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EXPONENTIAL DECAY
(A.I)
'. -- -- - - - --
:,7"
, Jo
,
:·7(·71.
, 0
)
x
Figure A.I The exponential decay of the dependent variable y as the independent
variable x increases. In each characteristic increase in x, xc' y falls by a factor of about
0.7
Appendix B
LOGARITHMS
F(N)
Figure C.I The force F on a spring is directly proportional to the extension x of the
spring. The slope of the graph, C, is called the spring constant. The area under the
graph up to a given extension, shown cross-hatched, is the work done in stretching the
spring and also the energy stored in the spring
198 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
Figure C.2 A mass M, acted upon by a force F horizontally along the table, is pre-
vented from being accelerated by an oppositely-directed frictional force, Ff
(a)
(b)
(c)
HEAT
ELECTRICITY
(a) D.C.
A simple D.C. circuit is shown in figure E.l. On the left is a source of electrical
current and on the right is a resistor which tends to reduce the current flow.
The current flowing consists of electrons, tiny negatively-charged particles,
moving through the wires of the circuit. The current flowing is the amount of
electrical charge flowing in each second, arid is measured in units of amperes
(A). The source of current, which might be a battery, is characterised by the
electrical pressure, called the potential difference, E, which it develops. For
a particular potential difference, E, and a given circuit resistor of resistance,
R, the amount of current, I, which flows is determined by Ohm's law shown
in equation (E.l)
I=E/R (E.1)
Potential difference is measured in volts (V), while resistance is measured in
Ohms (Q).
APPENDIX E: ELECTRICITY 203
Every electrical appliance has a value of resistance. A lamp or fire element,
a motor or cooker, each a characteristic value of resistance.
The current flowing constantly carries energy to the resistive load. The
amount of energy carried each second is the power delivered to the re-
sistor. The power, P, in watts (W) is given by equation (E.2):
P=EI
=R PeW) (E.2)
If the current flows for some length of time, t, then the amount of energy,
EE' in joules delivered to the load is the product of power and the time taken,
indicated by equation (E.3):
EE=Pt
=Elt (E.3)
=RPt
The flow of current in a wire is also associated with magnetism. F or instance,
a coil of wire caIled a solenoid, as shown in figure E.2, carrying current, has
a magnetic field which is equivalent to that of a bar magnet. The strength of
the magnetic field is proportional to the current I. The polarity of the field,
which end of the equivalent magnet is north and which is south, depends on
the direction of flow of the current.
N s
Figure E.2 A solenoid carrying an electrical current acts like a bar magnet
(b) A.C.
e(V) E:f!1?X.
(a)
. p'
I(A)~.q(s)
T(5) ,
(b)
p(W)F~T\~
(c)
t(s)
Figure E.3 (a) The sinusoidal variation of voltage with time in an A.C. voltage source.
(b) The A.C. current which flows in a resistive circuit when the voltage in (a) is applied
across it. (c) The instantaneous power delivered to the resistor in this A.C. circuit
i=elR
= (Emaxl R) sin wt (E.7)
= I max sin wt
where
(E.8)
As shown in figure E.3(b), the current varies in step with the voltage.
Therefore, for half of the time the current is moving in one direction in the
circuit while for the other half of the time it is moving in the opposite direction.
Nevertheless, power, p, is delivered to the resistive load as indicated by the
following equation:
p=ei
(E.9)
APPENDIX E: ELECTRICITY 205
As shown in figure E.3(a), the power, the rate at which energy is being
delivered to the resistor, is constantly changing. The average power, P AV' a
constant power which would deliver the same amount of energy as the A.C.
power, is given by equation (E.IO):
P _ Emax Imax
AV- 2
Emax Imax
(E.lO)
(E.II)
ELECTRONICS
(a)
(b)
(c) i~
t
Figure F.l The rectifying action of a diode in an A.C. circuit. (a) The resistive circuit
with the diode in series with the resistor. (b) The sinusoidal A.C. supply voltage. (c) The
current flows only during the positive or forward phases of the A.C. voltage. Zero
current flows during the negative phases
(a)
~
base
Ollector
eml.tt er
eout
(b)
(c)
~OU\
Figure F.2 (a) The usual symbolic representation for a transistor. (b) A simple circuit
for a common-emitter transistor amplifier. ein is the input signal voltage and eOU ! is the
output voltage. (c) A schematic or functional representation of the amplifier as a four-
terminal device. ein is the input voltage, eOU ! is the output voltage and A, the ratio of
these two voltages, is the gain or amplification factor of the amplifier
208 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
CATHODE-RAY OSCILLOSCOPE
SCREEN
.. -
Located between the cathode and this first anode is a metallic screen with
multiple perforations, the so-called control grid. Varying the fairly small
voltage of this grid relative to the cathode varies the flow of electrons to the
anode and in turn controls the brightness of the light produced at the screen.
