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Convex ultrasound sensor. Types of ultrasound sensors. Possible problems with each of them and repair ultrasound sensors. What technical features have convex sensors

Sensors are the most important "tools" of a modern ultrasound study by which the distance detection of certain objects becomes possible and the distance measurement between them. The basis of their work is the interaction of ultrasonic oscillations and the measured space.

Due to the unique design and special functions, ultrasound sensors can focus at a certain depth. Externally, they are detectors with a variety of interrelated piezocrystals and built-in lenses.

Each type of sensor has its own purpose. Therefore, when purchasing this device, it is necessary, first of all, repel from the application area.

There are highly specialized ultrasound sensors that can only be used for a specific area (for example, transvaginal sensors used in gynecology), as well as multifunctional, permissible to use in several regions.

Convex sensors

If abdominal research and diagnostics of the state of the small pelvis organs are held, you will need convex sensors. They are also needed in urology, pediatrics and for research of brain vessels. They have a special shape with an expedisted surface, while the scanning area is highlighted in a special color.

It is important to note that the appearance of the convex sensor may vary depending on the manufacturer and destination. The radius of the curvature of the convex sensor is 40-70 mm, the scan angle is 50-80 degrees.

Linear sensors

A distinctive feature of a linear ultrasound sensor is a flat radiating surface. Such detectors may differ in the aperture parameters, the frequency of the range and the appearance depending on the application area.

A linear sensor is relevant for ultrasound examination of surface organs and structures, musculoskeletal system, musculoskeletal system. Experts also often use them for pediatrics and neonatology.

A linear sensor with a width of 6-7 cm and aperture from 50 to 60 mm is ideal for ultrasound of surface organs. If such a device is 80-100 mm, it can be used for mammology and biopsy.

Microconvex sensors

Microconvel ultrasound sensors are intended for external and intrepace use. This is their feature. The radius of curvature is approximately 30 mm.

If the external structure of the microconvex sensor can resemble the form of a convex detector, then the inner structure of these devices is noticeably different. The microconvex sensor has a very small scanning head.

Sectoral phased sensors

If the ultrasonic sensor is equipped with a phased grille and implies a constantly wave doppler, then this sector phased type. It also differs in a wide range of applications, as it can be used for transstoracal ECHG, cardiological or transcranial studies.

In the sector phased sensor, each special element is able to work independently. The angle of scanning is 90 degrees.

Cleaning sensors

Sometimes they are also called transzezophageal. It is worth thinking about buying this type of sensor if cardiac studies are conducted.

Thanks to the percussion-free ultrasonic sensor, the heart can be seen in the dynamics state and in various projections, which will increase the informativeness and accuracy of diagnosis.

Remarkable structure of such devices involving a flexible distal tip and flexible working area, special rotating emitters. The percussive ultrasound sensor has a frequency range from 3 to 8 MHz and an angle of scanning - 90 degrees.

Transrectal sensors

The need for a transrectal sensor occurs during brachytherapy of prostate or biopsy. What is the feature of such detectors? They assume a wide range of multiple emitters to provide work with frontal and sagittal projection.

In addition, on one device, 2 microconvex emitters can be fixed immediately (another version: 1 linear and 1 microconvex).

Mechanical sensors

For this type of ultrasound sensors, special moving emitters are characteristic. Mechanical sensor should be bought if anorectal, intravascular and transurethral studies are carried out.

Matrix sensors

For echocardiography, urology, gynecology, obstetrics, vascular studies and pediatrics buy matrix ultrasound sensors equipped with a special lattice with emitters.

It is customary to distinguish between the semi-gun detectors of this type, in which the aperture width is less than the length, as well as two-dimensional sensors, in which many elements are width and length.

Monocrystal sensors

In single-crystal sensors, all piezoelements are harmoniously agreed with each other, so they function as a whole. When working with such a type of detectors, noises are almost completely minimized, which is important for the accuracy of the diagnosis.

A group of single-crystal sensors may include not only convex, but also phased, as well as linear devices.

Pencil sensors

Sensors with a special separation of the emitter and receiver is called "pencil" or "doppler".

Their distinguishing features are work in constantly wave doppler mode. It is worth choosing a pencil ultrasonic sensor if heart and arteries are conducted.

Volumetric sensors

One of the most modern options today is a volumetric type of sensors, thanks to which you can get static and dynamic three-dimensional images.

Video-endoscopic sensors

These instruments combine the functionality of the video stainorfibroscope and the video borofibroscope.

Laparoscopic sensors

Introducing a peculiar tube with a radiator, laparoscopic sensors also have a characteristic flexible tip, which can vary in different planes. Such devices are needed when laparoscopic manipulations are met.

An important functional part of the ultrasound apparatus is a sensor or a transducer. It is through it that the surveyed authorities are visualized during the ultrasound procedure, since it generates ultrasound waves and takes their reverse display.

The cost of the ultrasound diagnostic apparatus and its functionality directly depends on the sensor set. Before buying a device for ultrasound research, it is necessary to determine in which it will be used.

Choosing a transducer, it is also necessary to take into account that they differ in the depths of penetration into the surveyed bodies.

Features of the sensors

On the scope of use and purpose, several types of ultrasound sensors are distinguished:

  • universal outdoor;
  • for surveys superficially located organs;
  • cardiology;
  • pediatric;
  • domestic.

The universal outer sensor allows you to spend most of the ultrasound studies, except for stripe and operating
  • Cardiology - used to examine the heart. In addition, such ultrasound sensors are used for trans commofagal heart surveys.
  • Universal ultrasonic outer sensor is used for survey and. It can be used both with respect to adult patients and children.
  • For, and also uses a special sensor for superficially located organs.
  • Sensors used in pediatric practice are characterized by a greater operating frequency in comparison with similar equipment intended for adult patients.
  • Intrapy sensors are divided into the following types:
    1. transurethral;
    2. intraoperative;
    3. biopsy.

