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.

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The red arrow points at the Freeze button.

42 – Measurements

On a frozen image it is possible to activate the “caliper” button in order to make measurements.

By moving a finger tip on the touch pad, the primary measurement point can be chosen. It is fixed by pushing the “Select” button. Then, by moving the finger tip on the touch pad, the second measurement point can be chosen and fixed by pushing the “Select” button. A connecting line and the distance between the two points are then displayed on the monitor.

Press the B-mode (2D button) to return to default 2D greyscale imaging.

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The red arrow indicates the touch pad. The green arrow indicates the selected primary measurement point. The blue arrow indicates the second selected measurement point.

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.

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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.

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.

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

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.

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The picture shows a CPD signal.

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.

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

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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.

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.

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

30 – Image optimisation: Focal zone markers continued

Some simpler ultrasound systems do not allow adjustment of the exact position of the focal zone. Instead it is possible to select among a few steps.

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In this ultrasound system it is possible to select one of three steps that control image optimisation based on selected depth, ultrasound program and probe frequencies.