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Artifact Flashcards

1
Q

What are common causes of artifacts?

A

When imaging system assumptions are violated or not true.

When the equipment defects and causes interference

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2
Q

What are the six basic assumptions of the imaging system?

A
  1. Sound travels only in a straight line
  2. Sound travels directly to and from the reflector
  3. Sound travels in soft tissue at exactly 1540 m/s
  4. Reflections arise only from the structures positioned in the main axis of the beam
  5. The imaging plane is very thin
  6. Reflection strength is related to characteristics of the tissue causing reflection
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3
Q

Are artifacts visible in all views of the imaged anatomy?

A

No, they are present in some and absent in others

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4
Q

When should instrument malfunction be considered?

A

When the obvious artifacts are still visible after the sonographer has taken corrective measures

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5
Q

What is reverberation?

A

Multiple, equally spaced echoes that are located at increasing depths
Violation of second assumption

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6
Q

What causes reverberation?

A

A sound wave bouncing between two reflectors that are strong and parallel to the beam

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7
Q

What are the four primary characteristics of reverberation?

A

Appear in multiples
Equal distance apart
Located parallel to sound beam main axis
Located at everincreasing depths

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8
Q

What is comet-tail/ring down?

A

A solid hyperechoic line that is directed down

Reverberation without the spaces

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9
Q

What causes comet-tail?

A

The merging of closely spaced reverberations

More likely to occur when reflecting surfaces are in a medium with very high propagation speed

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10
Q

What are the two main characteristics of comet-tail?

A

Appears as a single hyperechoic line

Located parallel to sound beam main axis

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11
Q

What is shadowing?

A

Hyperechoic region in an image that is found extending below a structure with high attenuation
Same color as the background

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12
Q

What causes shadowing?

A

Attenuation that is higher in the tissue above the shadow than in surrounding tissue

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13
Q

What are the four primary characteristics of shadowing?

A

Hypo/anechoic area that extends down
Results from too much attenuation
Found under a structure with very high attenuation
Prevents true anatomy visualization

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14
Q

Is shadowing ever useful?

A

Yes, it can provide diagnostic information when characterizing tissue

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15
Q

What is edge shadow?

A

A special form of shadowing that is a hypoechoic region extending downwards from a curved reflector’s edge

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16
Q

What causes edge shadow?

A

It is caused by a decrease in intensity. The sound beam refracts and diverges, causing intensity drop.

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17
Q

What are the four main characteristics of edge shadowing?

A

Hypo/anechoic region
Results when beam strikes reflector and spreads
Extends down from curved edge, parallel to beam
Prevents visualization of true anatomy

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18
Q

What is enhancement?

A

A hyperechoic region that is brighter and the same color as the foreground of the image. Found beneath a tissue tissues with very low attenuation.

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19
Q

What causes enhancement?

A

It is caused by abnormally low attenuating structures (cysts)

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20
Q

What are the three primary characteristics of enhancement?

A

Hyperechoic (same color as foreground)
Results from too low attenuation
Located underneath a structure with very low attenuation

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21
Q

Is enhancement ever useful?

A

Yes, when characterizing tissue

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22
Q

What is focal enhancement?

A

It is a special kind of enhancement that occurs when a side-to-side region in an image appears brighter than the tissues at other depths

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23
Q

What is another name for focal enhancement?

A

Another term is focal banding

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24
Q

What are the two primary characteristics of focal enhancement?

A

A hyperechoic region that runs side-to-side and is the same brightness as the foreground
Results from increased intensity at the focus of the image