Main types of devices

Depending on the type of ultrasonic scanners, there are three main types of sensors for the ultrasonic apparatus - sector, convex and linear. Sensors for ultrasound devices sector type Work at a frequency of 1.5 to 5 MHz. The need for its application occurs if it is required to obtain greater penetration into depth and overview in a small area. Usually it is used to examine the heart and intercostal intervals.

Convex transducersthey have a frequency of 2-7.5 MHz, the depth of their penetration reaches 25 cm. They have one feature that it is necessary to take into account - the width of the resulting image is greater than the size of the sensor itself. This is important for determining anatomical landmarks. Their dignity is that they are evenly and tightly adjacent to the patient's skin. Such sensors are intended to examine organs that are deeply in the abdominal organs, the organs of the small pelvis and the urogenital system, as well as the hip joints. When working with it, it is necessary to take into account the complex of the patient and set the desired frequency of the penetration of the ultrasonic wave.

Separate type go volumetric sensors 3D and 4D. They are a mechanical device with a ring or angular swing and rotation. Using them, the screen is displayed by scanning the organs, which is then converted into a three-dimensional image. The 4D device allows you to view organs in all section projections.


Sensors for ultrasound devices linear type have a frequency of 5-15 MHz, the depth of their penetration reaches 10 cm. Due to such a high frequency, you can get a high-quality image on the screen. When working with linear sensors, an image distortion occurs around the edges. This is caused by the fact that it is unevenly adjacent to the patient's skin. They are designed for ultrasound examination of organs that are located on the surface. These are dairy glands, joints and muscles, vessels, thyroid gland.

Varieties of transducerov

In addition to the three main types, the following sensors are used for the ultrasound scanners:

  1. Microconvex transducer - A variety of convex, is intended for use in pediatric practice. Through it, the hip joints and the abdominal bodies, the urogenital system are examined.
  2. Biplane - allow you to obtain images of organs in the longitudinal and transverse cut.
  3. Sector phased transducer - Designed for use in the field of cardiology, for ultrasonic research of the brain. It is equipped with a phased lattice, which makes it possible to explore hard-to-reach areas.
  4. Catheter transducers - Designed to be introduced into hard-to-reach places - vessels, heart.
  5. Intramilia - These are rectal and vaginal, as well as rectal-vaginal types of transducer used in obstetrics, urology and gynecology.
  6. Pencils - Used for ultrasound examinations of veins and arteries of limbs and neck.
  7. Video-endoscopic - These devices are a combination of three in one - ultrasound, gastrophibroscope and bronchofibroscope.
  8. Laparoscopic - These are transducers in the form of a thin tube having an emitter at the end. In them, the end can be bent both in the same plane and in two planes. There are models in which the end does not bend. All of them are used when carrying out laparoscopy. They are managed using a special joystick. Such models are also divided into linear, side, convex side and phased overview.

In addition, in the practice of ultrasound, matrix sensors with a two-dimensional grille are used. They are half-gun and two-dimensional. Aluminors allow you to get the maximum thickness resolution.

Using a two-dimensional device, you can get an image as 4D. At the same time, they visualize the image on the screen in several projections and cuts.

In clinical practice, many different types of medical ultrasound sensors are used. They work at different frequencies, have different physical dimensions, the depth of penetration and shape of the scanning surface, and also provide various graphic formats. However, we have quite a few information about which sensors are better suited for specific types of research, and the purpose of this article is to eliminate this deficiency. We will discuss the relationship between the sensor, the image format and clinical applications and consider the system approach to the selection of the desired sensors to various criteria. Three main criteria are a type of research, the maximum research depth and coverage of the main diagnostic modes, which facilitates the choice of sensors during clinical diagnostics.

Abbreviation

  • 4d. - 3D in real time
  • Fov. - line of sight
  • 1d. - one-dimensional
  • 3D - Volumenny
  • 2d. - 2-dimensional

    Types of ultrasound sensors developed for medical ultrasound studies for more than 50 years. Sensors have different operating frequencies, the dimensions of the sensor itself and the scanning surface, output in different permissions and formats. For example, sectoral phased sensors have a small (usually 20 * 15mm) working (contact) surface to be placed between the ribs and be able to create sector images with a wide coverage and depth at a high frame rate (more than 100 kadras / s). One way or another, information about why specific sensors are more suitable for certain manipulations, quite a little, which was the reason for writing this article. In particular, here we will discuss the relationship of the sensor, image format and clinical use. Systematized selection criteria that make it possible to compare the characteristics of sensors with specific clinical needs, are presented in a new structure, which explains why specific types of sensors are used in specific clinical studies and provides grounds for selecting sensors for new research areas. Criteria include access and coverage of the area of \u200b\u200binterest (ROI), the maximum depth of scanning and image size, and also cover the main diagnostic modes necessary for the exact diagnosis. For completeness of the picture, single-crystal sensors, mainly used intrepreneurially or catheter, will also be considered below. As we appropriate, we will look at the historical experience of choosing a sensor, but mostly highlight new trends.

