Ultrasound Techniques and Terminology

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Questions and Answers

What is the term used to describe a tissue producing little echo?

  • Hyperechoic
  • Isoechoic
  • Hypoechoic (correct)
  • Anechoic

What is the primary function of the 'time gain compensation' setting in ultrasound?

  • To control the depth of the scanned area
  • To enhance the resolution of the image
  • To compensate for sound wave attenuation as it travels through tissues (correct)
  • To adjust the frequency of the ultrasound waves

Which of the following factors influences the choice of ultrasound frequency for an examination?

  • Size of the transducer
  • Thickness of the examined tissue
  • Type of animal being examined
  • All of the above (correct)

Which of the following is NOT a type of transducer used in ultrasound examinations?

<p>Phased (B)</p> Signup and view all the answers

What is the function of 'stand-off pads' used in ultrasound examinations?

<p>To correct for uneven contours of the body surface (C)</p> Signup and view all the answers

Which of the following BEST describes the appearance of fluid on an ultrasound image?

<p>Anechoic (D)</p> Signup and view all the answers

In ultrasound imaging, what distinguishes a 'hyperechoic' structure from a 'hypoechoic' structure?

<p>Hyperechoic structures reflect more sound waves than hypoechoic structures (B)</p> Signup and view all the answers

What is the significance of the 'interface' in ultrasound imaging?

<p>It represents a boundary between two tissues with different acoustic properties (D)</p> Signup and view all the answers

Why is the 'depth' setting crucial in ultrasound examinations?

<p>It determines the size of the image displayed on the screen (A)</p> Signup and view all the answers

Which of the following ultrasound frequencies is commonly used for abdominal examinations in small dogs?

<p>5 MHz (C)</p> Signup and view all the answers

What is the primary purpose of using ultrasound gel during an examination?

<p>To improve the transmission of ultrasound waves through the air gap (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic used in ultrasound examinations to describe anatomical abnormalities?

<p>Color (B)</p> Signup and view all the answers

In ultrasound imaging, why is the 'focus' setting important?

<p>It enhances the resolution of the image at a specific depth (A)</p> Signup and view all the answers

What is the primary function of 'M-mode' in ultrasound examinations?

<p>To visualize moving structures in real-time (A)</p> Signup and view all the answers

Which of the following statements BEST describes the appearance of bone on an ultrasound image?

<p>Bone appears bright and hyperechoic, with a shadow cast behind it (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic commonly used to describe the appearance of a spleen mass on an ultrasound image?

<p>Color Doppler flow pattern (C)</p> Signup and view all the answers

Which of the following is NOT a limitation of ultrasound imaging in the lungs?

<p>Inability to differentiate between different types of lung tissue (D)</p> Signup and view all the answers

What is the primary benefit of using a high-frequency ultrasound transducer (10MHz)?

<p>Increased resolution (B)</p> Signup and view all the answers

How does the 'time gain compensation' function in ultrasound imaging improve image quality?

<p>It compensates for the loss of signal strength as the ultrasound waves travel through tissues (B)</p> Signup and view all the answers

Which type of ultrasound transducer provides the best all-purpose imaging capability?

<p>Microconvex (A)</p> Signup and view all the answers

The 'depth' control on an ultrasound machine primarily affects which aspect of the image?

<p>The size of the area captured in the image (B)</p> Signup and view all the answers

Which of the following is a common use for Doppler ultrasound?

<p>Measuring blood flow velocity (D)</p> Signup and view all the answers

What is the primary difference between continuous wave (CW) and pulse wave (PW) Doppler ultrasound?

<p>CW Doppler cannot determine the depth of the blood flow being measured, while PW Doppler can (C)</p> Signup and view all the answers

When using a linear transducer, what is the relationship between the transducer orientation and the plane of imaging?

<p>The transducer is parallel to the plane of imaging (A)</p> Signup and view all the answers

Why is it important to understand anatomical landmarks when performing an ultrasound exam?

