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239 Cards in this Set

  • Front
  • Back

True/False:




Everything emitted from the ultrasound machine is electrical.

True

True/False:




Everything emitted into the patient from the transducer is electrical.

False




*everything into the patient is sound

True/False:




The transducer contains sound and electricity.

True

Which type of pulser generates a single electrical spike ultimately creating a single sound (acoustic) pulse?

pulsed wave (single crystal)

Which type of pulser generates numerous electrical spikes ultimately creating a single sound (acoustic) pulse?

pulsed wave (phased array)

The acoustic power of a sound beam emitted from a transducer is determined by the ______________ of the pulser's signal.

voltage

Name the 5 operations in ascending order of the Receiver.





  1. amplification (enlarge signal/receiver gain)
  2. compensation (corrects attenuation/TGC's)
  3. compression (reduce dynamic range/gray scale)
  4. demodulation (rectification/smoothing)
  5. reject (eliminates weak reflection)



*After Class Come Drink Rum

All of the following are functions of the receiver except?




demodulation


amplification


suppression


attenuation





attenuation

All of the following are components of an ultrsound system except?




transducer


alternator


display


pulser


synchronizer


receiver

alternator

Which type of pulser generates a constant electrical signal in the form of a sine wave?

continuous wave

True/False:




Amplification processes all reflected signals in a similar manner.

True




*all signals are processed identically

True/False:




Compensation processes all reflected signals in a similar manner.

False




*signals arising from deep structures are substantially compensated vs those from shallow structures

What should be adjusted if the image only displays reflectors in a region far from the transducer and not in regions close to the transducer?

compensation

What should be adjusted and how if an image is too saturated (too bright) everywhere?

decrease the output power

What should be adjusted if the image only displays reflectors in regions close to the transducer and not in far regions from the transducer?

compensation

Which electronic component is required for gray scale imaging?

scan converter

The scan converter with the ___________ number of picture elements produces the best spatial resolution in an image.

higher

Which of the following scan converters will provide the best spatial resolution?




256 x 256


128 x 128


1000 x 1000


512 x 512



1000 x 1000




*the higher the pixels/bits the better spatial resolution

What is the smallest element of computer memory called?

bit

True/False:




A bit is the smallest element of an image.

False




*smallest element of computer memory

How many gray shades can be represented by a group of 5 bits?

32 shades




*(2 x 2 x 2 x 2 x 2)

What is the number of shades that can be represented by 3 bits?

8 shades




* (2 x 2 x 2)

How many different shades are stored by using 2 bits?

4 shades




*(2 x 2)

How many bits are needed to store 11 shades?

4 bits




*(2 x 2 x 2 x 2)

How many bits are needed to store 15 shades?

4 bits




*(2 x 2 x 2 x 2)

True/False:




A pixel can display up to 3 gray shades simultaneously.

False




* a single pixel can only display a single shade of gray

Modifying a frozen image, adjusting the brightness on the monitor and read zoom are all _________-processing.

post-processing

Increasing the receiver gain and write zoom are both done __________-processing

pre-processing

Where does coded excitation take place?

in the pulser

A sophisticated process of creating complex pulses to improve image quality is called?

coded excitation

True/False:




Mechanical transducers cannot perform spatial compounding.

True

Spatial compounding is performed only with _____________ ____________ transducers that electronically steer sound beams in different directions.

phased array

Which technology uses long sound pulses to create an image?

coded excitation

With frequency compounding, how many pulses are transmitted down each scan line?

one




*this data is then divided into sub-bands

What is the ratio between large and small signals that can accurately be measured known as?

Dynamic range

Sound with a frequency of 4 MHz is created by a transducer. What is the fundamental frequency?

4 MHz

Sound with a frequency of 4 MHz is created by a transducer. What is the harmonic frequency?

8 MHz

Nonlinear behavior creates ______________.

harmonics

Where are harmonics created?

in tissue

Sound travels faster in __________________ and slower in ________________.

faster in compressions


slower in rarefactions

What nonlinear behavior creates tissue harmonics?

sound travels faster in compressions and slower in rarefactions

What nonlinear behavior creates contrast harmonics?

microbubbles expanding to a greater extent than they compress

Changes in transducer ___________ affect the brightness of an image.

transducer output

What is the only way to improve the signal-to-noise ratio?

