If available, some graphic aids can be helpful to show image orientations.
1) A graphic icon of the labeled primary axes (A, L, H) with relative lengths given by direction sines and orientation as if viewed from the normal to the image plane can help orient the viewer, both to identify image plane orientation and to indicate possible in plane rotation.
2) Ingraphic prescription of obliques from other images, a sample original image with an overlaid line or set of lines indicating the intersection of the original and oblique image planes can help orient the viewer.


In all cases the scanning surface is assigned to the top of the image. The orientation of single oblique slices can be specified by rotating a slice in one of the basic orientations toward one of the other two basic orthogonal planes about an axis defined by the intersection of the 2 planes.

See also Histogram.

(BAT) B-mode acquisition and targeting is a stereotactic tumor locating device system, based on ultrasound and designed to maximize the precision of external beam radiation.
By tracking the position and orientation of the ultrasound transceiver within the treatment vault, BAT ultrasound produces images that can be fused with the CT scans used in the treatment plan.
When this is done directly before treatment, the current location of the target volume can be determined in reference to the treatment plan so that the volume is placed precisely and accurately. The patient's position can then be adjusted accordingly.

(LUS) Diagnostic laparoscopy combined with laparoscopic ultrasound is used for staging tumors and to monitor surgical interventions like for example radiofrequency ablation or cryotherapy. Laparoscopic ultrasound provides direct contact imaging of organs with high frequency ultrasound. Laparoscopic ultrasound identifies and characterizes the tumor, guides the probe, and monitors the progression of the freezing or the thermal destruction. This procedure avoid unnecessary open surgery and improves selection of patients for tumor resection e.g., in liver and pancreas.
Challenges of LUS are limitations of the intraoperative acoustic windows and the possible movement of the probe and that standard orientation techniques are difficult to apply with laparoscopic instruments, resulting in images from oblique planes. 3D ultrasound or special navigation systems may be helpful.

See also Ultrasound Therapy.

A piezoelectric crystal changes the physical dimensions when subjected to an electric field. When deformed by external pressure, an electric field is created across the crystal. Piezoelectric ceramic and crystals are used in ultrasound transducers to transmit and receive ultrasound waves.
The piezoelectric crystal in ultrasound transducers has electrodes attached to its front and back for the application and detection of electrical charges. The crystal consists of numerous dipoles, and in the normal state, the individual dipoles have an oblique orientation with no net surface charge.
In ultrasound physics, an electric field applied across the crystal will realign the dipoles and results in compression or expansion of the crystal, depending on the direction of the electric field. For the transmission of a short ultrasound pulse, a voltage spike of very short duration is applied, causing the crystal to initially contract and then vibrate for a short time with its resonant frequency.

See also Composite Array, Transducer Pulse Control, and Temporal Peak Intensity.