A-mode (Amplitude-mode) ultrasound is a technique used to assess organ dimensions and determine the depth of an organ. While A-mode technology was previously employed in midline echoencephalography for rapid screening of intracranial mass lesions and ophthalmologic scanning, it is now considered obsolete in medical imaging. Nonetheless, the A-mode scan has found applications in early pregnancy assessment (specifically the detection of fetal heartbeats), cephalometry, and placental localization.
When the ultrasound beam encounters an anatomic boundary, the received sound impulse is processed to appear as a vertical reflection of a point. On the display, it looks like spikes of different heights (the amplitude). The intensity of the returning impulse determined the height of the vertical reflection and the time it took for the impulse to make the round trip would determine the space between verticals. The distance between these spikes can be measured accurately by dividing the speed of sound in tissue (1540 m/sec) by half the sound travel time.
During an echoencephalography scan, the first A-mode scan is acquired from the right side of the head and captured on film. Subsequently, the probe is positioned at the corresponding point on the left side, and a second exposure is captured on the same film, displaying inverted spikes. The A-mode ultrasound could be used to identify structures normally located in the midline of the brain such as the third ventricle and falx cerebri. The midline structures would be aligned in normal patients but show displacement in patients with mass lesion such as a subdural, epidural, or intracranial hemorrhage.

See also 2D Ultrasound, 3D Ultrasound, 4D Ultrasound, Ultrasound Biomicroscopy, A-scan, B-mode and the Infosheet about ultrasound modes.

The earliest introduction of vascular ultrasound contrast agents (USCA) was by Gramiak and Shah in 1968, when they injected agitated saline into the ascending aorta and cardiac chambers during echocardiographic to opacify the left heart chamber. Strong echoes were produced within the heart, due to the acoustic mismatch between free air microbubbles in the saline and the surrounding blood.

A-scans are used in ophthalmologic scanning, to detect and monitor pregnancy problems, and screen intracranial mass lesions by using A-modes.
A-scan ultrasound biometry, commonly referred to as an A-scan, is a routine diagnostic test used in ophthalmology. The A-scan provides data on the shape of the eye, which is a major determinant in common sight disorders.
Ultrasound scanners used in this type of test require usually direct contact with the eye.

See also A-Mode, Oculoplethysmography, Ultrasound Biomicroscopy, B-Scan, C-Scan and D-Scan.

Also called B-mode echography, B-mode sonography, 2D-mode, and sonogram.
B-mode ultrasound (Brightness-mode) is the display of a 2D-map of B-mode data, currently the most common form of ultrasound imaging.
The development from A-mode to B-mode is that the ultrasound signal is used to produce various points whose brightness depends on the amplitude instead of the spiking vertical movements in the A-mode. Sweeping a narrow ultrasound beam through the area being examined while transmitting pulses and detecting echoes along closely spaced scan lines produces B-scan images. The vertical position of each bright dot is determined by the time delay from pulse transmission to return of the echo, and the horizontal position by the location of the receiving transducer element.
To generate a rapid series of individual 2D images that show motion, the ultrasound beam is swept repeatedly. The returning sound pulses in B-mode have different shades of darkness depending on their intensities. The varying shades of gray reflect variations in the texture of internal organs. This form of display (solid areas appear white and fluid areas appear black) is also called gray scale.

Different types of displayed B-mode images are:
The probe movement can be performed manual (compound and static B-scanner) or automatic (real-time scanner).
The image reconstruction can be parallel or sector type.

See also B-Scan, 4B-Mode, and Harmonic B-Mode Imaging.

From Ultralink LLC;
'Artemis is a very high frequency (VHF) ultrasound eye scanner. In use, the patient leans forward placing their head onto an adjustable headrest. The headrest's unique design permits the patient to pull away quickly from the scanner if desired. An eyecup filled with a saline-based interface fluid couples the ultrasound signal to the eye, while a precision mechanism moves the transducer past the front of the eye. During the accurately controlled arc motion of the transducer, which lasts less than one second, many thousands of ultrasound samples are digitized. Following a scan, signal analysis is performed on a PC-compatible microcomputer, and the data are available for immediate viewing on an LCD monitor or disk storage. Artemis is very flexible; many adjustments to the scanning parameters are possible to customize the scan to your clinical needs. Functions are provided for centering the scan about the optical axis of the eye. The starting location of the scans as well as the extent can be varied as desired, to view image planes through the eye at different angles.'

See also Ultrasound Biomicroscopy, A-Mode and A-Scan.