Output Power




*increase output power to lower signal-to-noise ratio

True/False:




The Sonographer is able to adjust Output Power.

True

True/False:




Output power alone cannot make an image of uniform brightness from top to bottom.

True

Changes in imaging depth are made by changing the ________ __________ __________.

Pulse Repetition Period (PRP)




*determines maximum imaging depth

True/False:




Pulse Repetition Frequency and Pulse Repetition Period are reciprocals.

True




*short PRP = high PRF (system spends less time listening)




*long PRP = low PRF (system listens for longer)



The Sonographer is able to adjust the depth of view by adjusting?

PRP

The shallower an image, the ______________ the listening time, the ______________ the PRP, and the _________ the PRF.

shorter listening time


shorter PRP


higher PRF

The deeper an image, the ______________ the listening time, the _______________ the PRP, and the ___________ the PRF.

longer listening time


longer PRP


lower PRF

What creates and distributes the delay patterns for array transducers during transmission?

Beam Former




*steering and focusing

What protects the sensitive electrical components in the receiver from the high voltage created during transmission?

Switch

Changes in ____________ or _____________ __________ alter the brightness of an entire image.

amplification


receiver gain

True/False:




Unlike Output Power, patient exposure levels to ultrasonic energy are not altered when the sonographer changes Amplification.

True

True/False:




Proper compensation creates images of uniform brightness at all depths.

True

Attenuation and frequency have a ____________ relationship.

direct




*low frequency = less attenuation


*high frequency = greater attenuation

The ____________ the transducer frequency, the shallower the depth.

higher




*frequency and depth have an indirect relationship

The lower the transducer frequency, the ____________ the depth.

greater




*frequency and depth have an indirect relationship

High frequency needs _______ amplification.

more




*frequency has direct relationship w/ amplification



__________ frequency needs less amplification.

low






*frequency has direct relationship w/ amplification



What does TGC stand for?

Time Gain Compensation

Reject eliminates signal based on ______________.

Amplitude

______________ eliminates signal based on amplitude.

Reject

How does rectification change the form of an electrical signal?

eliminating/correcting negative voltages

Weak reflections are eliminated from the display by using?

Reject

Sonographers are able to adjust the following Receiver functions EXCEPT?




Amplification


Compensation


Compression


Demodulation


Reject

Demodulation

Which Receiver function makes the entire image brighter or darker?

Amplification

Which Receiver function makes an image uniformly bright from top to bottom?

Compensation

Which Receiver function changes gray scale mapping?

Compression

Which Receiver function has NO EFFECT on the image?

Demodulation




*changes the form of a signal

Which Receiver function eliminates weak echoes from an image?

Reject

Which Receiver function processes all signals identically?

Amplification

Which Receiver function processes signals based on reflector depth?

Compensation

Which Receiver function processes signals depending on strength?

Compression

Which Receiver function prepares electrical signals to be suitable for display?

Demodulation

What determines whether to first adjust Output Power or Receiver Gain for patient exposure to ultrasound?

ALARA




*as low as reasonably achievable

If an image is too bright, what should be decreased first?

Output Power

If an image is too dark, what should be increased first?

Receiver Gain

True/False:




Receiver Gain alters signal-to-noise ratio.

False




*Output Power alters signal-to-noise ratio

True/False:




Receiver Gain does not change patient exposure.

True

True/False:




Low contrast images will have many gray shades.

True

The __________ __________ converts the penetration pattern of ultrasound data into a horizontal pattern.

Scan Converter

Another name used for "image detail" is?

Spatial Resolution

What is the smallest building block of a digital picture?

pixel

Low pixel density creates a ___________ spatial resolution.

lower

_________ pixel density creates a higher spatial resolution.

High

True/False:




The fewer pixels or bits, the sharper the image.

False




*the more pixels/bits, the sharper the image

True/False:




The more bits per pixel, the more shades of gray and improved contrast resolution.

True

Pixels are to Spatial Resolution as Bits are to ____________ _______________.

contrast resolution

True/False:




The real world is digital. The computer world is analog.

False




*


real world = analog


computer world = digital

Where does pre-processing and post-processing occur?

Scan Converter

True/False:




All post-processing changes can be reversed.