    Image scanning

    It is widely known that piezoelectric sensors, being located inside the body or on its surface, transmit ultrasound pulses and reflect their reflection from tissues and organs. To create images capable of helping with clinical studies, an additional scanning element is required. Typically, an acoustic wave created by a separate sensor moves in a given direction or, being mechanically or electronically directed, creates a series of pulses and their reflections that determine the plane of the image. For orientation on the schedule 1A, a system is detected, useful for explaining linear scanning on the XZ plane. The image obtained as a result of a two-dimensional scanning is based on these axes. A simple scanning method consists in gradual movement of an acoustic wave (defined as Δx) along the X axis. In each position, a sound wave is created, after which the waveset is interpolated to create an image of a rectangular shape, in which the side shift is displayed from the beam A to the beam b. An alternative approach to the broadcast is a gradual shear of the acoustic wave on an arc at a small angle (Δθ) in order to determine the image in the XZ plane, as is displayed on the 1B graph. Here shown the turn from the "C" axis is shown to the axis "D". Please note that each axis displays an acoustic wave, as shown graphically in Scheme 2A. As before, the resulting set of waves is interpolated to the sector image. Another variant of the linear shift is the curved geometry shown in the 1C graph. In this case, the combination of waves is reflected in the curved form along the curvature radius (R) and the increment of the string (ΔS) occurs along the curved surface, and not direct. What is interesting in this geometry is that the increase in the curved surface goes from the beam "E" to the beam "F", which is equivalent to an angular shift in relation ΔS \u003d R × Δθ. Due to the scanning along the arc lines diverge in the radial direction.

    Combining Table Cells Vertical

    In the same principle, scanning in the YZ plane is carried out. In this case, the broadcast occurs along the Y axis with a step ΔY, and the angular scanning is made in a step Δθ in the YZ plane. To achieve three-dimensional scanning or scanning anywhere in the positive half-space defined by positive values \u200b\u200bof x, y and z axes, scanning in both XZ and YZ planes can be combined to form a pyramid-shaped volumetric image, as shown in Figure 2b.

    Image formats

    Despite the fact that early (single-element) converters carried out mechanical scanning in 2D planes for ultrasound visualization, by the beginning of the 1980s, converters were usually used to scan. The ultrasonic matrix consists of a set of separate single converters or elements that can be controlled by groups or clusters to create pulsed echo rays. For a linear lattice of a group of elements from one row, they gradually turn on and off, shifting an active group of elements by Δx, one by one creating separate pulsed echoes that are combined into the image. Pulse echoes interpolate to form the resulting rectangular image format and the corresponding format of the converter, which is shown on the diagram 1 of Figure 3 and on the corresponding linear converter in Figure 4a, respectively.

    Types of image form:

    Combining Table Cells Vertical

    Focusing can be performed mechanically or electronically. For a linear format from Figure 4A, an electronic focus is achieved for each line of the scanned image by controlling the delay time at which the voltage of individual elements is transmitted to the group of active elements. In the height or plane YZ (i.e., the plane perpendicular to the plane of the image, a frequently called cut-off thickness), a fixed focus is achieved using a mechanical lens.

    To somewhat mitigate the fixed focus limit, some visualization system manufacturers offer lattices with several rows in the direction of height. However, for a fully controlled focusing in the elevation plane, 2D matrix converters are required, which are capable of providing not only improved focusing in height, but also three-dimensional and 4-dimensional (4D) images. In fig. 2B shows the simultaneous electronic focus of the 2D array for both the elevation planes and the azimuths of the XZ and YZ.

    For example, formats 1 and 4 in Fig. 3 are associated with a converter of the linear matrix of type A in Fig.4. For an example of a sector or angular scanning, the image format has a piece of pie, as shown in the image 2 Fig. 3 and the corresponding phased matrix converter shown in Fig.4B.

    Selection of a suitable type of sensor

    With the help of Figures 3 and 4, it is possible to create a systematic organization of image formats and their association by sensor types with focus on accounting types of scanning, modes and planes. To classify formats and converters, abbreviations can be combined to describe specific converter and image relationships. In particular, to indicate the type of scanning, "M" means mechanical scanning; "E", electronic scanning, and "f" (fixed), without scanning. Scan Direction Linear (L) Along the X axis, angular (

    In accordance with the above description, each converter may be associated with scanning types and planes. For example, the Linear Sensor "L" in Figure 4a refers to the electronic linear scanning, "E" in the XZ plane and fixed focus, and "f" in the YZ plane; Therefore, the resulting designations are reduced by both "ELXZ" and "FYZ", and the associated formats - "1" and "4" in Figure 3. The combined representation is the first example shown in Figure 4A. The trapezoid format marked as "4" in Figure 2 can be considered as a rectangular format with two partial sectors at each end for a linear array in Figure 4A. Similarly, the phased grille on Fig.4B is associated with sector format 2 in Fig. 3 and the same planes as in previous examples.

    Other converters and formats are also collected in Figures 3 and 4. A variety of sensor types is shown in Figure 5.

    Combining Table Cells Vertical



    Figure 5.

    Line to the left of the text

    Sensor family:
    Left upper square: three upper sensors - emergency; Two lower-itendovaginal.
    Right upper square: microconvex sensor in the center and two phased on each side.
    Lower right square, from left to right: convex sensor, three linear sensors, curved linear sensor, phased sensor.
    Lower left square, from left to right: two surgical probe and two intraoperative.


    The curved, or convex sensor (Fig. 4c) is similar to linear, except that the elements are on the curved, and not a linear surface, as described in the scanning method "C" in Fig. 1C, which leads to the image format 3 in Fig. 3. This format, similar in shape with the sector or a piece of cake, which was bitten up, is often described as a field of view (FOV), which determines its lateral angular length. In this example, an electronic linear scanning "E" in the XZ plane and fixed focus "F" in the YZ plane are used; Therefore, the resulting designations are reduced as "ECXZ" and "FYZ", it corresponds to the format "3", as shown in Figure 4B.

