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What is an ultrasound | why are they done?

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What is an ultrasound | why are they done?

An ultrasound, also known as ultrasonography, is a non-invasive type of medical imaging using high-frequency sound waves to produce images of internal structures.

They have many uses, including: obs & gynae (especially in pregnancy), abdominal, vascular (e.g. for DVTs), cardiac (when it is called an echocardiogram, ECHO), musculoskeletal examination.

Ultrasound uses the piezoelectric effect, where crystals in the transducer produce sound waves and receive echoes, converting them into images.

It is non-invasive and completely safe; using sound waves, no radiation or needles.

And it can also provide real-time imaging: with dynamic images of moving structures (e.g. heart, foetus).

Why is an ultrasound done?

  • Diagnostic purposes: assess organs, guide procedures (e.g. liver or kdiney biopsy), monitor pregnancies
  • Therapeutic purposes: physiotherapy, lithotripsy, nephrostomy etc.

How is an ultrasound done?

An ultrasound is performed by a sonographer (or an x-ray doctor called a radiologist) who applies a clear gel to the skin and moves a handheld transducer (probe) over the area being scanned.

This transducer emits high-frequency sound waves that bounce off internal organs and tissues, creating echoes that the machine receives.

A computer instantly turns these echoes into a real-time image on a monitor to be viewed by the sonographer.

Notes
  • Gel is essential: Conducts sound waves, reduces air pockets
  • A doppler can be added: Measuring blood flow velocity, direction of blood flow, detects blockages in blood vessels
  • No prep often needed: Except for abdominal scans (e.g. liver, gallbladder)
  • Limitations: Bowel gas, bone, air interfere with image quality.

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