True

Any alterations to a frozen image must be done during ____-____________.

post-processing

___-__________ is the manipulation of image data after storage in the scan converter.

post-processing

___-__________ is the manipulation of data before storge in the scan converter.

pre-processing

___-________ alters image data forever and cannot be reversed or undone.

pre-processing

Write magnification is done during ___-____________ in the scan converter.

pre-processing

Read magnification is done during ___-____________ in the scan converter.

post-processing

True/False:




TGC's are an example of pre-processing.

True

___________ magnification rescans a region of interest and creates a new image with increased spatial resolution.

Write magnification




*pre-processing


*not from memory





________ maginification creates larger pixel size without changing spatial resolution or temporal resolution.

Read magnification




*post-processing


*reading what is already in memory

_________ magnification improves spatial resolution and temporal resolution.

Write magnification




*pre-processing


*not form memory

Long complex pulses are used in ______ __________.

code excitation

Spatial Compounding, Frequency Compounding, and Edge Enhancement are all used to?

better the image

_____________ ______________ reduces the shadowing artifact in an image.

Spatial Compounding

Which type of Compounding uses sub-bands to better an image?

Frequency Compound

Temporal Compounding, Fill-in-Interpolation, and Elastography are all used to?

better the image

True/False:




Magnetic Media can be erased by strong magnetic fields.

True

The frequency of sound created by the transducer and transmitted into the body, is called?

Fundamental frequency

Twice the fundamental (transducer) frequency and is also known as the second frequency, is?

Harmonic frequency

The image created by processing reflections that have the same frequency as the transmitted sound, is called?

Fundamental image

The image created by processing reflections that are twice the fundamental frequency, is called?

Harmonic image

_____________ imaging creates images from sound reflections with the same frequency as the transducer frequency.

Fundamental imaging

Harmonic frequency sound arises from _______________ behavior.

nonlinear behavior




*irregular

The nonlinear behavior of sound propagation as it travels through tissue produces ______________.

harmonics

The stronger the signal, the ____________ the harmonics.

stronger

True/False:




Harmonics are produced only in the sound beam's main axis and not in the side lobes.

True

Safe, metabolically inert, long lasting, strong reflector, and small enough to pass through capillaries are the five requirements of?

Contrast Agents (invasive)

True/False:




Bubbles are more likely to burst during peak negative pressure (rarefaction) (expansion).

True

The Mechanical Index and frequency have a ____________ relationship.

indirect



The Mechanical Index and the Peak Rarefaction Pressure have a ______________ relationship.

direct

The higher the frequency, the ____________ the Mechanical Index.

lower




*small pressure variation

The ___________ the frequency, the lower the Mechanical Index.

higher




*large pressure variation

A Mechanical Index of 0.1 to 1.0 has some harmonics, a lower ____________ sound, ___________ behavior, and a ________ beam strength.

some harmonics


lower frequency sound


nonlinear behavior


higher beam strength




*resonance + moderate bubble expansion

Which type of harmonics has a stronger signal and is created during reflection off of microbubbles?

Contrast Harmonics

Which type of harmonics has a weaker signal and occurs as sound propagates in tissue?

Tissue Harmonics

What are the major functions of the ultrasound system? (3)

preparation


transmission


reception

The larger the frequency, the ___________ the focal depth.

longer

True/False:




The deeper a scan the more reflections will occur.

True

True/False:




Changing the depth of scan also changes the duty factor.

True

True/False:




A short pulse is due to more backing material.

True

The shorter the wavelength, the _____________ the frequency.

larger

The longer the wavelength, the ______________ the propagation speed.

greater

True/False:




All electronic focusing is done in the near field.

True

True/False:




The more severe the curvature, the more superficial the focus.

True

Which component of the ultrasound system transforms electrical energy into acoustic energy during transmission?

Transducer

Which component of the ultrasound system converts returning acoustic energy into electrical energy?

Transducer

Which component of the ultrasound system determines the amplitude, PRP, and PRF?

Pulser

Which component of the ultrasound system determines the firing delay patterns for phased array systems?

Beam Former




*steering and focusing

Which component of the ultrasound system transforms the electrical signals from the transducer into a form to display?

Receiver

Which ultrasound system component presents processed data?

