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APPENDIX Ultrasound Artifacts: A Virtual Chapter

e23

FIG. A.41 Side or Grating Lobe. In this patient with a ureterovesical

junction stone there are echoes seen in the nondependent portion of

the bladder. These are due to grating lobe artifact, wherein off-axis

signal projects into the ield of view. 18 Note also the shadowing behind

the bladder stone. 18 (See Chapter 9, Fig. 9.43.)

FIG. A.42 Partial Volume Averaging. The bladder wall is indistinct

in region of this image. It is unclear if there are masses or if this is due

to grating lobe artifact or partial volume artifact or both. Moving the

patient or transducer to avoid bowel gas and putting the focal zone in

the region in question should aid in evaluation. For the area closer to

the patient’s anterior abdominal wall, a higher-frequency transducer

might be helpful. 18 (See Chapter 9, Fig. 9.57.)

Partial Volume Averaging

he ultrasound beam not only has a complex shape in the imaging

plane but also has a real proile in the third dimension, called

the “elevation plane” or “Z plane.” he ultrasound image appears

as a lat two-dimensional image, but the brightness of each pixel

is representative of the average sum of all the echoes received

within the thickness of the beam in the elevation plane. his

results in echoes being projected in structures that should be

anechoic.

Click here to see an explanatory video of partial volume

averaging (Video A.18).

FIG. A.43 Partial Volume Averaging. A radiofrequency ablation

zone present in the liver just outside the scanning plane is depicted

onto the lungs through both partial volume averaging and mirror image

artifacts.

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