    Since the significance of 3D visualization is steadily growing, it is appropriate to discuss it in more detail. For three-dimensional visualization, instead of a plane, the volume is scanned as shown by the external circuit shown in Figure 2b. For a two-dimensional or matrix lattice (Fig. 4f), scanning can be electronic and usually angular in both directions, so that the scanned volume has a pyramidal form (image 7, Fig. 3). In this case, the electronic focus is achieved in both planes with angular scanning, so the corresponding designations and format have the form "e

    Alternatively, to achieve a profitable 3D image, linear or convex arrays can be mechanically scanned around the x axis in the YZ plane. In these cases, arrays are moved into the liquid filled with an acoustically transparent chambers. For example, a linear array (usually type A) is rotated around the z axis to create a series of flat images (usually format 1 or 4), so that the result is a mechanically scanned converter type F in Fig.4 and the scanned three-dimensional image 5 in Figure 3. Similarly , curvilinear or convex grille (usually type C) turns around the axis to create a series of flat images (usually 3), so that the result will be a mechanical type G sensor in Fig.4 and the volumetric image 6 in Fig.3.

    In addition to the electronically controlled motion, these one-dimensional (1D) lattice (type A, B or C) can also be mechanically moved manually in the 3D hand mode, in which the obtained images are usually collected in three-dimensional volumes. It is worth noting here that the reconstruction of the image for a 3D mode of a free hand implies either assumptions about a constant interval, or additional spatial information for each spatial visualization plane, which can be achieved using position sensors.

    Finally, images obtained by single-element transducers are mainly used for intra-race or catheter applications (such as intravascular or intraconductural ultrasound examination) are also shown in images 8 and 9 in Figure 3. The sensor shown in Figure 4H can scan mechanical to obtain 2D or 3D images, as represented in images 8 and 9, Fig.3. For format 8, the sensor (Figure 4H) moves at an angle around the circle to get the image in the form of a donut. It appropriate to note here that there is also a matrix version of this endovascular ultrasound device. If this mechanical converter rotates and moves along the Y axis, a cylindrical volumetric image is obtained, 9 (Figure 3).

    In conclusion, the types of converters depicted in Figure 4 can be mapped to image formats shown in Figure 3, by using the formats and scanning designations below the forms of the converter in Figure 4.

    Converter characteristics for visualization

    This section discusses the criteria in order to determine which properties of ultrasonic image converters and their formats must be identified for various clinical applications.

    First of all, it applies to clinically used image sensors that operate in the frequency range from 1 to 20 MHz.

    Converters operating above this frequency are used for special applications, such as endovascular examination (see Fig. 4, F and G) or a preclinical survey of small animals, but also included in the discussion wherever possible.

    Acoustic windows

    How good the sensor type is suitable for the "acoustic window" or a place where it contacts the body to visualize organs or tissues of interest? Standard acoustic windows provide a unimpeded review of the body or region; Many, by agreement, have specific names, such as "transabdominal" or "parastinal long axis", so that images can be compared and described sequentially. Typical windows are located inside or on the surface of the following main parts of the body: head, chest, belly, pelvis, limbs, vessels and various body openings. Sensors can be associated with certain regions using Latin prefixes: "Trans-", "intra-" "endo-", etc. An example is the "transom-worn", a category that includes transducers forming an image through the chest . The transcranial sensor scans the head through the skull.

    As already mentioned, a phased grille for the transducer window would be the most suitable if the image processing task requires that the converter is located between the edges; This is provided for the room in the intercostal intervals and maximizing the scanned area (image 2 in Fig. 3). For most contact surfaces that are relatively flat and / or slightly deformed (for example, used for small parts or images of vessels), the most common and frequently used type of converter is a linear matrix intended for contact with flat surfaces with a decrease in surface area and increasing frequency . Here, rectangular and trapezoidal formats (1 and 4 in Fig. 3) provide the corresponding viewing areas.

    When visualizing in the abdomen area to increase the viewing area with a minimum increase in the contact area, convex matrices (Fig. 4C) form an image format 3 (shown in Figure 3) and are designed to provide surface contact in the deformable soft areas of the body.

    Specialized sensors

    Specialized converters are designed to work inside the body. These include transzezofagal probes with phased lattices suitable for manually manipulation inside the esophagus (Image 2 and type B sensor in Figure 4). A number of other specialized probes were also designed for surgical or interventional use, such as laparoscopic and intracardial probes. These probes can be linear or phased, depending on the use and access windows. Some endo probes: endovaginal, endorectal and intrasaginal (type D-shaped) is functionally similar to phased torch sensors (Image 2 and Figure 4B) or convex sensors (format 3 and Figure 4C) at the end of the cylindrical handle of the small diameter, for the room in the opening and At the same time, the maximization of the field of view. Another example is an intravascular ultrasonic sensor (Fig. 4n), which is entered into veins to obtain a flat image of format 8 or volume in format 9.

    Permission and penetration

    The selected scan depth allows you to view the range of interest. The factors associated with the possibilities of visualization include the size of the active aperture, the depth of the transmitted focus and the frequency range. Penetration is the minimum scanning depth at which electron noises are visible, despite the optimization of the available control elements (as a rule, with the deepest transfer focus and maximum gain), and the electronic noise remains at a fixed depth, even when the array is shifted laterally. Penetration primarily is determined by the central frequency of the sensor: the higher the frequency, the less the penetration depth, since the absorption of the ultrasonic wave passing through the tissue is increased with the frequency.