Display

Which ultrasound system component maintains and organizes the proper timing and interaction of the systems components?

Master Synchronizer

Increasing the Pulser, ______________ the voltage.

increases

True/False:




Pulser and Output power are adjustable by the Sonographer.

True

What creates electrical signals that excite the transducer's PZT crystals and create sound beams?

Pulser

What are the 7 synonyms (aka) for Pulser?

  1. Output gain
  2. Acoustic power
  3. Pulser power
  4. Energy output
  5. Transmitter output
  6. Power
  7. Gain

What is noise?

anything that is a signal

An increase in Output Power, ___________ the signal-to-noise ratio.

increases (betters)

The most common way to improve (increase) the signal-to-noise ratio, is by?

increasing Output Power

When the signal-to-noise ratio is high, the signal is ____________ than the noise and the image is of high quality.

stronger

When the signal-to-noise ratio is low, the signal strength is ____________ to the noise and the image is of lower quality.

similar

What receives the pulser's single electrical spike and distributes it to the numerous active elements of an array transducer?

Beam Former




*steering and focusing

Every electrical spike out of the pulser, receives _______ sound pulse(s).

one

True/False:




For every channel (element) there is an electrical spike.

True




*100 channels (elements) = 100 electrical spikes

What is the first function of the Receiver?

Amplification




*aka receiver gain

True/False:




Each signal undergoes an equal amount of amplification.

True

True/False:




Each signal gets amplified equally regardless of depth.

True

True/False:




Preamplification often occurs within the transducer.

True

The process of improving the quality of a signal before it is amplified is called?

Preamplification

True/False:




The longer a signal is in a patient, the more it is attenuated.

True

How does the receiver correct for attenuation due to depth?

Compensation

How does a Sonographer change amplification on the ultrasound machine?

Receiver Gain

How does a Sonographer change Compensation on the ultrasound machine?

TGC's





True/False:




TGC's compensate for the attenuation of depth.

True




*equals out signal

Which Receiver function does not change the order or eliminating signal, only reduces dynamic range?

Compression







Which receiver function reduces dynamic range by adjusting the gray scale?

Compression

True/False:




The Sonographer is able to change Demodulation .

False




*the sonographer does not change demodulation.

What are the 2 parts in the process of Demodulation?

Rectification


Smoothing (enveloping)

Which Receiver function takes the information from (off of) the electrical signal?

Demodulation

Which Receiver function eliminates signal based on Amplification?

Reject

What effects the image brightness by altering the strength of the sound pulse that the transducer sends to the body?

Output Power

Increasing _________ _________ improves the signal-to-noise ratio.

Output Power

What alters the strength of the voltages in the Receiver that the transducer created during reception?

Receiver Gain




*amplification

True/False:




Increasing amplification does not alter the signal-to-noise ratio because they are treated identically.

True

True/False:




Patient exposure to sound energy is affected by alterations in Output Power, not by Amplification.

True

What translates information from the spoke format into the video format in the ultrasound system?

Scan Converter

What is the smallest part of the screen that we can control?

Pixel

Images with many gray shades have better ___________ resolution.

contrast resolution

True/False:




Write magnification rescans only the region of interest and writes new data into the scan converter.

True

Where does Coded Excitation occur?

in the Pulser

The ____________ the frequency, the sharper the image.

higher frequency

Harmonic frequency and Operating frequency are the same thing as _____________ frequency.

Fundamental frequency

_____________ frequency sound waves arise from nonlinear behavior.

Harmonic frequency

Which two forms of harmonics are important in diagnostic sonography?

tissue harmonics


contrast harmonics

The stronger the signal, the _____________ the harmonics.

stronger

True/False:




Tissue harmonics are created during transmission.

True

True/False:




Tissue harmonics are non-invasive, whereas, Contrast harmonics are always invasive.

True

True/False:




Contrast harmonics are created during reflection.

True

True/False:




The Pulser always pulses electricity, never sound.

True

How does the sonographer control the PRP and PRF?

Depth

Which ultrasound system component forms the beam by steering and focusing?

Beam Former

If there are 100 elements in an array, how many electrical spikes come out of the Beam Former?

100 electrical spikes

Curvature gives the ________ _________.

