Medical Ultrasound Imaging
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Sonographic Features
Anatomic structures respond with characteristic features on ultrasound scanning.
There are some ultrasound terms, referring to the echo appearance, that describes tissue appearance in a uniform manner:
hyperechoic or hyperechogenic (bright);
hypoechoic or hypoechogenic;
anechoic or anechogenic;
homogenous (uniform echo pattern);
heterogeneous (irregular echo pattern).

Tendons characteristically are hyperechoic on ultrasound because of the fibrillar pattern. Ligaments appear hyperechoic when the beam is perpendicular to the tissue. Peripheral nerves are hyperechoic relative to muscle.
Muscle appears relatively hypoechoic to tendon fibers. Close observation reveals hypoechoic muscle fibers separated by hyperechoic septae that converge on a hyperechoic aponeurosis. Articular hyaline cartilage appears hypoechoic. The presence of fluid within the joint outlining the cartilage produces a thin bright echo at this interface.
Sound beams do not penetrate the bone cortex. The very bright echo produced at the interface allows both recognition of the bone cortex but also can demonstrate fracture, spurring and bone callus bridging. Abnormal soft tissue calcification and ossification also produces bright reflective echoes.
Cysts or fluid filled areas are without internal echoes and are called echo free or anechoic and may demonstrate enhanced soft tissue echoes posterior to the fluid collection. Inflamed metatarsal bursae and calcaneal bursae clearly depict fluid swelling.

See also Beam Pattern and Zero Offset.
Transorbital Window
The transorbital window allow to insonate ophthalmic artery and ipsilateral carotid siphon through the eye. It is also possible to use the transorbital entrance to scan the middle and anterior cerebral arteries, if it is impossible through the transtemporal window.
The patient is asked to remove any contact lenses prior to examination and is instructed to close the eyes. The power output of the Doppler instrument has to be decreased to 10-20% to reduce the ultrasonic exposure of the eye.

See also Transcranial Doppler, Ultrasound Safety.
Ultralink LLC
www.arcscan.com 'Ultralink LLC is a medical imaging company based in St. Petersburg, Florida. We are committed to designing and providing advanced diagnostic ultrasound eye imaging systems to the worldwide health care community.
Ultralink developed the world's first very high frequency (VHF) digital ultrasound eye scanner - the Artemis. Our advanced patented technology provides images of the cornea and anterior segments of the human eye with unparalleled resolution. Further applications of this technology are being explored, to complement its value in the fields of refractive surgery and refractive implants.'

Ultrasound Systems:
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Ultrasound Biomicroscopy
Ultrasound biomicroscopy utilizes high frequency (10 - 50 MHz) diagnostic ultrasound to examine living tissue at a microscopic level and allows to image the skin with extremely high resolution to a depth of 2-3 centimeters. Ultrasound biomicroscopy images provide detailed anatomical information that can lead to better and more accurate treatments and avoid a biopsy.
Ultrasound biomicroscopy improves also the spatial resolution of US images of the anterior segment of the eye. US biomicroscopy of the eye operates in the 50 MHz range with a possible axial resolution on the order of 30 μm. In this frequency range, tissue penetration of only approximately 5 mm is attainable. Both continuous wave Doppler and high-frequency pulsed Doppler can be used.

See also Ultrasound Imaging Procedures, A-Scan, B-Scan and C-Scan.
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