    Useful first approximation to estimate the penetration depth (DP) for this frequency is dp \u003d 60 / f cm-MHz, where F is given in megahertz. Thus, it would be possible to expect a 6 cm penetration from the central frequency converter by 10 MHz. As noted earlier, the absorption coefficient (the loss of acoustic power per unit of depth) is a frequency function and varies from tissue to tissue (values \u200b\u200bfor soft tissues range from 0.6 to 1.0 dB / cm-MHz4). A more general term describing acoustic losses is attenuation coefficient, which includes additional losses due to scattering and diffusion and, therefore, always more absorption coefficient. The attenuation coefficient is very dependent on the patient and the acoustic path.

    To optimize image resolution, users and manufacturers have worked on an increase in the visualization frequency for various types of research. For example, about 30 years ago, people could visualize the abdominal cavity with a frequency of 2.25 MHz, whereas today this number is more often 3.5 MHz, and some obstetric and gynecological images reach 5 MHz.

    Properties of sensors and visualization

    Other criteria that should be included in the above-described selection process are the effectiveness of the converter, the design of the two-conducting system, the signal-to-noise ratio of the system and, as already noted, the absorption of the tissues studied. The main factor is the absorption - the composition and relative position of various types of tissues on the path of acoustic wave. For example, a thick layer of adipose tissue will reduce the penetration due to refraction or aberration errors on the acoustic path to the area of \u200b\u200binterest. Similarly, an enlarged amount of amniotic fluid with fetal visualization enhances penetration and can allow the use of frequencies higher than those commonly used in this area of \u200b\u200bscanning.

    The frequency range, or the bandwidth of the sensor, is determined whether it can support visualization in two-dimensional mode at different central frequencies, as well as operate in doppler modes, harmonics and color flux. For the visualization modes based on Doppler mode, it is often necessary to work with lower frequencies than the frequency of the two-dimensional mode to minimize the overlay of the spectra. When the harmonic image, the reception frequency is used by definition, which is multiple (usually 2) transmitted frequency; Consequently, there is a need for wide bandwidth. Throughput and focus properties also affect image resolution. In clinical practice it is important to ensure that the resulting image can distinguish the smallest possible sizes in both lateral and axial directions.

    Finally, the number of individual elements of the sensor is of interest, since the number of active elements (with the exception of phased gratings or scanned 2D arrays) determines the transverse length or width of the image. For phased lattices, an increasing number of elements are associated with improved resolution and penetration depth. For two-dimensional gratings (usually symmetrical), the number of elements along directions x and y determines the size of the volume for linearly scanned arrays. For a two-dimensional phased mesh, the resolution and penetration increase with a large number of elements along the x and y directions, but the angular form or fov remain unchanged regardless of the number of active elements used. Focusing in a fixed direction can indirectly affect the image, since focus is positioned only at one depth and much worse to another. For 3D images, mechanically scanned 2D arrays have the same fixed focal length depth limit, occurring in a 2D image. On the contrary, all elements of fully filled three-dimensional images or matrix lattices are focused by electronic paths at one point both in the azimuth plane and in the elevation plane to ensure much better resolution.

    At the greatest depth, this is the maximum number of available active channels in the system, which determines the resolution (along with the focus and systemic noise). Spatial resolution is usually worse (usually 2 times) than a temporary resolution by scanning lines; In the discussion presented here, permission refers to a spatial resolution, unless otherwise indicated. For phased gratings, the number of channels usually corresponds to the maximum number of items. As a rule, since elements are usually located at a distance of half the wavelength, the more elements, the better the spatial resolution, which is inversely proportional to the active aperture in the wavelengths. For example, a 64-element matrix, a 32-fold aperture will have a maximum spatial resolution 2 times lower (wider beam) than a 128-element 64-wave grid. In the case of a linear grid that can have several hundred elements, the number of elements determines the lateral length of the image, but this is the number of active channels that controls the resolution. For these one-dimensional grilles, the resolution of the image plane (also known as the cut thickness) is bad, with the exception of almost fixed focal length. For 2D lattices, the spatial resolution is inversely proportional to active apertures that form the side 2D array. Two-dimensional arrays have an excellent resolution compared to 1D focusing array with fixed focusing in height, because the exact focus can be achieved simultaneously in azimuth and height for a three-dimensional image.

    Another by considering permission is F #. The less F #, the better the resolution. A simple assessment of the beam width in millimeters, a general resolution measure, neglecting the absorption, is approximately equal to F # × λ, where λ is the wavelength (1.5 mm / μs / f [MHz]). For example, the resolution will be 0.3 mm at a frequency of 5 MHz for F # \u003d 1. Focus depths also depend on the active aperture. For example, for a 128-cell 64-wave mesh, the deepest focal depth achieved at maximum aperture and F # \u003d 1 is equal to F \u003d F # × L \u003d 64 wavelengths. The actual penetration depth or useful scanning depth, of course, will be deeper than the maximum focal depth.

    Compliance of sensors and their clinical use

    Now that we compared the types and properties of sensors with visualization windows and acoustic windows, we can use this information when choosing sensors for specific clinical applications. The suitability of certain converters for specific applications has historically developed with the help of special adapted structures. Primary considerations are the target area of \u200b\u200binterest, its length and accessible acoustic windows necessary for access.

    Abdominal visualization

    When the sensor matrices were first commercially presented for abdominal visualization (including obstetrics and gynecology), they were linear type (type A in Fig. 4 with an image format 1 in Fig. 3). In most cases, the contact area with the patient was not a critical problem, and some of these linear sensors were rather long (for example, 8 cm) to cover, say, the fetal head in the third trimester. However, it soon became clear that it was possible to achieve sufficiently large coverage due to the use of curvilinear or convex matrix lattices (type C in Fig. 4), without paying for the fact that it is necessary to manipulate rather bulky linear transducers.

