Periorbital Doppler is a continuous wave Doppler examination, determining the amplitude, flow direction, and compression effect of the frontal or supraorbital arteries in the periorbital region.

See also Acoustic Window, and Cerebrovascular Ultrasonography.

A piezoelectric crystal changes the physical dimensions when subjected to an electric field. When deformed by external pressure, an electric field is created across the crystal. Piezoelectric ceramic and crystals are used in ultrasound transducers to transmit and receive ultrasound waves.
The piezoelectric crystal in ultrasound transducers has electrodes attached to its front and back for the application and detection of electrical charges. The crystal consists of numerous dipoles, and in the normal state, the individual dipoles have an oblique orientation with no net surface charge.
In ultrasound physics, an electric field applied across the crystal will realign the dipoles and results in compression or expansion of the crystal, depending on the direction of the electric field. For the transmission of a short ultrasound pulse, a voltage spike of very short duration is applied, causing the crystal to initially contract and then vibrate for a short time with its resonant frequency.

See also Composite Array, Transducer Pulse Control, and Temporal Peak Intensity.

Piezo means pressure, so piezoelectric means that pressure is generated when electrical energy is applied to a quartz crystal. When electrical energy is applied to the face of the crystal, the shape of the crystal changes as a function of the polarity of the applied electrical energy. As the crystal expands and contracts it produces compressions and rarefactions, and creates sound waves. When this material is struck by sound waves it creates electrical currents.
Thus, a piezoelectric crystal can produce a pulse of mechanical energy (pressure pulse) by electrically exciting the crystal (transmitter), and they can produce a pulse of electrical energy by mechanically exciting the crystal (receiver). This ultrasound physics principle is called the piezoelectric effect (pressure electricity), which was discovered by Pierre and Jacques Curie in 1880, and is used to generate ultrasound waves. Instead of quartz crystals, piezoelectric ceramics such as barium titanate or lead zirconate titanate are also used, which are crystalline materials with similar piezoelectric properties.

See also Temporal Peak Intensity.

Reflux is the backward flow of fluids. For example, reflux of blood with proximal limb compression is an indicator of venous valvular incompetence.

See also Reflux Sonography.

(UCA / USCA) Ultrasonic contrast agents, also called ultrasound contrast agents, are encapsulated bubbles on the order of 1-10 μm in diameter. These gas bubbles are injected into the blood stream in order to increase blood/ tissue contrast during an ultrasonogram. These microbubbles are filled with air or a gas with a lower solubility in blood than air, such as perfluorochemicals. The microbubble shell consists of albumin, phospholipid, or other material and encapsulates the gas core. Due to this construction, ultrasonic contrast agents are highly compressible, and have a high echogenicity.

See also Ultrasound Contrast Agent Safety.