Medical Ultrasound Imaging
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Medical Imaging
The definition of imaging is the visual representation of an object. Medical imaging is a broad term that encompasses various imaging modalities and techniques used in the field of medicine to visualize and study the body's anatomy and physiology. It includes both diagnostic and non-diagnostic imaging procedures, where diagnostic imaging specifically refers to the subset of medical imaging techniques that are primarily focused on diagnosing diseases or conditions. Medical imaging techniques are employed to obtain images or visual representations of the internal organs, tissues, and structures, aiding in the diagnosis, treatment, and monitoring of medical conditions.
The field of medical imaging has significantly evolved since the discovery of X-rays by Konrad Roentgen in 1896. Initially, radiological imaging involved focusing X-rays on the body and capturing the images on a single piece of film within a specialized cassette. Subsequent advancements introduced the use of fluorescent screens and special glasses for real-time visualization of X-ray images.
A significant breakthrough came with the application of contrast agents, enhancing image contrast and improving organ visualization. In the 1950s, nuclear medicine studies utilizing gamma cameras demonstrated the uptake of low-level radioactive chemicals in organs, enabling the observation of biological processes in vivo. Currently, positron emission tomography (PET) and single photon emission computed tomography (SPECT) technologies play pivotal roles in clinical research and the diagnosis of biochemical and physiological processes. Additionally, the advent of the x-ray image intensifier in 1955 facilitated the capture and display of x-ray movies.
In the 1960s, diagnostic imaging incorporated the principles of sonar, using ultrasonic waves generated by a quartz crystal. These waves, reflecting at the interfaces between different tissues, were received by ultrasound machines and translated into images through computer algorithms and reconstruction software. Ultrasound (ultrasonography) has become an indispensable diagnostic tool across various medical specialties, with immense potential for further advancements such as targeted contrast imaging, real-time 3D or 4D ultrasound, and molecular imaging. The first use of ultrasound contrast agents (USCA) dates back to 1968.
Digital imaging techniques were introduced in the 1970s, revolutionizing conventional fluoroscopic image intensifiers. Godfrey Hounsfield's pioneering work led to the development of the first computed tomography (CT) scanner. Digital images are now electronic snapshots represented as grids of dots or pixels. X-ray CT brought about a breakthrough in medical imaging by providing cross-sectional images of the human body with high contrast between different types of soft tissue. These advancements were made possible by analog-to-digital converters and computers. The introduction of multislice spiral CT technology dramatically expanded the clinical applications of CT scans.
The first magnetic resonance imaging (MRI) devices were tested on clinical patients in 1980. With technological improvements, such as higher field strength, more open MRI magnets, faster gradient systems, and novel data-acquisition techniques, MRI has emerged as a real-time interactive imaging modality capable of providing detailed structural and functional information of the body.
Today, imaging in medicine offers a wide range of modalities, including:
X-ray projection imaging;
Fluoroscopy;
Computed tomography (CT / CAT);
Single photon emission computed tomography (SPECT);
Positron emission tomography (PET);
Mammography.

These imaging modalities have become integral components of modern healthcare. With the rapid advancement of digital imaging, efficient management has become important, leading to the expansion of radiology information systems (RIS) and the adoption of Picture Archiving and Communication Systems (PACS) for digital image archiving. In telemedicine, real-time transmission of all medical image modalities from MRI to X-ray, CT and ultrasound has become the standard. The field of medical imaging continues to evolve, promising further innovations and advancements in the future, ultimately contributing to improved patient care and diagnostics.

