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Ultrasound
Chapter 14
108
Medical
Post-Graduate
03/02/2016

Additional Medical Flashcards

 


 

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Term
US frequency range
Definition
2-10 MHz
Term
Average speed in soft tissue
Definition
1540 m/s
Term
Average speed in fatty tissue
Definition
1450 m/s
Term
Average speed in air
Definition
330 m/s
Term
What is the relationship between speed, wavelength, and frequency?
Definition
c = λf
Term
The speed of sound is dependent on the ____________.
Definition
medium
Term
Speed of sound is a function of the  __________  and the ____________ of the propagation medium.  What is the formula?
Definition

bulk modulus (stiffness or compressibility) and the density.

c = √(Β/ρ)

Term

A highly compressible medium like air has a _____ speed of sound.

 

A less dense medium has a _______ speed of sound.

Definition

lower

 

higher

Term
What remains constant as the wave travels through different mediums.
Definition
frequency
Term
Higher frequency US has better/worse resolution.
Definition
better
Term
Higher frequency US penetrates deeper/shallower.
Definition
shallower
Term

Intensity, I, is defined as

 

and the units are

Definition

power (energy per unit time) per unit area

 

milliwatts / cm2

Term
The relative intensity in dB is
Definition

dB = 10 Log (I2/I1)

 

Term
How many dB does the half value thickness (HVT) correspond to?
Definition
-3 dB
Term
US interactions include
Definition
reflection, refraction, scattering, and absorption
Term

Acoustic impendance, Z, is defined as

 

and the units are

Definition

Z = ρc (density * speed of sound)

 

units kg/(m2s), aka the rayl

Term
Intensity Reflection Coefficient is
Definition
RI = Ir/Ii = ((Z2 - Z1)/(Z2 + Z1))2
Term
The rate of US attenuation is
Definition
0.5 (dB/cm)/MHz
Term
Refraction is governed by Snell's law, which is
Definition
sin θt / sin θi = ct / ci
Term
angle of incidence, reflection, and transmission are measured relative to
Definition
the normal incidence on the boundary
Term
The piezoelectric element is made of
Definition
PZT - lead-zirconate-titanate
Term
Speed of sound in PZT is
Definition
4,000 m/s
Term
The thickness of the transducer element is ___ the wavelength.
Definition
1/2 the wavelength
Term
The thickness of each matching layer is equal to ____ wavelength.
Definition
1/4 wavelength
Term

The "Q" factor describes what?

 

and the formula for "Q" factor is?

Definition

The "Q" factor describes the bandwidth.

 

Q = f0 / bandwidth

Term
The bandwidth of the transducer is determined by
Definition
the damping block.
Term
What two effects result from the dampening block?
Definition
It shortens the spacial pulse length (SPL), but it increases the bandwidth.
Term
A high "Q" transducer has _______
Definition
a narrow bandwidth, but a longer spacial pulse length (SPL).
Term
A low "Q" transducer has
Definition
a wider bandwith and a shorter spacial pulse length (SPL)
Term
Two types of transducer arrays
Definition

1. Linear arrays

 

2. Phased arrays

Term
Linear transducer arrays typically have how many elements.
Definition
256-512
Term
Phase-array transducers typically have how many elements?
Definition
64-128
Term
How does a linear array transducer produce a beam?
Definition
By firing a subset of ~20 elements as a group at a time.
Term
How does a phased array produce a beam?
Definition
By activating all the elements nearly simultaneously to produce a single US beam.
Term
The US beam is _________ in the near field and ________ in the far field.
Definition
converging, diverging
Term
The near field is also know as
Definition
Fresnel Zone
Term
The Far field is known as
Definition
the Fraunhofer zone
Term
The near field length is given by
Definition
near field length = r2 / λ
Term
The far field beam divergence is given by
Definition

sin Θ = 1.22 * λ / d

 

d is the effective diameter of the transducer

Term
Axial resolution is given by
Definition
1/2 the SPL (spatial pulse length)
Term
Spatial Pulse Length is
Definition
Number of cycles emitted during a pulse by the transmitter multiplied by the wavelength
Term
Axial resolution is _____ with depth.
Definition
constant
Term
Shorter pulse length results in ______ axial resolution.
Definition
better
Term
Two ways to achieve shorter pulse length.
Definition

