Medical Ultrasound Imaging
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Acoustic Window
The acoustic window or field is the area defined by the pathway of the ultrasound beam between the transducer and the acoustic reflector. The sound reflection to skin boundary should be minimized with an ultrasound gel where this gel acts as an acoustic window through which the image is seen.
Acoustic window refers also to the optimal placing of the transducers so that the areas of interest are clearly imaged.

See also Transforaminal Window, Transcranial Window, Transorbital Window and Transtemporal Window.
B-Scan
B-scan ultrasonography, or B-scan, is a diagnostic test, for example used in ophthalmology to produce a two-dimensional, cross-sectional view of the eye and the orbit. The presentation of the reflected pulses are displayed in rectangular coordinates, in which the travel time of an ultrasound pulse is represented as a shift along one axis, and the probe movement is represented as a shift along the other axis.

See also Ultrasound Imaging Procedures, A-Scan, C-Scan and D-Scan.
Bracco Diagnostics, Inc.
www.bdi.bracco.com The company is a member of the Bracco Group, a highly innovative health care group and world leader in global integrated solutions for the diagnostic imaging field. The Bracco Group is headquartered in Milan, Italy. Its North American operations consist of Bracco Diagnostics and Bracco Research USA, both located in Princeton, New Jersey. Bracco Diagnostics is one of the fastest growing developers and marketers of diagnostic pharmaceuticals in North America, with products for various imaging applications, including Isovue® (iopamidol) X-ray contrast agent, ProHance®, (gadoteridol), MRI contrast agent, and nuclear medicine products.
Gadoteridol has been available in Europe and the USA for several years. Holder of the Marketing Authorization: Bracco International B.V. - Strawinskylaan 3051 - 1077 ZX Amsterdam The Netherlands. (Contact: Kirk Deeter, Phone: +NL-303-838-8708)

The Bracco Group is the world's leading provider of global diagnostic imaging solutions, with net sales of more than 1 billion euro, of which more than 64% from international sales; it has operations in 115 countries and about 3,500 employees, of whom more than 600 work in R&D. Bracco invests around 15% of its turnover in R&D and has a portfolio of 1,500 patents worldwide. The Bracco Group deploys an integrated approach to diagnostic imaging, with an offer that encompasses contrast media, its core business where it is one of the world's top players, biomedical equipment from Esaote, one of the world's primary producers of magnetic resonance and ultrasonographic medical equipment, contrast media delivery systems from Acist Medical Systems, a top US company in advanced contrast media injection systems, and medical application software from EBIT-AET and Singapore's Volume Interactions, the leading developer of advanced medical software. Bracco has formed a high-level international research network, whose three centers in Milan, Geneva and Princeton study and develop products for the latest-generation diagnostic techniques, from X-rays and computerized axial tomography to magnetic resonance and echo contrast.

Ultrasound Contrast Agents:
Contact Information
Please see Bracco Diagnostics, Inc.'s
Cerebrovascular Ultrasonography
Cerebrovascular ultrasonography is the best screening tool for the detection of carotid artery stenosis. Transcranial sonography is used in the evaluation of patients with suspected cerebrovascular disease, but a common problem is the attenuation of the ultrasound signal by the skull.
Contrast enhanced ultrasound play a particularly important role in the visualization of the intracranial vessels, and thus improves the accuracy of transcranial Doppler and increases the potential of this technique. The use of microbubbles is helpful for classification of stenosis and for plaque evaluation in patients with poor initial examination. Ultrasound contrast agents avoid misdiagnosing a subtotal stenosis, which is a very important clinical issue.

See also Adventitia, Intima, Periorbital Doppler, and Acoustic Window.
Color Doppler
(CD) Color Doppler is an ultrasound imaging mode, which visualizes the presence, direction and velocity of flowing blood in a wide range of flow conditions. It provides an estimate of the mean velocity of flow within a vessel by color coding the flow and displaying it superimposed on the 2D gray scale image. The flow direction is arbitrarily assigned the color red or blue, indicating flow toward or away from the transducer.
Color (colour, Brit.) Doppler ultrasound is capable of evaluating a wider area than other Doppler modes than for example Duplex or power Doppler, and therefore makes it less likely to miss flow abnormalities. It is also easier to interpret. Color flow is not as precise as conventional Doppler and is best used to scan a larger area and then use conventional Doppler for detailed analysis at a site of potential flow abnormality.

Adjustments for color Doppler in case of too much color:
decreased color gain;
increased color velocity scale;
evaluation of chosen filter.

Adjustments for color Doppler in case of not enough color:
increased color gain;
decrease color velocity scale;
adjust scanning plane and angle to flow;
decrease sample box size;
evaluation of chosen filter.

See also Color Power Doppler, Autocorrelation, Color Priority, Triplex Exam and Color Saturation.
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