    Curved matrices (Fig. 4C) are tools of choice for most of the total 2D images during abdominal studies. The overall form factor associated with ergonomic factors and the correspondence of the shape of the sensor and FOV for use is still developing for abdominal 3D images. Three key handlers for these lattices are the base area (total aperture size), the field of view and the radius of curvature (Fig. 1c). The imprint depicts the contact area, usually in the form of a rectangle, a circle or ellipse. Although access is usually not a problem for abdominal visualization, when these types of converters are treated for new applications, access to the windows is of paramount importance. The radius of curvature and FOV (expressed in degrees of the maximum angular coverage) is associated with the scale and coverage of the image. To increase penetration into some systems, improved signal processing was added; However, this feature is usually available only on certain probes.

    For mechanical 3D-probes, the form factor is currently a mechanically curved convex sensor (Figure 4G and format 6 in Figure 3); However, electronic convex 2D arrays are now fully available. In these cases, two fields of view are given for orthogonal (direct) scan directions. Alternatively, phased grilles, due to their small area and wide image format, are also used for abdominal visualization. Finally, two-dimensional or matrix grids are becoming increasingly common for these applications due to their excellent image quality, resolution and ease of use.

    Intercostal visualization

    The main applications of this visualization group are the scanning of the heart and the study of the liver between the ribs. Just because of the restrictive anatomy and limited acoustic windows created by ribs and often invading light, the choice of the converter here is limited to phased lattices (Fig. 4b). In this area, the first attempts to use linear lattices were made; However, they quickly disappeared due to the shading of the edges and the superiority of the phased lattice at the format 2 sensor (Fig. 4). For cardiological studies, probes, as a rule, have the size of the lattice of about 20 × 14 mm depending on the manufacturer. The area of \u200b\u200bcontact with the patient will be a little more. These figures developed over the past 40 years and depend on a number of factors, for example, such as the number of patients. Age is another consideration; The distance between the ribs and the penetration depth must be varied as children are growing up.

    For negridiological intercostal studies, the size of the grilles is somewhat larger. As noted earlier, the existence of these anatomical restrictions creates the upper limit of performance for spatial permission, since the performance of the permission is inversely proportional to the size of the aperture, as explained above. In studies for the heart and general intercostal visualization, the depth of the image is large (depending on the size of the patient, it can reach 24 cm), which forces the use of lower frequencies (1-3.5 MHz) and leads to some additional losses of image processing.

    There is an interesting aspect of the visualization of the heart, which had a deep influence on the nature of the probes. Due to the presence of ribs and other acoustic hostile fabrics on the beam trajectory, echocardiography suffers from visualization artifacts due to the reflective noise. The introduction of the harmonic image was very successful in reducing this noise. As a result, the importance of the bandwidth of the converter has become critical in the design of the heart sensor. Today, most cardiac systems operate at frequencies from 1.5 to 2.0 MHz and, of course, receive signals with frequencies, twice as large as this range.

    The most important developing in the field of heart visualization was the implementation of the fully filled 2D or matrix lattices (type E) containing thousands (usually 50 × 50) elements. This makes it possible to display in real time (4D) pyramidal volumes (format 7, Figure 3), visualization of arbitrary sections of planes, four-dimensional heart visualization and color reproduction. In addition, the true electronic focusing in XZ and YZ planes provides excellent resolution compared to all other one-dimensional sensors.

    Surface and breast visualization

    This category refers to the "surface" visualization of carotid arteries, veins of legs, chest, thyroid gland, testicles, etc. and includes categories of small parts of the body, musculoskeletal system and images of peripheral vessels. This is the last bastion for the use of linear lattices (type A), which formed the initial type of construction for previously discussed studies. In this clinical category, access is usually not a problem, and the dimensions of the probes themselves may be small (due to the use of high frequencies from 7 to 15 MHz and the resulting small size elements). Muscular and skeletal studies for muscle visualization, ligaments and tendons also use lattices of this type. Over the past 10 years, the visualization of the mammary glands has moved to very high frequencies (for example, 14 MHz), while visualization of the peripheral vascular remained at lower (about 3-11 MHz) due to the need to include deeper veins and successful Doppler presentation . As a rule, the ability to add trapezoidal visualization (Format 4) is a significant advantage. As with abdominal visualization, a three-dimensional image with mechanically curved probes or electronic 2D lattices is now available for surface and infant application, which significantly improves affordable coverage and image quality. For applications related to vessel visualization, some probes have the advantages on the inclusion of modes that improve flow visualization.

    obstetrics and gynecology

    Currently, mechanical convex or linear lattices (types G and F) are widely used to provide 3D and 4D images of fruit in vivo (5-7 formats). Matrix or fully filled 2D arrays (Type E) are also available for this use (usually format 7).

    For gynecology, special endo-matrix forms of the sensor are used (type D). As a rule, lattices are at the end of the sensor and are convex or curved lattices with wide view fields (format 3); However, phased lattices (type D) can also be used (format 2). The frequencies used usually make up 5 MHz and above. As in other applications, 2D lattices were designed for 3D images in these cases.

    Neonatal and pediatric

    Pediatric sensors tend to have smaller surfaces than sensors used for adults and operate at high frequencies (≥7 MHz) those used for adults. Depending on the body of the body, the types of converters are used, similar to those used for adults. Phased lattices (type B) and 3D converters (E and G Types) are suitable for visualization of the heart. Other matrices, which are also useful for these clinical needs, include static (2D), and for three-dimensional linear arrays, mechanically curved and convex lattices.

    Domestic research

    Intrapy sensors constitute a large group of specialized sensors, which are designed for visualizations within the body cavity. Transezofagal sensors are used to obtain the display of internal organs, especially the heart, from the inside of the esophagus (see Figure 5). They use higher frequencies (≥5 MHz) and implemented as phased grilles with manipulators and motors to adjust the sensor orientation. Miniature transzezofagal 2D sensors offer electronic scanning for 3D and 4D images.

