Week 4.1 Diagnostic Ultrasound Flashcards

1
Q

US imaging uses frequency of

A

over 20,000 Hz

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2
Q

what are the two categories of US imaging

A

therapeutic (heating for treatment)

Diagnostic (imaging)

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3
Q

what are the 3 challenges to sonography

A

image generation
image recognition
image interpretation

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4
Q

expand on the limitation of image generation

A

the principles of sound wave generation and the effects of tissue density makes it hard to get an image, and poor quality.

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5
Q

expand on the limitation of image recognition

A

planes of view and anatomy are hard to tell from US imaging

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6
Q

How is a sound wave propagated

A

the sound waves are absorbed, reflected, scattered and then attenuated (returned to the sound head)

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7
Q

how is the penetration and resolution of of a high frequency sonography

A

poor penetration but high resolution

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8
Q

how is the penetration and resolution of of a low frequency sonography

A

poor resolution and high penetration

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9
Q

what does anechoic mean

A

structures without internal reflectors, so no echo are returned. This is seen as black, like fluid

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10
Q

what is hypo-echoic

A

low level echo, that look grey, like muscles, synovial tissues, peripheral nerves

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11
Q

what is hyper-echoic

A

high level echo, like bright white and grey, meaning bone, tendons and fascia

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12
Q

which presents a greater risk, therapeutic or diagnostic imaging

A

therapeutic, because there is higher intensity, and higher risk associated with heating the tissues

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13
Q

TF: there are no biological effects on patients caused by exposure to present diagnostic US

A

true

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14
Q

what are the benefits of diagnostic US

A

inexpensive, non-invasive, safe, real-time, in office, bilateral examination and dynamic examination

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15
Q

what are the drawbacks of diagnostic US

A

operator dependent and

availability

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16
Q

how is diagnostic US prudent use with pregnancy

A
ALARA principle (As low as reasonably available)
and informed consent, less than 5 minutes
17
Q

what about prudent use with gaseous cavities

A

avoid direct, long exposure to lung tissue, and do not use individuals that have recently had a contrast medium injected

18
Q

what do you use a 2-5 MHz curved (sector) array

A

abdominal wall, multifidus, bladder images,diaphragm

19
Q

what do you use a 5-10 MHz linear array

A

TrA, Multifidus, diaphragm

20
Q

why would you use a curvilinear probe

A

transducer elements, sector footprints, wider far-field view. more width and depth

21
Q

why would you use a linear probe

A

transducer elements, rectangular footprint and wider near field of view

22
Q

which would you use for deeper structures, curved or linear,

A

curved

23
Q

the marker on the side of the image represents what direction

A

towards the examiner or the cranial direction

24
Q

low frequency reaches ___ whereas high frequency is ____

A

deep, superficial

25
Q

what is artifact

A

anything that is an incorrect representation of anatomy, that is not real, or missing, or improperly located. Sometimes brightness, shape or size can indicate this

26
Q

how is artifact produced

A

by improper equipment operation, imaging technique, or violation of previous assumptions

27
Q

what is acoustic shadowing

A

you have a hard structure, that deflects sound waves, so everything underneath it is black and not seen

28
Q

what is edge (refractive) shadowing

A

fluid, so the waves go through the fluid, but there is an edge shadow, you lose side bands of visualization

29
Q

what is acoustic enhancement

A

when you have fluid, and it makes the things deeper to it look hyper-echoic and brighter.

30
Q

how do you get an image of the quad tendon

A

a sunrise view

31
Q

what kinds of things can we see on a US

A

biceps tendon, RTC, LCL, patellar tendon

32
Q

what did Ionnotti 2005 find

A

that there was no difference between MRI and US for RTC teat