See also History of Ultrasound Contrast Agents, and History of Ultrasound.
MyLab™30CV
www.biosound.com/products.asp?page=MYLAB30 From ESAOTE S.p.A.;
'The MyLab™30CV ultrasound system is an evolutionary step in ultrasound technology. Weighing less than 20 pounds, it is the first compact ultrasound system to deliver premium console performance. And with mobile, portable or stationary configurations, MyLab30CV can adapt to any clinical environment.'
Device Information and Specification
CONFIGURATION
Portable
RANGE AND FREQUENCIES OF PROBE TYPES
Linear: 4-10 MHz, convex: 2-5 MHz, phased: 1.6-10 MHz, micro convex: 5-7.5 MHz, endocavity: 5-7.5 MHz, pencil: 2 + 5 MHz
2-D, M-mode, duplex, triplex, color Doppler, pulsed wave Doppler, tissue velocity mapping (TVM), tissue enhancement imaging (TEI™), contrast harmonic imaging, stress echo, tissue velocity mapping for LV motion analysis (TVM), contrast tuned imaging for contrast media procedures (CnTI™), Qontrast™ for myocardium parameters quantification
STORAGE, CONNECTIVITY, OS
Digital patient archive/management, integrated CD/RW, RJ 45 and USB ports, Windows
H*W*D m (inch.)
0.16 * 0.36 * 0.50 (6.2 x 14 x 19.3)
WEIGHT
Less than 11 kg (20 lbs.)
Philips Medical Systems
www.medical.philips.com/main/products/mri/products/ In 1918, Philips started with their first medical X-ray tube. Philips Medical Systems now is a global leader in diagnostic imaging systems, healthcare information technology solutions, and patient monitoring and cardiac devices. Philips also provides customer services such as financing, consultancy and maintenance & repair.
Philips lacked in the field of ultrasound till 1998. By buying ATL (Bothell, Washington) in this year Philips establishing itself as an important player in ultrasound. In 2001 Philips also acquired Agilent (formerly Hewlett-Packard; Andover, Massachusetts), a market leader in the cardiology and vascular ultrasound systems (HP2000 to HP5500, now Sonos 2000 to Sonos 5500).

Philips Medical System is the diagnostics business of Royal Philips Electronics of the Netherlands, one of the world's biggest electronics companies and Europe's largest. Philips is quoted on the NYSE (symbol: PHG), London, Frankfurt, Amsterdam and other stock exchanges. On October 19, 2001, Philips Medical Systems completed a 3-year acquisition strategy through its purchase of Marconi Medical Systems. Marconi Medical Systems offered leading multislice CT, MRI, and Nuclear Gamma Camera systems to medical institutions around the world. As well as new 3.0T developments, Philips is also in collaboration with researchers at the University of Nottingham, with the intention of developing an ultrahigh field strength clinical 7.0T whole body MR system.


Ultrasound Systems:
Probe
In the field of medical ultrasound imaging, the term 'probe' specifically refers to the ultrasound transducer and represent the handheld device that emits and receives ultrasound waves during an examination.
The probe encompasses various components such as the elements, backing material, electrodes, matching layer, and protective face that are responsible for both emitting and receiving the sound waves. Aperture, known also as the footprint, is the part of the probe that is in contact with the body. When the emitted sound waves encounter body tissues, they generate reflections that are received by the probe, which then generates a corresponding signal. In most cases, the probe emits ultrasound waves for only about 10% of the time and receives them for the remaining 90%.
Probes are available in different shapes and sizes to accommodate various scanning situations. The footprint is linked to the arrangement of the piezoelectric crystals and comes in different shapes and sizes e.g. linear array transducer//convex transducer. The transducer plays a huge role in image quality and is one of the most expensive parts of the ultrasound machine. Mechanical probes steer the ultrasound beam driven by a motor and are capable of producing high-quality images, but they are prone to wear and tear. Mechanical probes have been mostly replaced by electronic multi-element transducers, but mechanical 3D probes still remain for abdominal and Ob-Gyn applications.
In summary, the terms 'ultrasound transducer,' 'probe,' and 'scanhead' are often used interchangeably to refer to the same component of the ultrasound machine. Probes consist of multiple components and are available in different shapes and sizes depending on the sonographer's needs.

See also Handheld Ultrasound, Ultrasound System Performance, Omnidirectional, Probe Cleaning, and Multi-frequency Probe,
SONOLINE G20™
www.medical.siemens.com/webapp/wcs/stores/servlet/ProductDisplay?storeId=10001&langId=-1&catalogId=-1&catTree=100001%2C12805%2C12761&level=0&productId=138562 From Siemens Medical Systems;
'The SONOLINE G20™ ultrasound system quickly distances itself from the competition with next-generation all-digital system architecture that utilizes Siemens technology migration. Individual imaging parameters have been optimized for a wide variety of clinical applications and patient types. So you can realize a higher degree of diagnostic confidence. Without doubt.'
Device Information and Specification
CLINICAL APPLICATION
General imaging, OB/GYN, urology and emergency medicine
CONFIGURATION
Compact, ultra-portable system
MultiHertz™ multiple frequency
PROBE TYPES
MicroCase™ transducer
IMAGING OPTIONS
IMAGING ENHANCEMENTS
TGO™ tissue grayscale optimization technology
STORAGE
DIMAQ-IP integrated workstation
DATA PROCESSING
Powerful processor for rapid transition times
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