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Unit 5: Medical ultrasound
the nature of ultrasound
the generation and detection of ultrasound
the factors that affect reflection of ultrasound
ultrasound scan
ultrasound diagnostic
超音波診斷
and imaging
Doppler ultrasound blood flow measurement
1. Nature of ultrasound
Ultrasound is defined as a sound with a frequency of over 20,000 Hz (20 kHz).Ultrasounds have frequencies and wavelengths, just like all other types of waves. The wavelengthof ultrasound limits the fineness of details that it can detect. Details significantly smaller than thewavelength of a probe cannot be detected. This is true for all types of waves. Because thewavelength of visible light is significantly longer than atoms, we can not see atoms with visiblelight.
2. The production of ultrasound
Ultrasound can be generated by ultrasound transducers
傳感
.
Ultrasound transducers can work as both a speaker (generate ultrasound) and a microphone (detect ultrasound).
3. Reflection of ultrasound waves
When ultrasound reaches a boundary between two different kindsof media, part of the ultrasound is refracted, and the other part isreflected. The amount that is refracted and reflected depends on the
acoustic
 
impedance (
Z)
of the media on both sides of the boundary. (Acoustic impedance is the product of the density of themedium and the sound speed in the medium)a larger difference between the acoustic impedance of the two media, will lead to moreultrasound being reflected and less being refracted.when an ultrasound image is taken of the body, gel is applied to the skin, to eliminate the ai between the skin and the transducer so that a larger portion of the ultrasound will enter the bodyUltrasound is better at detecting density than x-rays. The amount of ultrasound reflected dependson the acoustic impedance changes, and acoustic impedance changes depend on density differences.The largest amount of ultrasound is reflected at the places of the greatest density changes.
 
In modern B scans, a seriesof transducers are arrangedin a row and send outultrasound pulses one at atime.
4. Pulse echo measurement
超音波厚度量測
Ultrasound can be used to detect the thickness of a medium much like sonar is used to detect depth.The time it takes for the ultrasound to travel the length of the medium, and bounce back ismeasured. From this, the thickness traveled by the ultrasound can be calculated.Ultrasound scan – A scanWhen ultrasound is sent into a patient’s body, thereflections from the boundaries are detected by atransducer. Both the outgoing, and reflectedultrasounds are amplified and graphed against timeon a cathode ray oscilloscope (
示波器
CRO).Peak one comes from the reflection from boundary one, and peak two comes from the reflectionfrom boundary two. The time interval between peak one and peak two is the time it took for theultrasound to travel from boundary one to boundary two and back to boundary one.‘A scans’ are commonly used to measure the thickness of the lens in the eye before surgery.
5. Ultrasound in medical diagnostics
Ultrasound usage in the medical community has many benefits, and no known side effects, unlikethe x-ray. The thermal heat caused by the ultrasound is too low to cause any harm. The intensity of ultrasound used for diagnostic purposes is around 10
-2
W/m
2
.Formation of ultrasound images: ultrasound B scansIn the figure, the ultrasound scanner is swept across the abdomen to produce a 2D image of thestomach.
 
In the B scan, the intensityof the reflected signals isrepresented as the brightnessof a spot.The transducer can be placed in different anglesto obtain a series of spots.
 
How much details can ultrasound reveal?Abdominal scans use 7 MHz ultrasound waves. The speed of sound in tissue: ~ 1540 m/s.
λ
=
v
w
/
 f 
= (1540 m/s) / (7×10
6
Hz) = 0.22 mm
The maximum spatial resolution
空間取樣能力
is limited by wavelength
.The penetration depth is proportional to the wavelength. Typically penetration depth in tissue: ~500
λ
. So For 7 MHz : penetration depth = 500 × 0.22 mm = 0.11 m
6. Ultrasound in medical therapy
The tip of this probe oscillates at 23 kHz with a very largeamplitude, and can pulverize tissue on contact. Ultrasound withintensities of 10
3
to 10
5
W/m
2
can shatter gallstones or pulverizecancerous tissue.Ultrasound diathermy
 
透熱療法
 
(deep-heat treatment)
 
 – 
sound energy is converted to thermalenergy.Intensities – 10
3
to 10
4
W/m
2
Frequencies – 0.8 to 1 MHzUltrasound diathermy is applied to overworked or damaged muscles in athletes and in physicaltherapy to relieve pain and to improve flexibility.
7 Doppler effect
都卜勒效應
The Doppler effect: change in the perceived sound frequency due to movement of the source or theobserver.Doppler shifts in frequency.Case (a): The sound waves heard by X have the same frequency heard by observer y sincethey are both stationary.Case (b):Observer X hears sound wave with a longer wavelength and lower frequency, whileobserver Y hears sound wave with a shorter wavelength and a higher frequency.
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