used to transmit sound waves between the transducer and the skin.
- Direct contact.
Ultrasound Indications
- Muscle strains and sprains
- Tendonitis
- Joint stiffness
- Pain management
Ultrasound Contraindications
- Open wounds
- Metal implants (without proper assessment)
- Pregnancy (avoid abdomen/lower back)
- Eyes, heart, reproductive organs
- Malignant tumors
Ultrasound Safety Tips
- Test equipment before use.
- Use appropriate coupling gel.
- Move transducer continuously,
- Monitor patient comfort.
- Use lower intensities initially.
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Description
Test your knowledge on the fundamentals of ultrasound technology. This quiz covers sound properties, tissue interaction, basic terminology, and key components of ultrasound systems. Perfect for students and professionals alike!