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Chapter 1 Safety
Indirect Controls
The indirect controls are those that have an indirect eect on acoustic intensity. These controls aect
imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection.
The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanning
mode, Doppler is a stationary or unscanned mode. A stationary ultrasound beam concentrates energy
on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and
the beam is only concentrated on a given area for a fraction of the time necessary in unscanned mode.
Pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specic
period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period
of time. Several controls aect pulse repetition frequency: focal depth, display depth, sample volume
depth, color sensitivity, number of focal zones, and sector width controls.
Focus of the ultrasound beam aects the image resolution. To maintain or increase resolution at a
dierent focus requires a variation in output over the focal zone. This variation of output is a function
of system optimization. Dierent exams require dierent focal depths. Setting the focus to the proper
depth improves the resolution of the structure of interest.
Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater
the time-average intensity value. The greater the time-average intensity, the greater the likelihood of
temperature increase and cavitations. Pulse length or burst length or pulse duration is the output
pulse duration in pulsed Doppler. Increasing the Doppler sample volume increases the pulse length.
Probe selection aects intensity indirectly. Tissue attenuation changes with frequency. The higher
the probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe
operating frequencies require higher output intensity to scan at a deeper depth. To scan deeper at
the same output intensity, a lower probe frequency is required. Using more gain and output beyond
a point, without corresponding increases in image quality, can mean that a lower frequency probe is
needed.
Receiver Controls
Receiver controls are used by the operator to improve image quality. These controls have no eect on
output. Receiver controls only aect how the ultrasound echo is received. These controls include gain,
TGC, dynamic range, and image processing. The important thing to remember, relative to output, is
that receiver controls should be optimized before increasing output. For example; before increasing
output, optimize gain to improve image quality.
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