Medical Ultrasound Imaging
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Apogee 800Plus
www.siui.com/english/product/800.htm From SIUI Inc.;
'The Apogee 800Plus ultrasound system offers a new level of high quality in image. With broad clinical application, the system delivers ease of use for cardiac and vascular exams.'
'Due to the exceptional image quality, the sensitivity of color Doppler and many other advanced features, the Apogee 800Plus offers complete diagnosis capability for your entire patient population, including abdominal, obstetrics, gynecology, adult cardiology, pediatric cardiology, peripheral vascular, small parts, breast, prostate, transcranial, etc.'

Device Information and Specification
APPLICATIONS
CONFIGURATION
Normal system, display: 2D(256); M-mode(128); Doppler(128); Color(128)
Linear, curved, phased and symmetric phased array
H*W*D m
1.46 * 0.69 * 0.87
WEIGHT
140 kg (without peripherals)
POWER REQUIREMENT
115Vac, (V~), @ 50 to 60 Hz, 1.2kVA
230Vac, (V~), @ 50 to 60 Hz, 1.2kVA
POWER CONSUMPTION
800 Watts (with optional OEM'S: 1200 Watts max)
Transducer
A transducer is a device, usually electrical or electronic, that converts one type of energy to another. Most transducers are either sensors or actuators. A transducer (also called probe) is a main part of the ultrasound machine. The transducer sends ultrasound waves into the body and receives the echoes produced by the waves when it is placed on or over the body part being imaged.
Ultrasound transducers are made from crystals with piezoelectric properties. This material vibrates at a resonant frequency, when an alternating electric current is applied. The vibration is transmitted into the tissue in short bursts. The speed of transmission within most soft tissues is 1540 m/s, producing a transit time of 6.5 ms/cm. Because the velocity of ultrasound waves is constant, the time taken for the wave to return to the transducer can be used to determine the depth of the object causing the reflection.
The waves will be reflected when they encounter a boundary between two tissues of different density (e.g. soft tissue and bone) and return to the transducer. Conversely, the crystals emit electrical currents when sound or pressure waves hit them (piezoelectric effect). The same crystals can be used to send and receive sound waves; the probe then acts as a receiver, converting mechanical energy back into an electric signal which is used to display an image. A sound absorbing substance eliminates back reflections from the probe itself, and an acoustic lens focuses the emitted sound waves. Then, the received signal gets processed by software to an image which is displayed at a monitor.
Transducer heads may contain one or more crystal elements. In multi-element probes, each crystal has its own circuit. The advantage is that the ultrasound beam can be controlled by changing the timing in which each element gets pulsed. Especially for cardiac ultrasound it is important to steer the beam.
Usually, several different transducer types are available to select the appropriate one for optimal imaging. Probes are formed in many shapes and sizes. The shape of the probe determines its field of view.
Transducers are described in megahertz (MHz) indicating their sound wave frequency. The frequency of emitted sound waves determines how deep the sound beam penetrates and the resolution of the image. Most transducers are only able to emit one frequency because the piezoelectric ceramic or crystals within it have a certain inherent frequency, but multi-frequency probes are also available.
See also Blanking Distance, Damping, Maximum Response Axis, Omnidirectional, and Huygens Principle.
Duplex
Duplex ultrasonography (duplex scan) consists of two ultrasound modalities to study blood flow and the perivascular tissue. This includes B-mode / gray scale imaging used in combination with spectral Doppler / pulsed-wave Doppler.
The real-time visualization of the vessels and tissue by the B-mode component improves the PW Doppler positioning and the direction of blood flow can be inferred. The angle between the direction of the PW Doppler signal and the estimated direction of blood flow can be measured.
Duplex techniques are available on phased array, linear array, and mechanical scanners. A phased array probe is able to create nearly simultaneous images and flow information. A linear array transducer can also do this if the Doppler probe is attached separately to one end of the scanhead. A mechanical transducer freeze the image; the crystals must be static to produce a Doppler image. The first two transducers are therefore the best choice for Duplex.

See also Compound B-Mode, and Duplex Scanner.
Aliasing Artifact
Echoes of deep lying structures within the body do not always come from the latest emitted sound pulse and can produce an aliasing artifact. Aliasing lowers the frequency components when the pulse repetition frequency is less than 2 times the highest frequency of a Doppler signal. This artifact can be problematical at Spectral or Color Doppler examinations.
Aliasing of the data displayed in pulsed wave technology is utilized as a benefit in determining transitions from laminar to turbulent flow.

See also Ultrasound Imaging Modes.
Linear Array Transducer
Linear array transducer elements are rectangular and arranged in a line. Linear array probes are described by the radius of width in mm. A linear array transducer can have up to 512 elements spaced over 75-120 mm. The beam produced by such a narrow element will diverge rapidly after the wave travels only a few millimeters. The smaller the face of the transducer, the more divergent is the beam. This would result in poor lateral resolution due to beam divergence and low sensitivity due to the small element size.
In order to overcome this, adjacent elements are pulsed simultaneously (typically 8 to 16; or more in wide-aperture designs). In a subgroup of x elements, the inner elements pulse delayed with respect to the outer elements. The interference of the x small divergent wavelets produces a focused beam. The delay time determines the depth of focus for the transmitted beam and can be changed during scanning.
Linear arrays are usually cheaper than sector scanners but have greater skin contact and therefore make it difficult to reach organs between ribs such as the heart. One-dimensional linear array transducers may have dynamic, electronic focusing providing a narrow ultrasound beam in the image plane. In the z-plane (elevation plane - perpendicular to the image plane) focusing may be provided by an acoustic lens with a fixed focal zone.
Rectangular or matrix transducers with unequal rows of transducer elements are two-dimensional (2D), but they are termed 1.5D, because the number of rows is much less than the number of columns. These transducers provide dynamic, electronic focusing even in the z-plane.

See also Rectangular Array Transducer.
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