(AUS) Abdominal ultrasound, also known as abdominal sonography, is a medical imaging technique that focuses on the visualization and assessment of the abdominal organs. While 'abdominal ultrasound' is the commonly used term, there are alternative terms that can be used to refer to this imaging modality: (TAE) transabdominal echography, abdominal ultrasonography, sonogram, FAST (Focused Assessment with Sonography for Trauma).
Abdominal ultrasound imaging is an invaluable clinical tool for identifying the underlying cause of abdominal pain. An abdominal ultrasound examination encompasses a comprehensive evaluation of the liver, gallbladder, biliary tree, pancreas, spleen, kidneys, and abdominal blood vessels. It is a cost-effective, safe, and non-invasive medical imaging modality that is typically utilized as the initial diagnostic investigation.
Advanced ultrasound techniques, such as high-resolution ultrasound, endoscopic ultrasound, and contrast-enhanced Doppler, further enhance the detection of small lesions and provide detailed information for precise diagnosis.
To prepare for an abdominal ultrasound, it is recommended to have nothing to eat or drink for at least 8 hours, starting from midnight the night before the examination.

Indications:
FAST (Focused Assessment with Sonography for Trauma) is a rapid diagnostic test used for trauma patients. It sequentially evaluates the presence of free fluid in the pericardium (hemopericardium) and in four specific views of the abdomen. These views include the right upper quadrant (RUQ), left upper quadrant (LUQ), subcostal, and suprapubic views. They aid in identifying hemoperitoneum in patients with potential truncal injuries. The space between the liver and the right kidney (RUQ), known as Morison's pouch, is a location where intraperitoneal fluid can accumulate.
Emergency abdominal ultrasonography is indicated in cases of suspected aortic aneurysm, appendicitis, biliary and renal colic, as well as blunt or penetrating abdominal trauma. It plays a crucial role in the timely assessment and management of these conditions, providing critical information to guide appropriate treatment decisions.

See also Handheld Ultrasound, Pelvic Ultrasound, Pregnancy Ultrasound, Prostate Ultrasound, Interventional Ultrasound and Pediatric Ultrasound.

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.

(EUS) Endoscopic ultrasound uses a small probe that is inserted in the rectum either through a proctoscope or by itself. During the test biopsies of any suspicious areas are possible. The usual necessary preparation is an enema to empty the rectum. Endoscopic ultrasound provides additional information about rectal polyps, rectal cancer, perianal infection, and sphincter muscle injuries and improves the selection of patients for local excision.
Transrectal echography using a high-frequency transducer is a well established method for preoperative rectal carcinoma assessment.
Endoscopic scanning is limited by the ultrasound physics (depth and axial resolution) of the endocavitary probe. Therefore, the combination of endoscopic and transcutaneous ultrasound is most favorable.

Interventional ultrasound, also known as ultrasonography, encompasses a range of invasive or surgical procedures guided by ultrasound imaging. While its widest application lies in intravascular ultrasound imaging for measuring atherosclerotic plaque, it has proven valuable in various medical fields.
In urology, ultrasound-guided interventions are employed for treatments like high intensity focused ultrasound (HIFU) in prostate conditions. The precise imaging provided by ultrasound aids in targeting the affected area and delivering therapeutic energy effectively.
In intraabdominal conditions, endoscopic ultrasound is frequently utilized. This technique combines ultrasound imaging with an endoscope to visualize and evaluate structures within the gastrointestinal tract, allowing for precise diagnoses and targeted interventions.
Ultrasound-guided procedures play a significant role in several medical specialties, including liver sonography, obstetric and gynecologic ultrasound, and thyroid ultrasound. These procedures involve interventions such as RF thermal ablation or biopsies, which are guided by real-time ultrasound imaging.
For instance, in liver sonography, ultrasound guidance is crucial for performing biopsies or RF thermal ablation, a technique used to treat liver tumors by delivering localized heat to destroy the abnormal tissue. The real-time imaging allows for precise needle placement and monitoring during the procedure.
In obstetric and gynecologic ultrasound, ultrasound-guided procedures, such as biopsies, can be performed to obtain tissue samples for diagnostic purposes. Additionally, ultrasound guidance is valuable during interventions like amniocentesis or fetal blood sampling, enabling accurate and safe procedures.
Thyroid ultrasound procedures often involve ultrasound-guided fine-needle aspiration biopsy (FNAB), which allows for the sampling of thyroid nodules for cytological examination. The ultrasound image helps guide the needle into the targeted area, ensuring accurate sampling and minimizing potential complications.
Overall, ultrasound-guided interventions provide minimally invasive and precise approaches to diagnosis and treatment. The real-time imaging capabilities of ultrasound contribute to enhanced accuracy, safety, and patient outcomes in procedures like biopsies, injections, and drainage.

See also Transurethral Sonography, Endocavitary Echography, and B-Mode Acquisition and Targeting.

A transducer assembly is the configuration of an ultrasound transducer. Electronic array transducers are composed of multiple crystal elements e.g., linear array and phased array transducer assemblies. A handheld mechanical probe may contain a mechanically driven single element transducer, or a rotating wheel transducer. Static B-scanner (obsolete) had a cylindrical probe with a single disk-shaped piezoelectric crystal.
Some probes are designed to be inserted in body cavities (vagina, rectum, esophagus) so that they can get closer to the organ being examined (uterus, prostate gland, heart); getting closer to the region of interest allow for a more detailed view.

See also Endocavitary Echography, Endoscopic Ultrasound, Vaginal Transducer and Rectal Probe.