Pulse Echo Instrumentation Pulse Echo Instrumentation Chapter 14 There are six major components that comprise this scenario • Transducer • Pulser and beam former • Receiver • Display • Storage media • Master Synchronizer Other names for output • Each manufacture has coined a term for this – Output gain, acoustic power, transmitter output, power, or gain • Two terms were devised in order to standardize this wide variation – Thermal Index and Mechanical Index – Both are mathematical number that are used to help determine bioeffects The creation and processing of the sound wave is separated into two primary categories • Preparation and transmission of the electrical signal to the transducer • The reception of the returning signals and processing of the sound into visual images and audio Pulser • Functions during transmission sending the pulses to the PZT • Transducer output ranges from close to 0 to 500 volts and is technologist controlled • Set low week signals are transmitted • Set high and strong signals are transmitted • So what is the effect of the image displayed when you modify the voltage? Image effect • It changes the brightness on the ultimately displayed image • It also changes the potential for bioeffects • So the lower the pulse voltage should be used as long as the imaged quality is not compromised • This output is controlled by the sonographer 1 Noise • Describes as undesirable low-level signals that degrade the ultimate image • A ration of the original signal to the contamination noise is often used • High ratios means there is a much better signal than noise • And of course the reverse is also true • So what do you think we want in imaging? PRP and the pulser • The timing of the voltage to the PZT is also determined by the pulser – Longer delays longer pulses – Shorter delays shorter pulse • Since PRP is a reciprocal of PRF the pulser also effects this as well The Beam Former • Is considered part of the transmitter • Recall it transmits electrical pulses in a specific pattern to create the phased sector in an array transducer • It also creates (adjusts) the electrical signal that reduces side lobe artifacts • What is this term called? Output and noise • Increasing the power output from the transducer increases the signal to noise ratio • The image improves because the noise remains constant • It does have an effect on the energy transmitted into the patient so there is a trade of The Image • Recall PRP and PRF determine the max imaging depth • Short PRP has a high PRF and a shallow imaging depth • A long PRP has a longer PRF and imaging depth is greater • Is this controlled by the sonographer? Beam Former continued • Establishes the correct time delays for dynamic receive focusing • Also controls dynamic aperture • An advanced microprocessor called a “digital beam former” produces this signal in digital format 2 Digital beam former The Switch • Both transmit and receive signals pass through. • Prevents the high voltage transmit signal from interfering with the very low receive signal • Directs the transmit signal from the beam former to the transducer • Directs the receive signal form the transducer to the processing components • Advantages of this entity • Requires only software programming not hardware • Stable no mechanical parts to calibrate or wear • Versatile can be used with an extreme wide range of transducer Frequencies Amplification • Channels are the single PZT element the electronics in the pulser and the wire that connects them • Receiver the receiver prepares the electrical information for display on the CRT and is composed of five elements • • • • • Amplification Compensation Compression Demodulation Reject In this order Amplification continued • Measured in dB they are a relative value – The final signal is compared to the original signal strength • Values range form 60 to 100 dB • It is synonyms with receiver gain • Preamplification improves the strength quality before its amplified • Designed to prevent electronic noise in the system from degrading the receive signal • In this process all the receive signals are made larger equally • The receive signals are the same they just become either brighter or darker depending on adjustments made • Doesn’t alter the signal to noise ratio • Adjustable by a control on the system console Compensation • As sound travels through the body it attenuates • the deeper you image the more it attenuates • Why not up the power to get to the deeper structures? • A god image uses this process to create a uniform image from near field to far field 3 Compensation continued • This is a form of variable amplification is measured in dB • Its effect depends on the depth the signal originates • This is a control utilized by the sonographer. • Common terms used for this are – Time gain compensation (TGC), depth gain compensation (DGC) and swept gain Compression • The human eye can only see a finite number of gray shades • Compressing ranks the signal strength form the strongest to the weakest and mathematically places into a category • It does not alter the signal but keeps them within the operators perception range as well as the accuracy range of the system electronics Compression continued • This process is important because we can increase the display efficiency of the weak signals • While not changing the display intensity of the strong signals A TGC curve • Near • Delay – depth tat compensation begins • Slope - corrects attenuation effects over path length • Knee – max compensation used • Far gain- max compensation that can be provided Compression continued • While one component of this process is not adjustable another is and is known as grayscale mapping • Also called log compression or dynamic range • Again measured in dB and is a relative unit comparing one signal to another Demodulation • A process by which an electrical signal is changed into a form suitable for displaying on an CRT • The sign wave is converted in all positive voltages through a process called Rectification 4 Demodulation continued • Next the envelope is smoothed to create an even line • The reason for this change is so the electrical signal is more appropriate t display on a CRT there is no effect on the actual image itself Dynamic Frequency Tuning • Signal pulses are dampened to create a better axial image • This process creates a variable frequency wave – there are some at the primary frequency – still others at frequencies above and below this • What is the term used to describe this frequency? Reject • A return signal is made up of many signals good signals and bad signals some of the bad signals are very week and can degrade the ultimate image. • Removing some of these low level bad signals can improve the image. It does not effect the bright echos • To much reject applied and the actual image can suffer • The songrapher has some control but the system also has built in designs Patient exposure to Ultrasound • Bioeffects is related to power output not changes in amplification • When possible always use the lowest power possible. • A principle known as ALARA should always apply when making power output changes in order to minimize patient exposure 5