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238 Cards in this Set
- Front
- Back
Heterogeneous |
This term refers to tissue that is of mixed echogenicities |
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Isoechoic |
Two tissues that are of the same echogenicity |
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How many basic assumptions does the US machine operate under? |
7 |
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An artifact will appear if... |
Any one of the basic assumptions is violated |
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Anechoic |
Without echo (black) |
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What is an artifact |
An error in imaging |
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7 basic assumptions |
Sound travels in straight line Sound travels directly to a reflector and back Sound always travels at 1540 msec in soft tissue Reflections displayed are found only in main beams path Imaging plane is extremely thin Reflectors are as bright as the reflectors characteristics depict All echoes are received before the next pulse is sent |
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What type of object is created when two objects sit less that 1/2 SPL apart |
Appears as one object Axial resolution |
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How to correct an object less than 1/2 SPL apart |
Increase frequency to lower SPL |
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Which resolution is affected by beam width |
Lateral resolution |
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Lateral resolution |
If two objects are closer than the width of the beam they will appear as one |
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Where is the width of the beam narrowedt |
At the focal point |
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What type of xducer is the best at reducing slice thickness artifacts |
1 1/2 D array |
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What type of interference is caused by other machines and equipment |
Electronic |
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This artifact is created between two strong reflectors creating equally spaced artifacts down the image |
Reverberation |
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What is reverberation |
An artifact that is created when sound bounces between two reflectorso |
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What is ring down artifact |
Spaces similar to reverberation but squeezed out. Due to small gas bubbles that start to "ring" |
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What artifact is created when sound bounces off of a strong reflector, creating an exact replica on the opposite side |
Mirror image |
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Which vessel is the true vessel |
The artifact is always deeper to the true anatomy |
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In multi-path artifact the assumption that is violated is the sound travels to a reflector and __________back to the transducer |
Directly |
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What is multi-path reflector |
When sound bounces around reflectors before returning to the xducer Not exact replicas The image is a combination of all the things the sound hit before returning to the xducer |
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When refraction artifact is displayed, the the anatomy sits_______ to the false anatomy |
Laterally |
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What is refraction artifact |
When some sound travels in the correct direction that displays the correct anatomy, but the bent sound tells the machine to display anatomy to the side |
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This artifact can be corrected through application and subdicing |
Love artifact |
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What is lobe artifact |
When strong reflectors outside of the main beam are displayed because they have been insinuated by weak grating or side lobes. |
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Side lobes are created by single crystal and mechanical xducers. ________ are created by array xducers |
Grating lobes |
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Apodization |
Causes the beam former to send stronger electrical spikes to the center crystals so the main beam is strongest. Weaker spike are sent to side crystals reducing strength of the grating lobes |
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This artifact is created when there is a difference in propagation speeds causing the sound beam to either travel faster or travel slower |
Speed error |
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Speed error artifact |
If sound travels faster through a medium, the machine will display the anatomy more superficial. (Go-return time is shorter) slower sound will result in anatomy displayed deeper due to longer go-return timr |
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This is the general term for artifacts that cause the go-return time to be affected |
Propagation artifact |
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This is the general term that refers to artifacts that alter the rate at which sound weakens |
Attenuation artifact |
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Attenuation artifact |
If sound weakens abnormally fast, we see hyperechoic tissue behind. If a structure does. It cause sound to weaken, the tissue appears hyperechoic |
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This artifact occurs behind objects that absorb sound |
Shadowing |
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Shadowing srtifact |
Typically with bone (sound absorber) |
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Hypoechoic lines that extend off the sides of a curved structure due to simultaneous refraction and divergence |
Edge shadow |
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Edge shadowing artifact |
Sound beam becomes very weak after it refracts and diverges off the side of the curved structures. This creates shadowing off the edge of the structure |
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Enhancement artifact |
Happens behind structures that have abnormally low attenuation. We leave enhancement when it aids in a diagnosis |
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What artifact occurs when the same wave form is displayed on both sides of the baseline |
Cross talk |
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How to correct cross talk |
Reducing Doppler gain or trying a different angle |
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Aliasing is an artifact because the machine incorrectly displays the velocity of the blood. Aliasing occurs when the velocity is over the ________ |
Nyquist limit |
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Aliasing displays: |
Flow direction incorrectly due to "wrap around" effect |
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What artifact mimics an incorrectly placed TGC |
Focal banding |
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Focal banding artifact |
The beam is strongest at the focal point. The display may show a band of hyperechoic tissue at the level of the focal point |
