Mainly to assess behind bone, with eliminating gasses for image to be in better quality. Best action directed to fluids: hydrocephalus, Amniocentesis, Pleural effusion, ascites, gall bladder stones etc… Z

  • Echoic definition - Hyper, Iso (similiar echonigicity, normal tissue), hypo, ane (very black). Hyperechoic – More echogenic (brighter) than normal.Ā  Hypoechoic – Less echogenic (darker) than normal.Ā  Isoechoic – The same echogenicity as another tissue.Ā  Anechoic - Black than normal

  • High frequency of 2-20 MHz

  • Used Endoscopically (Trans; rectally, vaginally, esophageally, gastrically) to better evaluate internal organs and otherwise difficult to evaluate structures such as theĀ prostate,Ā ovaries,Ā heart valves, andĀ pancreas.

Advantages: Low cost, quick, safe with no radiation, availability, portable, non-invasive

Disadvantages: Z

  • Cant penetrate bone, nor air/gasses
  • Needs skill; operator dependent

Acoustic shadow:

If ultrasound waves are strongly absorbed and echoed at the surface, the waves will fail to penetrate the tissue. All structures behind the surface will appear black. - Hypo-echoic shadow

Acoustic enhancement:

  • BecauseĀ ultrasound waves are hardly weakened in fluids, structures that are located behindĀ fluid-filledĀ spaces will appearĀ hyper-echoic shadow (brighter).
  • Ultrasound is often used to Z **determine whether the structure is solid or cystic


Doppler ultrasound

Doppler studies are used to detect #Z venous thrombosis, arterial stenosis and occlusion.

Ā Doppler or duplex mode used to visualize motion within structures, e.g., the velocity and direction of blood flow.

In obstetrics, Doppler ultrasound is used particularly to Z determine fetal blood flow through the umbilical artery

With Doppler echocardiography it is possible to demonstrate Z Regurgitation through incompetent valves.