Real-time mode has been developed to present motion like a movie of the body's inner workings, showing this information at a high rate. The special real-time transducer uses a larger sound beam than for A, B or M-modes. A linear array transducer with multiple crystal elements displays real-time compound B-mode images with up to 100 images per second.
At each scan line, one sound pulse is transmitted and all echoes from the surface to the deepest range are received. Then the ultrasound beam moves on to the next scan line position where pulse transmission and echo recording are repeated.

See also Compound B-Mode, Pulse Inversion Doppler, and Frame Averaging.

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.

Cardiac ultrasound, also known as echocardiography or echocardiogram, is used to provide several different levels and types of heart testing. Cardiac ultrasound utilizes the same ultrasound principles as used for obstetric and gynecologic evaluations of pregnant women, gallbladder ultrasound and other abdominal structures.
The ultrasound is directed out of a hand held probe which can be moved to image the heart from different positions. Additionally, so that heart events can be timed, ECG leads are placed on the chest. The reflected wave is converted into an actual image of the heart and displayed in a real-time mode or M-mode ultrasound format. M-mode recordings permit measurement of cardiac dimensions and detailed analysis of complex motion patterns depending on transducer angulations. Also the time relationships with other physiological variables such as ECG, heart sounds, and pulse tracings, can be recorded simultaneously. A stress echocardiogram provides information about the cardiac performance.
Two-dimensional tomographic images of selected cardiac sections give more information than M-mode about the shape of the heart and also show the spatial relationships of its structures during the cardiac cycle (diastole to systole).

See also M-Mode Echocardiography, and Myocardial Contrast Echocardiography.

Frame averaging is a form of lowpass filtering. With frame averaging temporal variation are smoothed by addition of consecutive frames in a real-time mode.

Ultrasound is an ideal tool to examine the joints and surrounding soft tissues like tendons, ligaments and joint linings. Musculoskeletal and joint sonography is sensitive, without radiation exposure, easy accessible, quick, and has high patient tolerability with relatively low cost.
A real-time scanner allow the dynamic assessment of the musculoskeletal system and a specific examination for each patient. In addition, joint aspiration and injection accuracy can be improved. Probes with high frequency improve the image resolution and allow visualization of fine anatomic structures of the small parts. As musculoskeletal ultrasound (MSUS) is very operator dependent, experience and training is required. Ultrasound is also often used in the treatment of musculoskeletal disorders.

See also Ultrasound Therapy, Real-Time Mode, Artifact and Ultrasound Biomicroscopy.