1. Increase damping (fewer cycles)

2. Increase frequency (shorter wavelength)

Term
Lateral resolution is determined by
Definition
beam diameter
Term
Lateral resolution varies with depth, T/F.
Definition
True
Term
Where is lateral resolution the best.
Definition
at the focal distance.
Term
Elevation resolution is dependent on
Definition
the transducer height
Term
The beam former does what
Definition
controls the electronic delays for individual transducer elements to achieve transmit and receive focusing and beam steering.
Term
The pulser does what?
Definition
Provides the voltage to excite the PZT element.
Term
The time between transmission pulse and echo detection is given by
Definition

T = 2*D / c

 

D - reflector depth, c - speed of sound (1540 m/s)

 

Term
The number of times the transducer is pulsed per second is known as
Definition
Pulse Repetition Frequency (PRF)
Term
Typical range for PRF
Definition
2 to 4 kHz
Term
The time between pulses is the
Definition
Pulse Repetion Period (PRP)
Term
Relationship between PRF and PRP
Definition
PRP = 1 / PRF
Term
Maximal Range is given by
Definition

Max range = c * PRP * 1/2

 

c - speed of sound (1540 m/s), 1/2 - round trip

PRP -Pulse repetition period (s)

Term
Pulse Duration
Definition

The number of cycles in a pulse divided by the transducer frequency.  (Same as # of cycles in a pulse times the period of a transducer cycle)  It equals the instantaneous "on" time.  Typically a few μs.

Term
Duty Cycle
Definition
The fraction of on time.  Equals the pulse duration divided by the PRP.  Typically 0.2-0.4%.
Term
TGC
Definition
Time gain compensation - adjusts the amplification of returning signals as a function of time to compensate for beam attenuation.  Objects farther away will have less signal due to increased attenuation.
Term
A-mode
Definition
Stands for Amplitude Mode.  Displays echo amplitudes during one pulse-echo period.
Term
B-mode
Definition
Stands for Brightness Mode.  The echo amplitudes are encoded into brightness modulated dots along the A-line trajectory.
Term
M-mode
Definition
Stands for Motion Mode. Uses B-mode information to display echos from moving structures.  The B-mode data is repeatedly acquired and dislayed as a function of time with time on the horizontal axis.
Term
Scan Converter
Definition
Creates 2D images from echo information and converts it to be displayed on a video display monitor.
Term
What is a frame.
Definition
A single 2D image is a frame.  It is created from N number of A-lines acquired across the FOV (Field of View)
Term

What is the time required to obtain a frame?


What is the frame rate?

 

Definition

Tframe = (2*D / 1540 (m/s) ) * N

D is the depth, N is the number of A lines.


Frame rate = 1 / Tframe

 

Term
Line Density (LD)
Definition

The spacing between A lines.  LD = N / FOV

N - number of lines per frame.

Term
Name 5 interrelated factors that affect forming a 2D US image.
Definition
Number of lines per image (N), frame rate, field of view (FOV), line density (LD), and penetration depth (D)
Term
List 3 ways the frame rate can be increased.
Definition

1. decreasing the penetration depth (D)

2. decreasing the number of lines (N) which also reduces the line density (LD) for the same FOV

3. decreasing the field of view (FOV) which also reduces the number of lines (N) for the same line density (LD)

Term
US images are typically how big?
Definition

Each image is 512x512 pixels with 8 bits of depth

which requires ~ 1/4 MB of data storage.

Term
Doppler shift is given by
Definition

fd = 2·fi·v·cos(θ) / c

fi - incident frequency, v - velocity of blood, θ - doppler angle, c - speed of sound in soft tissue

Term
What is the preferred Doppler angle?
Definition
30-60 degrees.
Term
What can happen if the Doppler angle is too high, too low?
Definition

Too high - small errors in Doppler angle lead to large errors in velocity.

Too small - refraction and critical angle interactions can lead to aliasing in pulsed Doppler

Term
Typical Doppler shift frequency
Definition
20 Hz to 20 kHz (the audible range)
Term
What is required to do Continuous doppler operation?
Definition
Two transducers
Term
Advantages of continuous doppler operation
Definition

1) high accuracy in the Doppler shift measurement

 

2) no aliasing when measuring high velocities

Term
Pulsed Doppler US combines what
Definition

1) Velocity determination of continuous wave 
Doppler

 

2) Range discrimination of pulse-echo imaging 

Term
The maximum Doppler shift that can be determined without aliasing is
Definition
Δfmax = PRF / 2
Term
The maximum blood velocity that can be accurately determined is given by
Definition

Vmax = c * PRF / (4 * fo * cos(θ))

 

This was done by putting PRF/2 in the Doppler shift equation for Δf.

