Week 4.1 Diagnostic Ultrasound Flashcards

(32 cards)

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,

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
what is artifact
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
how is artifact produced
by improper equipment operation, imaging technique, or violation of previous assumptions
27
what is acoustic shadowing
you have a hard structure, that deflects sound waves, so everything underneath it is black and not seen
28
what is edge (refractive) shadowing
fluid, so the waves go through the fluid, but there is an edge shadow, you lose side bands of visualization
29
what is acoustic enhancement
when you have fluid, and it makes the things deeper to it look hyper-echoic and brighter.
30
how do you get an image of the quad tendon
a sunrise view
31
what kinds of things can we see on a US
biceps tendon, RTC, LCL, patellar tendon
32
what did Ionnotti 2005 find
that there was no difference between MRI and US for RTC teat