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156 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Pulser
controls electric signal sent to the probe
master synchronizer and Beam former
coordinates action of all components in time
Receiver
produces picture based on electrical signal from the probe
Scan Converter
stores analog or digital images
Beam former: defined
2 thing
both transmit and receive:
: the appropriate phase delay for focusing and steering
:pulse sequencing
Apodization: defined
controls which elements are active or which are not, which is part of Beam Former
Pulser Modes:
2 kinds
CW: continuous electrical that is converted into continuous wave
PW: pulser creates an electrical SPIKE and transducer converts it to a pulse
SPIKES: actions
What does it control? 5 of them
each crystal creates its own spike: many spikes for one pulse:
1. Steering(linear steering)
2. focus(focus)
3. number of focal points(Multi-focus)
4. image shape and size(Scan range and wide view)
5. line density(Frame Rate)
what equation effects focusing?
LATA: Beam width
focal Number: Mult focusing: what is is effecting?
equations?
Optimizing LATA w
super low FR: 2/dl
Image Shape: what is effected wtih sector or vector
frame rate: v/2dl
frame Rate: what does it control? and what is the outcome? 2 things
Line density is LOW and therefore higher FR: LATA sucks but FR is good
Line density is HIGH and therefore lower FR: LATA is good, but FR sucks
POWER: how works
can sonographer control it?
master syncronyzer produces voltage and then to probe:
VOLTAGE ~ POWER ~ INTENSITY of wave
therefore, output is regulated by voltage from pulser and SONOGRAPHER CAN CONTROL IT
POWER : OTHER NAMES
6
acoustic power
transducer output
output gain
pulser power
energy output
transmitter power
DOWNFALL OF POWER?
Benefits of POWER?

Another name for power?
bioeffects
image will be brighter

Mechanical INDEX
CALCULATION: your machine output power is set at _6dB. what percenttage of Max power is being used
25%
function of Transducer
1.
2.
3.
4.
1. turns electric into acoustic power(converse piezoelectric Effect)
2. Sends US signal
3. Receives Echos
4. Turns acoustic into electric pulse(piezoelectric Effect)
what to select about transducers

2 things
Shape and size
frequency:
high: shallow
Low: deep
Receiver: defined
5 steps of processing
gets electrical signal from the transducer, processes it and prepare it for display
Compensation
Compression
Amplification
Rejection
Demodulation
Function of Receiver: A________
Another name(s):
defined
Amplification
Gain
Adjusts the amplitude of the received signal
Function of Receiver: C________: the varied one
Another name(s):
defined
What equation:
Compensation
TGS
adjust received amplitude separately. Amplitude from deep is smaller than shallow and needs adjusting
(mu)df
Function of Receiver: C________
Another name(s):
defined
Compression: squishes into Dynamic Range
Dynamic Range
DR includes all values from max to min.
Amplitude sent is 10 to the 10/15 times bigger than received: compressed to reduce this diff
Function of Receiver: R________
Another name(s):
defined
Rejection:
Precision
low amplitudes have no clinical significance and are rejected: extra noise
Function of Receiver: D________
Another name(s):
defined
Demodulation:
RECTIFICATION: turns negative voltage to postive
SMOOTHING: places envelope around the bumps
Changes the shape of the electrical signal to be accepted by display:
Sonographer does not control
Scan Converter: defined
what doing?
Stores and electronically process info from the receiver:
1 received in ANALOG
2 stored and processed in DIGITAL
3 displayed in ANALOG
What is analog
what is digital
ANALOG:format has an infinite number of values
DIGITAL:format has set number of values
AD Converter
DA Converter
converts analog to digital
converts digital to analog
How is data acquired and displayed
vertical
horizontal
Pixels: defined
where and what screen : 3 things
digital picture divided: smallest image unit

More pixels: better image
x coordinates: on a line
y coordinates: depth
Color represents AMPLITUDE: Z mismatched
memory piece: Defined
where do these go?
bit: memory stores
in pixels
2n 2 to the n(bit) power to get more shades
2(1) = 1 (0,1)
2(2) = 4 (00,01,10,11): 2(3) = 8 (000,010,010,011, etc)
EXAMPLE 4
How many shades of gray can be displayed if the system has 5 bits per pixes ratio?
2 (5) = 32 shades
EXAMPLE 5
even though human eye can distinguish about 20 shades of gray, modern diagnostic US systems normally offer 256 diff brightness levels. what is the bit per pixes for that ratio?
2 (x) = 256
=8
Contrast resolution:
More pixels with make it better.
Preprocessing


