Overview of the physics of US

In ultrasonography (US), high-frequency sound waves are transmitted through the body by a transducer. When a transmitted ultrasound pulse encounters a tissue target, some of its energy is deflected back to the transducer. The time of flight of this ultrasound echo is used to calculate depth of the target in the transducer beam. The pulse-echo parameters used in the formation of images include echo amplitude, target spatial position, and frequency shift between the transmitted pulse and the received echo. The first two are displayed in gray-scale images and all three in color flow images. In gray-scale US, echo amplitude is encoded into shades of gray, with the lighter shades representing higher amplitude echoes. In color flow US, velocity of moving blood is usually presented in blue for motion toward the transducer and in red for motion away from it. A Doppler spectrum depicts changing blood velocity as a function of time. US has become more clinically valuable due to its ability to demonstrate soft-tissue structures, real-time imaging capability, relative safety, portability, and cost-effectiveness.