Cardiac ultrasound, also known as echocardiography or echocardiogram, is used to provide several different levels and types of heart testing. Cardiac ultrasound utilizes the same ultrasound principles as used for obstetric and gynecologic evaluations of pregnant women, gallbladder ultrasound and other abdominal structures.
The ultrasound is directed out of a hand held probe which can be moved to image the heart from different positions. Additionally, so that heart events can be timed, ECG leads are placed on the chest. The reflected wave is converted into an actual image of the heart and displayed in a real-time mode or M-mode ultrasound format. M-mode recordings permit measurement of cardiac dimensions and detailed analysis of complex motion patterns depending on transducer angulations. Also the time relationships with other physiological variables such as ECG, heart sounds, and pulse tracings, can be recorded simultaneously. A stress echocardiogram provides information about the cardiac performance.
Two-dimensional tomographic images of selected cardiac sections give more information than M-mode about the shape of the heart and also show the spatial relationships of its structures during the cardiac cycle (diastole to systole).

See also M-Mode Echocardiography, and Myocardial Contrast Echocardiography.

Convex transducers are today standard on every new scanner. A convex surface allows the scanning of a larger area with a smaller array. The method of focusing and beam sweeping of a convex or curvilinear / curved array is similar to a linear array transducer, except of the shape of the probe and the sector format of the created image.
The better fit to the body, caused by the curved shape with smaller convex contact surface, and the wider field of view further from the transducer face are advantages in abdominal ultrasound.
However, also a convex array is often too large to image the heart when probing between the ribs. Caused by combining a large field of view with smallest array size, phased array transducers are the best choice in cardiac ultrasound.

See also Curved Transducer.

A curved or curvilinear array transducer is similar to a linear array except that the image created has a sector-type format. A curvilinear array gives a large footprint and near field with a wide sector. Usually, curved transducers are described by the radius of curvature in mm. The transducer elements control the characteristics and direction of the sound beam.
Curvilinear transducers have a wider field of view from the transducer face. Sector scanners are most useful for cardiac ultrasound examinations where the beam is directed between the ribs to image the heart.
Also called convex transducer.

The diastole is the period of relaxation in the cardiac cycle which alternates with systole. During diastole, the ventricles fill and the aortic and pulmonary valves are closed. On a Doppler spectrum analysis, diastole can be identified as beginning at the dicrotic notch (a small abrupt upswing in the deceleration phase of systole) and ending with the systolic upstroke.

See also Echocardiography and Cardiac Ultrasound.

A transducer is a device, usually electrical or electronic, that converts one type of energy to another. Most transducers are either sensors or actuators. A transducer (also called probe) is a main part of the ultrasound machine. The transducer sends ultrasound waves into the body and receives the echoes produced by the waves when it is placed on or over the body part being imaged.
Ultrasound transducers are made from crystals with piezoelectric properties. This material vibrates at a resonant frequency, when an alternating electric current is applied. The vibration is transmitted into the tissue in short bursts. The speed of transmission within most soft tissues is 1540 m/s, producing a transit time of 6.5 ms/cm. Because the velocity of ultrasound waves is constant, the time taken for the wave to return to the transducer can be used to determine the depth of the object causing the reflection.
The waves will be reflected when they encounter a boundary between two tissues of different density (e.g. soft tissue and bone) and return to the transducer. Conversely, the crystals emit electrical currents when sound or pressure waves hit them (piezoelectric effect). The same crystals can be used to send and receive sound waves; the probe then acts as a receiver, converting mechanical energy back into an electric signal which is used to display an image. A sound absorbing substance eliminates back reflections from the probe itself, and an acoustic lens focuses the emitted sound waves. Then, the received signal gets processed by software to an image which is displayed at a monitor.
Transducer heads may contain one or more crystal elements. In multi-element probes, each crystal has its own circuit. The advantage is that the ultrasound beam can be controlled by changing the timing in which each element gets pulsed. Especially for cardiac ultrasound it is important to steer the beam.
Usually, several different transducer types are available to select the appropriate one for optimal imaging. Probes are formed in many shapes and sizes. The shape of the probe determines its field of view.
Transducers are described in megahertz (MHz) indicating their sound wave frequency. The frequency of emitted sound waves determines how deep the sound beam penetrates and the resolution of the image. Most transducers are only able to emit one frequency because the piezoelectric ceramic or crystals within it have a certain inherent frequency, but multi-frequency probes are also available.
See also Blanking Distance, Damping, Maximum Response Axis, Omnidirectional, and Huygens Principle.