Normally there is an external connection or input to this grid which is called
the 'Brightness Modulation' or Z input of the osciIIoscope.
The first anode in the electron gun has a perforation in its centre. The
electrons are drawn from the cathode at a high speed towards the anode.
Some of these electrons manage to pass through the hole in the centre of the
anode of the gun. They continue to be accelerated towards the screen by a
final anode which is evaporated on to the inside of the phosphor of the
screen. This anode is at a stiII higher voltage relative to the cathode. Thus, the
electron gun focusses the electrons into a sharp collimated beam which is
then drawn to the screen.
Between the electron gun and the screen, there are located two sets of
electron-beam deflection plates, one set arranged horizontally and the other
set arranged vertically with the electron beam passing between the two pairs
of plates. When a voltage is impressed between the two horizontal plates,
with the upper plate positive and lower plate negative, the beam of electrons
is repelled from the lower plate and attracted towards the upper plate. Con-
sequently, the beam arrives at the screen at a higher vertical position than
previously (see figure G.2). The greater the voltage between the plates, the
greater the vertical deflection of the bright spot on the screen. If the polarity
of the voltage between the plates is reversed, the deflection of the light spot
is vertically downwards, i.e. reversed. The two horizontal plates, are there-
fore used to produce vertical deflection of the bright spot on the screen, i.e.
deflection in the Y direction. Similarly, the pair of vertically-arranged plates
may be used to produce deflection of the bright spot along the horizontal or
X direction on the screen. Because the beam of electrons has so very little
mass, it may be caused to move around the screen very rapidly by appropriate
rapidly changing voltages between the pairs of deflection plates .
...
~~~C.I~N___ : __ ........
BEAM -
VERTICAL
DEFLECTION
PLATES
SCREEN
Figure G.2 The deflecting action of the charged deflection plates on the beam of
negative electrons
APPENDIX G: CATHODE-RAY OSCILLOSCOPE 211
(a)
(b)
(c)
Figure G.3 Saw-tooth voltage variations with time, which are used to sweep the
electron beam horizontally across the viewing screen at different steady speeds. The
horizontal scale is then a time base with from (a) through (c) a decreasing time for the
sweep across the screen width
212 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
(b) The sensitivity of the vertical deflection. This setting controls the
amount of amplification applied to the time-varying voltage of interest before
it is applied to the vertical deflection plates.
(c) The brightness or luminance of the bright-spot display. This controls
the steady voltage of the control grid and thereby controls the amount of
electrons in the beam reaching the screen.
(d) The focus-control varies the voltages on the electrodes in the electron
gun and thereby helps to collimate the electron beam and to ensure that a
narrow beam reaches the screen.
(e) The triggering of the time-base. Sometimes, it is adequate for the
time-base voltages to be a free-running saw-tooth. But, often it is desirable
for the sweep of the saw-tooth of the time-base to start simultaneously with
portion of the voltage being examined. In such cases, instead of the saw-
tooth being free-running, it can be triggered to start when desired, i.e. when
the voltage of interest reaches a particular level or else by some other ex-
ternally-applied trigger signals.
Appendix H
STORAGE OSCILLOSCOPE
In the conventional oscilloscope, the phosphor chosen for coating the screen
usually has a short persistence. This means that the light from the phosphor
continues to be emitted for only a short period of time after the electrons
have stopped impinging on the phosphor. Longer persistence phosphors are
available and the effect with these phosphors is for the light to much more
gradually fade away, i.e. they possess a certain amount of short-term
memory. This memory can be greatly extended by use of storage oscillo-
scope tubes. Such a tube is shown schematically in figure H.!.
This oscilloscope tube differs from the conventional tube in two main
ways. First of aIL it possesses a coating of a dielectric or insulating material
inside the phosphor coating on the screen. When the electron beam is made
to move over the screen, the rapidly-moving high energy electrons in the
beam knock electrons off the insulator, leaving a pattern, or latent image,
of positively-charged regions on the insulator layer.
