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238 Cards in this Set

  • Front
  • Back

Heterogeneous

This term refers to tissue that is of mixed echogenicities

Isoechoic

Two tissues that are of the same echogenicity

How many basic assumptions does the US machine operate under?

7

An artifact will appear if...

Any one of the basic assumptions is violated

Anechoic

Without echo (black)

What is an artifact

An error in imaging

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

What type of object is created when two objects sit less that 1/2 SPL apart

Appears as one object


Axial resolution

How to correct an object less than 1/2 SPL apart

Increase frequency to lower SPL

Which resolution is affected by beam width

Lateral resolution

Lateral resolution

If two objects are closer than the width of the beam they will appear as one

Where is the width of the beam narrowedt

At the focal point

What type of xducer is the best at reducing slice thickness artifacts

1 1/2 D array

What type of interference is caused by other machines and equipment

Electronic

This artifact is created between two strong reflectors creating equally spaced artifacts down the image

Reverberation

What is reverberation

An artifact that is created when sound bounces between two reflectorso

What is ring down artifact

Spaces similar to reverberation but squeezed out. Due to small gas bubbles that start to "ring"

What artifact is created when sound bounces off of a strong reflector, creating an exact replica on the opposite side

Mirror image

Which vessel is the true vessel

The artifact is always deeper to the true anatomy

In multi-path artifact the assumption that is violated is the sound travels to a reflector and __________back to the transducer

Directly

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

When refraction artifact is displayed, the the anatomy sits_______ to the false anatomy

Laterally

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

This artifact can be corrected through application and subdicing

Love artifact

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.

Side lobes are created by single crystal and mechanical xducers. ________ are created by array xducers

Grating lobes

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

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

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

This is the general term for artifacts that cause the go-return time to be affected

Propagation artifact

This is the general term that refers to artifacts that alter the rate at which sound weakens

Attenuation artifact

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

This artifact occurs behind objects that absorb sound

Shadowing

Shadowing srtifact

Typically with bone (sound absorber)

Hypoechoic lines that extend off the sides of a curved structure due to simultaneous refraction and divergence

Edge shadow

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

Enhancement artifact

Happens behind structures that have abnormally low attenuation. We leave enhancement when it aids in a diagnosis

What artifact occurs when the same wave form is displayed on both sides of the baseline

Cross talk

How to correct cross talk

Reducing Doppler gain or trying a different angle

Aliasing is an artifact because the machine incorrectly displays the velocity of the blood. Aliasing occurs when the velocity is over the ________

Nyquist limit

Aliasing displays:

Flow direction incorrectly due to "wrap around" effect

What artifact mimics an incorrectly placed TGC

Focal banding

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

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

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

A common way to fix artifacts on our display is to try scanning at a different ______

Angle

This term means "no echoes" we strive for blood filled structures to appear this way

Anechoic

This artifact occurs in the near field due to wavelets interfering with each other

Speckle

This program is a legal and medical necessity that ensures the US systems are optimal

QA

Who can perform QA

Physicist, biomedical engineers and sonographers

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

________ maintenance includes cleaning the US system components like the keyboard and track ball as well as running diagnostic test on the computer

Preventative.

Helps keep the machine running optimally.

Preventative maintenance

One reason for QA programs is to ________ proper operation of the US machine

Guarantee

One purpose of a QA program is to ______ gradual changes

Detect

When a QA program is in place, the machine will most likely be operating at its best, which reduces ______\

Downtime

A good QA program will improve patient care by ______ the number of non diagnostic exams and need for repeat exams

Reducing

QA methods must be ________

Consistent

These type of standards are preferred when testing. They are based in fact and are repeatable

Objective

Objective standards are

Measurable and not based on opinion. This results in consistency

This type of standard is based on opinion and may not be repeatable

Subjective

Subjective standards are

Opinions and not based on factual information.

