Medical Ultrasound Imaging
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Urologic Ultrasound
Urologic ultrasound includes the examination of the kidneys, renal vessels, urinary tract, bladder, prostate, and scrotum.
Usual gray scale ultrasound equipment and standard probes are sufficient to examine the kidney parenchyma and renal pelvis, the urinary tract and bladder. Doppler ultrasound is a useful adjunct to kidney ultrasound. High ultrasound system performance is desirable to show the arterial system, because advanced power Doppler is significantly more sensitive to blood flow than standard color Doppler.
Transurethral sonography may be used to examine the bladder and urethra. Transrectal sonography is used to scan and treat the prostate e.g., with brachytherapy or high intensity focused ultrasound. Very small probes are used for these applications. Reflux sonography is especially used in pediatric ultrasound.

See also Ultrasound Imaging Procedures, Ultrasound Picture, Ultrasound Imaging Modes, Lithotripsy, Thermotherapy, Brachytherapy and Ultrasound Therapy.
Vascular Ultrasound
Vascular ultrasound obtains images and measures blood flow velocity in the carotids, abdominal aorta, and vessels of kidneys, arms, or legs. Blockages in arteries, blood clots in veins, or abdominal aortic aneurysm can be detected.
These abnormalities in blood flow are usually examined with different Doppler techniques. In addition, the speed and direction of blood flow can be color coded in a color map. Duplex techniques show both, the vessels and the surrounding tissue. The use of ultrasound contrast agents improves the left ventricular opacification in cardiac ultrasound examination. Usually, for a vascular ultrasound no special preparation is needed.

See also Echocardiography, Venous Ultrasound, Adventitia, Intima, Temporal Mean Velocity, and Intravascular Ultrasound.
Abdominal Ultrasound
(AUS) Abdominal ultrasound, also known as abdominal sonography, is a medical imaging technique that focuses on the visualization and assessment of the abdominal organs. While 'abdominal ultrasound' is the commonly used term, there are alternative terms that can be used to refer to this imaging modality: (TAE) transabdominal echography, abdominal ultrasonography, sonogram, FAST (Focused Assessment with Sonography for Trauma).
Abdominal ultrasound imaging is an invaluable clinical tool for identifying the underlying cause of abdominal pain. An abdominal ultrasound examination encompasses a comprehensive evaluation of the liver, gallbladder, biliary tree, pancreas, spleen, kidneys, and abdominal blood vessels. It is a cost-effective, safe, and non-invasive medical imaging modality that is typically utilized as the initial diagnostic investigation.
Advanced ultrasound techniques, such as high-resolution ultrasound, endoscopic ultrasound, and contrast-enhanced Doppler, further enhance the detection of small lesions and provide detailed information for precise diagnosis.
To prepare for an abdominal ultrasound, it is recommended to have nothing to eat or drink for at least 8 hours, starting from midnight the night before the examination.

Indications:
Abdominal pain
Gallbladder or kidneys stones
Inflammation
Detection of cancer and metastasis

FAST (Focused Assessment with Sonography for Trauma) is a rapid diagnostic test used for trauma patients. It sequentially evaluates the presence of free fluid in the pericardium (hemopericardium) and in four specific views of the abdomen. These views include the right upper quadrant (RUQ), left upper quadrant (LUQ), subcostal, and suprapubic views. They aid in identifying hemoperitoneum in patients with potential truncal injuries. The space between the liver and the right kidney (RUQ), known as Morison's pouch, is a location where intraperitoneal fluid can accumulate.
Emergency abdominal ultrasonography is indicated in cases of suspected aortic aneurysm, appendicitis, biliary and renal colic, as well as blunt or penetrating abdominal trauma. It plays a crucial role in the timely assessment and management of these conditions, providing critical information to guide appropriate treatment decisions.

See also Handheld Ultrasound, Pelvic Ultrasound, Pregnancy Ultrasound, Prostate Ultrasound, Interventional Ultrasound and Pediatric Ultrasound.
Pediatric Ultrasound
Ultrasound is the ideal tool to examine children of all ages. It is fast, painless, uses no ionizing radiation, and does not require a baby to remain still for long periods. Real-time modes show movement of internal tissues and organs. Advanced ultrasound imaging techniques such as color Doppler, 4D ultrasound, harmonic imaging, and higher resolution, as well as the application of ultrasound contrast agents broaden the potential of ultrasound.
Pediatric [paediatric, Brit.] ultrasound can be used in all body regions and reduce the number of more invasive or radiating examinations that often additionally need sedation or intravenous iodinated contrast agents.

See also Fetal Ultrasound, Reflux Sonography, Ultrasound Safety, Abdominal Ultrasound and Pregnancy Ultrasound.
Pregnancy Ultrasound
Pregnancy ultrasound plays a crucial role in monitoring the health and development of the fetus throughout pregnancy. It serves as a screening tool with various applications, including:
Verification of Due Date and Assessment of Pregnancy Health:
Fetal ultrasound examinations are used to accurately determine the estimated due date of the baby. They also aid in investigating the causes of bleeding during pregnancy and assessing the overall health and well-being of the fetus.
Evaluation of Fetal Development and Gender:
Ultrasound allows for visualizing the growth and development of the fetus, including assessing fetal anatomy and detecting any potential defects. Additionally, it can determine the gender of the baby, if desired by the parents.
Measurement of Amniotic Fluid and Placental Assessment:
Ultrasound is utilized to measure the amniotic fluid levels, which provide insights into fetal well-being and the functioning of the placenta. It also helps evaluate the condition of the placenta, ensuring proper nutrient and oxygen supply to the developing baby.
Early Pregnancy Confirmation and Multiple Fetuses Detection:
Around week five to seven of pregnancy, ultrasound is utilized to confirm the pregnancy, determine the fetal size, and detect the presence of multiple fetuses. It aids in distinguishing between intrauterine and ectopic pregnancies, ensuring appropriate management.
Third-Trimester Evaluation:
As the pregnancy progresses, ultrasound assessments are conducted to evaluate fetal size, position, growth, and the condition of the placenta. This information assists healthcare providers in monitoring the well-being of the fetus and planning for a safe delivery.
Guiding Procedures:
Ultrasound plays a vital role in guiding invasive procedures such as amniocentesis and chorionic villus sampling. It helps guide the placement of a needle to collect cells from the amniotic fluid or placenta, aiding in genetic testing and diagnosing potential fetal abnormalities.


See also Doppler Fluximetry in Pregnancy, Fetal Ultrasound, Obstetric and Gynecologic Ultrasound and Vaginal Probe.
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