The second point of difference between the conventional and the storage
tube is the fact that the latter possesses extra electron guns. One of these
guns, when activated. is made to flood the full screen with medium energy
electrons. This means that it does not produce a collimated beam but rather
= DO
STORAGE MESH
Figure H.l The main elements in a storage oscilloscope tube, showing, in addition to
the features of a simple CRT, the storage and collector meshes or grids and the addi-
tional electron guns, the read flood gun and the erase flood gun
214 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
TV MONITOR
NECK
ELECTRON
GUN
The orderly sequence of the electron beam deflection, the so-cal1ed raster
scanning action , is illustrated in figure 1.2. The point of impact of the
electron beam with the screen, the bright spot, starts at the top left-hand
corner (as viewed from the front). As the spot is slowly deflected vertical1y
downwards by means of a slowly rising ramp current drive to the Y-coil, it
is simultaneously deflected horizontal1y to the right , by means of a more
rapidly-rising ramp current drive to the X-coil. As the spot thus describes a
line across the screen, the Z - or brightness - modulation signal increases or
decreases the luminance of the writing spot, in keeping with the image
information for that slice of the picture.
When the spot reaches the right-hand side of the picture the horizontal
deflection current abruptly drops to zero, the spot quickly flicks back to the
left-hand side of the picture to resume its smooth progress from left to right
along a second line. During the line fly-back shown in dotted lines in figure
I.2, the brightness is reduced below the visible so that no writing then occurs.
Continuing with this raster scanning action down to the bottom of the
picture or frame, there is produced on the screen a pattern of almost hori-
zontal writing lines and the brightness of the spot registered at each location
in the two dimensions is determined by the image information. In the normal
use of television, this image information comes from a camera but in ultra-
sound displays it comes from a scan converter.
~ -.-.:;....... -
-.: . . . - 3- ( -
.. - - --
----:3_ _...:._
- - - ',,-- -- -.......... . -. ..
...
,
... ~ "',
(a) (b)
Figure 1.2 The raster scanning action of the electron beam in a TV viewing tube . (a)
A simple sequential raster scan. (b) An interlaced raster scan
E E
······WHITE·········
~) (W
t t
Figure 1.3 The video voltage signal for one line of a raster scan in (a) a white-on-black
display and (b) a black-on-white display
it must be returned to the top left-hand corner, i.e. there must be a frame
fly-back at that juncture. During this fly-back also, writing must be sup-
pressed.
In practical high-resolution systems an interleaved, or interlaced, raster
scanning system is used as shown in figure I.2(b). In this type of scan an
initial frame is written with the lines more widely spaced and then during the
second half of the frame write period, the lines in between the first set are
written.
In most European countries each single partial pass through the field, or
frame, is repeated fifty times each second and, so, the complete interlaced
scan is repeated 25 times each second. In the European standard the inter-
laced scan has 625 lines. From this it can be seen that each second some
15625 lines are written or, as shown in figure 1.3, each line takes 64 flS. In
American systems, interlaced frames of 525 lines are repeated 30 times each
second.
When the bright-up pulse reaches the bottom right-hand corner of the
screen, the vertical deflection current drive drops to zero. The video signal
possesses coded frame synchronisation pulses which signal to the vertical or
frame drive to initiate a new frame from the top. Normally, the synchronisa-
tion signals are generated in the television camera electronics and the video,
or picture information, is generated by having the scene to be imaged pro-
duce a pattern of brightnesses in the light-sensitive surface in the camera. In
the ultrasound system all of these signals are generated in the scan converter,
the synchronisation pulses in the electronics and the video or picture signal
from the ultrasound image pattern stored in the memory.
The video signal of figure I.3(a) produces a white/grey image on a black
background. The inverted version of the same image consisting of black/grey
on a white background may be produced with an 'inverted video' signal such
as that of figure I.3(b). Inversion of the video signal may be readily achieved
electronically, for instance by using an inverting amplifier.
Appendix J
~ - ... . . - ~ . - . -
PUT OUTPUT
Figure J.t The data build-up on the scan converter storage screen (INPUT) occurs in
the fairly random fashion in which they are acquired during the scanning action of the
ultrasound probe. The read-out of the data (OUTPUT) is achieved in an orderly
raster pattern
APPENDIX J: ANALOGUE SCAN CONVERTERS 219
lSTORAGE SCREEN
0 :
b :
Do
b :
0 :
b :
b :
b :
b :
b :
b :
~b :\:~
0 :
"-
COLLECTOR GRI D
Figure J.2 The main features of a non-viewing analogue scan converter
There are a number of types of storage surface, and a commonly used one
is the barrier grid . This consists of a thin metal backing electrode coated
with a thin layer, in the form of a mosaic of small capacitor elements, of a
dielectric material. This is illustrated in figure J.3 . There can be up to 1000
by 1000 of these elements in the complete storage screen . Finally, there is a
metal grid interposed between the screen and the electron gun , the so-called
collector grid.
