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EACVI Echocardiography Textbook - sample

Discover the EACVI Textbook of Echocardiography 2nd edition

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6<br />

Chapter 1 general principles of echocardiography<br />

t 1 t 1<br />

t 2 >t 1 t 2 >t 1<br />

t 3 >t 2<br />

t 3 >t 2 >t 1<br />

t 4>t 3<br />

t 2 >t 1<br />

t 5 >t 4<br />

t 1<br />

(a)<br />

(b)<br />

Fig. 1.3 Electronic steering and focusing. (a) Electronic steering: the phased-array transducers consist of a series of rectangular piezoelectric elements sequentially<br />

fired (see activation time delays t 1<br />

< t 2<br />

< t 3<br />

< t 4<br />

< t 5<br />

) in order to obtain ultrasound beam steering. (b) Electronic focusing: see sequence of elements activation<br />

(t 1<br />

< t 2<br />

< t 3<br />

) used for electronic focusing. Transmitted ultrasound beam focusing changes the length of the near zone by adjusting the depth of focus, to include<br />

the examined structure and improve resolution. The beam width is reduced to minimum in the focal area and diverges immediately after. The focal zone has<br />

maximum intensity and provides maximal lateral resolution.<br />

Electronic aperture variation, allowing preservation of focal<br />

beam width for a range of focus depths, is obtained by changing<br />

the fired elements number. The conventional phased-array<br />

transducer is the one-dimensional (1D) transducer (% Fig. 1.4).<br />

Matrix array transducers are currently used (% Fig. 1.5). The<br />

evolution of the matrix array transducers established 3D imaging<br />

(% Figs. 1.6 and 1.7).<br />

The received beam has electronic steering and focusing as<br />

well. Current transducers have multiple transmission focusing and<br />

dynamic reception focusing, improving resolution throughout the<br />

image depth. Dynamic reception focusing needs dynamic aperture<br />

to preserve focal beam width.<br />

Fig. 1.4 Conventional phased-array transducer. The 1D transducer consists<br />

of one row of piezoelectric elements aligned in the imaging plane. This<br />

allows electronic focusing only in the imaging plane, adjusting the beam<br />

width responsible for lateral resolution. See the accessory beams (side lobes)<br />

illustrated in red.<br />

Fig. 1.5 Matrix array transducer. In transducer development, the 1.5D and<br />

the 2D transducers were created by adding rows of elements in the elevation<br />

plane. This allows electronic focusing in the elevation plane as well, adjusting<br />

the beam thickness responsible for the tomographic slice thickness. The 1.5D<br />

transducer has fewer elements rows in the elevation plane and has shared<br />

electric wiring for pairs of added elements. The 2D arrays have more elements<br />

rows with separate electric wiring. Transducer advances were based on the<br />

ability to cut the elements very small, to isolate them, to fit their electric wiring<br />

in the case, and to command complex firing algorithms. The first transducers<br />

for 2D and then 3D imaging were sparse-arrays, concomitantly using only part<br />

of their elements. Full matrix array transducers are currently used. Side lobes<br />

of constituent elements add up in grating lobes of the array (illustrated in red<br />

in the image). They can be reduced by firing peripheral elements at lower<br />

amplitude—apodization—with continuous variation—dynamic apodization.<br />

They can also be reduced by cutting subelements within elements.

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