Ultrasound in Medicine and Imaging
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Questions and Answers

What is the formula used to calculate depth in ultrasonic imaging?

Depth = Velocity x Time

What is the significance of a shift greater than 3 mm in echo encephalography for adults?

It indicates an abnormal finding, potentially suggesting the presence of a brain tumor.

Why are high frequency ultrasound frequencies up to 20 MHz used in ophthalmology?

High frequency provides good resolution and is safe due to the absence of bone in the eye.

Describe the primary function of B-mode ultrasound imaging.

<p>B-mode provides 2D images of the body by moving the transducer to capture internal structures.</p> Signup and view all the answers

How does M-mode differ from A-mode in ultrasound imaging?

<p>M-mode combines A-mode's stationary transducer use with B-mode's display of echoes as dots, allowing for motion studies.</p> Signup and view all the answers

What does D-mode ultrasound capture, and how is it different from B-mode?

<p>D-mode captures 3D images and adds the element of time, whereas B-mode provides static 2D images.</p> Signup and view all the answers

What physiological effects can occur when ultrasonic waves pass through the body?

<p>Physiological and chemical effects can occur depending on the frequency and amplitude of the ultrasound.</p> Signup and view all the answers

What intensity of ultrasound is typically used for diagnostic work, and what effects are observed at this intensity?

<p>Low intensity ultrasound (~ 0.01 W/cm²) is used for diagnostics, and no harmful effects are observed.</p> Signup and view all the answers

What is the frequency range of ultrasound used in medical applications?

<p>Ultrasound used in medical applications has a frequency range of 20 kHz to 1 GHz.</p> Signup and view all the answers

How does a transducer function in the context of ultrasound imaging?

<p>A transducer converts electrical energy into mechanical energy (ultrasound) and vice versa.</p> Signup and view all the answers

Explain the role of water or jelly in ultrasound imaging.

<p>Water or jelly is used to eliminate air and create good impedance matching between the transducer and skin.</p> Signup and view all the answers

What principle underlies the generation and detection of ultrasound signals?

<p>Ultrasound signals are generated and detected using the piezoelectric principle.</p> Signup and view all the answers

Identify the three key concepts that affect ultrasound image production.

<p>The three key concepts are the focal zone, acoustic impedance, and the ultrasound transducer's properties.</p> Signup and view all the answers

What happens to the piezoelectric crystal when an electric potential difference is applied?

<p>The piezoelectric crystal expands or contracts, generating ultrasound waves.</p> Signup and view all the answers

What is the purpose of backing echoes in the ultrasound process?

<p>Backing echoes are weak signals that are detected, amplified, and displayed for diagnostic purposes.</p> Signup and view all the answers

Define SONAR and its application in medical diagnosis.

<p>SONAR, or Sound Navigation and Ranging, uses ultrasound waves to generate images of soft tissue structures in the body.</p> Signup and view all the answers

What happens to an ultrasound wave when it encounters a boundary between tissues with different acoustic impedances (Z)?

<p>A fraction of the wave energy is backscattered towards the transducer, while the remainder is transmitted through the boundary.</p> Signup and view all the answers

How does the use of a thick liquid gel improve ultrasound imaging?

<p>The thick liquid gel minimizes air bubbles and allows better passage of the ultrasound waves into the body.</p> Signup and view all the answers

What is refraction in the context of ultrasound waves?

<p>Refraction is the change in direction of the sound wave as it passes from one tissue to another with different sound velocities.</p> Signup and view all the answers

What effects do smooth and rough surfaces have on ultrasound imaging?

<p>Smooth surfaces result in low scattering and good image quality, while rough surfaces cause high scattering and poor image quality.</p> Signup and view all the answers

Describe the relationship between the depth of tissue interfaces and the time taken for ultrasound echoes to return.

<p>The depth of the tissue interfaces is proportional to the time taken for the echoes to return after the ultrasound waves are transmitted.</p> Signup and view all the answers

What is meant by attenuation in the context of ultrasound imaging?

<p>Attenuation refers to the reduction in intensity of the ultrasound wave as it passes through the tissue.</p> Signup and view all the answers

How can the positioning of the ultrasound transducer affect imaging quality?