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Using the machine incorrectly like using the wrong xducer or not optimizing gain is what type of error |
Operator error- a sonographer that is unfamiliar with their machine will produce suboptimal pictures |
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Is no corrective actions fix an artifact on the display, this may be a ______ malfunction |
Machine- broken crystals can not be corrected and are a common cause of machine malfunction |
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A common way to fix artifacts on our display is to try scanning at a different ______ |
Angle |
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This term means "no echoes" we strive for blood filled structures to appear this way |
Anechoic |
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This artifact occurs in the near field due to wavelets interfering with each other |
Speckle |
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This program is a legal and medical necessity that ensures the US systems are optimal |
QA |
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Who can perform QA |
Physicist, biomedical engineers and sonographers |
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QA programs must be performed periodically and _______ |
Routinely. QA is done in set intervals, every month, every 3 months as predetermined by the QA program |
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________ maintenance includes cleaning the US system components like the keyboard and track ball as well as running diagnostic test on the computer |
Preventative. |
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Helps keep the machine running optimally. |
Preventative maintenance |
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One reason for QA programs is to ________ proper operation of the US machine |
Guarantee |
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One purpose of a QA program is to ______ gradual changes |
Detect |
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When a QA program is in place, the machine will most likely be operating at its best, which reduces ______\ |
Downtime |
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A good QA program will improve patient care by ______ the number of non diagnostic exams and need for repeat exams |
Reducing |
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QA methods must be ________ |
Consistent |
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These type of standards are preferred when testing. They are based in fact and are repeatable |
Objective |
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Objective standards are |
Measurable and not based on opinion. This results in consistency |
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This type of standard is based on opinion and may not be repeatable |
Subjective |
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Subjective standards are |
Opinions and not based on factual information. |
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What type of phantom measures the thickness of the beam |
Beam profiler |
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Beam profiler measures the _________ ___________ of the beam |
Elevational thickness |
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This type of phantom allows the US to travel at 1540 m/s |
Soft tissue |
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This type of phantom comes in three different variations: vibrating string, vibrating belt and flow pattern |
Doppler |
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When QA is done with the machine set at clinically appropriate settings, this tests the machines _______ |
Sensitivity |
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QA is performed with the same ________ each time. QA is also performed with the machines parameters _________ |
Sensitivity, "maxed out" |
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This area of the image is usually in the first few mm of the picture and is considered to be inaccurate |
Dead zone |
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To compensate for a dead zone, a _____ _______ ______is used. The dead zone is tested by phantoms with pins that are very near the imaging surface |
Stand off pad |
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________ accuracy tests the machines ability to display vertical and horizontal reflectors as well as correctly sized reflectors at various depth and lateral placement |
Registration |
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The result of using ultrasound on living tissue can have adverse _______ |
Bioeffects |
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This device, also known as a microphone, can test multiple features of an ultrasound beam |
Hydrophone |
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Measuring this type of force can indicate the intensity of the beam |
Radiation |
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This method of beam testing uses light to see the shadow of the sound beam |
Acoustic- optics |
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This device measures the total power of a beam by observing absorption |
Calorimeter |
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This device is a small thermometer that measures the power of the beam in specific areas |
Thermocouple |
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The ________ can be moved within a beam to test the power where it is located and the tip has absorbing material in it |
Thermocouple |
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This method of testing US beams uses a substance that changes color based on the heat that is applied |
Liquid crystals |
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This term refers to studies that are done on living subjects |
In-vivo |
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In- vivo studies are performed on |
Lab animals- very few human studies are available |
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This term refers to studies that are performed outside of a living subject |
In-vitro |
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What approach to studies tries to find a relationship between cause and effect |
Mechanistic |
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What type of studies look at exposure and effect |
Empirical |
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This mechanism of bioeffects is concern because we know sound converted into heart as it is absorbed by soft tissue and because we know the body operates beast at 37 c |
Thermal |
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Which interface is more Duce problem to heating |
TissueA bone interface. Bone absorbs a lot of sound and is more likely to heat up |
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What term describes the j Tera Timon of small gas bubbles and Ultrasound |
Cavitstion |
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What machine parameter measures the likelihood of cavitation occurrence |
Mechanical index |
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Low MI vs high MI |
Lo MI's are more likely to cause stable cavitation. Higher MI's are going to lead to normal to inertial cavitation and increase the chance of bioeffects |
