Basic Ultrasound Physics

40 – The “Freeze” button

The “Freeze” button freezes the real-time image.

That allows the operator to perform measurements on the frozen image, or save the image, or scroll through the images sampled e.g. 15 seconds before freezing the image.

Image missing
The red arrow points at the Freeze button.

33 – Imaging modes: M-mode

M (motion or time-motion) mode displays real-time ultrasound data derived from one single stationary ultrasound beam.

It displays depth along the vertical axis and time along the horizontal axis.

M-mode is primarily used in cardiac and lung ultrasound.

Image missing
The red arrow indicates the user control that activates M-mode.

34 – Imaging modes: M-mode continued

Usually M-mode is displayed together with a 2D greyscale ultrasound image to allow spatial reference.

The 2D image has a graphical M-line superimposed to indicate the position of the M-mode beam that samples the data.

Image missing
Lung ultrasound with M-mode displayed together with a 2D greyscale ultrasound image. The M-line is superimposed on the 2D image to indicate the position of the M-mode beam.

38 – Imaging modes: Colour Power Doppler

Colour Power Doppler (CPD) like standard colour Doppler detects blood flow through arteries and veins.

CPD does not indicate the velocity or direction of blood flow.

CPD is based on the echo amplitude received from moving cells – not the frequency shifts.

CPD is up to five times more sensitive than colour Doppler in order to detect the velocity of blood flow and can detect low velocity blood flow in veins and within organs. The strong flow sensitivity is the real benefit of CPD.

Image missing
The picture shows a CPD signal.

36 – Imaging modes: Colour Doppler continued

Colour Doppler displays a real-time 2D cross-section of blood flow.

When the colour Doppler is activated, the cross-section is displayed as a frame on the monitor. The shape of the frame depends on the probe. The position of the frame can be moved around using a touch pad.

Spatial orientation is obtained by overlaying the colour Doppler cross-section on top of a 2D greyscale ultrasound image displaying the soft tissues.

Conventionally, red colour is used for blood moving towards the probe, and blue is used for blood moving away from the probe.

Image missing
The red arrow points at the activated Color Doppler frame. The Green arrow points at the touch pad used to adjust the position of the Color Doppler frame on the monitor.

37 – The intensity of the colour Doppler signal

The operator can adjust the intensity of the colour Doppler signal by using the gain user control.

In colour Doppler mode the function of the gain control is switched to colour Doppler.

Image missing
The red arrow points at the user control button that controls gain – in colour Doppler mode it controls the intensity of the Doppler signal.

32 – Imaging modes: B-mode

The basic imaging mode is B (Brightness) mode, which is the greyscale 2D ultrasound image.

The B-mode button is typically called “B” or “2D” and it also works as a “panic button”. It allows the operator to escape all other modes and return to the default greyscale 2D ultrasound image.

Image missing
The red arrow points at the B-mode or 2D button.

31 – Sector angle

The image of a cardiac phased array probe is shaped as a sector. Adjusting the sector angle is only possible and relevant in cardiac phased array probes.

A narrow sector angle (width) allows either:

1) A higher frame rate (the time required to build the image is reduced by reducing the number of beams for a whole sector)
or
2) A better lateral resolution (the line density can be increased).

Higher frame rate increases temporal resolution.

Higher line density increases lateral resolution.

By using a sector just wide enough to include all relevant details, the ultrasound system capacity is used in the best possible way.

Image missing
The figure on the right shows different sector angles for an apical 4 chamber view of the heart. The middle image has an appropriate sector, where all relevant parts of the heart can be seen. In the top image, the sector angle is too narrow, and in the bottom image the sector angle is too broad.