Postprocessing
transducer (analog)
receiver (analog)
AD converter
MEMORY
DA converter
Display
Write Zoom: defined
when:
image is rescanned but smaller: does not affect FR
Pre-processing: live action
Read Zoom: defined
when:
already stored image is magnified:
post processing: after freeze
Post-processing: P____________
:frames
defined
what is it doing: looking like?
Persistence: averages frames to minimize NOISE
Not good for speedy imaging:
not effect FR, but adds them together. Post process
E_____ E___________:
pre or post processing:
defined
what is it doing?
Edge Enhancement: post-processing
averages several PIXELS for smooth vs. sharp appearance.
DECREASE to get smooth image: MORE average: better contrast
INCREASE to get sharper, grainy: LESS average: better detail resolution
Compounding
S______ C_________: pre post?
defined
F______ C_________:pre post
defined
Spacial Compounding: both & post. DECREASES FR
Rescans several times with steering and then add them.
Frequency Compounding: Post
High f: better LARD and Low f: better penetration
COMBINES data in single image to improve penetration and resolution
WITH BOTH: Better FR than just spacial but still lower
Post-processing
choose different gray scales for what we like.
Contrast resolution: other name
depends on 5 things
GRAY SCALE:
acoustic impedance
scan converter: #bits/pixels
post-process curves
monitor setting: contrast/brightness
ambient light in room
Harmonics: defined
2x
3x
4x fundamental frequency
EXAMPLE 6
what frequencies are harmonic to the 2.5 MHz?
2x 2.5=5
3x 2.5=7.5
4x2.5=10
etc
Non sinusoidal wave is :
sum of central FUNDAMENTAL frequency and its harmonics
Harmonic Imaging: How created
waves of rarefraction/compression
Compression denser/stiffer
stiffness inverse to velocity
therefore DISTORTION of sinusoidal wave makes it NO LONGER SINUSOIDAL and therefore has harmonics
Harmonice Imaging: how and why good (5 things)?
Filter out Fundamental frequencies
:) LARD improves: 1/2 nv/f
:) LATA improves: high f in center of beam
:) Other artifacts decline: reverb, side lobes
:( Attenuation increase
:( FR may lower: requires two pulses to go out
LARD in Harmonics: what is happening
the broadband widths overlap. longer pulse is sent out to avoid this and therefore LARD will be little worse as the 1/2 SPL or 1/2 nv/f will go down. f will be higher.
Pulse (Phase) Inversion: defined
what is it improving?
what is happening
advantages: 2
sending out two harmonic impulses to generate CONSTRUCTIVE interference.

Improves LARD: does not need long pulse
Advantages: no need for narrow bandwidth
signal with fundamental frequency is eliminated
Types of Harmonic Imaging
3 kinds
Tissue Harmonic Imaging: THI: NO contrast
Harmonic Imaging w/ contrast: bubble study
Color/Power Doppler Harmonic Imaging: w/ contrast
Coded Excitation
NOT available for us
sends out several pulse patterns and don't have to wait for one to return.
maintains High Res spacial resolution
Extra 2D imaging extras: 3 of them
up down invert
right left invert
colorize maps: whole thing
Video display
3 kinds
CRT: cathode ray tube: ANALOG:cathode ray tube emits electrons that are scanned across the phosphorescently coated screen
LCD: Liquid Crystal display: FLAT: replacing CRT
DLP: digital light processing chips: FLAT: uses millions of tiny mirrors
Video Formats:
2 of them
DICOM: purest uncompressed format used by all US systems
lots of memory (uncompressed) and NOT compatible with computers
CODEC: allows compression of data for storage: AVI, MOV, WMF, MPG4 etc
Storage Media:
3 of them
Hard copy: charts
Magnetic: tapes
Optical :discs
RAID: storage
redundant array of independent disks
storage technology that combines multiple disk drives components into a logical unit. distributed in RAID levels
Doppler: away and toward
For both the source and receiver