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What term describes the interaction of small gas bubbles and ultrasound |
Cavitation |
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This occurs when a sound source is moving towards or away from an object |
Doppler shift |
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Doppler shifts are in the range of 20 Hz to 20,000 Hz. This means that they are in the _______ range |
Audible |
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Which Doppler shift has an increased reflected frequency |
Positive |
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What Doppler shift has a decreased reflected frequency |
Negative |
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When speed and direction are known, what are we able to meausre |
Velocity |
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What does velocity tessnu |
Speed (distance/time) and direction of flow |
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What does the 3 in the Doppler equation account fir |
Transmit and receive frequencies |
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1540 m/s is a constant number in ultrasound that is used for part of the Doppler equation |
Propagation speed |
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Doppler shift relatikns |
If the Doppler shift increases or decreases, so must at least one of the other parameters |
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The cosine of 0=1 when we are at a 0 degree or 180 degree incidence. This means the sound beam is ________ to the direction of flow |
Parallel |
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What is the Doppler shift when cosine = 0 |
Zero |
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How many speakers does bidirectional Doppler use? |
2 |
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What is phase quadarture |
Above the baseline is typically positive Doppler shifts and below the baseline is typically negative |
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What type of Doppler requires two crystals and cannot produce an atomic images and can measure high velocities |
Continuous wave |
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Continuous wave Doppler is good at measuring high velocities, the pitfall is that the sonographer cannot choose exactly where they are sampling. This is referred to as______ _________ |
Range ambiguity |
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This type of imaging allows for Doppler and anatomical imaging to occur simultaneously |
Duplex imaging |
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This type of Doppler allows for exact location of sample, but is not good at measuring high velocities |
Pulse wave doppler |
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What term is defined as 1/2 PRF |
Nyquist limit |
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How to increase PRF? |
Switch to a lower frequency xducer. This will also increase the nyquist limit |
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PW xducers have this. It causes low q- factor, low sensitivity, and high dandwidths. Dedicated CW xducers do not have this. They have high q- factor, high sensitivity, and low bandwidths |
Backing material |
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If you only have one xducer and adjusting PRF and the baseline do not correct aliasing, what else can you change |
Depth |
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A sonographer has the Doppler gain set too high. How will any velocity measurements take. With this spectral waveform be |
Overestimated |
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This machine setting will reduce the number of low level echoes displayed on the spectral tracing |
Wall filter |
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Changing the ____ _____ can clean up the spectral display by getting rid of extra noise. |
Wall filter |
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The type of color map where yellow is on the top and red is on the bottom is |
Velocity color map |
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Velocity color map |
Assigns color to the average velocity found within the vessel |
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What type of color map has red on the left and yellow on the right |
Variance color map |
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Variance color map |
Show velocity and type of flow. Left side= laminar flow |
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What does the black bar mean in between the red and blue on a color map |
No doppler shift |
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This term is also known as ensemble. When they are large, color Doppler is more sensitive, but the frame rate decreases |
Packets |
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What type of Doppler is also known as energy mode and does not indicate speed or direction |
Power |
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To get an appropriate angle she. Using color Doppler, what can we do to the color box |
Steer |
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This equation helps the machine to filter all the information coming back from blood vessels to create a waveform |
Fast Fourier transform |
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This equations help the machine to determine the average velocity and choose a color to display during color doppler |
Autocorrelation |
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Study of clips flow through the circulatory system is called |
Hemodynamics |
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This type of flow is found mainly in arteries and has variable validities due to cardiac contradictions |
Pulsating flow |
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This type of flow is found in the veins and changes velocity due to respiratory actions |
Phasic flow |
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This type of flow is a constantly streaming st a steady velocity with no affect of the heart of respiration |
Steady flow |
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What type of flow is predicted when Reynolds number is <1500 |
Laminar flow |
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Laminar flow can be described as _______ or ________ |
Plug or parabolic |
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What type of flow has all blood layers traveling at the same speed |
Plug flow |
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What type of flow is slower on the outside (toward walls) and faster at the center |
Parabolic flow |
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Parabolic flow is said to have a ________ profile |
Bullet |
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What type of flow exhibits chaotic flow with vortices and eddies |
Turbulent flow |
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Reynolds number greater than ______ will predict turbulent flow |
>2000 |
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This is a sound that is heard by the doctor during a physical exam when turbulent blood flow is present |
Bruit |
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What is a thrill |
A palpable vibration over a turbulent area. Commonly felt over the anastomoses in a dialysis fistula |
