Sonography of the gallbladder is a reliable technique for diagnosing e.g., gallstones, cholecystitis, tumors, polyps, or ductal obstruction. Patient should be examined with empty stomach and on a low fat diet the night before. Barium studies, endoscopy, ERCP, colonoscopy, and abdominal CT should be performed after this examination.
Gallbladder ultrasound is best performed with a 5 MHz curved array or a linear array transducer in cases of a very superficial gallbladder. In obese patients or in patients with difficult sonographic access, a 3.5 MHz sector or curved linear transducer is advantageous.
Gallbladder and biliary tree are usually imaged in supine and posterior oblique (LPO) positions. Sometimes very small gallstones are better visible in upright and prone position.

Cardiac ultrasound, also known as echocardiography or echocardiogram, is used to provide several different levels and types of heart testing. Cardiac ultrasound utilizes the same ultrasound principles as used for obstetric and gynecologic evaluations of pregnant women, gallbladder ultrasound and other abdominal structures.
The ultrasound is directed out of a hand held probe which can be moved to image the heart from different positions. Additionally, so that heart events can be timed, ECG leads are placed on the chest. The reflected wave is converted into an actual image of the heart and displayed in a real-time mode or M-mode ultrasound format. M-mode recordings permit measurement of cardiac dimensions and detailed analysis of complex motion patterns depending on transducer angulations. Also the time relationships with other physiological variables such as ECG, heart sounds, and pulse tracings, can be recorded simultaneously. A stress echocardiogram provides information about the cardiac performance.
Two-dimensional tomographic images of selected cardiac sections give more information than M-mode about the shape of the heart and also show the spatial relationships of its structures during the cardiac cycle (diastole to systole).

See also M-Mode Echocardiography, and Myocardial Contrast Echocardiography.

From SIUI Inc.;
'SIUI's newly developed CTS-485 is a portable ultrasound system with advanced technology. With its powerful features, such as 256 grayscale, cineloop, RS232C interface and broadband high-density, multi-frequency probes, the system is designed for professional applications in cardiology, abdominal, small parts, liver, gallbladder, kidney, obstetrics, gynecology, peripheral vascular, etc. The CTS-485 has passed FDA clearance and CE Marking.'

From SIUI Inc.;
'The CTS-285 is designed for the diagnosis of liver, gallbladder, kidney, pancreas, thyroid, breast, uterus, bladder, ovary, etc. It is a portable versatile ultrasound scanner with convex and linear array scanning.'

A liver sonography is a diagnostic tool to image the liver and adjoining upper abdominal organs such as the gallbladder, spleen, and pancreas. Deeper structures such as liver and pancreas are imaged at a lower frequency 1-6 MHz with lower axial and lateral resolution but greater penetration. The diagnostic capabilities in this area can be limited by gas in the bowel scattering the sound waves.
The application of microbubbles may be useful for detection of liver lesions and for lesion characterization. Some microbubbles have a liver-specific post vascular phase where they appear to be taken up by the reticuloendothelial system (RES). Dynamic contrast enhanced scans in a similar way as with CT or MRI can be used to studying the arterial, venous and tissue phase.
After a bolus injection, early vascular enhancement is seen at around 30sec in arterialized lesions (e.g., hepatocellular carcinomas (HCC), focal nodular hyperplasia (FNH)). Later enhancement is typical of hemangiomas with gradually filling towards the center. In the late phase at around 90sec, HCCs appear as defects against the liver background. Most metastases are relatively hypovascular and so do not show much enhancement and are seen as signal voids in the different phases.
Either with an intermittent imaging technique or by continuous scanning in a nondestructive, low power mode, characteristic time patterns can be used to differentiate lesions.

See also Medical Imaging, B-Mode, High Intensity Focused Ultrasound, Ultrasound Safety and Contrast Medium.