1-23
Chapter 1 Safety
Indirect Controls
The indirect controls are those that have an indirect eect on the acoustic intensity. These controls
aect the 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 scanned
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.
The 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.
The focus of the ultrasound beam aects the image resolution. Maintaining or increasing the
resolution at a dierent focal zone involves the adjustment of numerous outputs from the focal
zone. This output adjustment is one of the system’s optimization features. 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 cavitation. Pulse length, burst length, and pulse duration
refer to the output pulse duration in pulsed Doppler mode. In addition, 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 greater 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
concerning output is that the receiver controls should be optimized before increasing it. For
example; before increasing output, gain should be optimized to improve image quality.
Comments to this Manuals