pegasus lectures, inc. volume ii companion presentation frank miele pegasus lectures, inc....

27
Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Upload: annice-jacobs

Post on 17-Dec-2015

226 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Volume II

Companion Presentation

Frank MielePegasus Lectures, Inc.

Ultrasound Physics & Instrumentation4th Edition

Page 2: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

This presentation is the sole property of Pegasus Lectures, Inc.

No part of this presentation may be copied or used for any purpose other than as part of the partnership program as described in the license agreement.

Materials within this presentation may not be used in any part or form outside of the partnership program. Failure to follow the license agreement is a violation of

Federal Copyright Law.

All Copyright Laws Apply.

License Agreement

Page 3: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Volume II Outline

Chapter 7: Doppler

Chapter 8: Artifacts

Chapter 9: Bioeffects

Chapter 10: Contrast and Harmonics

Level 2

Chapter 11: Quality Assurance

Chapter 12: Fluid Dynamics

Chapter 13: Hemodynamics

Page 4: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Contrast and the Acoustic Impedance

Recall that the amount of reflection that occurs is based on the acoustic impedance mismatch (as defined in Chapter 3):

2

2 1

2 1

Z -ZReflection % =

Z +Z

The use of a contrast agent increases the acoustic impedance mismatch within the blood as a result of the high compressibility and low density of the gas.

Page 5: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Notice that the signal from blood is much weaker than the signal from tissue. The contrast signal (“bubbles”) increases the blood signal significantly (approximately 30 dB).

Relative Signal Amplitudes

Fig. 1: (Pg 660)

Tissue

Bubbles

Blood

50

40

30

20

10

Fundamental Frequency

Am

pli

tud

e (d

B)

Page 6: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Fundamentals of Harmonics

The classic tradeoff in ultrasound is penetration versus resolution. The use of harmonics somewhat lessens the tradeoff by allowing for receiving at a higher frequency (the 2nd harmonic frequency) and transmitting at the lower frequency (the fundamental frequency).

2 2 nd

Fundamental Frequency Transmit Frequency

Harmonic Frequency Transmit Frequency

Page 7: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Tradeoffs Related to Frequency

High Frequency (Inadequate Penetration)

Fig. 2a: (Pg 661)

Low Frequency (Poor Resolution)

Fig. 2b: (Pg 661)

Page 8: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Harmonic Imaging

Harmonic Image produced by transmitting at 1.8 MHz and receiving at 3.6 MHz.

Fig. 3: (Pg 661)

Page 9: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

The ability to transmit at the fundamental frequency and receive at the higher frequency requires broadband transducer capabilities. As shown below, note how the transmit BW and the receive BW “fit” within the overall transducer BW.

Broadband Transducers and Harmonics

Fig. 4: (Pg 662)

XDCR BW

Transmit BW

Receive BW

Frequency

Sen

siti

vity

Page 10: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

The non-linear response of the tissue “distorts” the transmitted wave, producing harmonic energy. As pictured below, not just 2nd harmonic energy is produced, but an entire spectrum of harmonics (2nd, 3rd, 4th, etc.). Currently ultrasound uses only the 2nd harmonic.

Generation of Harmonic Energy Through Tissue

Fig. 5: (Pg 663)Transmitted Frequency Received Frequency

Fundamental

Am

pli

tud

e

Am

pli

tud

e

N=2

N=3

Page 11: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Notice that the amplitude of the harmonic signal produced by tissue is very close to the amplitude of the harmonic signal produced by contrast agent. This fact implies that it is difficult to distinguish “blood” signals from tissue signals when using harmonic imaging with contrast.

Relative Amplitudes

Fig. 6: (Pg 663)

Tissue

Bubbles

Blood50

40

30

20

10

Fundamental Frequency

Am

pli

tud

e (d

B)

Page 12: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

With compression and rarefaction, the density of the medium changes, resulting in a change in propagation velocity. This change in propagation velocity is nonlinear and results in the generation of harmonic energy from the fundamental.

Non-Linear Wave Propagation

Fig. 7: (Pg 664 )

Compression

Compression

Increased c

Decreased c

Transmitted Wave

Nonlinear Response

Page 13: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Relative Amplitude of the Harmonic Series

Notice that each successive harmonic signal is weaker than the preceding harmonic signal, and that the 2nd harmonic signal is weaker than the fundamental signal.

