As far as ultrasound is concerned, 4D ultrasound (also referred to as live 3D ultrasound or 4B-mode) is the latest ultrasound technology - the fourth dimension means length, width, and depth over time. 4D Ultrasound takes 3D ultrasound images and adds the element of time to the progress so that a moving three-dimensional image is seen on the monitor. A 4D scan takes the same amounts of time as a 2D or 3D scan; the difference is the ultrasound equipment being used. One advantage of a 4D fetal ultrasound to a 2D-mode is that parents can see how their baby will generally look like. However, there are different opinions over the medical advantages.
To scan a 3D ultrasound image, the probe is swept over the maternal abdomen. A computer takes multiple images and renders the 3D picture. With 4D imaging, the computer takes the images as multiple pictures while the probe is hold still and a 3D image is simultaneously rendered in real time on a monitor.
In most cases, the standard 2D ultrasound is taken, and then the 3D/4D scan capability is added if an abnormality is detected or suspected. The 3D/4D sonogram is then focused on a specific area, to provide the details needed to assess and diagnose a suspected problem. A quick 4D scan of the face of the fetus may be performed at the end of a routine exam, providing the parents with a photo.

2D ultrasound imaging is a widely used technique in medical imaging that provides two-dimensional visual representations of internal structures. A handheld device known as a probe or transducer contains piezoelectric crystals that emit and receive ultrasound waves which penetrate tissues and bounce back as echoes. The echoes are detected and converted into electrical signals. These signals are processed and displayed on a monitor, creating a real-time 2D grayscale image, with different shades of gray representing various tissue densities. The brighter areas on the image correspond to structures that reflect more ultrasound waves, while darker areas represent structures that reflect fewer waves or are attenuated by intervening tissues. The 2D-mode (or B-mode) provides cross-sectional views of the scanned area, showing a single plane or slice of the scanned area at a time.

Key Features and Uses of 2D Ultrasound:

Comparison with 3D and 4D Ultrasound:
See also Ultrasound Technology, Sonographer, Ultrasound Elastography, Obstetric and Gynecologic Ultrasound.

As far as ultrasound is concerned, 4D ultrasound (also referred to as live 3D ultrasound or 4B-mode) is the latest ultrasound technology - the fourth dimension means length, width, and depth over time. 4D Ultrasound takes 3D ultrasound images and adds the element of time to the progress so that a moving three-dimensional image is seen on the monitor. A 4D scan takes the same amounts of time as a 2D or 3D scan; the difference is the ultrasound equipment being used. One advantage of a 4D fetal ultrasound to a 2D-mode is that parents can see how their baby will generally look like. However, there are different opinions over the medical advantages.
To scan a 3D ultrasound image, the probe is swept over the maternal abdomen. A computer takes multiple images and renders the 3D picture. With 4D imaging, the computer takes the images as multiple pictures while the probe is hold still and a 3D image is simultaneously rendered in real time on a monitor.
In most cases, the standard 2D ultrasound is taken, and then the 3D/4D scan capability is added if an abnormality is detected or suspected. The 3D/4D sonogram is then focused on a specific area, to provide the details needed to assess and diagnose a suspected problem. A quick 4D scan of the face of the fetus may be performed at the end of a routine exam, providing the parents with a photo.
See also Obstetric and Gynecologic Ultrasound, Pregnancy Ultrasound, Fetal Ultrasound and Abdominal Ultrasound.

A four dimensional B-mode ultrasound means length, width, and depth over time so that a moving three-dimensional image is seen on the monitor.

See 4D Ultrasound.

A-mode (Amplitude-mode) ultrasound is a technique used to assess organ dimensions and determine the depth of an organ. While A-mode technology was previously employed in midline echoencephalography for rapid screening of intracranial mass lesions and ophthalmologic scanning, it is now considered obsolete in medical imaging. Nonetheless, the A-mode scan has found applications in early pregnancy assessment (specifically the detection of fetal heartbeats), cephalometry, and placental localization.
When the ultrasound beam encounters an anatomic boundary, the received sound impulse is processed to appear as a vertical reflection of a point. On the display, it looks like spikes of different heights (the amplitude). The intensity of the returning impulse determined the height of the vertical reflection and the time it took for the impulse to make the round trip would determine the space between verticals. The distance between these spikes can be measured accurately by dividing the speed of sound in tissue (1540 m/sec) by half the sound travel time.
During an echoencephalography scan, the first A-mode scan is acquired from the right side of the head and captured on film. Subsequently, the probe is positioned at the corresponding point on the left side, and a second exposure is captured on the same film, displaying inverted spikes. The A-mode ultrasound could be used to identify structures normally located in the midline of the brain such as the third ventricle and falx cerebri. The midline structures would be aligned in normal patients but show displacement in patients with mass lesion such as a subdural, epidural, or intracranial hemorrhage.

See also 2D Ultrasound, 3D Ultrasound, 4D Ultrasound, Ultrasound Biomicroscopy, A-scan, B-mode and the Infosheet about ultrasound modes.