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 acoustic lens is placed at the time the transducer is manufactured and cannot be changed. The acoustic lens is generally focused in the mid field rather than the near or far fields. The exact focal length varies with transducer frequency, but is generally in the range of 4-6 cm for a 5 MHz curved linear probe and 7-9 cm for a 3.5 MHz curved transducer.
Placing the elevation plane (z-plane) focal zone of the acoustic lens in the very near or far field would improve the beam width at precisely those depths. However, this would degrade the beam width to a much greater and unacceptable degree at all other depths.
There are some chemicals in ultrasound couplants that can degrade the acoustic lens, destroy bonding, or change the acoustic properties of the lens. Problematic chemicals include mineral oil, silicone oil, alcohol, surfactants, and fragrances. Fragrance can affect the transducer's acoustic lens or face material by absorption over time into elastomer and plastic materials, thus changing the material's weight, size, density, and acoustic impedance. Surfactants can degrade the bond between the lens and the piezoelectric elements and contribute to the accelerated degeneration of the lens.

See also Retrolenticular Afterglow.

An array transducer is composed of multiple piezoelectric crystal elements arranged in an array. Arrays are transducer assemblies with a row of elements, used to focus the beam.

Types of array transducers:

See also Amplitude Shading, Transducer Types, and Transducer Assembly.

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.

Stress echocardiograms are used for detection of coronary artery disease, or to determine the cardiac performance. Stress echocardiograms are less performed to evaluate pulmonary artery pressures, pulmonary hypertension or the significance of valvular heart disease.
Stress increases the degree to which the heart contracts. After a myocardial infarction there will be a region of the heart muscle that contracts abnormal at rest. This area may worsen with stress. A coronary artery blockage most often do not impairs the function of the heart at rest. With stress, a region of the heart does not receive enough blood to work effectively and wall motion abnormalities occur. The echocardiographer compares rest and exercise and can determine the presence and severity of a coronary artery blockage.

Stress echocardiograms involve:
A bicycle stress echocardiogram involves transthoracic echocardiography performed at the rest baseline and after or during different stages of physical exercise.
A dobutamine stress echocardiography uses the drug dobutamine instead physical exercise.
Transthoracic echocardiograms are routinely performed during stress and rest.
Cardiovascular stress represents a minimal risk to the patient.

See also Transesophageal Echocardiography, Echocardiography, M-Mode, Curved Transducer, Doppler Ultrasound, History of Ultrasound and History of Ultrasound Contrast Agents.