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Diagnostic ultrasound ( PDFDrive )

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CHAPTER 1 Physics of Ultrasound 13

A B C

FIG. 1.16 Tissue Harmonics. As sound is propagated through tissue, the high-pressure component of the wave travels more rapidly than the

rarefactional component, producing distortion of the wave and generating higher-frequency components (harmonics). (A) The acoustic ield of the

primary frequency is represented in blue. (B) The second harmonic (twice the primary frequency) is represented in red. (C) Using a broad-bandwidth

transducer, the receiver can be tuned to generate an image from the harmonic frequency rather than the primary frequency. As a result, near ield

clutter is reduced since the harmonic only develops at depth in the tissue and the beam proile is improved, leading to better spatial resolution.

archiving and communications system (PACS). Increasingly,

digital storage is being used for archiving of ultrasound images.

SPECIAL IMAGING MODES

Tissue Harmonic Imaging

Variation of the propagation velocity of sound in fat and other

tissues near the transducer results in a phase aberration that

distorts the ultrasound ield, producing noise and clutter in the

ultrasound image. Tissue harmonic imaging provides an approach

for reducing the efects of phase aberrations. 6 Nonlinear propagation

of ultrasound through tissue is associated with the more

rapid propagation of the high-pressure component of the ultrasound

pressure wave than its negative (rarefactional) component.

his results in increasing distortion of the acoustic pulse as it

travels within the tissue and causes the generation of multiples,

or harmonics, of the transmitted frequency (Fig. 1.16).

Tissue harmonic imaging takes advantage of the generation,

at depth, of these harmonics. Because the generation of harmonics

requires interaction of the transmitted ield with the propagating

tissue, harmonic generation is not present near the transducer/

skin interface, and it only becomes important some distance

from the transducer. In most cases the near and far ields of the

image are afected less by harmonics than by intermediate locations.

Using broad-bandwidth transducers and signal iltration

or coded pulses, the harmonic signals relected from tissue

interfaces can be selectively displayed. Because most imaging

artifacts are caused by the interaction of the ultrasound beam

with supericial structures or by aberrations at the edges of the

beam proile, these artifacts are eliminated using harmonic

imaging because the artifact-producing signals do not consist

of suicient energy to generate harmonic frequencies and therefore

are iltered out during image formation. Images generated using

tissue harmonics oten exhibit reduced noise and clutter (Fig.

1.17). Because harmonic beams are narrower than the originally

transmitted beams, spatial resolution is improved and side lobes

are reduced.

Spatial Compounding

An important source of image degradation and loss of contrast

is ultrasound speckle. Speckle results from the constructive and

destructive interaction of the acoustic ields generated by the

scattering of ultrasound from small tissue relectors. his interference

pattern gives ultrasound images their characteristic grainy

appearance (see Fig. 1.6), reducing contrast (Fig. 1.18) and making

the identiication of subtle features more diicult. By summing

images from diferent scanning angles through spatial compounding

(Fig. 1.19), signiicant improvement in the contrast-to-noise

ratio can be achieved (Fig. 1.20). his is because speckle is

random, and the generation of an image by compounding will

reduce speckle noise because only the signal is reinforced. In

addition, spatial compounding may reduce artifacts that result

when an ultrasound beam strikes a specular relector at an angle

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