<p>To identify the specific structures being imaged (D)</p> Signup and view all the answers

Which of the following is a characteristic of 'poor performance' in an ultrasound image?

<p>Difficulty visualizing structures due to excessive noise or artifacts (B)</p> Signup and view all the answers

What is the most likely reason for a decrease in ultrasound signal strength as the sound waves travel through tissues?

<p>Increased acoustic impedance of the tissues (A)</p> Signup and view all the answers

Why is it recommended to use a stand-off pad when performing ultrasound on a superficial structure?

<p>To avoid interference from underlying tissues (A)</p> Signup and view all the answers

What is the primary advantage of using a phased array transducer?

<p>Ability to steer the ultrasound beam electronically (B)</p> Signup and view all the answers

What is the difference between 'imaging plane' and 'imaging view/axis' in ultrasound?

<p>Imaging plane refers to the orientation of the transducer to the whole animal, while imaging view/axis refers to the orientation of the transducer to the structure being imaged (B)</p> Signup and view all the answers

Which of the following ultrasound modes is used to visualize the movement of structures over time?

<p>M mode (D)</p> Signup and view all the answers

When examining the stomach, what is the appropriate ultrasound plane to use to view the fundus and body?

<p>Transverse plane, fanning to the left (B)</p> Signup and view all the answers

What is the appropriate ultrasound frequency to use for a kidney exam in a large dog?

<p>5-7.5 MHz (D)</p> Signup and view all the answers

What is the typical appearance of an empty stomach on ultrasound?

<p>A spoked wheel or cut citrus fruit (B)</p> Signup and view all the answers

Which of the following is NOT a layer identified in the bladder wall during ultrasound examination?

<p>Endometrium (C)</p> Signup and view all the answers

When examining the small intestine, what is the primary purpose of tracking loops in both transverse and longitudinal views?

<p>To observe peristalsis and assess motility (A)</p> Signup and view all the answers

What is the typical echogenicity of the renal cortex on ultrasound?

<p>Medium echogenicity (C)</p> Signup and view all the answers

What is the primary reason for observing acoustic shadowing in the renal pelvis on ultrasound?

<p>Presence of a kidney stone (D)</p> Signup and view all the answers

What is the typical appearance of the bladder on ultrasound when it is filled with urine?

<p>Anechoic (D)</p> Signup and view all the answers

When examining the stomach, what is the significance of observing a loss of layering or thickening of the stomach wall?

<p>Indication of potential pathology (C)</p> Signup and view all the answers

What is the initial plane used to examine the colon during an ultrasound exam?

<p>Sagittal plane (D)</p> Signup and view all the answers

What is the most important reason for assessing the thickness of the bladder wall during an ultrasound exam?

<p>To identify potential abnormalities in the wall (D)</p> Signup and view all the answers

What is the characteristic feature of the stomach that may have a 'spoked wheel' appearance on an ultrasound?

<p>Gastric folds (A)</p> Signup and view all the answers

Which of the following ultrasound findings in the small intestine can be a sign of pathology?

<p>Thickening of the intestinal wall (C)</p> Signup and view all the answers

What is the recommended ultrasound frequency for examining the kidneys in a small dog?

<p>7-12 MHz (D)</p> Signup and view all the answers

When examining the stomach, what is the primary reason for fanning the transducer from the caudal end to the cranial end of the stomach?

<p>To visualize the entire stomach from fundus to pylorus (D)</p> Signup and view all the answers

Which of the following organs should be carefully visualized for changes in wall pattern and projections into the lumen during an ultrasound examination?

<p>Bladder (D)</p> Signup and view all the answers

Which of these is NOT a component of setting up an ultrasound machine?

<p>Ionizing radiation (B)</p> Signup and view all the answers

What is the primary advantage of ultrasound over radiography when examining soft tissues?

<p>Ultrasound allows for real-time visualization of organ function. (D)</p> Signup and view all the answers

Which of the following terms describes a structure with a mixed pattern throughout, like a canine liver with metastases?

<p>Heterogeneous (A)</p> Signup and view all the answers

Which of these is NOT a key advantage of radiography?