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What type of energy do moving blood cells possess |
Kinetic |
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Kinetic energy |
Found in objects that are moving. Dependent on the objects mass and speed |
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What type of energy is the main type of energy in the circulatory system |
Pressure |
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Pressure energy |
Must overcome resistance for blood flow. PE has the potentiometer to do work. As the pressure energy increases above resistance, the PE is chance into kinetic energy |
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What type of energy is related to the elevation of an object |
Gravitational |
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Gravitation energy |
Is also potentiometer energy. As an object loses its elevation, it is turned into kinetic energy |
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This term is measures in Poise and tells the thickness of a liquid |
Viscosity |
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Hematocrit tells_______ |
How thick the blood is |
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As blood cells come in contact with vessel walls, some energy is converted into heat because of __________ energy loss |
Frictional |
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This Tyler of energy loss occurs with pulsatilla flow, phasic flow, and flow through a stenosis |
Inertial |
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Turbulent flow is expected_______ of a stenosis |
Down stream |
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Bernoulli principle tells us that blood flow velocity increases in a stenosis and pressure ______ |
Decreases |
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A patient who is 🕰______ has the same hydrostatic pressure at every level |
Supine |
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Hydrostatic pressure is relative to the heart level. Pressure at the level of the ears in the standing patient would be________ mmHg |
Negative |
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This muscle moves up into the thorax during expiration and down into the abdomen during inhalation |
Diaphragm |
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During this action, blood flow from the head and arm veins increases and blood return from the legs cease |
Inspiration |
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During this action, blood return from the legs increases and blood return from the arms ceases |
Expiration |
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What pressure is added to hydrostatic pressure to get measures pressure |
Circulatory pressure |
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What lab test measures the viscosity of blood |
Hematocrit |
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Hematocritu gives the % of blood that is made up of _______ |
RBC's |
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During expiration |
Pressure in thorax increases and abdominal pressure decreases |
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During inspirstion |
Pressure in the thorax decreases and abdominal pressure increases |
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If the heart is 0 mmHg, the ears would be -50 mmHg. Anything below the heart would be positive and increase towards the_______ |
Ankles |
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4 types of artifacts |
Resolution Propagation Attenuation Doppler |
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Resolution artifacts |
Axial/lateral Slice thickness Speckle/noise |
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Propagation artifacts |
Reverberation Ring down Mirror Shadowing Multi path Refraction Lobe Speed error Range ambiguity |
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Another name for ring down |
Comet tail |
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Attenuation artifacts |
Shadowing Edge shadowing Enhancement Focal banding |
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PW and color Doppler artifacts |
Mirror/cross talk Aliasing Ghosting/clutter Twinkle |
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QA program goals |
Guarantee proper operation Detect gradual changes Minimize down time Reduce non diagnostic exams Reduce repeat scans |
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Beam profiler |
Slice thickness phantom Assesses effect of slice thickness on image accuracy and determines elevational resolution |
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Tissue equivalent phantom |
Similar to soft tissue. Useful in evaluation of gray scale |
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Small needle type structure with PZT attached to its end |
Hydrophone |
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Small needle type structure with PZT attached to its end |
Hydrophone |
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A sound wave can exert small, but measurable force in the object it strikes is known as |
Radiation firce |
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Based on sound and light Shadowing system called a schlieren |
Acoustic- optics |
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Acoustic optics allows us to see the sago of a sound beam in a medium |
True |
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Acoustic optics allows us to see the sago of a sound beam in a medium |
True |
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_________ measures the total output power in a sound beam by observing absorption |
Calorimeter |
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Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location |
Thermocouple |
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Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location |
Thermocouple |
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These crystals change color based on temperature and give insight to power of beam as energy changes to hear |
Liquid crystals |
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Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location |
Thermocouple |
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These crystals change color based on temperature and give insight to power of beam as energy changes to hear |
Liquid crystals |
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Mechanistic approach |
Searches for a relationship between cause and effect |
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Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location |
Thermocouple |
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These crystals change color based on temperature and give insight to power of beam as energy changes to hear |
Liquid crystals |
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Mechanistic approach |
Searches for a relationship between cause and effect |
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Empirical approach |
Searches for the relationship between exposure and response |
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Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location |
Thermocouple |
