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Biomedical Application of
Ultrasound Imaging
DEPARTMENT OF BIOMEDICAL ENGINEERING , KUET
Course teachers:
Dabasish Kumar Saha
Assistant Professor
Zubair Ahmed Ratan
Lecturer
Fazla Rabbi Mashrur
1515020
A PRESENTATION ON
Presented by:
1
01
Timeline
Gynecology and
Obstetric
MusculoskeletalAngiology
(Vascular)
Gastroenterology
Emergency
Medicine
Background
Knowledge
2
02
Major Planes of Reference
Sagittal
Axial (transverse)
Coronal
Image 1: Body planes
Image 1: LICENSE:CC-BY-SA SOURCE: http://upload.wikimedia.org/wikipedia/commons/3/34/BodyPlanes.jpg CREATOR:USA Government CONTACT DETAILS: http://training.seer.cancer.gov/anatomy/
3
03
Image Orientation
Sagittal (or longitudinal) images
The superior or head end of the patient is
to the viewer’s left side
Figure 1: Sagittal scan of lower gastrocnemius muscle in the calf
Figure 1: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
4
04
Image Orientation
Transverse images
The image is viewed as if you are
positioned at the patient’s feet, looking up
Figure 2: Transverse image of thyroid gland
Figure 2: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
5
05
Trasducer
2.5 MHz: deep abdomen, obstetric and gynecological imaging
3.5 MHz: general abdomen, obstetric and gynecological imaging
5.0 MHz: vascular, pelvic imaging
7.5 MHz: thyroid
10.0 MHz: thyroid, superficial veins, superficial masses,
musculoskeletal imaging.
15.0 MHz: superficial structures, musculoskeletal imaging
6
06
Gynecology and Obstetric
Gynecologic ultrasonography examines female pelvic organs
(specifically the uterus, the ovaries, and the Fallopian tubes) as well
as the bladder, the adnexa, and the Pouch of Douglas.
Obstetrical sonography is commonly used during pregnancy to check
on the development of the fetus.
Source:https://en.wikipedia.org/wiki/Medical_ultrasound#Gynecology_and_obstetrics
Definition
7
07
Cont.
Preparation
Early pregnancy
(up to about 10 w)
comfortably full urinary bladder
pregnancies over
approximately 10w
small amount of urine in bladder
Figures 3a and 3b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
Figure 3: Sagittal uterus (a) full urinary bladder (b) empty urinary bladder
8
08
Cont.
Transducer
For very early pregnancies
(e.g. less than 6w)
high frequency endocavity
transducer
For scans above 6w curved 1 – 6 MHz transducer
9
09
Cont.
▪ Kicking Baby sonography
10
10
Gastroenterology
Abdominal ultrasound are frequently used in gastroenterology
surgery.
The solid organs of the abdomen such as
the pancreas, aorta, inferior vena cava,
liver, gall bladder, bile ducts, kidneys, and spleen are imaged.
Source:https://en.wikipedia.org/wiki/Medical_ultrasound#Gastroenterology/Colorectal_surgery
Definition
11
11
Cont.
Preparation
Figures 5a and 5b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
Fast for at least 6 hours
Figure 5: (a) Fasting gall bladder, (b) Gall bladder after fatty meal
12
12
Cont.
A curved 1 – 6 MHz transducer
Transducer curved 1 – 6 MHz transducer
Organs demonstration
Figures 6a and 6b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
Figure 6: (a) Gall bladder containing a gall stone (b) Gall bladder containing a polyp
13
13
Angiology (vascular)
Can be performed on many vessels throughout the body, but not all
Use B-mode ultrasound with Doppler techniques
can’t be seen vessels in the brain
Vascular ultrasound
14
14
Cont.
Transducer
High frequency,linear
transducers
Superficial vessels, for example in
the arms, legs and neck
Lower frequency, curved
transducer
Deeper vessels, such as those in the
abdomen
15
15
Vascular waveforms
Arterial flow demonstrates a pulsatile flow
Recorded on the horizontal time axis
Biphasic-high and a low velocity point
Traditionally colored red on sonography
Demonstrated above the horizontal time
axis
Figures 6a and 6b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
Fig 7: Arterial waveform
Arterial Wavefrom
16
16
Vascular waveforms
Monophasic flow
Does not exhibit a pulsatile flow
Same velocity all the time
Traditionally colored blue on sonography
Demonstrated below the baseline
Figures 8: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au
Fig 8: Venous waveform
Venous Wavefrom
17
17
Musculoskeletal
Used to examine tendons, muscles, nerves, ligaments, soft tissue
masses, and bone surfaces
To visualize real-time soft tissue motion
Continuous display of tissue, acquired at over 50 frames per second
Definition
18
18
Cont.
