Transducers used for the real-time mode are different than for the A-mode, B-, or M-modes. A linear array transducer with multiple piezoelectric crystal elements that are different arranged and fired, transmits the needed larger sound beam.
A subgroup of x adjacent elements (8-16; or more in wide-aperture designs) is pulsed simultaneously; the inner elements pulse delayed with respect to the outer elements. The interference of the x small divergent wavelets generates a focused beam. The delay time determining the focus depth of a real-time transducer can be changed during imaging.
Similar delay factors applied during the receiving phase, result in a dynamic focusing effect on the return. This forms a single scan line in the real-time image. To produce the following scan line, another group of x elements is selected by shifting one element position along the transducer array from the previous group. This pattern is then repeated for the groups along the array, in a sequential and repetitive way.

From Kontron Medical SAS;
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Specifications for this system will be available soon.

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

(TCCS) Transcranial color coded sonography is a combination of B-mode and pulsed wave Doppler. TCCS is used to study morphological and functional assessment of the circle of Willis, intracranial hemodynamics caused by extracranial artery stenosis, collateral flow and the vascular supply of intracranial lesion. Color imaging of the intracranial vessels allows placing the spectral Doppler volume correctly. This modality has encouraged the widespread use.
Contrast enhanced TCCS analysis of cerebral arteriovenous transit time (cTT) is used as a measure of cerebral microcirculation.
The windows that are used for transcranial Doppler examinations include regions where the skull bones are relatively thin or where naturally occurring gaps allow proper penetration of the sound beam.

See also A-Mode, Cranial Bone Thermal Index, Transcranial Doppler and Transcranial Window.

(TCD) Transcranial color Doppler sonography allows to evaluate the presence and flow direction of vessels as well as their relationships to surrounding structures.
A disadvantage of cerebrovascular ultrasonography is the attenuation of the ultrasound signal by the skull. The loss of power through the skull is considerable, the signal to noise ratio is poor and so contrast enhanced Doppler imaging is advantageous. The use of ultrasound contrast agents provides a diagnostic window of sufficient duration and imaging quality to improve an evaluation of the cerebral vessels. Contrast TCD also results in visualization of small arteries and veins and greater length of these vessels.

See also A-Mode, Cranial Bone Thermal Index, Transcranial Color Coded Sonography and Transcranial Window.

Ultrasound imaging is excellent for diagnosing cysts and other fluids in soft tissue. For ultrasound imaging or ultrasonography, different modes are used to examine the arterial/venous system, heart, pancreas, urinary system, ovaries, spinal cord, joints and more.
Power levels, frequencies used, amplification, and beamforming determine the clarity of the image. These things are controlled by the sonographer, interacting with the properties of the ultrasound machine.

Various imaging modes: