The basic principle of ultrasound imaging involves transmitting small pulses of ultrasound echo from a transducer into the body. This causes the element to generate ultrasonic waves with a shorter pulse length, improving axial resolution in images. This means that as the amplitude of a wave decreases (such as with deeper penetration), the energy carried by the wave reduces drastically, Defines as the energy (E) delivered per unit time (t). Examples of specular reflectors are fascial sheaths, the diaphragm, and walls of major vessels (Fig. The degree of receiver amplification is called the gain. 1.8). The final image on the screen of an ultrasound machine is the result of the interaction of ultrasound waves with the tissues being examined. Each piezoelectric crystal produces an ultrasound wave. The next pulse-echo cycle can only be started after receiving the echo from the selected maximum depth. Modern ultrasound (gray value). Jerome A. Backing material: located behind the piezoelectric element, it serves to prevent excessive vibration. The schematic diagram above showed the transducer waits to receive the returning wave (i.e., echo) after each pulsed wave (Fig. 1.9). The interference of the scattered sound waves produces a grainy echo of actually homogeneous tissues (speckle-noise). Strong reflecting interfaces may cause a specular reflection of the ultrasound wave leading to mirrow image. Motion (M) mode, also called time motion or TM mode, displays a one-dimensional image usually used for analyzing moving body parts. The frame rate of the image depends on the probe frequency and imaging depth and varies from a few to over 100 frames per second. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. With medical imaging, fat causes considerable refraction and image distortion, which contributes to some of the difficulties encountered in obese patients. The ultrasound transducer has the following layers (Fig. Arcuate reflections of highly reflective interfaces, which are only visible in hypoechoic structures. It is the product of its frequency (f) and wavelength (λ), The energy of a sound wave is proportional to the square of its amplitude (A). An ultrasound image is generated when the pulse wave emitted from the transducer is transmitted into the body, reflected off the tissue interface, and returned to the transducer. Block needles are also strong specular reflectors. Different types of attenuation. Loss of ultrasound wave energy due to friction, heat is generated. Thus, sound with a high frequency has a short wavelength and vice versa. If the ultrasound wave hits a small object, a circular reflection wave is created. (Reprinted with permission from Philip Peng Educational Series). An ultrasound transducer has a dual functionality. Looks like you’ve clipped this slide to already. The lateral imaging resolution depends on the geometry of the transducer and is highest in the focal zone. (Reprinted with permission from Philip Peng Educational Series), A longitudinal wave showing alternating compression and rarefaction. This means the pulse will travel 15.4 cm before the next pulse is emitted (1540 m/s × 0.1 ms = 0.154 m in 0.1 ms = 15.4 cm). At the interface of tissues with different density, there is a partial or complete reflection of the ultrasound wave. Attenuation also results from reflection and scattering of the ultrasound wave. 2D real time mode is the most commonly used in urology, it can be combined with Doppler sonography. Preferably, the time gain compensation (TGC) is adjusted to selectively amplify the weaker signals returning from deeper structures. With kind permission by Dr. H. Kempter, Augsburg. Clipping is a handy way to collect important slides you want to go back to later. Piezoelectric Effect • Definition: The principle of converting energy by applying pressure to a crystal. For this reason, it is clinically important to apply sufficient conducting gel (an acoustic coupling medium) on the transducer surface to eliminate any air pockets between the transducer and skin surface. It is expressed in meters (m), The time taken for one complete wave cycle to occur. Thus, it is the inverse of the period (T) of a wave. The echo is computed into a two-dimensional sectional image of the examined region. 1. The A-mode is not used any more in modern ultrasound imaging. The quality of the returning sound waves depends on the attenuation coefficient of different tissue. This is called pulsed ultrasound. The near-field resolution is poor, sector array transducers have the smallest footprint and are used to for imaging deep structures. You are here: Urology Textbook > Urologic examinations > Imaging > Principles of ultrasound imaging. Sector array transducers are used for cardiac and abdominal imaging. Different types of reflection. Refraction encountered with bone imaging is even more significant leading to a major change in the direction of the incident beam and image distortion. An incident wave hitting the interface at an angle <90° will result in the wave being deflected away from the transducer at an angle equal to the angle of incidence but in the opposite direction (angle of reflection). (Reprinted with permission from Philip Peng Educational Series). The degree of beam change (bending) is dependent on the change in the speed of sound traveling from one medium on the incident side to another medium on the transmitted side (Snell’s Law). The reflected echo can be displayed in different modes: Amplitude modulation, display of the echo in a diagram, the x-axis represents the depth and the y-axis the echo intensity. The lower the frequency of the ultrasound, the less the waves are attenuated by the tissue and the better the ability to study deep regions. The speed of sound varies for different biological media, but the average value is assumed to be 1540 m/s for most human soft tissues.

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