Medical Ultrasound Imaging
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Dual Frequency Phased Array Transducer
Dual frequency phased array transducers allow performing third or fourth harmonic imaging. This array design contains two different types of elements arranged in an interleaved pattern (odd and even elements). The elements can work individually and at a distinct frequency enabling separate transmission and receiving modes.
ALOKA Co., Ltd.
www.aloka.com 'ALOKA, the innovator in ultrasound is the longest operating ultrasound company in the world with its main headquarters located in Tokyo, Japan.
The history of ALOKA began in 1950 when the medical equipment department of Japan Radio Company became the independent company, Medical and Physical Institute Co., Ltd.
In 1960, we developed the world's first commercially available diagnostic ultrasound system.
In 1976, our company name changed to ALOKA, which, in ancient Sanskrit, means 'Ray of Hope'.
ALOKA's ultrasound systems have been sold in the United States through distributors since the early 70s. Some of our major distributors included Johnson & Johnson Ultrasound and Corometrics Medical Systems, Inc., which also provided service for the ALOKA equipment.
In 1986 the first ALOKA office was opened in the United States.
And on January 1, 1991, ALOKA America began direct sales of ultrasound units.
All US sales, distribution and service are provided through our US headquarters located in Wallingford, Connecticut . In addition, we have sales, service and clinical applications representatives strategically located throughout the country to provide exceptional service to our customers.'

In November 2010 Hitachi Medical announced the acquisition of ALOKA.

Ultrasound Systems:
Ultrasound Accessories and Supplies
Common ultrasound supplies that are often used in conjunction with ultrasound imaging:
Ultrasound Gel:
A water-based gel used as a coupling agent between the transducer and the patient's skin. It helps eliminate air pockets and ensures good sound wave transmission.
Probe Covers:
Disposable covers designed to maintain hygiene and prevent cross-contamination. These covers are placed over the transducer before each examination.
Cleaning Wipes:
Alcohol-based or disinfectant wipes used for cleaning and disinfecting the transducer and other equipment surfaces. Specific cleaning solutions are recommended by the ultrasound equipment manufacturer for thorough cleaning of transducers.
Gel Warmers:
Devices used to warm ultrasound gel, providing patient comfort during the examination.
Needle Guides:
Attachments or brackets that assist in accurate needle placement during ultrasound-guided procedures such as biopsies or injections.
Positioning Aids:
Cushions, wedges, or straps designed to help position patients correctly and comfortably during ultrasound exams.

Common ultrasound accessories that are often used in conjunction with ultrasound imaging:
Transducer Storage Rack:
A dedicated rack or holder to store transducers safely when not in use, helping to prevent damage.
Storage and Archiving Solutions:
External hard drives, network storage, or cloud-based systems for long-term storage and backup of ultrasound images and reports. Possibly specialized printers that produce hard copies of ultrasound images for immediate documentation and patient records.
Power Supply and Transducer Cable Extenders:
Extension cables used to increase the length of transducer cables for more flexibility during examinations. Adequate power sources or uninterrupted power supply (UPS) to ensure continuous operation of the ultrasound machine during power outages or fluctuations.
Reporting Templates and Software:
Customizable reporting templates and software solutions that facilitate efficient and standardized reporting of ultrasound findings.
Phantom Devices:
Artificial tissue-like structures or phantoms used for training, calibration, and quality assurance purposes to evaluate image quality and system performance.

