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ECHO 2013 / Artifacts of Imaging and Doppler Know Your Physics

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Ultrasound Physics Terminology

Resolution: IsIstheparameterofofananultrasoundimagingsystemthatcharacterizesitsitsabilitytoto detectcloselyspacedinterfacesanddisplaystheechoesfromthoseinterfacesasas distinctandseparateobjects. .Thebetterer theresolution,thegreatertheclarityofofanan ultrasoundimage. .

Axial

IsIstheabililitytotodiscerntwocloselyspaced

1.

Dependence on SPL/ pulse duration (

Resolution:

objespacedtsinobjectsthe directionin the directionof the beamof the.

 

SPL improves resolution)

 

 

Goodbeamaxial.Goodresolutionaxial resolutionis achievedis achievedwith

2.

Effect of damping ( dampening pulse

 

 

shortwith shortpatialspatialulsepulselengthslengths(SPL)(SPL). Short.

 

duration)

 

 

SPLShortareSPLa resultare aofresulthigherof frequencyhigher and

3.

Transducer frequency spectrum-relation to

 

 

higherfrequencydampedan transducershigherdamped.

 

pulse duration ( Freq wavelength)

 

 

transducers.

4.

Bandwidth ( bandwidth pulse duration)

 

 

 

 

 

Lateral

IsIstheabililityofofthesystemtotoresolve

1.

Dependence on beam width

Resolution:

objectsininaadirectionperpendiculartoto

2.

Frequency

 

 

thebeamdirection. .Gooodlateral

3.

Transducer size and focal characteristics

 

 

resolutionisisachievedwithnarrowow

4.

Range (best lateral resolution occurs at the

 

 

acousticbeams. .

 

near field—far field face)

 

 

 

 

 

Elevational

IsIstheresolutionofoftheultrasoundbeam

1.

Dependence on beam width

Resolution:

perpendiculartototheimageplaneandis

2.

Transducer array and focal characteristics

 

 

dependentison theonthetransducerelemement

3.

Frequency

 

 

 

 

height (similartotobeamwidthabove)

4.

Lateral and axial resolution relationship

 

 

 

 

 

Temporal

Is the ability to evaluate rapid motion and

a.

Pulsing characteristics

Resolution:

is dependent on the frame rate and time

b.

Number of lines per frame

 

 

required to generate one frame

c.

Number of focal regions

 

 

 

d. Field of view (e.g., sector angle)

 

 

 

e.

Image depth (penetration)

 

 

 

 

 

Principles of Doppler

Echocardiography

Christian Johann Doppler (1842)

If a source of sound is stationary, then the wavelength and frequency of the sound emanating from that source are constant

If the source of sound is moving toward a receiver, then the wavelength is decreasing and the frequency is increasing

If the source of sound moves away

form the receiver, then the wavelength is increasing and the frequency is decreasing

trains004.wav

Principles of Doppler

Echocardiography

Doppler Shift or Frequency (fd)

Represents the difference between the received (fr) and the transmitted frequencies (ft)

The velocity of blood causing

the Doppler shift can thus be determined

Principles of Doppler Echocardiography

Cosine

if angle of insonation is <20° cosine 1

if angle of insonation is 90° cosine = zero

At 30°, there is a 17% reduction of velocity recorded

Angle dependency of TDI Strain

Small angle → reliable waveform

0

TDI strain is more sensitive to the angle of-insonation than

regular Doppler

20

-

40

Large angle → mixture of radial + longitudinal strain

Unreliable waveform

Principles of Doppler

Echocardiography

Nyquist Limit is:

Upper limit of the frequency shift that can be detected at a given depth with a given pulsed system

Each cycle must be sampled at least twice to accurately determine its frequency

PRF = 2 x frequency

Nyquist limit = ½ PRF

Vm = Maximal Velocity c = speed of sound

R = range

f0 = insonation frequency

Principles of Doppler

Echocardiography

Inverse relation between maximal velocity detectable and:

Probe frequency

Depth

PRF with PROBE

REQUENCY PRF with DEPTH

 

Definition of Artifact

―an ultrasound image that does not correlate directly with the actual structure being visualized‖

―…is a result of the physical properties of ultrasound waves and their interaction with tissues‖

Hedrick: Ultrasound Physics and Instrumentation; Mosby, 1995

Assumptions of the US Machine

Transmitted waves travel in a straight line from the transducer

Beam dimensions are infinitely small in all dimensions

All echoes originate along the axis of the transducer only

All echoes are derived from the most recent pulse

Each pulse transmitted is received before the next pulse is delivered

Sound waves travel at 1540 m/s in human soft tissue therefore

Distance to a reflector is proportional to the round trip time (13 s/cm)

Amplitude or brightness of the echo is directly proportional to reflective strength

Distinguishing Real from Artifact

Artifact

Crosses Border

Indistinct edges

Motion identical to another real structure

amplitude and frequency at a multiple of the real structure

Real Structure

Respects structures/borders

Distinct edges

Motion independent of surrounding structures

Amplitude and frequency of motion different than surrounding structures (ie: dissection flap)

Not reproduced in an

Seen in multiple views

orthogonal view