Away: lower frequency:
Toward: higher frequency
Motion of the Receiver
(v+-v(receiver)
f'= ___________
fo
(v-+v(source)

top (toward) bottom(away)
SAMPLE: you are at the train stateion when the train whistlse at 900 Hz going by. train moves with the speed of 60 km/h. what frequency will you hear when the train approaches you? what frequency will you hear when the train leaves the station? speed of sound is 340 m/s
946 Hz
857.9 Hz
you are on the train passing kfalls. I am at the station waiving and blowing a horn at 100Hz. train moves with the speed of 60km/h. what f will you hear when the train approaches kf station? what f will you hear when the train leave kf station? speed of sound is 340 m/s
104.8 Hz
95.1 Hz
train approaches the station from the west at 60km/h and emitting sound of 400Hz. at the same time a car goes east at 30km/h. what f does the car driver hear? speed of sound is 340 m/s
410.0 m/s
Doppler shift: definition.
change of frequency of sound due to relative motion of sound source and receiver.
^f = f(received) - f(source) ^f=f'-fo
Doppler Shift with blood
2 fo v(blood) CosO
^f = -------------------------------
v
Doppler shift
positive
negative
f' > fo
f' < fo
What is angle for zero doppler shift?
<0 = 90 degrees
what is maximum angle for doppler shift:
0 degrees
what is optimal doppler shift for consistency assume?
< 60 degrees
45 - 60 degrees
Doppler HISTORY
1842: musician and train
Who used doppler to detect blood flow in arteries and when
sotomura in 1957
who built a spectrum analyzer to look at doppler display? and when
Kaneco 1960 ish
who first used Doppler intended for transcutaneous measurement of blood flow in MAN. Used CW doppler
Baker and Stegall: 1964

pulsed dopper was introduced
when and who combined B-mode US and doppler. DUPLEXING
Barber 1974
When did TRIPLEXING come about
late 1970s
what is the formula for v(blood) Cc
1540 m/x ^f
v(blood) = ----------------------
2 fo Cos0
what is the velocity of the blood in the vessel scanned by 2.5 MHz probe if the system determines 1KHz doppler shift? doppler angle is 60 degrees.
0.6 m/s towards
what is the velocity of the blood in the vessel scanned by 11 MHz probe, if the system determines 3KHz Doppler shitf? angle is 60 degrees
0.4 m/s towards
what are limitations of audio doppler?
subjective interpretation
lack of permanent objective record
stethascope v. doppler audio
Stethascope: vibrations or pressure waves as a result of rapid accelerations and decelerations of blood

doppler audio: audible display of the Doppler f shift produced by the shift of blood. NOT Occur in nature.
spectral analysis?
Graph of v or ^f v. time
flow toward: above baseline
what does brightness on the spectral analysis represent?
amplitude: related to the amount of blood moving at a certain velocity.
flow is laminar:
accelerating and decelerating at approximately the same velocities: an envelope of the similiar velocities
Turbulant flow:
diff velocities detected at any one time. wide spectrum of velocities. display of velocities that are low, mid and high: spectral broadening or window filling
PW doppler: Guidelines
1. long axis
2. cursor parallel to the flow or to wall
3. angle at 45-60 degree : when higher, overestimate
when under 30, critical angle. 0 maximum.
4. sample gate size: 2/3 of vessel: in veins: wider
Aliasing: definition. How computer its getting it and displays it
signals is recieved in analog format
AD converter converts the signal into digital
Nyquist limit:
states that for accurate reconstruction of the waveform, each cycle must be sampled at least 2 times
1. in the AD converter: what is the rate of sampling
2. in the DA converter: what does it do?
3. what if velocity too high? what happens if there is not enough sampling to recreate the high doppler shift
1. PRF
2. reconstructs the waveform: Nyquist limit of 2 samples needs to be met.
3. the recreated doppler shift will be lower than the real doppler f and therefore will aliase.
v(blood) will be calculated low.
The higher the PRF the better
Aliasing is
an artifact due to an insufficient sampling

