Medical Ultrasound Imaging
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Transurethral Sonography
Transurethral echography or sonography is used to detect small tumors of the urinary bladder or to visualize the urethra and surrounding muscles with special transducers. The bladder neck can be visualized using a transrectal probe.
In addition, high intensity focused ultrasound provides treatment of benign prostatic hyperplasia and adenocarcinoma of the prostate. Small catheter-based sectored tubular or planar transducers with highly directional energy deposition and rotational control are used for precise treatment. Regions of the prostate can be selective coagulatet while monitoring and controlling the treatment with MRI.

See also Urologic Ultrasound, Lithotripsy, Reflux Sonography, Ultrasound Therapy, Interventional Ultrasound and Thermotherapy.
Ultrasound
(US) Ultrasound is very high frequency sound above about 20,000 Hertz. Any frequency above the capabilities of the human ear is referred to as ultrasound.
Diagnostic ultrasound imaging uses much higher frequencies, in the order of megahertz. The frequencies present in usual sonograms can be anywhere between 2 and 13 MHz. The sound beam produce a single focused arc-shaped sound wave from the sum of all the individual pulses emitted by the transducer.

See also Medical Imaging.
Ultrasound Elastography
Ultrasound elastography is a specialized imaging technique that provides information about tissue elasticity or stiffness. It is used to assess the mechanical properties of tissues, helping to differentiate between normal and abnormal tissue conditions.
The basic principle behind ultrasound elastography involves the application of mechanical stress to the tissue and measuring its resulting deformation. This is typically achieved by using either external compression or shear waves generated by the ultrasound transducer.
There are two main types of ultrasound elastography:
Strain Elastography: In strain elastography, the tissue is mechanically compressed using the ultrasound transducer, causing deformation. The transducer then captures images before and after compression, and the software analyzes the displacement or strain between these images. Softer tissues tend to deform more than stiffer tissues, and this information is used to generate a color-coded map or elastogram, where softer areas appear in different colors compared to stiffer regions.
Shear Wave Elastography: Shear wave elastography involves the generation of shear waves within the tissue using focused ultrasound beams. These shear waves propagate through the tissue, and their velocity is measured using the ultrasound transducer. The speed of shear wave propagation is directly related to tissue stiffness: stiffer tissues transmit shear waves faster than softer tissues. By calculating the shear wave velocity, an elastogram is generated, providing a quantitative assessment of tissue stiffness.

Both strain elastography and shear wave elastography offer valuable insights into tissue characteristics and can assist in the diagnosis and characterization of various conditions. In clinical practice, ultrasound elastography is particularly useful for evaluating liver fibrosis, breast lesions, thyroid nodules, prostate abnormalities, and musculoskeletal conditions. By providing additional information about tissue stiffness, ultrasound elastography enhances the diagnostic capabilities of traditional ultrasound imaging. It allows for non-invasive assessment, improves the accuracy of tissue characterization, and aids in treatment planning and monitoring of various medical conditions.
See also Ultrasound Accessories and Supplies, Sonographer and Ultrasound Technology.
Ultrasound Imaging Procedures
Ultrasound imaging procedures are widely used in medicine. It is possible to perform diagnostic or therapeutic procedures with the guidance of ultrasonography (interventional ultrasound biopsies or drainage of fluid collections). Sonography or ultrasound scanning involves the application of an ultrasound transducer used to transmit high frequency sound waves, which bounce off internal structures to produce an image that can be displayed and recorded.
Ultrasound imaging procedures include for example:
Urologic Ultrasound
Urologic ultrasound includes the examination of the kidneys, renal vessels, urinary tract, bladder, prostate, and scrotum.
Usual gray scale ultrasound equipment and standard probes are sufficient to examine the kidney parenchyma and renal pelvis, the urinary tract and bladder. Doppler ultrasound is a useful adjunct to kidney ultrasound. High ultrasound system performance is desirable to show the arterial system, because advanced power Doppler is significantly more sensitive to blood flow than standard color Doppler.
Transurethral sonography may be used to examine the bladder and urethra. Transrectal sonography is used to scan and treat the prostate e.g., with brachytherapy or high intensity focused ultrasound. Very small probes are used for these applications. Reflux sonography is especially used in pediatric ultrasound.

See also Ultrasound Imaging Procedures, Ultrasound Picture, Ultrasound Imaging Modes, Lithotripsy, Thermotherapy, Brachytherapy and Ultrasound Therapy.
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 [last update: 2023-11-06 01:42:00]