Ultrasound Waves

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When you take ultrasound waves and apply them to your patient’s skin, the sound waves that are transmitted from your transducer and into your patient’s tissue go through a series of changes. The sound waves can be reflected, refracted, scattered about and also attenuated.
Attenuation is defined as the decrease in wave amplitude (or intensity) due to the mechanical wave interaction with the medium, meaning that it is a measure of how the wave is affected by the medium. (Miele, 43). When looking at ultrasound images there are many different terms that can be used to describe the way the images are. For example, there are five terms alone that can be used to describe the strength of the echo in the image, and we refer to the strength or the type of signal reflection as echogenicity. (Miele, 54). How are the echoes actually produced though? They are caused by reflection. (Martin, 2015). It is important to note while scanning your patient organs if there are any echoes returning back. When there aren’t any echoes returning back there is no reflected signal, and the image is said to be anechoic, literally meaning without echoes. Examples of anechoic images can be of fluids, blood and bile. (Miele, 54). …show more content…

Hypoechoic images have less attenuation due to absorption and reflection. You can get a hypoechoic image from scanning some masses and fatty plaque. Since you can have something with low echogenicity you can also have an image with high echogenicity which we refer to as hyperechoic. This means that along with having a significantly different acoustic impedance there is also less attenuation due to absorption but more attenuation due to reflection. Being hyperechoic you will have higher reflected signals which can make something (like fibrous plaque) appear to be brighter than the surrounding tissues. (Miele,

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