Ultrasound waves are reflected when there is a change in acoustic impedance. The larger the change, the more ultrasound is reflected. Microbubbles have an enormous difference in acoustic impedance as compared to surrounding fluid due to the large differences in density, elasticity and compressibility.
At low acoustic power (mechanical index less than 0.1), the mechanism of ultrasound reflection is that of Rayleigh scattering and the microbubbles may be regarded as point scatterers. The scattering strength of a point scatterer is proportional to the sixth power of the particle radius and to the fourth power of the ultrasound frequency;; the echogenicity of such contrast agent is therefore highly dependent upon particle size and transmit frequency. The backscattered intensity of a group of point scatterers is furthermore directly proportional to the total number of scatterers in the insonified volume. The concentration of the contrast medium is of importance.

See also Backscatter Energy, Cross-section Scattering.

(CWD) Continuous wave (CW) Doppler is an ultrasound imaging mode, which records blood flow velocities along the length of the beam. Continuous wave Doppler uses different crystals to send and receive the signal. The transducer operating in continuous wave mode utilizes one half of the elements and is continuously sending sound waves of a single frequency while the other half is continuously receiving the reflected signals.
The advantages of a continuous wave transducer are a high sensitivity and no Nyquist limit. CW Doppler does not alias but has no depth precision and large gate. The beat frequency is the Doppler shift. CW Doppler echocardiography employs this technique to record the flow of blood through the cardiovascular system.

See also Cross Talk, Periorbital Doppler, and Mirror Artifact.

The Doppler spectrum indicates how the echo power is distributed according to the Doppler shift frequency. The Doppler shift frequency is directly related to the radial velocity of the scatterer.

See also Modal Velocity, Doppler Effect and Doppler Ultrasound.

The Doppler velocity signal refers to a signal whose voltage is proportional to the Doppler frequency shift, obtained by a frequency-to-voltage conversion of the Doppler signal.

See also Autocorrelation, Temporal Mean Velocity, Doppler Effect, Doppler Ultrasound and Maximum Venous Outflow.

A filter in electronics is a circuit that only passes certain signals. In ultrasound is a filter a device to suppress acoustic or electromagnetic waves of certain frequencies, letting other frequencies pass, e.g. high pass filter, low pass filter. The high pass filter is the wall filter (also called thump filter) used in Doppler devices to eliminate low frequency Doppler shifts caused by clutter. For blood flow measurement, a low pass filter is often used to strip out high frequency noise, leaving only the biological components of interest. Frame averaging is a form of a low pass filter.