▪ Demonstrates the Achilles Tendon
19
19
Emergency ultrasound
Immediate patient-care decisions
Used to quickly diagnose a limited set of injuries or pathologic
conditions
Emergency medical condition
Emergency department
Critical care unit
Ambulance
Combat zone
20
20
The
end

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Application of Ultrasound Imaging/Sonogram in Biomedical/Clinical/Healthcare

  • 1. Biomedical Application of Ultrasound Imaging DEPARTMENT OF BIOMEDICAL ENGINEERING , KUET Course teachers: Dabasish Kumar Saha Assistant Professor Zubair Ahmed Ratan Lecturer Fazla Rabbi Mashrur 1515020 A PRESENTATION ON Presented by: 1 01
  • 3. Major Planes of Reference Sagittal Axial (transverse) Coronal Image 1: Body planes Image 1: LICENSE:CC-BY-SA SOURCE: http://upload.wikimedia.org/wikipedia/commons/3/34/BodyPlanes.jpg CREATOR:USA Government CONTACT DETAILS: http://training.seer.cancer.gov/anatomy/ 3 03
  • 4. Image Orientation Sagittal (or longitudinal) images The superior or head end of the patient is to the viewer’s left side Figure 1: Sagittal scan of lower gastrocnemius muscle in the calf Figure 1: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au 4 04
  • 5. Image Orientation Transverse images The image is viewed as if you are positioned at the patient’s feet, looking up Figure 2: Transverse image of thyroid gland Figure 2: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au 5 05
  • 6. Trasducer 2.5 MHz: deep abdomen, obstetric and gynecological imaging 3.5 MHz: general abdomen, obstetric and gynecological imaging 5.0 MHz: vascular, pelvic imaging 7.5 MHz: thyroid 10.0 MHz: thyroid, superficial veins, superficial masses, musculoskeletal imaging. 15.0 MHz: superficial structures, musculoskeletal imaging 6 06
  • 7. Gynecology and Obstetric Gynecologic ultrasonography examines female pelvic organs (specifically the uterus, the ovaries, and the Fallopian tubes) as well as the bladder, the adnexa, and the Pouch of Douglas. Obstetrical sonography is commonly used during pregnancy to check on the development of the fetus. Source:https://en.wikipedia.org/wiki/Medical_ultrasound#Gynecology_and_obstetrics Definition 7 07
  • 8. Cont. Preparation Early pregnancy (up to about 10 w) comfortably full urinary bladder pregnancies over approximately 10w small amount of urine in bladder Figures 3a and 3b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au Figure 3: Sagittal uterus (a) full urinary bladder (b) empty urinary bladder 8 08
  • 9. Cont. Transducer For very early pregnancies (e.g. less than 6w) high frequency endocavity transducer For scans above 6w curved 1 – 6 MHz transducer 9 09
  • 10. Cont. ▪ Kicking Baby sonography 10 10
  • 11. Gastroenterology Abdominal ultrasound are frequently used in gastroenterology surgery. The solid organs of the abdomen such as the pancreas, aorta, inferior vena cava, liver, gall bladder, bile ducts, kidneys, and spleen are imaged. Source:https://en.wikipedia.org/wiki/Medical_ultrasound#Gastroenterology/Colorectal_surgery Definition 11 11
  • 12. Cont. Preparation Figures 5a and 5b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au Fast for at least 6 hours Figure 5: (a) Fasting gall bladder, (b) Gall bladder after fatty meal 12 12
  • 13. Cont. A curved 1 – 6 MHz transducer Transducer curved 1 – 6 MHz transducer Organs demonstration Figures 6a and 6b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au Figure 6: (a) Gall bladder containing a gall stone (b) Gall bladder containing a polyp 13 13
  • 14. Angiology (vascular) Can be performed on many vessels throughout the body, but not all Use B-mode ultrasound with Doppler techniques can’t be seen vessels in the brain Vascular ultrasound 14 14
  • 15. Cont. Transducer High frequency,linear transducers Superficial vessels, for example in the arms, legs and neck Lower frequency, curved transducer Deeper vessels, such as those in the abdomen 15 15
  • 16. Vascular waveforms Arterial flow demonstrates a pulsatile flow Recorded on the horizontal time axis Biphasic-high and a low velocity point Traditionally colored red on sonography Demonstrated above the horizontal time axis Figures 6a and 6b: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au Fig 7: Arterial waveform Arterial Wavefrom 16 16
  • 17. Vascular waveforms Monophasic flow Does not exhibit a pulsatile flow Same velocity all the time Traditionally colored blue on sonography Demonstrated below the baseline Figures 8: LICENSE:CC-BY-SA SOURCE: The University of Queensland CREATOR:The Centre for Advanced Imaging, The University of Queensland CONTACT DETAILS: enquiries@uqx.edu.au Fig 8: Venous waveform Venous Wavefrom 17 17
  • 18. Musculoskeletal Used to examine tendons, muscles, nerves, ligaments, soft tissue masses, and bone surfaces To visualize real-time soft tissue motion Continuous display of tissue, acquired at over 50 frames per second Definition 18 18
  • 19. Cont. ▪ Demonstrates the Achilles Tendon 19 19
  • 20. Emergency ultrasound Immediate patient-care decisions Used to quickly diagnose a limited set of injuries or pathologic conditions Emergency medical condition Emergency department Critical care unit Ambulance Combat zone 20 20