Medical Ultrasound Imaging
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Gray Scale
Gray scale [also grayscale, grey scale = brit.] produces basically black and white images with series of shades of gray. Solid areas appear white and fluid areas appear black, varying from black at the weakest intensity to white at the strongest. Gray scale resolves artifacts as small as 1 mm. The display is made by transmitting bursts of energy and analyzing the returning signal. Gray scale pictures are limited to the gray scale tones; color pictures display more information because the color is added to the gray scale.
Most ultrasound contrast agents also improve gray scale visualization of the flowing blood to such a degree that the tissue echogenicity increases. Gray scale enhancement of flow in an organ promises to improve lesion detection, along with the ability to differentiate between normal and abnormal areas, using many of the criteria already routinely used in CT and MRI.

See also Compress, Densitometry, Triplex Exam and QB-Mode.
Hi Vision 5500 - EUB-5500
www.hitachimed.com/products/ultrasound/eub_5500.asp From Hitachi Medical Corporation (HMC), sales, marketing and service in the US by Hitachi Medical Systems America Inc.
The HI VISION™ 5500 - EUB-5500 fully digital ultrasound system delivers the latest generation of signal processing technology, sophisticated transducer design, and a host of features and options for advanced imaging capabilities across a wide range of clinical situations. This system is compatible with all Pentax ultrasound endoscopes.
Device Information and Specification
CONFIGURATION
Compact system
Five frequency (except mini-probes)
RANGE OF PROBE TYPE
Linear, convex, radial, miniradial/miniprobe, biplane, phased array, echoendoscope longitudinal, echoendoscope radial
PROBE FREQUENCIES
Linear: 5.0-13 MHz, convex: 2.5-7.5 MHz, phased: 2.0-7.5 MHz, sector: 2.0-7.5 MHz
IMAGING OPTIONS
3RD generation color artifact suppression
OPTIONAL PACKAGE
3D imaging, dual omni-directional M-mode display, steerable CW Doppler, Pentax EUS and Fujinon Mini-probe
STORAGE, CONNECTIVITY, OS
Patient and image database management system, HDD, FDD, MOD, CD-ROM, Network, DICOM 3.0, Windows XP
DATA PROCESSING
12 bit gigasampling A/D for precise signal reproduction, Quadra beam processing for fast frame rates
H*W*D m (inch.)
1.40 x 0.51 x 0.79 (55 x 20 x 31)
WEIGHT
130 kg (286 lbs.)
POWER CONSUMPTION
1.2kVA
ENVIRONMENTAL IMPACT
4096 btu/hr heat output
Hi Vision 8500 - EUB-8500
www.hitachimed.com/products/ultrasound/eub_8500.asp From Hitachi Medical Corporation (HMC), sales, marketing and service in the US by Hitachi Medical Systems America Inc.;
Powerful, flexible, and fast, the HI VISION™ 8500 - EUB-8500 diagnostic ultrasound scanner combines leading edge technologies with user-oriented operation for exceptional imaging and functionality.
Available exclusively on the 8500, SonoElastography provides a new perspective on the physical properties of tumors and masses by determining and displaying the relative stiffness of tissue.

Device Information and Specification
CONFIGURATION
Compact system
Five frequency (except mini-probes), low impedance, wideband
RANGE OF PROBE TYPE
Linear, convex, radial, biplane, phased array, echoendoscope longitudinal, echoendoscope radial
PROBE FREQUENCIES
Linear: 5.0-13 MHz, convex: 2.5-7.5 MHz, phased: 2.0-7.5 MHz, sector: 2.0-7.5 MHz
4 Modes of dynamic tissue harmonic imaging (dTHI), pulsed wave Doppler, continuous wave Doppler, color flow imaging, power Doppler, directional power Doppler, color flow angiography, real-time Doppler measurements, quantitative tissue Doppler
IMAGING OPTIONS
HI COMPOUND imaging, HI RES adaptive imaging, wideband pulse inversion imaging (WPI), Raw Data Freeze
OPTIONAL PACKAGE
3D imaging, steerable CW Doppler, dynamic contrast harmonics imaging, stress echo, Pentax EUS and Fujinon Mini-probe, SonoElastography imaging option
IMAGING ENHANCEMENTS
3RD generation color artifact suppression
STORAGE, CONNECTIVITY, OS
Patient and image database management system, HDD, FDD, MOD, CD-ROM, Network, DICOM 3.0, Windows XP
DATA PROCESSING
Octal beam processing, 12 bit Gigasampling A/D for precise signal reproduction
H*W*D m (inch.)
1.50 * 0.56 * 1.02 (59 x 22 x 40)
WEIGHT
159 kg (351 lbs.)
POWER CONSUMPTION
1.5kVA
Hi Vision™ 6500 - EUB-6500
www.hitachimed.com/products/ultrasound/eub_6500.asp From Hitachi Medical Corporation (HMC);
The HI VISION™ 6500 - EUB-6500 high resolution digital ultrasound system offers advanced clinical imaging, enhanced operating efficiency, and remarkable clinical flexibility, all in robust and versatile configuration that simply represents a better clinical solution in a variety of real-world, real-work arenas.