Consult with ultrasound equipment vendors or professionals in the field to determine the specific accessories and supplies that best suit your imaging needs and specialty. See also Equipment Preparation, Environmental Protection, Portable Ultrasound Machine, Ultrasound Technology, Ultrasound System Performance and Sonographer.
Beamforming
The wider the ultrasound beam, the more severe the problem with volume averaging and the beam-width artifact, to avoid this, the ultrasound beam can be shaped with lenses.
Different possibilities to focus the beam:
Mechanical focusing is performed by placing an acoustic lens on the surface of the transducer or using a transducer with a concave face.
Electronic focusing uses multiple phased array (annular or linear) elements, sequentially fired to focus the beam.
Conventional multi-element transducers are electronically focused in order to minimize beam width. This transducer type can be focused electronically only along the long axis of the probe where there are multiple elements, along the short axis (elevation axis) are conventional transducers only one element wide. Electronic focusing in any axis requires multiple transducer elements arrayed along that axis. Short axis focusing of conventional multi-element transducers requires an acoustic lens which has a fixed focal length.
For operation at frequencies at or even above 10 MHz, quantization noise reduces contrast resolution. Digital beamforming gives better control over time delay quantization errors. In digital beamformers the delay accuracy is improved, thus allowing higher frequency operation. In analog beamformers, delay accuracy is in the order of 20 ns.
Phased beamformers are suitable to handle linear phased arrays and are used for sector formats such as required in cardiography to improve image quality. Beamforming in ultrasound instruments for medical imaging uses analog delay lines. The signal from each individual element is delayed in order to steer the beam in the desired direction and focuses the beam.
The receive beamformer tracks the depth and focuses the receive beam as the depth increases for each transmitted pulse. The receive aperture increase with depth. The lateral resolution is constant with depth, and decreases the sensitivity to aberrations in the imaged tissue. A requirement for dynamic control of the used elements is given. Since often a weighting function (apodization) is used for side lobe reduction, the element weights also have to be dynamically updated with depth.

See also Huygens Principle.
Ultrasound Machine
Ultrasound machines, widely used in medical imaging, are essential tools in the field of diagnostic ultrasound. These devices utilize high-frequency sound waves to create real-time images of internal body structures. Ultrasound machines consist of several key components that work together to generate diagnostic images. These include:
The transducer is a handheld device that emits and receives sound waves. It converts electrical energy into sound waves and captures the returning echoes to create images.
The control panel houses the interface where the sonographer adjusts imaging parameters such as depth, frequency, and gain. It allows for customization of imaging settings based on the clinical requirements. The transducer pulse controls change the amplitude, frequency and duration of the pulses emitted from the transducer probe.
The central processing unit (CPU) serves as the brain of the ultrasound machine, processing the acquired data and transforming it into images. It handles complex calculations, image optimization, data storage and contains the electrical power supplies for itself and the transducer probe.
The display monitor (oscilloscope, tablet, computer monitor, etc.) showcases the real-time ultrasound images produced by the machine. It provides visual feedback to the sonographer, aiding in the interpretation and analysis of anatomical structures. Handheld ultrasound devices and mobile ultrasound probes can be connected wirelessly to a smartphone or tablet via Bluetooth or WiFi. These end device serves then as the ultrasound monitor.
Data input and measurements are done with the keyboard cursor (trackball). Ultrasound devices used for handheld point of care ultrasound (HPOCUS) are operated via the touch screen of the control panel.
Images are captured, reviewed, stored and transmitted digitally, using a standard format for digital imaging and communications in medicine (DICOM). Disk storage devices (FDD, HDD, CD, DVD) are outdated, but may be used in older machines to store the acquired images if no picture archiving and communication system (PACS) connection is possible.
The displayed ultrasound pictures are usually digitally stored in a PACS. The images from portable ultrasound machines can be stored and conveniently managed on the end device itself, the inserted memory card or in the cloud. With a QR scanner, the images can be accessed via the Internet in the cloud. Often there is also the possibility to get a picture of a baby sonography as a printout.

B-mode machines represent the vast majority of machines used in echocardiology, obstetrical scans, abdominal scans, gynecological scans, etc. B-mode ultrasound machines usually produce the sector (or pie segment-shaped) scans. These ultrasound scans require either a mechanical scanner transducer (the transducer moves to produce the sector scan), or a linear array transducer operated as a phased array.


Ultrasound machines come in different types, each catering to specific clinical needs. The two primary types are stationary and portable ultrasound machines:

Stationary units are typically larger in size and are installed in dedicated imaging rooms. These machines offer advanced imaging capabilities and a wide range of specialized features. They are commonly found in hospitals, clinics, and university medical centers where comprehensive imaging services are provided.
Portable units (see Portable Ultrasound Machine), as the name suggests, are compact and lightweight, designed for on-the-go imaging. These machines are highly versatile and offer excellent mobility, allowing healthcare professionals to bring the ultrasound system directly to the patient's bedside. Portable ultrasound machines are particularly useful in emergency settings, rural healthcare facilities, and point-of-care applications.

See also Handheld Ultrasound, Ultrasound System Performance, Equipment Preparation, Coaxial Cable, and Microbubble Scanner Modification, Environmental Protection and Ultrasound Accessories and Supplies.
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