What type of phantom measures the thickness of the beam

Beam profiler

Beam profiler measures the _________ ___________ of the beam

Elevational thickness

This type of phantom allows the US to travel at 1540 m/s

Soft tissue

This type of phantom comes in three different variations: vibrating string, vibrating belt and flow pattern

Doppler

When QA is done with the machine set at clinically appropriate settings, this tests the machines _______

Sensitivity

QA is performed with the same ________ each time. QA is also performed with the machines parameters _________

Sensitivity, "maxed out"

This area of the image is usually in the first few mm of the picture and is considered to be inaccurate

Dead zone

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

________ accuracy tests the machines ability to display vertical and horizontal reflectors as well as correctly sized reflectors at various depth and lateral placement

Registration

The result of using ultrasound on living tissue can have adverse _______

Bioeffects

This device, also known as a microphone, can test multiple features of an ultrasound beam

Hydrophone

Measuring this type of force can indicate the intensity of the beam

Radiation

This method of beam testing uses light to see the shadow of the sound beam

Acoustic- optics

This device measures the total power of a beam by observing absorption

Calorimeter

This device is a small thermometer that measures the power of the beam in specific areas

Thermocouple

The ________ can be moved within a beam to test the power where it is located and the tip has absorbing material in it

Thermocouple

This method of testing US beams uses a substance that changes color based on the heat that is applied

Liquid crystals

This term refers to studies that are done on living subjects

In-vivo

In- vivo studies are performed on

Lab animals- very few human studies are available

This term refers to studies that are performed outside of a living subject

In-vitro

What approach to studies tries to find a relationship between cause and effect

Mechanistic

What type of studies look at exposure and effect

Empirical

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

Which interface is more Duce problem to heating

TissueA bone interface. Bone absorbs a lot of sound and is more likely to heat up

What term describes the j Tera Timon of small gas bubbles and Ultrasound

Cavitstion

What machine parameter measures the likelihood of cavitation occurrence

Mechanical index

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

What term describes the interaction of small gas bubbles and ultrasound

Cavitation

This occurs when a sound source is moving towards or away from an object

Doppler shift

Doppler shifts are in the range of 20 Hz to 20,000 Hz. This means that they are in the _______ range

Audible

Which Doppler shift has an increased reflected frequency

Positive

What Doppler shift has a decreased reflected frequency

Negative

When speed and direction are known, what are we able to meausre

Velocity

What does velocity tessnu

Speed (distance/time) and direction of flow

What does the 3 in the Doppler equation account fir

Transmit and receive frequencies

1540 m/s is a constant number in ultrasound that is used for part of the Doppler equation

Propagation speed

Doppler shift relatikns

If the Doppler shift increases or decreases, so must at least one of the other parameters

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

What is the Doppler shift when cosine = 0

Zero

How many speakers does bidirectional Doppler use?

2

What is phase quadarture

Above the baseline is typically positive Doppler shifts and below the baseline is typically negative

What type of Doppler requires two crystals and cannot produce an atomic images and can measure high velocities

Continuous wave

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

This type of imaging allows for Doppler and anatomical imaging to occur simultaneously

Duplex imaging

This type of Doppler allows for exact location of sample, but is not good at measuring high velocities

Pulse wave doppler

What term is defined as 1/2 PRF

Nyquist limit

How to increase PRF?

Switch to a lower frequency xducer. This will also increase the nyquist limit

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

If you only have one xducer and adjusting PRF and the baseline do not correct aliasing, what else can you change

Depth

A sonographer has the Doppler gain set too high. How will any velocity measurements take. With this spectral waveform be

Overestimated

This machine setting will reduce the number of low level echoes displayed on the spectral tracing

Wall filter

Changing the ____ _____ can clean up the spectral display by getting rid of extra noise.

Wall filter

The type of color map where yellow is on the top and red is on the bottom is

Velocity color map

Velocity color map

Assigns color to the average velocity found within the vessel

What type of color map has red on the left and yellow on the right

Variance color map

Variance color map

Show velocity and type of flow. Left side= laminar flow

What does the black bar mean in between the red and blue on a color map

No doppler shift

This term is also known as ensemble. When they are large, color Doppler is more sensitive, but the frame rate decreases

Packets

What type of Doppler is also known as energy mode and does not indicate speed or direction

Power

To get an appropriate angle she. Using color Doppler, what can we do to the color box

Steer

This equation helps the machine to filter all the information coming back from blood vessels to create a waveform

Fast Fourier transform

This equations help the machine to determine the average velocity and choose a color to display during color doppler

Autocorrelation

Study of clips flow through the circulatory system is called

Hemodynamics

This type of flow is found mainly in arteries and has variable validities due to cardiac contradictions

Pulsating flow

This type of flow is found in the veins and changes velocity due to respiratory actions

Phasic flow

This type of flow is a constantly streaming st a steady velocity with no affect of the heart of respiration

