Medical Ultrasound Imaging
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Searchterm 'Display' found in 81 articles
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Display
The ultrasound display is usually a computer monitor that shows the processed data from the scanned area. Displays can be black-and-white or color, small or large depending upon the model and price of the ultrasound machine.
B-Mode
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:
two-dimensional, 2D-mode;

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.
Ultrasound Regulations
Regulations governing the output of diagnostic ultrasound have been largely set by the USA's Food and Drug Administration (FDA), although the International Electrotechnical Commission (IEC) is currently in the process of setting internationally agreed standards.
The relevant national societies for ultrasound users (e.g. American Institute of Ultrasound in Medicine (AIUM), British Medical Ultrasound Society (BMUS)) usually have safety committees who offer advice on the safe use of ultrasound. In 1992, the AIUM, in conjunction with the National Electrical Manufacturers Association (NEMA) developed the Output Display Standard (ODS), including the thermal index and mechanical index which have been incorporated in the FDA's new regulations.
Within Europe, the Federation of Societies of Ultrasound in Medicine and Biology (EFSUMB) also addresses safety and has produced safety guidelines (through the European Committee for Ultrasound Radiation Safety). The World Federation (WFUMB) held safety symposia in 1991 (on thermal issues) and 1996 (thermal and non-thermal issues), at which recommendations were proffered.
The FDA ultrasound safety regulations from 1993 combine an overall limit of spatial peak time averaged intensity (I-SPTA) of 720 mW/cm2 for all equipment. A system of output displays allows users to employ effective and judicious levels of ultrasound appropriate to the examination. The output display is based on two indices, the mechanical index (MI) and the thermal index (TI).

See also ALARA Principle, and Radiological Society of North America.
3D Ultrasound
In 3D ultrasound (US) several 2D images are acquired by moving the probe across the body surface or rotating inserted probes. 3D-mode uses the same basic concept of a 2D ultrasound but rather than take the image from a single angle, the sonographer takes a volume image. The volume image that is displayed on the screen is a software rendering of all of the detected soft-tissue combined by specialized computer software to form three-dimensional images.
The 3D volume rendering technique (VR) does not rely on segmentation (segmentation techniques are difficult to apply to ultrasound pictures) and makes it possible to obtain clear 3D ultrasound images for clinical diagnosis. A 3D ultrasound produces a still image. Diagnostic US systems with 3D display functions and linear array probes are mainly used for obstetric and abdominal applications. The combination of contrast agents, harmonic imaging and power Doppler greatly improves 3D US reconstructions.

3D imaging shows a better look at the organ being examined and is used for:
Detection of abnormal fetus development, e.g. of the face and limbs.
Visualization of e.g. the colon and rectum.
Detection of cancerous and benign tumors, e.g. tumors of the prostate gland, and breast lesions.
Pictures of blood flow in various organs or a fetus.

Fusion 3D imaging methods for generating compound images from two sets of ultrasound images (B-mode and Doppler images) enable the observation of the structural relationships between lesions and their associated blood vessels in three dimensions (maximum intensity projection).
A-Mode
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.
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