Fig. 8: (Pg 665 )

Frequency

F0 2F0 3F0 4F0

-10

0

-30

-20

-40

-50

-60

-70

Am

plitu

de (

dB)

Page 14: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Harmonic Generation versus Depth

Fig. 9: (Pg 666)

“Time View” “Frequency View”

NearfieldWeak Harmonics

Generated

Midfield Best Harmonic Effects

Farfield Harmonic Frequency Attenuated Faster

Than Produced

Page 15: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Harmonic versus Fundamental Beam

Notice how much narrower the harmonic beam is relative to the fundamental beam, improving the lateral resolution. Also notice that the beam intensity is much weaker in the nearfield which reduces the amount of artifacts generated in the nearfield.

Fig. 10: (Pg 666 )

Fundamental Energy

Harmonic Energy

Tissue

Page 16: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Reduction in Grating Lobes

Since harmonic energy produced is dependent on incident pressure, the lower energy grating lobes produce much weaker harmonic signals, reducing the energy in the grating lobes. Weaker grating lobes result in improved lateral resolution and less lateral translation of off-axis energy into the main beam.

Fig. 11: (Pg 667)

Fundamental Harmonic

Page 17: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Reduction in “Clutter” from Harmonics

Notice that in the nearfield, the source of most imaging artifacts, the harmonic signal is significantly weaker than the fundamental signal. The result is a significant reduction in the strong signals responsible for most imaging artifacts. This clutter reduction is one of the greatest advantages to harmonic imaging.

Fig. 12: (Pg 668 )

Typical Major “Clutter” Zone f0

2f0

5 10 15Depth (cm)

Am

pli

tud

e

Page 18: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Reduction in Reverberation Artifact

Notice how the weaker and narrower harmonic beam in the nearfield results in less reverberation artifact than occurs with the fundamental beam. Again, some of the greatest advantages to harmonic imaging is the reduction of “clutter” signals which result from beam interactions in the nearfield.

Fig. 13: (Pg 668 )

Transmitted Signal

Receive Filters

Reverberations HereT

ran

smit

ted

Fu

nd

amen

tal

Rec

eive

dH

arm

on

ics

f0 2f0

f0 2f0

Page 19: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Conventional versus Harmonic Imaging (from Animation CD)

(Pg 669 A)

Conventional Imaging Harmonic Imaging

Page 20: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Conventional versus Harmonic Imaging

As discussed in the previous slides, harmonics usually reduces the clutter present in the relative nearfield.

Fig. 15: (Pg 669)

Conventional Imaging of Right ICA with Reverberation Artifact

Harmonic Imaging of Right ICA

Page 21: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Conventional versus Harmonics(from Animation CD)

(Pg 669 B)

Page 22: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Conventional versus Harmonics(from Animation CD)

(Pg 669 C)

Images of a right kidney with multiple cysts.

Page 23: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Degradation in Axial Resolution

With harmonic imaging, a longer transmit pulse duration (PD) is usually used to reduce the bandwidth of the transmit signal. By reducing the transmit BW, there is less overlap between the transmit and receive bandwidth decreasing the clutter in the image. However, the increase in PD also results in an increase in the SPL, decreasing the axial resolution.

Fig. 16: (Pg 670)

Short Time

Long Time

BW Overlap

f0 2f0

More Clutter Better Axial Resolution

Less Clutter Worse Axial Resolution

Reduced BW Overlap

f0 2f0

Page 24: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Pulse or Phase Inversion

The following diagram demonstrates the foundational principle used for pulse (or phase) inversion harmonic imaging. Notice that the peak of the harmonic wave occurs at the same time as both the peak and the minima of the fundamental wave.

Fig. 17: (Pg 671)

(f0) at maximum and harmonic (2f0) at maximum

(f0) at maximum and harmonic (2f0) at minimum

Page 25: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Pulse or Phase Inversion

By transmitting multiple lines with different phases and then adding the resulting lines together, the fundamental energy adds destructively while the harmonic data adds constructively. As a result the harmonic energy gets stronger and there is no need to degrade the axial resolution to help eliminate the fundamental energy.

Fig. 18: (Pg 672)

(f0) First Pulse (Phase = 0°) (f0) First Pulse (Phase = 180°)

(2f0) Harmonic (Phase = 0°) (2f0) Harmonic (Phase = 0°)

Cancellation of f0

Enhancement of 2f0

Page 26: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Conventional versus Pulse Inversion Harmonic Imaging

Fig. 19: (Pg 672)

Fundamental Imaging Pulse Inversion Harmonics

Notice how dramatic the difference in ability to visual the thrombus using pulse inversion in comparison with conventional imaging.

Page 27: Pegasus Lectures, Inc. Volume II Companion Presentation Frank Miele Pegasus Lectures, Inc. Ultrasound Physics & Instrumentation 4 th Edition

Pegasus Lectures, Inc.

Add Title

Blank Slide:

This blank slide is here to help facilitate adding new content. If you would like to add material to this presentation, copy this slide and place in the correct location.