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Basics of Ultra sound

Dalian 2013

Basic Physics of Ultrasound

History

Pioneers
Piezoelectric effect 1890 Pierre and
Jacques Curie
Dussik an Australian neurologist first used
Ultrasound for diagnostic imaging

bats hunt at night using echolocation to help guide them

whales

THE BASICS
What is ultra sound
How is ultra sound produced
What are transducers
Properties of transducers
Imaging with ultrasound

definition
Sound frequencies
greater than 20,000 cycles per second
produce Ultrasound

megahertz in medicine
Ultra sound frequencies of 2500000 cycles
per second or greater are used in medical
imaging
Amplitude

crystals and sound


The Piezoelectric and
Reverse piezoelectric effect
are fundamental to application of
ultrasound

Pressure electric effect

The crystal converts electrical signals to sound


waves

Reverse pressure electric effect

The crystal also converts sound into


electrical signals

characteristics
Ultrasound waves are produced
in pulses

Pulse transmission and reception


is repeated several times a second

A transducer sends off ultrasound waves


1% of the time and
receives 99% of the time.

When incident on a surface tend to


Reflect
Transmit
Get absorbed (attenuated)
Get scattered
Get refracted

reflection
refraction
Scattered
echoes
Incident

Absorption

The reflection depends on the difference in


Acoustic impedance of two adjacent tissues
Greater the mismatch in Acoustic
impedance, greater is the reflection

Major impedance mismatch exist at


a soft tissue-air interface
To overcome
Use sufficient coupling agents = Gel

Attenuation
Damping effect

Attenuation depends on
Tissue
Bone > Air > Muscle > Fat > Blood > Water

Distance travelled
Frequency of the probe

Higher the frequency


greater the damping and lesser the
penetration

Overcome attenuation

Adjusting gain
Time gain compensation

The CRT screen is divided


into pixels

Electrical pulses are


represented by dots

Ultrasound beam from probe

Hyper echoic
white dots
(bones, needle,stones)

Hypo echoic dark dots


(Fluid, blood,L.A)

Weaker reflections

grey dots

Tissues, solid organs

USG appearance
Epidermis
Loose connective tissue and
subcutaneous fat
Muscle interface
Muscle fibres
Bone

SCM

MS

Brachial plexus
roots
AS

Cervical Roots
Monofascicular appearance
Dark Hypoechoic

Peripheral Nerves
Honeycomb appearance
Median nerve
forearm

Hyperechoic

Nerve
Short Axis

Long
Axis

Median.N
Median.N

Factors affecting image quality

Frequency of probe
Type of probe
Resolution
Gain
Machine capability

FREQUENCY
Frequency

Penetration

Frequency

Penetration

Depth vs frequency
40

30

20

10

Cm
3MHz
5MHz
7MHz
10MHz
1
0
10
20
30
40
0

3MHz

5MHz

7MHz

10MHz

12MHz

7MHz

Frequency vs Penetration
12 MHz
Good resolution
Poor penetration

3 MHz
Good penetration
Poor resolution

Linear array

Curved array

Linear vs curved probe


Infraclavicular brachial plexus

9-12 MHz linear

5-8 MHz Curved

Can see adjacent land marks such as greater


trochanter and Ischial tuberosity for sciatic

Resolution

Axial
Lateral
Spatial
Temporal
Contrast

Axial resolution

High frequency

Low
Textfrequency

Lateral resolution
High frequency

Low frequency

Focal
zone

Gain

Power of hearing Ultrasound


adjusting gain improves receiving signal

Overgain

Undergain

Balanced gain

Color doppler
There is an apparent change in the returning
echoes due to the relative motion between
the sound source and the receiver.

Artefact
Perceived distortion, error or addition caused by
the instrument of observation

Acoustic enhancement

Reverberation

Re

Needle
reverberation

Needle
reverberation

Mirror artefact

brachial plexus
SA

1st rib

Probe gel skin contact

Brachial plexus

SA
Inadequate gel

1st rib
1st rib

Nerve and Tendons

Nerve and Tendons

FDP
FDS

Median nerve

Anisotropy

Sciatic nerve

Sciatic nerve

Thank you

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