When the electron beam strikes the target , secondary electrons are knocked
0: DODD
tJ t DODD
O[ DODD
oi DO
(a)
0: (b)
o
~\ (.10kV)
TA~GET (.5V)
COLLECTOR (.120V)
Figure J.3 The details of the region near the storage screen of an analogue scan con-
verter, showing the final anode, the target or storage screen and the collector grid. The
actual storage screen is a two-dimensional array of elemental capacitors as in (b)
220 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
off the target. The voltage on the collector grid controls this secondary
emission as indicated in figure J.4. At low values of this voltage fewer
electrons are emitted than strike the target and so this becomes negatively
charged. At the critical voltage, there is no net storage of charge. At still
higher collector voltages, there are more electrons emitted than are incident
and so the target becomes positively charged. Furthermore over a range of
collector grid voltages, the amount of charge is approximately proportional
to the change in the grid voltage above Ec.
COLLECTOR
VOLTAGE
Figure J.4 The effect of the collector grid voltage on the production of secondary
electrons. R, the vertical ordinate, is the ratio of the number of electrons emitted by the
target to the number of electrons incident upon it
Initially, the electron beam is raster scanned over the target with the
screen voltage held below the critical voltage value. An even distribution of
charge is spread on all of the little capacitors making up the storage target.
For writing/storage, the screen voltage is raised above the critical voltage
so that when the electron beam strikes the surface, there is net emission. As
the writing electron beam moves over the surface, depending upon the
collector grid voltage (controlled now by the echo signal voltage), more or
less secondary emission happens and more or less positive charge is stored
on the elemental capacitors. The orientation of the writing line or vector on
the storage surface is controlled by the orientation of the probe which pro-
duces X and Y deflection signals for the scan converter. Consequently, the
pattern of stored charge is an analogue representation of the pattern of strong
and weak echoes produced as the ultrasound beam scans through the cross-
section of the tissues.
For reading/presenting the stored pattern for viewing on the TV monitor
the grid voltage is reduced to the critical value. The electron beam is raster
scanned over the storage target, and depending upon the charge stored on
the different elemental capacitors, more or less secondary electrons are
emitted to form the current through to the collector grid. Therefore, the
collector current depends directly on the charge stored on the screen and so
constitutes a video signal which can be used to produce the image on the TV
monitor.
APPENDIX J: ANALOGUE SCAN CONVERTERS 221
The single-ended scan converter can be used in one mode at a time and is
therefore suitable only for static B-mode scans. Even for these, it is not
totally satisfactory in that it takes some seconds to acquire a scan, and it is
desirable and necessary to view the scan as it is being acquired. But this scan
converter is not capable of performing in this way. Usually, a compromise
is used. What is done is to electronically switch between writing and reading
for equal intervals some ten times each frame. What results is a venetian
blind effect which allows a rough viewing of the image as it is being con-
structed. Thus, when the operator is doing the scanning, the scan converter
operates in this dual mode. When the operator is not moving the transducer
it operates in the read/view mode only.
There is one further mode of operation in the scan converter, the erase
mode, in which an even distribution of charge is established on all the
elemental capacitors. Erasing is achieved by setting the grid voltage below
the critical voltage and allowing the electron beam to raster scan over the
screen. Under these conditions the secondary emission of electrons is less
than the number of incident electrons and the capacitors charge up to a
steady voltage. The target is then essentially a tablet ready to receive another
array of charges, the analogues of the luminance pattern of the image.
fashion as for the single-ended device. The position of the writing vector is
controlled by the beam orientation. The locations where charges must be
stored are set by the pulse echo information while the amplitudes of the
echo signals determine the amounts of charge stored. The reading electron
beam is raster scanned over the target to generate the video signals for the
TV monitor.