    Sensors can be highly specialized for viewing, as a rule, in body openings or vessels. Intricultural phased sensors are entered through the vessel to gain access to the inner chambers of the heart. Surgical specialized sensors include laparoscopic sensors inserted through small cuts for visualization and assistance in laparoscopic surgery (by analogy with endo probes); They are wonderful for their FOV despite small diameters. Intraoperative sensors have a special form for accommodation in vessels, organs and areas available during open operation (see Figure 5). Others in this class are surgical and interventional sensors with unique forms (see Figure 5).

    As already noted, the sensors that are placed in the body are intended for installation through small holes and have a wide viewing field (90 ° -150 °). These sensors include transrectal (or endorectal) to visualize the pelvic region using the rear passage for access and already described endovaginal (also called transvaginal) for visualizing the female pelvis and reproductive organs using the vagina as an entry for gynecological and obstetric studies. These end sensors described earlier are made in the form of a cylinder to insert into small holes and have convex matrices (usually 3-9 MHz) at the ends with large field fields, biplanes or mechanically curved convex matrices. Probes for urological applications include biplane.

    The unique sensor is a biplane-probe consisting of two orthogonal matrices, creating images in XZ and YZ planes. Usually matrices are small (8-12 mm) and convex type. Each shape and sensor must comply with the format of a single-layer converter, such as format 3 in Fig. 3 and convex in Fig.4C. However, depending on the design of the converter, sectoral or linear lattices are also possible, so in practice several combinations can be used. Alternatively, a subset of the 2D array visualization capabilities is a simultaneous representation of two orthogonal 2D images.

    Intravascular transducers are introduced into the blood vessels to visualize the walls of the vessels at various pathological conditions (type H and formats 8 and 9). Most often, they are mechanically rotated single converters with frequencies of more than 20 MHz and specialized image formation systems, although it also has tiny (with a diameter of about 2 mm) matrix.

    Head research

    Transcranial visualization of the brain and its vascular network is carried out through limited acoustic windows in a skull, such as whiskey or eyes. Transcrutal lattices are high-frequency (usually\u003e 20 MHz) ophthalmic converters and are used to visualize the eyes or use of the eye as an acoustic window. Transcranial probes are usually low-frequency (1-4 MHz) phased lattices used to visualize blood vessels skull through whiskey as windows.

    conclusions

    Many ultrasound transducers are designed to work in certain areas of the body for specific applications. The main purpose of this article is to provide a systematic approach that will help to agree on a clinical application converter, starting with an acoustic window, areas and depths that will be displayed. To this end, the checklist for selecting the converter is shown in Table 1.


    Table 1. Converter selection checklist

    As shown earlier, the main thing in the discussion of the visualization of the target area or bodies is access: the estimated acoustic window.

    The type of the converter must provide access through the selected acoustic window. The type of the converter is associated with the image format, and the previously considered common collections include linear, phased, convex and 2D matrices. The size or contact area of \u200b\u200bthe converter must match the size of the window, and in extreme cases, when the converter window is a hole, the form of the converter must match the available opening. As noted above, there are special probes in some studies, such as endorectal sensors, which are sufficiently small in diameter (size) and have an extended shape suitable for entering the body opening.

    Secondly, the size or fov and the image format is selected to obtain the desired coating in the area of \u200b\u200binterest. It is important here both the depth of scanning and the width of the image or FOV. For linear matrices, the presence of trapezoid visualization may be required for adequate coating. For 3D, or volumetric image, the length of the image can be specified as a set of maximum scanning angles in orthogonal directions or field of view and angle. A slightly more hidden parameter for 2D images to determine the coating zone for the area of \u200b\u200binterest is the focal depth depth, which describes the area with the finest cutting thickness.

    Thirdly, the maximum selected scanning depth determines the highest achievable frequency through the penetration ratio given above in the "Resolution and Penetration" section. For example, if the scanning depth is 10 cm, then, as already discussed in the "Resolution and Penetration" section, the frequency from the penetration depth D is equal to 60 / d \u003d 60/10 \u003d 6 MHz. This frequency gives an estimate of the best lateral resolution of about 1 wavelength for F # \u003d 1, or, for this example, the resolution λ \u003d c / f \u003d 0.25 mm (from the "Properties of Sensor and Visualization" section). An exception to this rule is systems that use advanced signals processing to increase sensitivity and improve penetration. In addition, the use of piezoelectric materials can increase sensitivity and, accordingly, the depth of penetration.

    Fourth, it is possible to determine the coverage of the main regimes of diagnostic visualization. Of the data provided by the manufacturer, an effective bandwidth required to support various modes, or for the system under consideration, you may be listed as actual modes, such as the Doppler Pulse Signal, the presence of several displayed frequencies or elastographic mode. Converters with piezoelectric materials can significantly increase bandwidth.

    In conclusion, sensors and graphic formats evolved to better comply with specific clinical applications. The classification and organization given in this article serve as a prerequisite for selecting a converter for a specific purpose. In addition, the presented understanding can help in determining the characteristics of the sensor necessary for new cases, thereby expanding the range of use of the sensor.

  • For the study of the abdominal zone, it is recommended to use an ultrasonic convex sensor. It is designed for adult patients of different physique. For pediatric studies, microconvex sensors are used. On our site you will see a full range of convex and microconvex sensors of the SonoScape brand. We will deliver them to the desired address in any city of Russia.

    Features of work

    The ultrasound convex sensor operates with a frequency of 2-7.5 MHz and scans at a depth of up to 25 cm. It is used for an ultrasound examination of deeply located abdominal organs: liver, kidneys, pancreas, urinary bubble.