Term

Color Flow Imaging:

What color is used for blood moving towards the transducer and away from the transducer?

Definition

red - blood moving towards the transducer

 

blue - blood moving away from the transducer

Term

A minimum of  ___ samples per cycle of Doppler shift frequency are required to avoid velocity aliasing.

 

The sample rate is given by:

Definition

two

 

PRF

Term

Power Doppler is based on _______,

giving better __________,

but sacrificing ___________

Definition

total signal strength of the Doppler signal

sensitivity to motion

directional information

Term
US Contrast Agents contain what and are how big?
Definition

Encapsulated microbubbles of air, nitrogen, or perfluorocarbons

3-5 μm in diameter

Term
Harmonic Imaging measures
Definition
Integer multiplies of the center frequency, fo; so 2fo, 3fo, etc.
Term
Harmonic imaging will enhance __________.
Definition
contrast agents.
Term
Measurements of US Image quality includes
Definition

spatial resolution

contrast resolution

image uniformity

noise characteristics

Term

Axial resolution is determined by _____

Which is a function of

Definition

the Spatial Pulse Length (SPL)

frequency (wavelength) and dampening

Term
Lateral and elevational resolution are strongly dependent on
Definition
depth.
Term
What is a refraction artifact and how do you tell?
Definition
An object appearing in different places or not appearing due to refraction (change in pulse direction at a non-perpendicular boundary).  The object may appear and disappear with small changes in beam orientation.
Term
What is shadowing.
Definition
A hyopintense signal area distal to an object.
Term
What is an enhancement artifact?
Definition
Hyperintense signals from objects distal to areas of very low attenuation.
Term
What is a reverberation artifact?
Definition
Occurs when the signal reflects multiple times from two closely spaced interfaces.  The artifact appears as multiple, equally spaced boundaries.
Term
What is a speed displacement artifact.
Definition
Caused by a variability in the speed of sound in different tissues.  It causes edge discontinuities in organ borders that are distal to fatty tissue.
Term
Mirror image artifact.
Definition
Multiple beam reflections that cause anatomy to be placed in a more distal location.
Term
Twinkling Artifact
Definition
Seen as a rapidly changing mixture of colors in Doppler mode, typically seen distal to a strong reflector.
Term
Biological effects in US are primarily related to the ____________
Definition
heating of tissue.
Term
Thermal Index
Definition
TI - The ratio of the acoustical power produced by the transducer to the power required to raise tissue in the beam by 1°C.
Term
Cavitation
Definition
A consequence of the negative pressure (rarefraction) that induce bubble formation from the extraction of dissolved gases in the medium.
Term
Mechanical Index
Definition
MI - expresses the likelihood of cavitation
Term
Bioeffects in US have not been shown below an intensity of
Definition
100 mW/cm2
Term
What are the NCP recommendations for considering a risk-benefit decision when TI exceeds _____ and MI exceeds ____?
Definition

When TI exceeds 1 and

MI exceeds 0.5

Term
What is a linear probe typically used for?  Why?
Definition
It uses high frequency, so it is good for structures near the surface like vascular imaging.
Term
What is a curvilinear probe typically used for?
Definition
It uses lower frequency US, so it penetrates more.  It's good for intra-abdominal imaging.
Term
What is a phased array probe typically used for?
Definition
It has a smaller footprint, so it is good for viewing structures through small acoustic windows.  It is good for chest viewing because it can go between the ribs.
Term

US intensity is measured over both _____ and ______.

Measurments can either be _____ or _______.

Definition

space and time

peak or average

Term
Spatial average intensity is measured over?
Definition
the area of the transducer
Term
Temporal peak intensity is measured ?
Definition
during a pulse.
Term
Thermal effects are best predicted using the _____  ______ and _____  ______ intensities.
Definition
spatial peak and temporal average
Term
Mechanical bioeffects and cavitation are best indicated by the ____ ____ and _____ _______ intensity.
Definition
spatial peak and pulse average
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