Appendix K
DIGITAL COMPUTERS
CONTROL
UNIT
INPUT !-------.,t>I
OUTPUT
DEVICE DEVICE
ARITHMETIC
UNIT
Figure K.l The basic organisational and functional blocks of a digital computer
showing the interconnections between them
Decimal Binary
o o
1 1
2 10
3 11
4 100
5 101
6 110
7 111
8 1000
9 1001
10 1010
11 1011
12 1100
13 1101
14 1110
15 1111
16 10000
17 10001
18 10010
19 10011
20 10100
21 10101
22 10110
23 10111
24 11000
25 11001
26 11010
27 11011
28 11100
29 11101
30 11110
31 11111
32 100000
33 100001
(a)
t
(c)
Figure K.3 Comparison of the analogue and quantised digital versions of a voltage
signal
Appendix L
MAPPING
~:
y X
xx .XIX x~
IXIX
X
X
IX
IX
XIX IX IX ,IX IX
iXiX
unique address in the memory into which a number representing the ampli-
tude of the echo from the corresponding tissue location can be stored. This
number will also determine the luminance of the corresponding pixel in the
image. The more binary bits can be fitted into the address the wider the
dynamic range of the converter. Thus, 2 bits would accommodate 6 dB, 3
bits 9 dB, 4 bits 12 dB, 5 bits 15 dB, 6 bits 18 dB, 7 bits 21 dB, 8 bits 24 dB,
9 bits 27 dB and 10 bits 30 dB.
The scan converter must also be equipped with means of getting the
228 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
appropriate data into the correct addresses and of reading the data out and
converting them into analogue video signals for viewing on a TV monitor.
Figure L.2 is an overall scheme for achieving these tasks.
On the input or storing side, the A-mode echoes from a given beam orienta-
tion are sampled, digitised and held temporarily in a buffer memory. Simul-
taneously the set of memory addresses for that beam orientation must be
PROBE
COORDINATE
SIGNALS
TX
MASTER
CLOCK
TV
41 .:t
~
lJ.\i
I~
1/
(a)
(b)
1,6 2,6 3,5 ',5 5,5 6,' 7,' t (or U
Figure L.3 The assignment of quantised and digitised data from the echo train in an
A-mode scan, to memory locations appropriate to the probe vector and hence to pixels
in the image plane
The processes of reading and writing in the memory are not interactive
and can be done simultaneously. This scan converter is suitable therefore
for dynamic as well as static B-mode scanning.
However , to achieve a dynamic range even comparable to an analogue
scan converter - 6 bits and 512 x 512 pixels ~ .. requires some 1.6 million bits or
locations of memory, a large memory , and can consequently be expensive.
Among the special advantages of the digital scan converter are the possi-
bilities of digital processing of the signals either before the memory (pre-
processing) or after the memory and before display (post-processing). These
are capabilities that have not been much exploited as yet but some of the
potential processing steps are listed in figure LA. Among the pre-processing
steps possible are some now done in instruments by analogue methods -
setting suppressor and limiter levels, setting the time gain compensation
_. and some not now done such as corrections for the different sensitivities
of transducer with different focussing, or compensation for the possible
non-linear amplifier gain. Many of these processes could be done auto-
matically as determined by the operator through computer programmes.
Altl1Jth
230 BASIC PHYSICS AND TECHNOLOGY OF ULTRASOUND
(a)
Aldl DJJ
z
(b)
z
(C)
Ah n I!hTGC
llltr1--I--l1
ALt-LhJ1h
z
Ahi1Jtb
(d)
z
(e)
z
Figure L.4 A simplified representation of the preprocessing steps possible in a digital
scan converter. The quantised A-mode signal is shown in (a). The application of
suppression ofiow amplitude signals and ofiimiting or peak clipping of high amplitude
signals is indicated in (b). Implementing a given TGC is shown in (c). Modification of
the sensitivity to COrrect for beam focussing might result in the quantised signal of (d).
Removal of the effects of analogue TGC and correction for the different sensitivities
along the beam may result in the true amplitudes shown in (e)
grey scale. Thus, the effective gamma of the display can be chosen to match
the photographic film or to match the human vision.
Various spatial operations can also be implemented on the displayed
image by numerical manipulations on the data on the memory. Zooming--
magnifying or minifying a portion of the picture can be achieved by
assigning numbers to larger or smaller groups of pixel addresses in the
output buffer memory. Picture inversion from black on white to white on
black requires a subtraction operation on all pixel data. Any pixels which
may be empty due to an artifact while all surrounding pixels contain picture
information, may be filled with a number which is the average of the numbers
in the surrounding pixels.
Abrupt increases in image luminance can be smoothed out by averaging
the numbers stored in the adjacent pixel addresses. Likewise, increases or
decreases in luminances, stored as increasingly greater or smaller numbers in
the relevant memory locations, can be detected and enhanced. In this way
boundaries may be detected and highlighted. Furthermore the length of
such boundaries and the areas included within them may be computed.
Many of the procedures suggested in section 10.10 for tissue characterisa-
tion may also be implemented on the digital intermediate or stored image.
Index