UHEK_BHEA_2013 UNIVERSITI TEKNOLOGI MARA COURSE INFORMATION Course Code : MRD535 Course Name : Ultrasound Physics and Instrumentation Level : Bachelor’s Degree (Hons.) Total SLT : 90 Equivalent to 2 credits Face-to-Face (F2F): 31 Non-Face-to-Face: 59 Part : 5 Course Status : Core : None (Core/Non-Core) Prerequisite Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017 UHEK_BHEA_2013 Course Learning Outcomes At the end of the course, students should be able to: 1. Describe the principle of physics and instrumentations in ultrasonography. (C2) 2. Analyse numerical and visual data related to the physics and instrumentation in ultrasonography. (C4) 3. Propose an entrepreneurial opportunity for the development of transducers and ultrasound machines based on current technology. (A3) Course Description This course will provide the students with an understanding of physics in ultrasound, the properties of media, equipment operations, image artefacts, quality assurance in ultrasound, bioeffects and safety and scanning limitations and pitfalls in ultrasound. Syllabus Content 1. Ultrasound Physics 1.1. Definition of ultrasound, relationship of sound waves used in imaging to those of higher/lower frequency with other properties 1.2. Working knowledge of frequency, sound speed, wavelength, intensity / decibels. 1.3. Interaction of sound waves with tissues 1.4. Generation/detection of ultrasound waves 1.5. Pulse-echo principles 1.6. Beam formation/focusing 1.7. Function of basic components of different modes 1.8. Doppler phenomenon 2. Imaging Applications/Equipment Operation 2.1. Transducer construction 2.2. frequency: gray scale and Doppler 2.3. Trade-off of penetration and resolution of gray scale and Doppler transducer 2.4. Choice and shape: linear, sector, curved Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017 UHEK_BHEA_2013 2.5. Approach: external, endocavitary, translabial/transvaginal, transrectal, interventional techniques 2.6. Display: gray scale, M-Mode, pulsed wave Doppler, color/power imaging, 3-D 2.7. Image orientation: standard images in different planes 2.8. Image optimization: power output, gain, time gain compensation 2.9. Image recording options- electronic, film, paper, and videocassette 3. Artifacts 3.1. Underlying principles of ultrasound image formation, assumptions, and resultant appearances 3.2. Category of artifacts: Attenuation artifacts - shadowing, edge-shadowing, enhancement 3.3. Beam dimension artifacts - beamwidth, slice thickness, side lobes, grating lobes 3.4. Depth of origin artifacts - reverberation, velocity, ring down, comet tail, range ambiguity 3.5. Beam path artifacts – refraction, reflection, mirror, multipath 3.6. Equipment and system artifacts – TGC, multiple focal zones, electronic, movement 3.7. Doppler artifacts- pulse wave, colour imaging (includes aliasing) 4. Quality Assurance 4.1. Equipment QA Program 4.2. Phantoms- spatial/ contrast resolution 4.3. Sonographer/physician-based QA 5. Bioeffects / Safety 5.1. Thermal/non-thermal effects on tissue 5.2. Relative effects of gray scale, M-Mode, pulsed wave Doppler, colour flow imaging, power imaging, harmonics 5.3. Contrast agents 6. Scanning Limitations and Pitfalls 6.1. Using transducers: transducer selection, contact with patient 6.2. Use of stand-off pads 6.3. Transducer manipulation: tilt, angulation, rotation 6.4. Transducer orientation: clinical aspects, angling, rotation 6.5. Left / Right orientation Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017 UHEK_BHEA_2013 6.6. Angle of approach 6.7. Optimization of ultrasonogram Teaching Methodology Lecture, tutorial, and group work. Assessment Test 25% Final Test 25% Calculation Test 25% Assignment 25% Total 100% Recommended text Hoskins, P.R., Martin, K., & Thrush, A. (Eds.). (2019). Diagnostic Ultrasound: Physics and Equipment (3rd ed.). CRC Press. https://doi.org/10.1201/9781138893603 References Frank Jr Miele (2013) Ultrasound Physics and Instrumentation, 5th edn.,Miele Enterprises, Inc. Hedrick R., 2012, Technology for diagnostic sonography, 1st edn, USA: Elsevier Mosby. Kim L.T. (2017) Principles of Ultrasound and Applied Ultrasound Physics Relevant for Advanced Sonographers. In: Milas M., Mandel S., Langer J. (eds) Advanced Thyroid and Parathyroid Ultrasound. Springer, Cham Colella D.F., Prati P., Sarti A. (2013) Essential Physics of Ultrasound and Use of the Ultrasound Machine. In: Sarti A., Lorini F. (eds) Echocardiography for Intensivists. Springer, Milano Manecke G.R. (2016) Basic Ultrasound Physics, Doppler Ultrasound, and Hemodynamic Assessment. In: Maus T., Nhieu S., Herway S. (eds) Essential Echocardiography. Springer, Cham Robert Gill. (2020) The physics and technology of diagnostic ultrasound: a practitioner's guide (2nd ed.) High Frequency Publishing, Australia. Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017 UHEK_BHEA_2013 COURSE OUTCOMES – PROGRAM OUTCOMES MATRIX COURSE CODE MRD535 COURSE NAME Ultrasound Physics and Instrumentation CREDIT UNIT CENTRE OF STUDY UPDATED BY 2 DATE Medical Imaging Program Curriculum Committee September 2021 PROGRAM LEARNING OUTCOMES COURSE LEARNING OUTCOMES 1. Describe the principle of physics and instrumentation in ultrasonography. (C2) PLO 1 PLO 2 PLO 3 PLO 4 PLO 5 PLO 6 PLO 7 PLO 8 PLO 9 PLO 10 PLO 11 TEACHING METHODOLOGY ASSESSMENT Lecture Tutorial Test Final Test Lecture Tutorial Calculation Test Tutorial Group work Assignment √ 2. Analyse numerical and visual data related to the physics and instrumentation in ultrasonography. (C4) √ 3. Propose an entrepreneurial opportunity for the development of transducers and ultrasound machine based on current technology. (A3) Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA √ Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017 UHEK_BHEA_2013 Nama Fakulti: Fakulti Sains Kesihatan Nama Program: Sarjana Pengimejan Perubatan Kepujian (HS242) © Hak Cipta Universiti Teknologi MARA Tahun Mula: 2006 Tahun Semakan: 2010, 2013, 2017