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Echocardiography 2
By : Akhtar Totakhail
Paktia university Gardiz city
Faculty of Medicine
2022
Near Field and Far Field Gain
• The near field
refers to the
top half of the
ultrasound
screen and the
far field refers
to the bottom
half of the
ultrasound
screen.
Time Gain Compensation (TGC)
• Most other
ultrasound
machines will
allow you to
further adjust
the gain in even
more specific
areas of your
ultrasound
screen.
Focus
• focus you are
simply
concentrating your
ultrasound waves
at a specific depth
of the image to
maximize the
resolution at that
depth.
• the “freeze”
button freezes
a frame for you
so you have
time to view it
in more detail.
caliper
• allows you to
measure the
distance of
specific
structures of
interest.
Basic Ultrasound Modes
• B-Mode (Brightness Mode)
– in ultrasound is a setting that creates a two-dimensional (2D)
greyscale image on your ultrasound screen and is the most
commonly used mode.
– It is also commonly called 2D mode.
– B (just the letter) – GE machines
– 2D (Sonosite and Philips)
• M-Mode (Motion Mode) Motion Mode,
– The motion is represented by the Y-axis and
– time is represented by the X-axis.
Advanced Ultrasound Modes (Doppler)
• Doppler settings are simply meant to detect speed going either
Towards or Away from probe
• shift in frequency in accordance with the Doppler effect
• Color Doppler,
• Pulse wave Doppler,
• continuous wave doppler
Color Doppler Mode
• This mode allows you to see the movement of blood in arteries
and veins with blue and red patterns on the ultrasound screen.
• RED means there is flow TOWARDS the ultrasound probe and
• BLUE means that there is flow AWAY
Pulse Wave (PW) Doppler Mode
• Pulse Wave (PW) Doppler allows you to measure the velocity of
blood flow (at a single point).
• It’s usually seen by two horizontal lines along cursor.
• there is a limit on the maximum speed )200cm/second(
• Anything past this limit (termed Nyquist Limit) will cause the signal
to alias.
• do not want to use Pulse Wave Doppler for any applications that
require measuring speed above 200cm/second.
Continuous Wave (CW) Doppler Mode
• Continuous Wave Doppler is very similar to pulse wave Doppler
except it does not alias
• can detect very high velocities (greater than 1000cm/second).
• Continuous Wave Doppler is the optimal choice for measuring
high-velocity applications
– valvular stenosis and
– regurgitation.
Tissue Doppler Imaging (TDI) Mode
• Tissue Doppler is just another form of Pulse Wave Doppler that
allows to measure the much slower speeds
of tissue/muscle movement (from 1cm/s – 20cm/s) compared to
Pulse Wave Doppler that measures the much faster speed of
blood (30cm/s – 200cm/s).
Echo ppt2 Akhtar Totakhail.pptx

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Echo ppt2 Akhtar Totakhail.pptx

  • 1. Echocardiography 2 By : Akhtar Totakhail Paktia university Gardiz city Faculty of Medicine 2022
  • 2.
  • 3. Near Field and Far Field Gain • The near field refers to the top half of the ultrasound screen and the far field refers to the bottom half of the ultrasound screen.
  • 4. Time Gain Compensation (TGC) • Most other ultrasound machines will allow you to further adjust the gain in even more specific areas of your ultrasound screen.
  • 5.
  • 6. Focus • focus you are simply concentrating your ultrasound waves at a specific depth of the image to maximize the resolution at that depth.
  • 7. • the “freeze” button freezes a frame for you so you have time to view it in more detail.
  • 8. caliper • allows you to measure the distance of specific structures of interest.
  • 9. Basic Ultrasound Modes • B-Mode (Brightness Mode) – in ultrasound is a setting that creates a two-dimensional (2D) greyscale image on your ultrasound screen and is the most commonly used mode. – It is also commonly called 2D mode. – B (just the letter) – GE machines – 2D (Sonosite and Philips) • M-Mode (Motion Mode) Motion Mode, – The motion is represented by the Y-axis and – time is represented by the X-axis.
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  • 11. Advanced Ultrasound Modes (Doppler) • Doppler settings are simply meant to detect speed going either Towards or Away from probe • shift in frequency in accordance with the Doppler effect • Color Doppler, • Pulse wave Doppler, • continuous wave doppler
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  • 13. Color Doppler Mode • This mode allows you to see the movement of blood in arteries and veins with blue and red patterns on the ultrasound screen. • RED means there is flow TOWARDS the ultrasound probe and • BLUE means that there is flow AWAY
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  • 15. Pulse Wave (PW) Doppler Mode • Pulse Wave (PW) Doppler allows you to measure the velocity of blood flow (at a single point). • It’s usually seen by two horizontal lines along cursor. • there is a limit on the maximum speed )200cm/second( • Anything past this limit (termed Nyquist Limit) will cause the signal to alias. • do not want to use Pulse Wave Doppler for any applications that require measuring speed above 200cm/second.
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  • 17.
  • 18.
  • 19. Continuous Wave (CW) Doppler Mode • Continuous Wave Doppler is very similar to pulse wave Doppler except it does not alias • can detect very high velocities (greater than 1000cm/second). • Continuous Wave Doppler is the optimal choice for measuring high-velocity applications – valvular stenosis and – regurgitation.
  • 20.
  • 21. Tissue Doppler Imaging (TDI) Mode • Tissue Doppler is just another form of Pulse Wave Doppler that allows to measure the much slower speeds of tissue/muscle movement (from 1cm/s – 20cm/s) compared to Pulse Wave Doppler that measures the much faster speed of blood (30cm/s – 200cm/s).