^f is more than the PRF
waht happens to the scale if the f of the transducer is increased by a factor of 2
(1540)2
---------------
8 fo d CosO

scale decreases by 2
how is scale affected, if the depth of a sampled vessel doubles?
(1540)2
---------------
8 fo d CosO

answer, decreases by 2
what happens to the scale if the angle of insonation doubles
(1540)2
---------------
8 fo d CosO

if angles increases, the Cos0 goes down and therefore increasing the scale
what is the formula for blood velocity if there is no aliasing?
(1540)2
v(blood) < = --------------
8 fo d cosO
will aliasing occur, if the PRF is 8Khz and the doppler shift if 5kHz
False statement:
^f <= 1/2 PRF nv/f
5Hz
will aliasing occur, if the depth of imaging is 12cm and the doppler shift is 100Hz?
True statement:
^f <= 1/2 PRF nv/f
100 hz<= 3208.3Hz
will aliasing occur fi the depth of imaging is 10 cm and blood flow v is 100 cm/s. angle is 60 degrees. Assume a 5 Mhz probe in use
True
100 cm/s <=120cm/s
Things to do to avoid aliasing:
6 things
increase PRF(scale)
Increase doppler angle
decrease f of transducer
decrease depth
decrease baseline
(1540)2
---------------
8 fo d CosO

use CW
What are the 2 catch 22s for fixing aliasing from a deep vessel?
Using a high frequency transducer gives:

good scale resolution
low scale and low penetration
Doppler Modes: 2 of them?
CW
PW
CW probe uses how many crystals at a minimum?
2
What is the are of focus called for CW?
2 names
focal volume or sensativity
Does CW have a PRF max and why not or why so
no. it is on all the time
No way to determine depth
CW positive features
3 of them.

CW negative features
3 of them
NO aliasing
cheep and simple
Good sensativity

Unknown depth
no imaging
detects any/all motions in line(wall, etc.)
PW uses a minimum of _____ crystals
what is the process?
1
send pulse and listen for return
where is the doppler shift received from?
sample volume
gate
the frequency of a pulsed wave depends on what? and what is the formula?
thickness of the crystal
vcr
f pw = -------
2th
GATE info:
there are two sets of "times" to receive the data back to the transducer
sending and listening
It takes 13 usec to go 1 cm.
Range ambiguity: what are you turning up to get it to work?
f<=PRF<= v/2d

Example: if the PRF 7.7 Khz and the depth is 12cm. 1540m/s
------------- = 6.4 Khz and this is now FALSE
2 x .12 m
Comparison of PW and CW
Range ambiguity? smaller and larger?
Aliasing? does it occur?
Imaging? possible or not?
CW is larger and PW is small(only in gate)
CW never and PW sometimes if scale is too small
CW never and PW possible
Comparison of Imaging(2D) and PW doppler
Pulse duration?
Optimal angle?
Frequency?
Sensativity?
Short(better LARD) and long
90 degrees and 0 degrees
High f for better LARD and low F for aliasing
NOT sensative to low: Sensative to low
What does Pulser control?
8 of them
Gate location
Gate size
Steer angle
PRF/scale
Depth
Doppler Frequency
Acoustic power
PW/CW/HPRF
Gate Size:
one main rule
2/3 of the vessel but wider for veins
Steering. what control?
and what are the rules
3 things to help
Heal toe
change cursor
change line of insonation
Scale: on the graph, scale is on the x/y axis?

what is it affected by?
y axis
PRF (1540)2 PRF x 1540
depth of gate -------------- ----------------
Doppler f 8 fo d CosQ 4 fo CosQ
Doppler Angle
Doppler fo
Where does it come from?
High or low for aliasing?
The receiver and the mixer: LOW PASS FILTER
need to keep lower than the scale to not alias
Acoustic Power is ????
Amplitude
Doppler Receiver components,
5 and what do they do
Amplitude: gives enough Amplitude to register
MIxer: in and out of phase: real and imaginary
Low Pass Filter: ^f detection
Quadrature detection: Direction of flow detection
Wall Filter: high pass filter:
Another name for Doppler Shift detection,
LOW PASS FILTER?
2 of them
What is it finding?
demodulation
heterodyning

only finds a numberical value (positive or negative)
uses rectifying and smoothing: all an absolute value for a number.
What is Zero Crossing Detection
Another name?
finding the doppler frequency with each crossing of the zero line