<p>The transducer should be perpendicular to the interface to minimize artifacts and improve image quality.</p> Signup and view all the answers

What is the trade-off when selecting an ultrasound device regarding imaging quality?

<p>There is a compromise between achieving good resolution and obtaining deep penetration into tissues.</p> Signup and view all the answers

Study Notes

Ultrasound in Medicine

  • Ultrasound uses sound waves with frequencies from 20 kHz to 1 GHz (for medical applications).
  • This frequency range is above the upper limit of human hearing.
  • SONAR (SOund Navigation and Ranging) is a technology that uses sound waves to detect objects underwater.

Ultrasound Transducers

  • Transducers convert electrical energy to mechanical energy (ultrasound) and vice versa.
  • Various types exist, differing in frequency and size, including curvilinear, phased array, linear, and hockey stick transducers.

Basic Principle of Ultrasound Imaging

  • Ultrasound pulses are transmitted into the body, often using a gel to eliminate air and improve contact.
  • Echoes reflected back from tissues are detected and amplified on an oscilloscope.
  • The time it takes for the echo to return is proportional to the depth of the tissue.

Ultrasound Generation

  • Ultrasound signals are produced and detected using piezoelectric crystals.
  • Applying an alternating current (AC voltage) to the crystal causes it to vibrate, generating ultrasound waves.
  • The vibration of the crystal creates a mechanical wave.

Ultrasound Image Production

  • Focal Zone: For best image quality, the object should be at the focal point of the transducer (near-field).
  • Acoustic Impedance: This property of a material relates to how much it will reflect or transmit ultrasound. Different tissues have different acoustic impedances. A sudden change in impedance results in reflection/scattering.
    • High impedance differences (e.g., bone/tissue) result in increased reflection.
    • Low impedance differences result in less reflection.
  • Refraction: A change in the direction of the sound wave as it passes from one tissue to another with a different velocity, creates image artifacts.

Quality of Ultrasound Imaging

  • Spatial Resolution: Quality is determined by the interaction of the ultrasonic wave with tissue.
    • Spatial resolution is limited by the wavelength of sound.
      • Shorter wavelengths lead to better spatial resolution and vice versa.
  • Attenuation: The reduction in intensity of an ultrasound wave as it passes through tissue.
    • Higher frequencies and higher attenuation are associated with tissues with poorer image quality.
  • The appropriate frequency is chosen to balance good resolution with sufficient penetration depth.

Image Quality

  • Frequency choice and compromises between good resolution and deep penetration are important.
  • Higher frequency = better resolution but limited penetration.
  • Lower frequency = better penetration but lower resolution.
  • Different frequency ranges are best suited for various applications:
    • 3-5 MHz for large organs.
    • 4-10 MHz for small organs.

Reflection

  • Perpendicular reflection produces a strong echo.
  • Non-perpendicular reflection causes echo signal loss.
    • Smooth surfaces result in low scattering and good image quality, while rough surfaces result in high scattering and poor image quality.

Ultrasound Image Modes

  • A-Mode (1D): Measures the depth of tissues by detecting the time for echoes to return, obtaining a one-dimensional image. Used in ophthalmology for locating tumors or foreign bodies
  • B-Mode (2D): Creates two-dimensional images by measuring variations in reflected intensity as different tissue interfaces are encountered. Used for creating an image that shows the internal structure of a body section.
  • M-Mode (2D+Motion): Combines 2D image with the ability to observe movement (e.g. heart/valves). The transducer stays stationary so motion is displayed as dots.
  • D-Mode (3D + Motion, or 4D): Combines 3D imaging with the ability to observe movement. Used for fetal imaging.

Physiological Effects of Ultrasound Therapy

  • Low Intensity Ultrasound: Used for diagnostic purposes with minimal impact, minimal or no harmful effects.
  • Medium Intensity: Causes heating effects (diathermy).
  • High Intensity Ultrasound: Used to destroy tissues.

Ultrasound Applications

Specific applications in different medical fields were highlighted, including brain tumor detection, ophthalmic procedures (eye lens, retina), general internal organ imaging.

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Ultrasound in Medicine 2023 PDF

Description

This quiz delves into the principles and applications of ultrasound in the medical field. It covers the technology behind ultrasound generation, transducer types, and the basic workings of ultrasound imaging. Test your knowledge on how sound waves are utilized in medicine!

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