Device Information and Specification
CONFIGURATION
Compact system
Five frequency (except mini-probes), low impedance, wideband
RANGE OF PROBE TYPE
Linear, convex, radial, miniradial/miniprobe, biplane, phased array, echoendoscope longitudinal, echoendoscope radial
PROBE FREQUENCIES
Linear: 5.0-13 MHz, convex: 2.5-7.5 MHz, phased: 2.0-7.5 MHz, sector: 2.0-7.5 MHz
Tissue Doppler imaging (TDI), pulsed wave Doppler, continuous wave Doppler, color flow imaging, power Doppler, directional power Doppler, color flow angiography, real-time Doppler measurements, 4 modes of dynamic tissue harmonic imaging (dTHI), wideband pulse inversion imaging (WPI)
IMAGING OPTIONS
3RD generation color artifact suppression
OPTIONAL PACKAGE
3D ultrasound, dual omni-directional M-mode display, steerable CW Doppler, dynamic contrast harmonics imaging, stress echo, Pentax EUS and Fujinon Mini-probe
STORAGE, CONNECTIVITY, OS
Patient and image database management system, HDD, FDD, MOD, CD-ROM, Network, DICOM 3.0, Windows XP
DATA PROCESSING
12 bit gigasampling A/D for precise signal reproduction, Quadra beam processing for fast frame rates
H*W*D m (inch.)
1.40 x 0.51 x 0.79 (55 x 20 x 31)
WEIGHT
130 kg (286 lbs.)
POWER CONSUMPTION
1.2kVA
ENVIRONMENTAL POLLUTION
4096 btu/hr heat output
History of Ultrasound
The earliest introduction of vascular ultrasound contrast agents (USCA) was by Gramiak and Shah in 1968, when they injected agitated saline into the ascending aorta and cardiac chambers during echocardiographic to opacify the left heart chamber. Strong echoes were produced within the heart, due to the acoustic mismatch between free air microbubbles in the saline and the surrounding blood.
In 1880 the Curie brothers discovered the piezoelectric effect in quartz. Converse piezoelectricity was mathematically deduced from fundamental thermodynamic principles by Lippmann in 1881.
In 1917, Paul Langevin (France) and his coworkers developed an underwater sonar system (called hydrophone) that uses the piezoelectric effect to detect submarines through echo location.
In 1935, the first RADAR system was produced by the British physicist Robert Watson-Wat. Also about 1935, developments began with the objective to use ultrasonic power therapeutically, utilizing its heating and disruptive effects on living tissues. In 1936, Siemens markets the first ultrasonic therapeutic machine, the Sonostat.
Shortly after the World War II, researchers began to explore medical diagnostic capabilities of ultrasound. Karl Theo Dussik (Austria) attempted to locate the cerebral ventricles by measuring the transmission of ultrasound beam through the skull. Other researchers try to use ultrasound to detect gallstones, breast masses, and tumors. These first investigations were performed with A-mode.
Shortly after the World War II, researchers in Europe, the United States and Japan began to explore medical diagnostic capabilities of ultrasound. Karl Theo Dussik (Austria) attempted to locate the cerebral ventricles by measuring the transmission of ultrasound beam through the skull. Other researchers, e.g. George Ludwig (United States) tried to use ultrasound to detect gallstones, breast masses, and tumors. This first experimentally investigations were performed with A-mode. Ultrasound pioneers contributed innovations and important discoveries, for example the velocity of sound transmission in animal soft tissues with a mean value of 1540 m/sec (still in use today), and determined values of the optimal scanning frequency of the ultrasound transducer.
In the early 50`s the first B-mode images were obtained. Images were static, without gray-scale information in simple black and white and compound technique. Carl Hellmuth Hertz and Inge Edler (Sweden) made in 1953 the first scan of heart activity. Ian Donald and Colleagues (Scotland) were specialized on obstetric and gynecologic ultrasound research. By continuous development it was possible to study pregnancy and diagnose possible complications.
After about 1960 two-dimensional compound procedures were developed. The applications in obstetric and gynecologic ultrasound boomed worldwide from the mid 60's with both, A-scan and B-scan equipment. In the late 60's B-mode ultrasonography replaced A-mode in wide parts.
In the 70's gray scale imaging became available and with progress of computer technique ultrasonic imaging gets better and faster.
After continuous work, in the 80's fast realtime B-mode gray-scale imaging was developed. Electronic focusing and duplex flow measurements became popular. A wider range of applications were possible.
In the 90's, high resolution scanners with digital beamforming, high transducer frequencies, multi-channel focus and broad-band transducer technology became state of the art. Optimized tissue contrast and improved diagnostic accuracy lead to an important role in breast imaging and cancer detection. Color Doppler and Duplex became available and sensitivity for low flow was continuously improved.
Actually, machines with advanced ultrasound system performance are equipped with realtime compound imaging, tissue harmonic imaging, contrast harmonic imaging, vascular assessment, matrix array transducers, pulse inversion imaging, 3D and 4D ultrasound with panoramic view.

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