Ultra Sound IN Medical Imaging: Mohammad Amir Final Year MBBS

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ULTRA SOUND

IN
MEDICAL
IMAGING

Mohammad Amir
Final Year MBBS
JJMMC
WHAT IS MEDICAL
IMAGING

?
MEDICAL IMAGING: The techniques
and processes used to create image of
the internal as well as external human
body parts for clinical purpose .
Why medical imaging is required?
Medical imaging provides a pictorial status of
particular organ which is to be treated

It makes a surgical targets more clear and precise

It provides a pictorial status of fetus development


right from 4th weak to 36th- 38th week

It make therapeutic targets easy to detect and


treat
TYPES OF MEDICAL IMAGING WIDELY
USED

X-RAY
MAMOGRAPHY
CONTRAST RADIOGRAPHY
ULTRA SOUND
CT SCAN
MRI
SPECT(SINGLE PHOTON EMMISION
TOMOGRAPHY)
PET(POSITRON EMISSION
TOMOGRAPHY)
PIZOELECTRIC IS DEVELOPED BY
THE CURIES IN 1880 USING
NATURAL QUARTZ

SONAR was first time used in war


time 1940

Diagnosis medical application in use


since late 1950‟s
WHAT IS
ULTRA SOUND

?
ULTRA SOUND : MEDICAL
DEFINATION!!!
DIGNOSTIC MEDICAL
ULTRASOUND IS THE USE OF HIGH
FREQUENCY SOUND TO AID IN
DIGNOSIS AND TREATMENT OF
PATIENT.

FREQUENCY RANGES USED IN


MEDICAL ULTRASOUND ARE 2-
15 MHZ
Piezoelectric Effect

 Definition: The principle of converting


energy by applying pressure to a crystal.

The reverse of the piezoelectric effect


converts the energy back to its original form
piezoelectric effect Ultrasound
Transducers
•A transducer converts one type
of energy into another
• Based upon:pulse-echo principle
occurring with ultrasound
the
crystals, ultrasound transducers
piezoelectric
convert:
– Electricity into sound = pulse
– Sound into electricity = echo
 Transducer contains piezoelectric
elements/crystals which produce the
ultrasound pulses (transmit 1% of the
time)
 These elements convert electrical
energy into a mechanical ultrasound
wave
PULSE
• Pulse of sounds is send to soft
tissues
•Sound interaction with soft tissues=
bio effect
•Pulsing is determined by transducer
or probe crystal and ins not operated
or control
ECHO
ECHO IS PRODUCED BY SOFT TISSUES
TISSUE INTRACTION WITH SOUND =
ACOUSTIC PROPAGATION PROPERTIES
ECHOES ARE RECEIVED BY THE
TRANSDUCER CRYSTAL
ECHOES ARE INTRPRETED AND PROCESSED
BY ULTRA SOUND MACHINE
reflective

refraction

Scattered
echoes

Incident

Angle of incidence = angle of reflection


 Reflected echoes return to the
scan head where the piezoelectric
elements convert the ultrasound
wave back into an electrical signal
 The electrical signal is then
processed by the ultrasound
system
FACTORS AFFECTING
ULTRASOUND
FREQUENCY
WAVELENGTH
BANDWIDTH
ATTENUATION
TIME GAIN COMPENSATION
 The thickness of the crystal
determines the frequency of the scan
head

Low High
Frequency Frequency
3 MHz 10 MHz
FREQUENCY AND
RESOLUTION
HIGH FREQUENCY = HIGH RESOLUTION
3.5 MHz(sector) 7.5 MHz(linear)
DYNAMIC RANGE
Decreased DR Increased DR
B-MODE M-MODE
Color Doppler Power Doppler
MACHINE COMPONENT
Transducer probe
CPU(central processing
unit)Transducer pulse
control
Display
Keyboard /cursor
Disk storage device
Printer
Size, design and
frequency
depend upon the
examination
Electrical signal produces ‘dots’ on the
screen

Brightness of the dots is proportional to


the strength of the returning echoes
Location of the dots is determined by
travel time. The velocity in tissue is assumed
constant at 1540m/sec
 Distance = Velocity
Time
„B‟ mode
Interactions of Ultrasound with
Tissue
• Acoustic impedance (AI) is dependent on the
density of the material in which sound is
propagated
- the greater the impedance the denser the
material.
• Reflections comes from the interface of
different AI‟s
• greater  of the AI = more signal reflected
• works both ways (send and receive directions)
Sound is attenuated by tissue
More tissue to penetrate = more
attenuation of signal
Compensate by adjusting gain based on
depth
near field / far field
AKA: TGC
Gain controls
receiver gain only
does NOT change power
output
think: stereo volume
Increase gain = brighter
Decrease gain = darker
Gain settings are important to
obtaining adequate images.
bad far
bad near field
field

balanced
Strong Reflections = White dots
Diaphragm, tendons, bone
„Hyperechoic‟
Weaker Reflections =
Grey dots

Most solid organs,


thick fluid – „isoechoic‟
No Reflections = Black dots
Fluid within a cyst, urine, blood
„Hypoechoic‟ or echofree
Beam comes out as a slice
Beam Profile
Approx. 1 mm thick
Depth displayed – user controlled
Image produced is “ 2D ”
tomographic slice
assumes no thickness
You control the aim

1mm
The ultimate goal of any ultrasound
system is to make like tissues look the
same and unlike tissues look different
Resolving capability of the system
axial/lateral resolution
spatial resolution
contrast resolution
temporal resolution
Processing Power
ability to capture, preserve and display the
information
Ultrasound Applications

Visualisation Tool:
Nerves, soft tissue masses
Vessels - assessment of position, size,
patency
Ultrasound Guided Procedures in real
time – dynamic imaging; central venous
access, nerve blocks
Imaging

Know your anatomy – Skin, muscle,


tendons, nerves and vessels
Recognise normal appearances –
compare sides!
Skin, subcutaneous
tissue Epidermis

Loose connective tissue and subcutaneous


fat is hypoechoic

Muscle interface

Muscle fibres interface

Bone
Summary
• Resolution determines image clarity
• Electronic Arrays may be sector or linear

• Frequency & wavelength are inversely proportional

• Attenuation & frequency are inversely related

• Display mode chosen determines how image is


registered
• Diagnostic Medical Ultrasound is safe!
conclusion
•Imaging tool – Must have the knowledge to
understand how the image is formed

•Dynamic technique

•Acquisition and interpretation dependant


upon the skills of the operator.

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