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25
What is mirror image?
It is when an object appears with a mirror image replica deeper and on the other side of a strong reflector.
26
What causes mirror image?
It is caused by sound reflecting off a strong reflector and redirecting toward a different structure, making a replica incorrectly appear
27
What assumptions does mirror image violate?
It violates assumptions one and two
28
What are the four major characteristics of mirror image?
Second copy of true reflector/object Artifact replica always found deeper than true reflector The mirror lies on straight line between transducer and artifact Replica and true reflector are found at equal distances from mirror
29
What is cross-talk?
Mirror image artifact on spectral doppler | It shows identical doppler spectrums above and below baseline, appearing as bidirectional flow
30
What is speed error?
Artifact created when a sound wave moves through a medium at a speed other than soft tissue (1540 m/s) It makes the reflectors appear at incorrect depths
31
What are the three main characteristics of speed error?
A correct number of reflectors Reflectors appear at incorrect depth It appears as a step-off with the object looking like a split or cut
32
Where is the reflector displayed when the speed is slower than soft tissue?
When speed is slower than 1540 m/s, the reflectors are seen too deep on the image
33
Where is the image displayed when the speed is faster than soft tissue?
When speed is faster than 1540 m/s, the reflectors are seen too shallow on the image
34
What is refraction?
Artifacts that create a replica of the true reflector at the same level as the true reflector Created when the direction of a sound pulse changes during transmission
35
What causes refraction?
It is caused by a sound wave striking a boundary obliquely when the media on opposite sides of the boundary do not have the same propagation speed
36
What assumption is violated to create refraction?
It violates assumption one
37
What are the two primary characteristics of refraction?
A replica of the true reflector | Replica at the same depth or side by side with true reflector
38
How does refraction affect resolution?
It degrades lateral resolution
39
What are lobe artifacts?
Lobe artifacts are shown when the sound energy is transmitted in a direction other than the main axis of the sound beam
40
What are side lobes?
Side lobes are lobe artifacts that are caused by mechanical transducers w/ single transducers
41
What are grating lobes?
Grating lobes are lobe artifacts that are caused by array transducers
42
What is subdicing?
It is a process in which the PZT element is divided into small pieces
43
What does subdicing achieve?
Reduce lobe artifact
44
What is adopization?
It is when the subdiced elements are excited with different voltages Those in the center with higher voltages, and those in the outermost region with lower voltages
45
What is slice thickness artifact?
It is when reflections from structures above or below the imaging plane can be seen in the image
46
What causes slice thickness artifact?
It is caused by an incorrect assumption that the imaging plane is thin and uniform, when it is really three dimensional and neither thin nor of a uniform thickness
47
What are other terms for slice thickness artifact?
Section thickness | Partial volume artifact
48
What type of resolution is determined by slice thickness?
Elevational resolution
49
How is slice thickness reduced?
With a thinner imaging plane, created by 1.5 dimensional array
50
What is noise?
Echoes of small amplitude that is more likely to affect low-level hypoechoic regions Results from electrical interference, signal processing, and spurious reflections
51
What is speckle and how does it appear on ultrasound?
It is noise with tissue texture that is speckled or grainy in appearance, especially seen in the shallow area of the image The image will have fake detail, like grainy tissue
52
What causes speckle?
It is caused by constructive and destructive interference of wavelets that are small and round in shape
53
What is clutter?
Another form of noise that is the presence of false signals of echo that arise from locations no in the main sound beam
54
What is range ambiguity?
It is when a very deep reflection does not arrive at the transducer until the next pulse has been transmitted, making it be interpreted as a very shallow structured reflected in the second pulse
55
What causes range ambiguity?
It is caused by a reflecting structure that is found deeper than the imaging depth of that image
56
How are structures incorrectly placed in an image with range ambiguity?
Structures are incorrectly placed because when it takes too long for the reflection to come back to the transducer, the machine can interpret it as part of the next pulse, and, therefore, a shallow structure
57
How can you eliminate range ambiguity?
It can be eliminated by increasing the PRP | Longer PRP means deeper imaging and decreased PRF
58
What is lateral resolution artifact?
It is when one reflection is created by two reflectors
59
What causes lateral resolution artifact?
It is caused by a pair of side-by-side reflectors that are closer than the sound beam width and are perpendicular to the sound beam
60
How might lateral resolution artifact appear in an image?
It can appear as two objects seen in one reflection or as a small reflector shown as a wide line instead of small dot
61
Where is lateral resolution artifact most and least likely to occur?
It is most likely to occur where the sound beam is the widest It is the least likely to occur where the sound beam is the narrowest (focus)
62
What is axial resolution artifact?
It is an artifact that creates one reflection from two closely spaced reflectors
63
What causes axial resolution?
It is caused by a long pulse striking two structures that are closely spaced (less than ½ SPL) and one after the other. Structures are parallel to the sound beam
64
How could axial resolution artifact appear on an image?
It will appear as one reflection that represents multiple closely spaced small structures
65
How can axial resolution artifact be minimized?
It can be minimized by transducers with short pulses, high frequency, and less ringing
66
What is multipath artifact?
Artifact created when sound wave pulses go off a secondary structure as they go to or from the true reflector It shows subtle, nonspecific changes, and it may not be identified
67
What is temporal resolution artifact?
The inaccurate positioning of moving reflectors caused by low frame rates (and temporal resolution)
68
What is spatial resolution artifact?
Artifact that is caused by lower line density, more spaced sound pulses that exhibit less detail It may not show all of the necessary information of the image because the decreased line density gives less information
69
How are pixel density and spatial resolution related?
They are directly related When pixel density is low, the pixels are large, degrading spatial resolution When pixel density is high, spatial resolution is improved

SPI 1 (13 decks)

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