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ECHO 2013 / Artifacts of Imaging and Doppler Know Your Physics

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State-of-the-Art Echo 2013

Artifacts of Imaging and Doppler:

Know Your Physics

Rebecca T. Hahn, MD

Columbia University

College of Physicians and

Surgeons

Nothing to Disclose

Sound

Then A

Miracle

Occurs

Images

How to Explain Echocardiographic Imaging

Physical Properties of Sound

Sound wave = series of compressions and rarefactions

Cycle Length = length of one compression + one rarefaction

Wavelength ( ) =

length from the peak of one compression to the peak of next compression (range 0.1-0.8 mm)

Pulsed Ultrasound

Ultrasound images can only be created by pulsed ultrasound

Short bursts of ultrasound must be interspersed with periods in which the transducer receives reflected ultrasound

Shorter the pulse, higher the quality images created with greater detail

Shorter wavelength (higher

(mm) = 1.54 mm/µsec f (MHz)

frequency) the shorter the pulse

 

Shorter the receiving time (shorter depth), the shorter the pulse

Interaction of Ultrasound with Tissue

Impedence: The acoustic resistance to sound traveling through a medium

Reflection

– High impedance mismatch between two media

’d REFLECTION

Allows creation of an ultrasound image

Refraction

occurs at the interface of media of different impedances when the incident beam is OBLIQUE

Property which allows use of lenses for focusing the beam

Attenuation

The weakening of sound waves as it propagates through tissue

Due to reflection, absorption and scatter

Physical Properties of Sound

Image resolution is

The shorter the wavelength (higher the frequency), the better the longitudinal resolution (ie: smaller the distance between two distinguishable objects)

Depth of penetration is

The shorter the wavelength (higher the frequency), the worse the penetration (i.e: the shorter the depth that the ultrasound travels)

Longitudinal (Axial) Resolution

Longitudinal resolution (mm) ~ spatial pulse length 2

Ability to distinguish two objects, one in front of the other

The minimal required separation distance between two

reflectors is one-half of the spatial pulse length (SPL)

SPL/2 avoids the overlap of returning echoes since the distance traveled between two reflectors is twice the

separation distance.

– Improve longitudinal resolution with

Shorter pulse length (shorter wavelength)

Higher frequency transducer

Wider bandwidth transducer

Ultrasound Transducers:

Resolution

Lateral Resolution:

Ability to distinguish two objects next to each other

Best at one focal length from transducer

Dependent on DEPTH

Depths greater than or less than one focal length have a greater beam width and thus worse lateral resolution

Improves with focusing

Effect of Focusing

Note:

1.Each focal zone requires separate pulse echo sequences to acquire data.

2.Increasing the number of focal zones improves overall lateral resolution, but the amount of time required to produce an image increases and reduces the frame rate and/or number of scan lines per image

Elevational Resolution

The elevational or slice-thickness dimension of the ultrasound beam is perpendicular to the image plane.

Elevational resolution is dependent on the transducer element height in much the same way that the lateral resolution is

dependent on the transducer element width.