Time interval histogram
Quadrature detection
what is it finding?
only finding direction.
uses the low pass filter of both the real and imaginary.
If positive number, it is toward and real is leading
if negative number, it is away and real is lagging
two old flow direction techniques
heterodyne detector
single-sideband detector
Wall Filter: what kind of filter
high pass filter: deletes the noise and low f items
FFT: what is the name and what does it do
Fast Fourier Transformer
Doppler frequency separates to diff frequencies
reordered in a FREQUENCY DOMAIN
Blood velocities are then converted to TIME DOMAIN.
x=velocity, y=time, z=amplitude:volume
Doppler Compression
Dynamic Range: Decrease the range from the brightest to the dullest:
Gamma: POST PROCESS
change all the gray scales
Sweep speed:
if Brady: do what
if Tachy: do what
adjusts the scale along the x axis
Brady: decrease
Tachy: increase
Doppler Map: what is it
colors only
Invert:
flow towards or away
Baseline
Adjusts the fraction displayed toward or away
Pixel Ratio:
affects the hight and width of a pixel
Dopplerk 5 things you do to adjust your first imaging
LONG axis of the vessel
fix angle: 45-60 and 2/3 gate
scale
filter
gain
Color mode: information is presented how on the screen:
pixel dimensions
length,
width
velocity(color)
Color gate is small/large
What button/feature regulates LINE DENSITY
large
FRAME RATE button
Color maps: top and bottom?
middle of maps
BART and RABT
towards and away
lower velocities
Blue away and Red away
where is Caudle and Cephalic
Cephalic Left and CAudle Right
Doppler Packet: what is it?
2 other names
what does several pulses represent?
does this increase or decrease the FR
^f from several pulses and averages them.
Packet Size or Data Number
higher velocity measurement
decreases it. affecting temporal resolution
Color Map Varience Mode
changes from side to side as well as toward and away.

turbulance is on the right
Power doppler
no direction or velocity evaluated: sensative to low flow
Also called
*ultrasound angiography
*amplitude doppler
*color amplitude imaging (CAI)
Color Doppler Velocity Detection:
2 of them
Cross-Correlation
Doppler
What does color detection: cross correlation use to process the data. and how does it find that>?
Uses Range Equation
MODAL
What does color detection: doppler use to process the data. and how does it find that>?
Auto correlation
MEAN
Comparision color & Spectral
Area evealuated?
Accuracey
Technique
3D info: x y z
Large small(gate)
less, mean/modal high Spectrum
Doppler/Cross C Doppler
L W v t v A
5 things to adjust first for Color
Steer Box
C Gain
C Filter
C Scale
good Vessel image
What does Color Pulser Do?
7
Power,
Freq
Box size
Box location
PRF
Steer
Data number
Color : Acoustic Power
what does?
when increase?
when decrease?
increase for filling:
Patient exposure too
C Frequency:
what does?
when increase?
when decrease?
Increase: better Axial Resolution
Decrease: Better depth
Decrease to go under scale for aliasing
color box
what does?
How affect FR?
wider and deeper: FR down
Steering:
what does?
gets best angle. tree fall, box fall
Frame Rate:
what does?
when increase?
when decrease?
increase to increase FR but worse filling: better to see velocity: LATA :)
decrease to decrease FR but better filling: better filling: LATA :(
FR=PRF/l or v/2dl
Data Number:
what does?
when increase?
when decrease?
Increase: Lower FR: See velocity better
Scale: same or different than doppler?
same
PRF change
Color Gain:
Amplification
clean up or add noise:
color Filter:
High Pass: removes low frequencies
increase to get rid of noise
detect to see slow stuff
Scan Converter: Dessert Items
Reverse :invert map
Map type:
color Smooth:
Persistance: Frames
Baseline
Receiver: color
Gain and Filter
Color Frame Interpolate:
Adds frames: post process: Smoothing: fill in the blanks
q
Color Persistence:
Average Frames
no FR affect
Temporal resolution down
Color Time Smooth:
Average Lines
Color Priority:
turn off if you want. Stupid
Prioritize color over black and white