Dynamic focusing controls the axial position of the focus of an ultrasound beam. Dynamic focusing is often managed by controlling the phase of the signals detected by a transducer array.

See also Real-Time Transducer.

(EUS) Endoscopic ultrasound uses a small probe that is inserted in the rectum either through a proctoscope or by itself. During the test biopsies of any suspicious areas are possible. The usual necessary preparation is an enema to empty the rectum. Endoscopic ultrasound provides additional information about rectal polyps, rectal cancer, perianal infection, and sphincter muscle injuries and improves the selection of patients for local excision.
Transrectal echography using a high-frequency transducer is a well established method for preoperative rectal carcinoma assessment.
Endoscopic scanning is limited by the ultrasound physics (depth and axial resolution) of the endocavitary probe. Therefore, the combination of endoscopic and transcutaneous ultrasound is most favorable.

(F) The number of cycles of a periodic process per unit time. Frequency and wavelength are inversely related. The higher the frequency the smaller the wavelength. The frequency of ultrasound is expressed in units of hertz (Hz), where 1 Hz = 1 cycle per second.
The effect of different frequencies on tissue penetration:
The higher the frequency the less the penetration, the lower the frequency the greater the penetration. As frequency increases, resolution improves but the imaging depth or penetration decreases. The lower the axial resolution, the more detail can be seen.
Usual frequencies for pediatric ultrasound: 5.0mHz to 7.5mHz and 10mHz.
Usual frequencies for adult ultrasound: 2.0mHz to 3.0mHz.

See also Doppler Interrogation Frequency, Multi-frequency Probe, and Huygens Principle.

A handle or probe contains the transducer elements and is attached to the system via a relatively long coaxial cable. Handles are selected via high voltage (HV) relays. In most ultrasound machines, several different handles are available to be connected to the system, allowing the operator to select the appropriate transducer for optimal imaging.

See also Probe Cleaning, and Transducer Assembly.

A liver sonography is a diagnostic tool to image the liver and adjoining upper abdominal organs such as the gallbladder, spleen, and pancreas. Deeper structures such as liver and pancreas are imaged at a lower frequency 1-6 MHz with lower axial and lateral resolution but greater penetration. The diagnostic capabilities in this area can be limited by gas in the bowel scattering the sound waves.
The application of microbubbles may be useful for detection of liver lesions and for lesion characterization. Some microbubbles have a liver-specific post vascular phase where they appear to be taken up by the reticuloendothelial system (RES). Dynamic contrast enhanced scans in a similar way as with CT or MRI can be used to studying the arterial, venous and tissue phase.
After a bolus injection, early vascular enhancement is seen at around 30sec in arterialized lesions (e.g., hepatocellular carcinomas (HCC), focal nodular hyperplasia (FNH)). Later enhancement is typical of hemangiomas with gradually filling towards the center. In the late phase at around 90sec, HCCs appear as defects against the liver background. Most metastases are relatively hypovascular and so do not show much enhancement and are seen as signal voids in the different phases.
Either with an intermittent imaging technique or by continuous scanning in a nondestructive, low power mode, characteristic time patterns can be used to differentiate lesions.

See also Medical Imaging, B-Mode, High Intensity Focused Ultrasound, Ultrasound Safety and Contrast Medium.