<p>Provides detailed information on organ function (C)</p> Signup and view all the answers

What is the significance of the statement: "Ultrasound is excellent for soft tissue detail"?

<p>Ultrasound provides high-resolution images of soft tissue structures. (A)</p> Signup and view all the answers

Which of the following BEST describes the role of 'gain' in ultrasound imaging?

<p>Gain adjusts the brightness of the image on the screen. (A)</p> Signup and view all the answers

Why is a standoff pad used during a bladder ultrasound?

<p>To improve the clarity of the bladder wall image. (C)</p> Signup and view all the answers

What is the primary difference between radiography and radiology?

<p>Radiography focuses on making images, while radiology involves diagnosis and treatment. (B)</p> Signup and view all the answers

Which graph representation indicates a flow towards the baseline?

<p>Above the baseline (D)</p> Signup and view all the answers

What is the function of anechoic shadowing in ultrasound imaging?

<p>To obscure structures behind strong reflective surfaces (C)</p> Signup and view all the answers

What is required to effectively resolve electrical noise artefacts in ultrasound imaging?

<p>Turn off electrical equipment (D)</p> Signup and view all the answers

Where should the cranial body part be placed in the orientation of ultrasound images?

<p>To the left of the screen (C)</p> Signup and view all the answers

What artefact can occur if multiple highly reflective surfaces are encountered in the gastrointestinal tract?

<p>Comet tail artefact (D)</p> Signup and view all the answers

What is an indication of acoustic shadowing in ultrasound imaging?

<p>Absence of signals behind structures that reflect or absorb echoes (C)</p> Signup and view all the answers

What technique is used to examine the liver through ultrasound?

<p>Sagittal placement directly caudal to the xiphoid process (B)</p> Signup and view all the answers

What adjustment should be made if multiple parallel lines are seen in the ultrasound image?

<p>Alter transducer angle and change gain settings (C)</p> Signup and view all the answers

What does the center of an ultrasound image typically indicate?

<p>Medial aspect of the elbow (C)</p> Signup and view all the answers

Which artefact is utilized to improve ultrasound imaging through a full urinary bladder?

<p>Acoustic enhancement (B)</p> Signup and view all the answers

What is an essential requirement for the viewing technique of ultrasound?

<p>Sufficient time and quiet environment (A)</p> Signup and view all the answers

What is indicated by darkening the area during ultrasound examination?

<p>To assist in orientation of the image (D)</p> Signup and view all the answers

What defines the use of collimation in ultrasound imaging?

<p>Controlling the amount of each bone visible in the image (B)</p> Signup and view all the answers

Flashcards

Ultrasound

A diagnostic imaging technique that uses sound waves.

Radiography

The process of making a radiographic image using X-rays.

Homogenous structure

A structure with a similar pattern throughout.

Heterogenous structure

A structure with a mixed pattern throughout.

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Visual detail in Ultrasound

Ultrasound provides excellent detail for soft tissues.

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Radiographs vs Ultrasound

Radiographs are better for bones; ultrasound excels in soft tissues.

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Setting up Ultrasound machine

Involves patient preparation and machine configuration for optimal imaging.

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X-rays

Electromagnetic radiation used to create radiographic images.

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Time Gain Compensation

Adjustment made to improve image clarity, particularly in deeper areas.

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Hyperechoic

Tissues that produce strong echoes and appear bright on ultrasound images.

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Hypoechoic

Tissues that produce weak echoes and appear darker on ultrasound images.

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Anechoic

Areas that produce no echoes and appear black on ultrasound, indicating fluid, blood, etc.

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Frequency in Ultrasound

Determines the penetration ability and resolution of images; varies for small and large animals.

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Transducer

Device that sends and receives ultrasound waves during imaging.

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Echogenicity

The ability of a tissue to produce echoes, which determines its appearance on ultrasound.

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Attenuation

Decrease in intensity of sound as it travels through tissues, affecting image quality.

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Fluid in Ultrasound

Appears anechoic, indicating the presence of fluid in cavities.