Steady flow

What type of flow is predicted when Reynolds number is <1500

Laminar flow

Laminar flow can be described as _______ or ________

Plug or parabolic

What type of flow has all blood layers traveling at the same speed

Plug flow

What type of flow is slower on the outside (toward walls) and faster at the center

Parabolic flow

Parabolic flow is said to have a ________ profile

Bullet

What type of flow exhibits chaotic flow with vortices and eddies

Turbulent flow

Reynolds number greater than ______ will predict turbulent flow

>2000

This is a sound that is heard by the doctor during a physical exam when turbulent blood flow is present

Bruit

What is a thrill

A palpable vibration over a turbulent area. Commonly felt over the anastomoses in a dialysis fistula

What type of energy do moving blood cells possess

Kinetic

Kinetic energy

Found in objects that are moving. Dependent on the objects mass and speed

What type of energy is the main type of energy in the circulatory system

Pressure

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

What type of energy is related to the elevation of an object

Gravitational

Gravitation energy

Is also potentiometer energy. As an object loses its elevation, it is turned into kinetic energy

This term is measures in Poise and tells the thickness of a liquid

Viscosity

Hematocrit tells_______

How thick the blood is

As blood cells come in contact with vessel walls, some energy is converted into heat because of __________ energy loss

Frictional

This Tyler of energy loss occurs with pulsatilla flow, phasic flow, and flow through a stenosis

Inertial

Turbulent flow is expected_______ of a stenosis

Down stream

Bernoulli principle tells us that blood flow velocity increases in a stenosis and pressure ______

Decreases

A patient who is 🕰______ has the same hydrostatic pressure at every level

Supine

Hydrostatic pressure is relative to the heart level. Pressure at the level of the ears in the standing patient would be________ mmHg

Negative

This muscle moves up into the thorax during expiration and down into the abdomen during inhalation

Diaphragm

During this action, blood flow from the head and arm veins increases and blood return from the legs cease

Inspiration

During this action, blood return from the legs increases and blood return from the arms ceases

Expiration

What pressure is added to hydrostatic pressure to get measures pressure

Circulatory pressure

What lab test measures the viscosity of blood

Hematocrit

Hematocritu gives the % of blood that is made up of _______

RBC's

During expiration

Pressure in thorax increases and abdominal pressure decreases

During inspirstion

Pressure in the thorax decreases and abdominal pressure increases

If the heart is 0 mmHg, the ears would be -50 mmHg. Anything below the heart would be positive and increase towards the_______

Ankles

4 types of artifacts

Resolution


Propagation


Attenuation


Doppler

Resolution artifacts

Axial/lateral


Slice thickness


Speckle/noise

Propagation artifacts

Reverberation


Ring down


Mirror


Shadowing


Multi path


Refraction


Lobe


Speed error


Range ambiguity

Another name for ring down

Comet tail

Attenuation artifacts

Shadowing


Edge shadowing


Enhancement


Focal banding

PW and color Doppler artifacts

Mirror/cross talk


Aliasing


Ghosting/clutter


Twinkle

QA program goals

Guarantee proper operation


Detect gradual changes


Minimize down time


Reduce non diagnostic exams


Reduce repeat scans

Beam profiler

Slice thickness phantom


Assesses effect of slice thickness on image accuracy and determines elevational resolution

Tissue equivalent phantom

Similar to soft tissue. Useful in evaluation of gray scale

Small needle type structure with PZT attached to its end

Hydrophone

Small needle type structure with PZT attached to its end

Hydrophone

A sound wave can exert small, but measurable force in the object it strikes is known as

Radiation firce

Based on sound and light


Shadowing system called a schlieren

Acoustic- optics

Acoustic optics allows us to see the sago of a sound beam in a medium

True

Acoustic optics allows us to see the sago of a sound beam in a medium

True

_________ measures the total output power in a sound beam by observing absorption

Calorimeter

Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location

Thermocouple

Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location

Thermocouple

These crystals change color based on temperature and give insight to power of beam as energy changes to hear

Liquid crystals

Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location

Thermocouple

These crystals change color based on temperature and give insight to power of beam as energy changes to hear

Liquid crystals

Mechanistic approach

Searches for a relationship between cause and effect

Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location

Thermocouple

These crystals change color based on temperature and give insight to power of beam as energy changes to hear

Liquid crystals

Mechanistic approach

Searches for a relationship between cause and effect

Empirical approach

Searches for the relationship between exposure and response

Tiny electric thermometer where absorbing material is placed within the sound beam to measure power of beam at specific location

