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Applications Of
Ultrasound In
Medicine
What is Sound ?
• Mechanical and Longitudinal waves wave that
can transfer a distance using a media.
• Cannot travel through Vacuum.
What is Ultrasound?
• Ultrasound is a mechanical, longitudinal
wave with a frequency exceeding the
upper limit of human hearing, which is
20,000 Hz or 20 kHz.
• Typically at 2 – 20 Mhz.
• Average speed of ultrasound in body is
1540m/sec
Basic Ultrasound Physics
Velocity
Frequency
Amplitude
Wavelength
Velocity
Near Field Imaging Far Field Imaging
Tissues closer appear on top and
faster the waves return
Tissues further appear at the
bottom & slower the waves
return
Frequency
• Number of cycles per second
• Units are Hertz
• Ultrasound imaging frequency range
2-20Mhz
Higher the freq Lower the penetration and Higher the resolution
Low the freq higher the penetration and lower the resolution
How
Ultrasound
Works
????
Piezoelectric Effect of
Ultrasound
1. Electrical Energy
converted to Sound waves
2. The Sound waves are
reflected by tissues
3. Reflected Sound waves are converted to
electrical signals and later to Image
Pulse-Echo Method
• Ultrasound transducer produces
“pulses” of ultrasound waves
• These waves travel within the body and interact
with various tissues
• The reflected waves return to the transducer
and are processed by the ultrasound machine
• An image which represents these reflections is
formed on the monitor
Interactions of Ultrasound with
tissue
• Reflection
• Transmission
• Attenuation
• Scattering
Reflection
• Occurs at a boundary between 2 adjacent
tissues or media
• The amount of reflection depends on
differences in acoustic impedance (z) between
media
• The ultrasound image is formed from reflected
echoes
Transducer
Z = Density x Velocity
Scattering
• Redirection of sound in several directions
• Caused by interaction with small reflector or
rough surface
• Only portion of sound wave returns to
transducer
• Not all the sound wave is reflected, some
continues deeper into the body
• These waves will reflect from deeper tissue
structures
Transducer
Transmission
• The deeper the wave travels in the body, the
weaker it becomes
• The amplitude of the wave decreases with
increasing depth
Attenuation
Attenuation
High Freq
TheLongerittravelsthemore
lessResolution
Low Freq
Absorption Reflection
TheSignalbehindthebone
isAne-echoicAttenuation Co-efficient
•Gas | Fluid – Low AC – allow Wave to pass
•Bones – High AC – will block
Echogenicity (caused by
Reflection)
Ane-Echoic Hypeo-Echoic Hyper-Echoic
Time Gain Compensation
(Post Processing)
• The Returned signal is amplified for
better imaging at depths.
TGCtoo low far field TGCcorrected
Ultrasound - Internals
Probes
PhasedArrayor
Cardiac
Linear or
Vascular
Curvilinear or Abdomen
Rangeis ideal to switchbetweenGeneral, High and low Resolution
Imaging Planes
• Transverse or Axial
• Longitudinal or Saggital
• Coronal
Basic Doppler Principles
The Doppler Effect
• Apparent change in received frequency due to a
relative motion between a sound source and sound
receiver
– Sound TOWARD receiver = frequency
– Sound AWAY from receiver = frequency
The Direction of Flow
ø
< 60 degreesø
The Direction of Flow
Cos 90 = ø
no Doppler shift
The Direction of Flow
ø
Cos 60 = 1
Applications of Ultrasound in Medicine

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Applications of Ultrasound in Medicine