Focal depth

True/False:




If the focal depth is changed the electrical spike pattern changes.

True




*an electrical spike's pattern changes between every single pulse

True/False:




Every time the direction that you steer and depth of focus changes, the electrical spike pattern changes.

True

True/False:




An electrical spike's pattern changes between every single pulse.

True

What percentage of the time is the Transmit/Receive Switch in transmit mode?

< 1%

What percentage of the time is the Transmit/Receive Switch in reception mode?

> 99%

What comes out of the Transmit/Receive Switch when it is in the transmit mode when there are 100 elements in the array?

100 electrical spikes




*creating one sound pulse out of the transducer

True/False:




For every sound pulse there are many echoes received.

True

What comes out of the transducer into the Transmit/Receive Switch when it is in reception mode for each echo?

electrical spikes

Where do the electrical spikes go to once they have been received into the Transmit/Receive Switch from the transducer?

Receiver




*where the electrical spikes (signals) are prepared for display

What 5 operations occur in the receiver? (ascending order)

  1. amplification (enlarge signal/receiver gain)
  2. compensation (corrects attenuation due to depth/TGC's)
  3. compression (reduce dynamic range/gray scale)
  4. demodulation (rectification/smoothing)
  5. reject (eliminates weak reflection)

What converts all negative voltages into positive voltages?

rectification (demodulation)

During amplification what gets amplified?

everything




*ie. noise, sound

The only place in the Receiver that eliminates signal is?

Reject

Who/What determines what the correct level of Reject is?

Sonographer

Which ultrasound system component converts the scan and contains the memory block?

Scan Converter

Which ultrasound system component contains the memory block?

Scan Converter

The Scan Converter converts the ____________ scan to a _____________ scan.

vertical scan


horizontal scan

Once a scan is converted, where does it go before being displayed?

Memory Block

Before a scan can be displayed from the Memory Block, what needs to establish?

a complete frame

When there is a complete frame in the Memory Block, where does the image go?

to be displayed




*looks like 'real time'

True/False:




Sound is in the Transmit/Receive Switch.

False




*only electricity

How does the Sonographer control the transducer Output?

by increasing the voltage out of the Pulser to the beam




*transducer output power button

True/False:




Another term used for transducer Output Power is Gain.

False

True/False:




If an image is uniformly bright, do not use TGC's to adjust image.

True

True/False:




Noise is anything that is NOT signal.

True

__________ the transducers Output Power to lower signal-to-noise ratio

Increase

True/False:




For every electrical spike out of the Pulser, there is one sound pulse that comes out of the transducer.

True

True/False:




There is a channel for every element in an array.

True




*100 elements = 100 channels

True/False:




Echoes come back one at a time to be processed.

True




*if for some reason two came back together they are processed as one

If the Receiver Gain is increased, the image will get ____________.

brighter

True/False:




Signal-to-noise ratio is improved by increasing the Receiver Gain.

False

True/False:




TGC's give uniform brightness.

True

How does the Sonographer adjust the dynamic range?

adjusting the gray scale

True/False:




Reject eliminates signal based on frequency.

False




*based on amplitude (signal strength)

What are the two other names used for Reject?

threshold


suppression

True/False:

If an image is too dark, decreasing the Receiver Gain will make it brighter.

False




*increasing Receiver Gain

True/False:




If an image is too bright, decreasing Receiver Gain will make it darker.

False




*decrease Output Power

True/False:




Bistable images are composed of only 2 shades.

True




*


-fewer the choices (shades)


-smaller the dynamic range


-things stand out

_________ magnification occurs after the data is stored in the Scan Converter.

Read magnification




*post-processing


*reading what is already in memory

True/False:




Coded excitation is a short pulse wave.

False




*coded excitation is a long pulse wave

What improves axial resolution, spatial resolution, and contrast resolution, has deeper penetration and a higher signal-to-noise ratio?

Coded excitation

True/False:




Tissue harmonics are created during transmission.

True

Which will give a stronger (better) image, Contrast harmonics or Tissue harmonics?

Contrast harmonics

True/False:




The lower the frequency, the higher the Mechanical Index.

True




*more expansion (bubble compression and rarefaction) time is during low frequency



True/False:




Low mechanical index sound beams do not create harmonics.

True