UltraSound Flashcards

(45 cards)

1
Q

When is 1 mHz absorbed? US

A

5-7 cm

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2
Q

when is 3 mHz absorbed? US

A

3 cm

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3
Q

What would you use for deep muscles? US

A

1 mHz

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4
Q

what would you use for superficial muscles? US

A

3 mHz

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5
Q

Which frequency will heat the fastest? US

A

3 mHz

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6
Q

How is US treatment time calculated?

A

treatment time is 2x ERA

10cm2 ERA = Rx time would be 5-10 min

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7
Q

What is the beam non-uniformity ratio?

A

ratio between the transducers peak intensity and spatial intensity

smaller ratios mean beam is more uniform

should be 6:1

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8
Q

what is spatial average intensity?

A

avg intensity of the US output over area of transducer

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9
Q

what is spatial peak intensity?

A

peak intensity over area of transducer

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10
Q

Attenuation rates

A

Blood-3
Fat-13
Muscle-24
Blood vessel-32
Skin-39
Tendon-59
Cartilage-68
Bone-96

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11
Q

Where is peak beam? US

A

Central third of ERA

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12
Q

What is the reverse piezoelectric effect?

A

Crystal is compressed and expanded by sending SC through it which causes a compression and expansion of the crystals

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13
Q

Does intensity have anything to do with depth of penetration?

A

No

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14
Q

How is frequency and depth penetration related

A

Inversely proportional

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15
Q

Spatial avg intensity equation

A

Power (watts)/ ERA (cm2)

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16
Q

What duty cycle is used for pulsed US?

A

20 %

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17
Q

How is duty cycle calculated ?

A

Duration of pulse (time on)/ pulse period(time on +time off)

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18
Q

How do you get significant US heating ?

A

US must be applied to an area 2x the size of ERA

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19
Q

vigorous heating

A

increase of about 7 deg

will result in increase distensibility

20
Q

what is the insurance cap for US

21
Q

1mhz heat 6 F

22
Q

3mHz heat 6F

23
Q

max US treatments

A

2-3xweek

10-15 treatments

24
Q

effects of thermal US

A

-increased collagen extensibility
-increase blood flow
-decrease pain
-reduction of Muscle spasms
-decrease joint stiffness
-reduction of chronic inflammation

25
effects of nonthermal US
-increased fibroblastic activity -increased protein synthesis -tissue regen -reduction of edema -bone healing -pain modulation -modulate membrane properties -alter cellular proliferation -increase in proteins assosciated with inflammation -could modify inflammatory response -impact protein function
26
what is the baseline muscle temp
36-37 deg C
27
mild heating in US
increase 1 deg C to acc metabolic rate
28
mod heating in US
increase 2-3 deg C to reduce muscle spasms, pain, chronic inflammation, increase blood flow
29
vigorously heating in US
increase 3-4 deg C decreases viscoelastic properties of collagen
30
what does US depend on
size of treatment area settings of US condition
31
vigoruous heating
1mHz 10-12 min
32
how fast should you move the sound head?
4cm/sec
33
US thermal contraindications
pregnancy active bone growth Tb active bleeding impaired circulation cancer
34
US thermal precautions
plastic or cemented implants spinal cord injury
35
US Pulsed contra indication
cancer active bleeding pregnancy
36
US pulsed precautions
active bone growth area of infection acute injury impaired cognition skin disease plastic or cemented implants nerve injuries
37
US for phonophoresis
US to enhance absorption of topical agents hydrocortisone or analgesics applied 3 mhz 20% .5-.75 w/cm2 5-10 min
38
US for soft tissue shortening
increases extensibility, decreases risk of tissue damage continous 1 or 3 mHz 2-3 w/cm2 5-10 min 3-5x week
39
US for Dermal ulcers
accelerate healing of vascular and pressure ulcers 1 mHz duty:20% 1 W/Cm 2 5 min 3-5xweek
40
US for acute tendon injuries
increase permability and cell degranulation, histamine release, rate of protein synthesis, macrophage response 1-3 mHz 20% .8-1.2 w/cm2 5-10min 12 treatments over 4-6 weeks
41
US for chronic tendon injuries
accelerate metabolic rate, reduce ms spasm/pain, alterate nerve conduction, increase circulation, increase soft tissue extensibility 1-3 mHz 100% 1-2 w/cm2 5-10 min 12 treatments over 4-6 weeks
42
US for tendon repairs
faciliate healing 1-3 mHz 100% .5-1.5 w/cm2 3-5 min decrease intensity to minimze adverse effects postop
43
US for bone fracture
acc bone healing?? controversial continous 1-1.5 w/cm2 20% 15-20 min daily
44
US for carpal tunnel syndrome
continous 1 or 3 mHz .5-1.5 w/cm2 5-10 min 5x/week for 4 weeks
45
US for bursitis
1 or 3 mHz 1 w/cm2 5-10 min 3xweek/ 3-4 weeks