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Bone in Ultrasound

Appears very hyperechoic with bright outlines and accompanies a dark shadow due to total reflection.

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Isoechoic

When a tissue produces echoes of the same strength as surrounding tissues.

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Depth Consideration

The distance from the transducer to the organ being imaged affects the image size and clarity.

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Gas in Ultrasound

Appears hyperechoic with bright reflections and significant shadowing behind it.

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Ultrasound Presets

Pre-set settings on a machine tailored for scanning specific anatomical areas.

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Reflection

The bouncing back of sound waves as they pass through different tissues.

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Refraction

The change in angle of sound waves as they hit different materials.

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Acoustic Impedance

Resistance encountered by ultrasound waves as they pass through different media.

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Gain

The amplification applied to returning echoes to enhance image quality.

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Probe Frequency

The frequency setting of the ultrasound probe affecting depth and resolution.

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Focal Zone

The area where the ultrasound beam is focused for optimum imaging.

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M Mode

Ultrasound mode displaying motion over time in one line.

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Doppler Ultrasound

Analyzes blood flow direction and velocity using frequency shifts.

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Continuous Wave (CW) Doppler

Measures velocity without depth discrimination using continuous sound wave.

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Pulse Wave (PW) Doppler

Evaluates velocity within a specific area, determining depth of signal origin.

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Types of Probes

Different designs of probes optimize imaging based on target tissue.

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Stand-off Pads

Pads that increase the distance between the transducer and superficial structures.

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B Mode

Brightness mode, the main type used in ultrasound imaging.

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Flow Measurement

Assessment of abnormal flow, pressure gradient, and volume.

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Velocity Graph

Graph that displays flow towards or away from baseline.

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Anechoic Shadowing

Absence of signal behind structures that absorb sound (like bone).

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Acoustic Enhancement

Increased echogenicity of structures deep to fluid-filled organs.

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Reverberation Artefacts

Multiple echoes caused by sound waves bouncing between surfaces.

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Comet Tail Artefact

Reflections from two highly reflective surfaces causing a ladder appearance.

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GIT Gas Artefact

Echoes misinterpreted as rupture due to echoes from gas.

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Ultrasound Setup Requirements

Dark area, time, equipment, and software needed for effective imaging.

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Transducer Orientation

Standard positioning helps doctors align images with the ultrasound's thumb notch.

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Clinical Ultrasound Applications

Using ultrasound to examine the abdomen, spleen, liver, and urinary tract.

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Liver Ultrasound Technique

Transducer placement and adjustments for visualizing the liver.

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Spleen Location and Size

Variable positioning of the spleen near the left kidney.

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Echogenicity Scale

Comparison of tissue echogenicity: Spleen > Liver > Kidney cortex.

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Artifact Resolution Techniques

Methods to resolve artefacts include changing angle or adding gel.

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Stomach Wall Appearance

Consistent five-layered wall appearance throughout the gastrointestinal tract.

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Lumen of Stomach

The inside space of the stomach, variable based on contents.

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Ultrasound Technique for Stomach

Use sagittal plane, positioned caudal to the xiphoid, fanning left for fundus and right for pylorus.

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Empty Stomach Ultrasound Appearance

An empty stomach appears like a spoked wheel or cut citrus fruit on ultrasound.

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Small Intestine Initial Ultrasound Plane

Begin the small intestine examination in the sagittal plane at mid abdomen.

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Thickness Measurement of Intestinal Wall

Measure the thickness to assess for abnormalities in the intestinal wall.

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Kidney Ultrasound Frequency Selection

Use high frequency for good resolution when imaging the kidney structures.

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Renal Layer Identification

Identify kidney layers: renal capsule, cortex, medulla, and renal pelvis.

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Transverse View in Kidney Exam

Rotate the transducer for a circular, transverse view of the kidney.

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Bladder Wall Layers

Identify three layers of the bladder wall: submucosa, muscularis, and serosa.

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Colon Tracking

Track the colon by switching between sagittal and transverse views.

