Ultrasonography
Presented by:
Ms. Elizabeth. M.Sc(N)
Asst. Professor,
Dept of MSN,
NNC, GNSU.
Ultrasound
•It is adiagnostic imagingtechnique
•It is used to create an image of internal body
structures such astendons,muscles, joints,
blood vessels, and internal organs.
•Its aim is often to find a source of a disease or
to excludepathology.
•Ultrasound aresound waveswithfrequencies
which are higher than those audible to
humans (>20,000Hz).
•The ultrasoundpulses echooff tissues with
different reflection properties and are
recorded and displayed as an image.
•It displays two-dimensional cross-section of
tissue.
•Other types can displayblood flow, motion of
tissue over time, the location of blood, the
presence of specific molecules, thestiffness of
tissue, theanatomy of a three-dimensional
region.
Advantages
•It provides images in real-time
–E.g, the motion of the beating heart of fetus
•It isportable
•It is substantially lower in cost
•It does not use harmfulionizing radiation.
Drawbacks
•Needs for patient cooperation
•Difficulty imaging structures behindbone and
air or gases
•Necessity of a skilled operator
Procedure
•Wear comfortable, loose-fitting clothing.
•remove all clothing and jewelry
•wear a gown
•abdomen examination –NPO
•examination of female reproductive organs take
more water to fill the bladder
•thick gel on the skin -good sound transmission
Internal USG
To get better image the uterus and ovaries
Internal USG
Inserting transducer into anus to get image of
prostate gland.
Endoscopic USG
Endoscopic USG
USG Can be used
to evaluate………
Heart
•To detect abnormalities in heart beats
•Structural abnormalities such as defective
heart valves
•Abnormal enlargement of the heart’s
chambers or walls
Blood vessels
To detect dilated and narrowed blood vessels
Gallbladder and biliarytract
To detect gallstones and blockages in the bile
ducts
Liver, spleen, and pancreas
•To detect tumors
Urinary tract
•To distinguish benign cysts from solid masses
in the kidneys
•To detect blockages such as stones
•Structural abnormalities in the kidneys,
ureters, or bladder
Female reproductive organs
To detect tumors and inflammation in the
ovaries, fallopian tubes, or uterus
Pregnancy
•To evaluate the growth and development of
the fetus
•To detect abnormalities of the placenta
Placenta Previa
Biopsy
•It can show the position of the instrument,
•area to be biopsied
•where to insert the instrument
•It can guide it directly to its target.
Doppler ultrasonography
Doppler ultrasonographyuses changes that
occur in the frequency of sound waves when
they are reflected from a moving object (RBC)
Doppler ultrasonographycan be used to
evaluate
•Whether blood is flowing through blood
vessels
•How fast it flows
•Which direction it flows in
Spectral Doppler ultrasonography
•This procedure shows blood flow information
as a graph.
•It can be used to assess how much of a blood
vessel is blocked
Color Doppler ultrasonography
Color is superimposed on the shades-of-gray
image of blood flow produced by Doppler
ultrasonography.
•The color indicates direction of blood flow.
–Redmay be used to indicate flow toward the
transducer
–Bluemay be used to indicate flow away from the
transducer.
–Brightness of the color indicates how fast the
blood is flowing
Color Doppler ultrasonography
•It can assess the risk of stroke, TIA -identify
and evaluate narrowing or blockage of
arteries in the neck and head.
•Risk of atherosclerosis with no symptoms
•It is also used to assess blood flow to internal
organs and tumors.