Thermocouple

These crystals change color based on temperature and give insight to power of beam as energy changes to hear

Liquid crystals

Mechanistic approach

Searches for a relationship between cause and effect

Empirical approach

Searches for the relationship between exposure and response

Three forms of thermal index (TI)

TIS soft tissue thermal index


TIB bone thermal index


TIC cranial bone thermal index

Each image is made up of multiple ___________, these are lines the sound pulses are sent down to create an image

Scan lines

A ________ consists of one PZT crystal and one wire connected back to the machine electronics

Channel

Linear array refers to

Straight line

Linear array refers to

Straight line

Annular array refers to

Concentric circles

Linear array refers to

Straight line

Annular array refers to

Concentric circles

Convex array refers to

Curved or bowed line

Mechanical transducer

1 PZT disc shaped


Steering:mechanical


Focus: fixed


Shape: sector


Damaged: whole image gone

Mechanical transducer

1 PZT disc shaped


Steering:mechanical


Focus: fixed


Shape: sector


Damaged: whole image gone

Linear phases transducer

100-300 PZT, small and rectangular


Steering: electronic


Focus: electronic


Shape: sector


Damaged: erratic steering and focusing (not obvious)

Mechanical transducer

1 PZT disc shaped


Steering:mechanical


Focus: fixed


Shape: sector


Damaged: whole image gone

Linear phases transducer

100-300 PZT, small and rectangular


Steering: electronic


Focus: electronic


Shape: sector


Damaged: erratic steering and focusing (not obvious)

When a sonographer uses _________, multiple sound beams with different foci are created

Multi focus

Annular phased array transducer

Multiple ring shaped PZT


Steering: mechanical


Focus: electronic


Shape: sector


Damaged: band of dropout across sector @bottom

Linear sequential array transducer

120-250 PZT, larger and rectangular


Steering: electronic


Focus: electronic


Shape: rectangle


Damaged: band of drop out down image

Combed or curvilinear array transducer

120-250 PZT, rectangular


Steering: electronic


Focus: electronic


Shape: blunted sector


Damaged: band of dropout down image

Combed or curvilinear array transducer

120-250 PZT, rectangular


Steering: electronic


Focus: electronic


Shape: blunted sector


Damaged: band of dropout down image

Vector or virtual array transducer

120-350 PZT, rectangular


Steering: electronic


Focus: electronic


Shape: trapezoidal


Damaged: need large group to show

Formula for PD

PD= # cycles x period



Both increases in cycles and period increase PD

Formula for PD

PD= # cycles x period



Both increases in cycles and period increase PD

Formula for SPL

SPL= # cycles x wavelength



Axial resolution= 1/2 SPL

Shorter pulse duration equals better___________

Axial resolution

________ affects frame rate and temporal resolution

PRF

Duty factor formula

DF%= PD/PRP

Six major components of pulses echo

Transducer


Pulser or beam former


Receiver


Display


Storage


Master synchronizer

Six major components of pulses echo

Transducer


Pulser or beam former


Receiver


Display


Storage


Master synchronizer

What type or transducer requires a beam former

Array

What is a descriptor or pulser

Output power

Protects the receiver from strong electrical energy sent out during transmission

Switch

______________ aka ____________ every returning signal is made larger or smaller

Amplification, Receiver gain

______________ aka ____________ every returning signal is made larger or smaller

Amplification, Receiver gain

________ adjusts the picture to account for attenuation

Compensation (TGC)

___________ or __________ keeps electrical signals within the accuracy range of the system

Compression, dynamic range

Second compression keeps gray scale within detectable range for _________

Humans, different than first compression

__________ changes the electrical signal into information that can be displayed on a monitor

Demodulation

__________ changes the electrical signal into information that can be displayed on a monitor

Demodulation

Demodulation inviles

Rectification and smoothing or enveloping

Machine and sonographer decide if very low signals are important or extra noise

Reject

Imagine transducer doesn't emit a pure single freuency

Bandwidth

Bandwidth is the difference between the _________ and _________ frequency

Highest and lowest

Bandwidth: lower frequency means

Longer wavelength


Greater penetration

Bandwidth: lower frequency means

Longer wavelength


Greater penetration

Bandwidth: high frequency means

Shorter wavelength


Better axial resolution

Q factor= pure clean sound

True

Q factor= pure clean sound

True

Short pulses= low Q factor and

High quality images