The Physics and Technology of Diagnostic Ultrasound: A Practitioner's Guide

The Physics and Technology of Diagnostic Ultrasound: A Practitioner's Guide
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An approachable textbook for medical professionals and others learning to use diagnostic ultrasound. <br><br>This book has been written by a leading ultrasound educator to help medical professionals develop a sound understanding of the physics and technology of ultrasound. <br><br>It is intended for use in self-guided study or as a textbook for formal university and professional courses.

Оглавление

Robert Gill. The Physics and Technology of Diagnostic Ultrasound: A Practitioner's Guide

THE PHYSICS AND TECHNOLOGY OF DIAGNOSTIC ULTRASOUND: A PRACTITIONER'S GUIDE

Foreword

Chapter 1: Introduction. Introductory comments

Suggested activities

Physics and mathematics

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Mathematics - a brief review. Equations

Addition, subtraction, multiplication and division

Units

Scientific notation

Logarithms

Decibels

Reality checking answers

Exercises*

Chapter 2: Ultrasound interaction with tissue. Ultrasound waves and propagation

Frequency analysis

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Attenuation

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Reflection and scattering. Reflection

Scattering

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Refraction

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Chapter 3: Pulsed ultrasound and imaging. Pulsed ultrasound. Pulse duration and bandwidth

Pulse repetition frequency (PRF)

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Pulse echo principle

Pulse repetition frequency limitations

Frame rate limitations

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Principles of image formation

A, B and M mode

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Chapter 4: Transducers. Transducer principles

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Focussing

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Array transducers

Phased array transmit focussing

Phased array receive focussing

Linear array

Curved array

1½D and 2D arrays

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Beams, image quality and artifacts

Beamwidth

Slice thickness

Sidelobes

Grating lobes

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Chapter 5: Ultrasound instrumentation. Introductory comments

The machine's front end

Probe

Transmitter

Beamformer

Amplifier

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Signal processing

TGC

Digitisation

Filter

Amplitude detection

Dynamic range compression

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Image processing

Scan converter

Pre-processing

Image memory

Post-processing

Display

Image storage and recording

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Chapter 6: Image artifacts. Introductory comments

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Imaging assumptions

Attenuation artifacts

Shadowing

Enhancement

Edge shadowing

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Depth artifacts

Propagation speed artifact

Reverberation artifact

Ring-down artifact

Comet-tail artifact

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Beam dimension artifacts. Beamwidth artifact

Sidelobe artifact

Slice thickness artifact

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Beam path artifacts. Refraction artifact

Mirror image artifact

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Equipment and electrical artifacts

Summary

Chapter 7: Doppler ultrasound. The Doppler effect and its applications in ultrasound

The Doppler angle

Measurement accuracy

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Continuous wave (CW) Doppler

Pulsed Doppler

Spectral display

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Colour Doppler

Power mode colour Doppler

Doppler Tissue Imaging

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Chapter 8: Doppler artifacts. Spectral Doppler artifacts

Frequency aliasing

"High PRF" mode and range ambiguity

Intrinsic spectral broadening

Spectral mirror artifact

Mirror image artifact

Other spectral Doppler artifacts

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Colour Doppler artifacts

Colour aliasing

Colour dropout

Colour bleed

Angle effects

Mirror image

Twinkle artifact

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Chapter 9: Haemodynamic concepts. Cardiovascular system

Blood flow and blood pressure

Stenotic disease

Velocity waveform

Velocity profile

Venous disease

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Chapter 10: Equipment performance. Introductory comments

Spatial resolution

Axial resolution

Lateral resolution

Contrast resolution

Temporal resolution

Summary

Assessing equipment performance

Imaging performance

Doppler performance

Summary

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Chapter 11: Bioeffects and safety. Is ultrasound safe?

Mechanisms

Thermal bioeffects

Mechanical bioeffects

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Characterising ultrasound exposure

Government regulation

Policies and statements

Summary

Suggested Activities

Chapter 12: Additional modes and capabilities. Introductory comments

Compound imaging

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Harmonics

Tissue Harmonic Imaging (THI)

Contrast harmonics

Harmonic signal processing

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Ultrasound contrast agents

3D and 4D ultrasound

Extended field of view

Image optimisation

Image manipulation

Elastography

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Summary

Answers to mathematical exercises. Chapter 1 exercises

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Page 21

Page 32

Page 37

Page 76

About the author

Acknowledgements

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This book has been written to help medical professionals (and others) to develop a sound understanding of the physical and technical principles of diagnostic ultrasound. It is intended for use either in self-guided study or in the context of a formal course or training program. It is assumed that the reader has access to ultrasound equipment and opportunities for scanning patients or volunteer subjects while they are studying from this book.

Inevitably the choice of topics and the depth to which they are covered has been selective. The coverage of the book has been designed to suit the typical university or professional course of study. Practitioners in highly specialised areas such as echocardiography may therefore need to supplement the material here by studying other resources.

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Reflection and scattering are the two mechanisms that produce echoes and so create the information shown in the ultrasound display.

As with light, the word "reflection" is used to describe the interaction of ultrasound with relatively large and smooth surfaces. (Think of light reflecting from glass.) "Scattering" refers to the interaction of ultrasound with small structures (red blood cells, capillaries, etc) within the tissues. (Think of light scattering from the tiny water droplets in a fog.)

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