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These crystals change color based on temperature and give insight to power of beam as energy changes to hear |
Liquid crystals |
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Mechanistic approach |
Searches for a relationship between cause and effect |
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Empirical approach |
Searches for the relationship between exposure and response |
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Three forms of thermal index (TI) |
TIS soft tissue thermal index TIB bone thermal index TIC cranial bone thermal index |
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Each image is made up of multiple ___________, these are lines the sound pulses are sent down to create an image |
Scan lines |
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A ________ consists of one PZT crystal and one wire connected back to the machine electronics |
Channel |
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Linear array refers to |
Straight line |
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Linear array refers to |
Straight line |
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Annular array refers to |
Concentric circles |
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Linear array refers to |
Straight line |
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Annular array refers to |
Concentric circles |
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Convex array refers to |
Curved or bowed line |
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Mechanical transducer |
1 PZT disc shaped Steering:mechanical Focus: fixed Shape: sector Damaged: whole image gone |
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Mechanical transducer |
1 PZT disc shaped Steering:mechanical Focus: fixed Shape: sector Damaged: whole image gone |
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Linear phases transducer |
100-300 PZT, small and rectangular Steering: electronic Focus: electronic Shape: sector Damaged: erratic steering and focusing (not obvious) |
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Mechanical transducer |
1 PZT disc shaped Steering:mechanical Focus: fixed Shape: sector Damaged: whole image gone |
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Linear phases transducer |
100-300 PZT, small and rectangular Steering: electronic Focus: electronic Shape: sector Damaged: erratic steering and focusing (not obvious) |
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When a sonographer uses _________, multiple sound beams with different foci are created |
Multi focus |
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Annular phased array transducer |
Multiple ring shaped PZT Steering: mechanical Focus: electronic Shape: sector Damaged: band of dropout across sector @bottom |
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Linear sequential array transducer |
120-250 PZT, larger and rectangular Steering: electronic Focus: electronic Shape: rectangle Damaged: band of drop out down image |
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Combed or curvilinear array transducer |
120-250 PZT, rectangular Steering: electronic Focus: electronic Shape: blunted sector Damaged: band of dropout down image |
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Combed or curvilinear array transducer |
120-250 PZT, rectangular Steering: electronic Focus: electronic Shape: blunted sector Damaged: band of dropout down image |
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Vector or virtual array transducer |
120-350 PZT, rectangular Steering: electronic Focus: electronic Shape: trapezoidal Damaged: need large group to show |
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Formula for PD |
PD= # cycles x period
Both increases in cycles and period increase PD |
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Formula for PD |
PD= # cycles x period
Both increases in cycles and period increase PD |
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Formula for SPL |
SPL= # cycles x wavelength
Axial resolution= 1/2 SPL |
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Shorter pulse duration equals better___________ |
Axial resolution |
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________ affects frame rate and temporal resolution |
PRF |
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Duty factor formula |
DF%= PD/PRP |
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Six major components of pulses echo |
Transducer Pulser or beam former Receiver Display Storage Master synchronizer |
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Six major components of pulses echo |
Transducer Pulser or beam former Receiver Display Storage Master synchronizer |
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What type or transducer requires a beam former |
Array |
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What is a descriptor or pulser |
Output power |
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Protects the receiver from strong electrical energy sent out during transmission |
Switch |
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______________ aka ____________ every returning signal is made larger or smaller |
Amplification, Receiver gain |
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______________ aka ____________ every returning signal is made larger or smaller |
Amplification, Receiver gain |
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________ adjusts the picture to account for attenuation |
Compensation (TGC) |
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___________ or __________ keeps electrical signals within the accuracy range of the system |
Compression, dynamic range |
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Second compression keeps gray scale within detectable range for _________ |
Humans, different than first compression |
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__________ changes the electrical signal into information that can be displayed on a monitor |
Demodulation |
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__________ changes the electrical signal into information that can be displayed on a monitor |
Demodulation |
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Demodulation inviles |
Rectification and smoothing or enveloping |
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Machine and sonographer decide if very low signals are important or extra noise |
Reject |
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Imagine transducer doesn't emit a pure single freuency |
Bandwidth |
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Bandwidth is the difference between the _________ and _________ frequency |
Highest and lowest |
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Bandwidth: lower frequency means |
Longer wavelength Greater penetration |
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Bandwidth: lower frequency means |
Longer wavelength Greater penetration |
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Bandwidth: high frequency means |
Shorter wavelength Better axial resolution |
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Q factor= pure clean sound |
True |
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Q factor= pure clean sound |
True |
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Short pulses= low Q factor and |
High quality images |