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Acoustic Shadowing

Acoustic shadowing can obscure structures, often due to gas.

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Motility Observation

Observe peristalsis during ultrasound for signs of intestinal movements.

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Examine Renal Pelvis

Look for the hyperechoic renal pelvis, which may show associated ureters and fat.

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Study Notes

Ultrasound Techniques and Terminology

  • Terminology: Ultrasound images are described by how much sound is reflected and the pattern (homogeneous or heterogeneous).
    • Homogeneous: Similar pattern throughout (e.g., equine liver and spleen).
    • Heterogeneous: Mixed pattern throughout (e.g., canine liver with metastases).

Ultrasound vs. Radiography

  • Radiography: Excellent for bone and gas; good large-scale overview; gross structural detail; radiation exposure is a risk; requires restraint.
  • Ultrasound: Excellent for soft tissue; good small-scale detail; structural and functional assessment; minimal risk; real-time motion assessment; quantification of structures and function; easy to use and fast

Ultrasound Principles

  • Procedure: Imaging requires starvation, sedation, clipping, cleaning, applying gel, and positioning the patient comfortably.
  • Equipment Setup: The room should be quiet, well-lit, and comfortable for the patient, operator, and assistant. Machine settings (brightness, contrast, transducer type, frequency, gain, time-gain compensation, depth) need to be adjusted.
  • Transducer/Probe types: Various types exist, including curvilinear, linear, phased, and micro-convex, each suited to different applications (e.g., small animal vs. large animal).

Frequency & Depth

  • Frequency Range: Commonly used frequencies vary by species and the body parts being scanned (e.g., small animal = 4-10 MHz; large animal = 2-18 MHz).
  • Image Quality: Factors like patient preparation (clipping, hydration), and the operator's skill affect image quality; lower frequency penetrates deeper but has lower resolution.

Image Interpretation

  • Different Tissue Types:
    • Bone: Very bright hyperechoic outline with shadowing.
    • Gas: Bright white reflections, with obscuring shadowing.
    • Fluid: Anechoic (black) areas, confirmed by direct pressure.
    • Soft Tissue: Medium echogenicity (light grey) with distinct boundaries.
    • Tendons/Muscles: Hyperechoic lines/dots; hypoechoic background with linear hyperechoic structure respectively.

Ultrasound Artifacts

  • Acoustic Shadowing: Occurs behind highly reflective or attenuating structures like bone or gas.
  • Acoustic Enhancement: Increased echogenicity deep to a highly transmitting structure, like fluid.
  • Reverberation (Mirror) Artifacts: Multiple parallel lines due to repeated reflections from interfaces or poor transducer contact.

Ultrasound Imaging Planes

  • Imaging Planes: Longitudinal, Transverse, and Sagittal planes are frequently used.
  • Scanning Techniques: Methods like fanning, and rotating the transducer to acquire an appropriate view.

Ultrasound Applications

  • Abdomen: Imaging of the liver, spleen, stomach, small intestine, kidneys, and bladder involves specific positioning and techniques.

Clinical Applications

  • Echocardiography: Assessment of heart structure and function (using specific views like right parasternal view)
  • Thoracic Ultrasound: Assessment of soft tissues of the chest cavity.
  • Diagnostic Imaging of Various Organs and Structures: Determining the sizes, shapes, and internal structures of organs like kidneys, bladders, etc., for abnormalities.

Ultrasound Modes

  • B-mode (Brightness Mode): Standard mode used to create images based on echo intensity.
  • M-mode (Motion Mode): Displays structural motion over time.

Artifacts Resolution

  • Artefacts: Methods to resolve artifacts include changing the transducer angle, adjusting gain, or TGC settings. Optimizing machine and settings help improve image resolution and clarity.

Essential Equipment and Setup

  • Equipment: Transducers (Probes), machines, adequate software, and a quiet room with proper lighting.
  • Positioning and Preperation: Techniques for positioning the patient (recumbency, prone, dorsal) and preparing the area for scanning (e.g., gel application).

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