    The radius of curvature for children's and adult models is different. For children, devices are created with an indicator of 8-20 mm. For ultrasound examination of adults, equipment with a radius of curvature is 40-60 mm. Optimal are sensors with a radius of 50 mm.


    Convex sensors are distinguished by a wide viewing zone near the surface. This indicator is even wider when examined on medium and large depths. The transverse resolution of convex sensors is high thanks to a small divergence of axes from rays with depth.


    Why do we order with us:

    • the company offers products with the availability of a registration certificate and conformity declarations;

    • the price of goods we have low because we are official distributors of the SonoScape brand;

    • most ultrasound products are always in stock. This speeds up the delivery time of orders;

    • we ship purchases to all settlements of the country. Residents of Moscow, St. Petersburg and Samara will be able to inspect the products in our showroom.

    The instrument by which the reflected ultrasound signal from the human body enters the device for further processing and visualization is the sensor. The areas of medical use are determined mainly by the type of sensors operating with the ultrasonic apparatus and the presence of various operating modes.

    Sensor This is a device that emits the signal of the desired frequency, amplitude and pulse shape, and also takes the signal reflected from the tissues under study, converts to an electrical form and transmits for further enhancement and processing.

    There are a large number of sensors differing in the scanning method, as well as sensors that differ in view of the converter used in them.

    By the method of scanning

    Of the possible ways to obtain information on biological structures, the method of obtaining a two-dimensional image (B-mode) was obtained. For this mode, there are various types of scanning.

    Secto (mechanical) scanning. In the sectoral mechanical scanning sensors, the angular movement of the beam bond occurs due to the swing or rotation around the axis of the converter emitting and receiving signals. The ultrasonic beam axis moves along the corner so that the image has the type of sector.

    Linear electronic scanning. In this case, the method of scanning the angular direction of the bonds does not change, the beam moves in parallel itself so that the beginning of the beam moves along the working surface of the sensor in a straight line. The review zone has a rectangle look.

    Convex electronic scanning. By virtue of the geometry of the lattice other than the linear, the rays are not parallel to each other, but diverge to the fan in some corner sector. Combines the advantages of the linear and sector scan.

    Microconvex electronic scanning. This type of scanning is fundamentally similar to convex. The viewing area during microconvex scanning is the same as in the sectoral mechanical scanning. Sometimes this type of scanning belongs to one of the types of sector scanning, the difference is only in a smaller radius of curvature of the working surface of the sensor (no more than 20-25 mm).

    Phased sector electronic scanning. The difference between the phased scan from the linear lines is that each time the lattice elements are used during radiation. To carry out such scanning, the excitation impulse generators form the same pulses in the form, but with a time shift.

    By regions of medical use

    Depending on which area will be examined, the sensor is selected. In addition, the selection of one or another type of sensor affects the depth of the arrangement of the organ or tissue under study and their availability. The first step in the image optimization is the selection of the highest frequency for the desired research depth.


    1. Universal sensors for outdoor examination. Used for research of small pelvis and abdominal areas in adults and children. Basically, convex sensors with a working frequency of 3.5 MHz for adults are used as universal; 5 MHz for pediatrics; 2.5 MHz for deep organs. The angular size of the scanning sector: 40-90º (less often up to 115º), the length of the working surface arc is 36-72 mm.

    2. Sensors for superficial organs.Used to examine the shallow-lined small organs and structures - thyroid gland, peripheral vessels, joints, etc. Work frequencies - 7.5 MHz, sometimes 5 or 10 MHz. Most often used linear sensor, 29-50 mm, less often convex, microconvex or sectoral mechanical with an aqueous nozzle with an arc length of 25-48 mm.

    3. Internal sensors.There is a wide variety of intra-path sensors, which differ from each other by the areas of medical applications.

    ü Intraoperative sensors. Because Sensors are entered into the operating field, then must be performed very compact. As a rule, linear converters are used in 38-64 mm long. Sometimes convex converters with a large radius of curvature are used. The operating frequency is 5 or 7.5 MHz.

    ü Cleaning sensors. This type of sensors is used to explore the heart from the esophagus. It is designed by the same principle as the flexible endoscope, the surveillance viewing system is similar. Sectorate mechanical, convex or phased sector scanning with a working frequency of 5 MHz.

    ü intravascular sensors. Used for invasive vessel examination. Scanning - sectoral mechanical circular, 360 º. The operating frequency is 10 MHz and more.

    ü Transvaginal (intravaginal) Sensors. There are sectoral mechanical or microconvex type with an angle of view from 90º to 270º. Operating frequency 5, 6 or 7.5 MHz. The sector axis is usually located at some angle relative to the axis of the sensor. Sometimes sensors with two converters are used, which have a scan plane at an angle of 90º to each other. Such sensors are called biglanova .

    ü Transrectal sensors. Basically apply to the diagnosis of prostatitis. The operating frequency is 7.5 MHz, less often 4 and 5 MHz. In the transrectal sensors, several scan types are used. With the sectoral mechanical scanning in the circular sector (360 º), the scanning plane is perpendicular to the axis of the sensor. In another form of sensors, a linear ultrasonic converter is used with location along the sensor axis. Thirdly, a convex converter with a viewing plane passing through the sensor axis is used.

    The specific feature of these sensors is the presence of a water supply channel to fill the rubber bag dressed on the working part.

    ü Tensuretile sensors. Small diameter sensors entered through urethra in the bladder using a mechanical sector or circular (360º) scanning with a working frequency of 7.5 MHz.

    4. Cardiology sensors.A feature of the heart survey is observation through the intercostal gap. For such studies, sectoral mechanical scanning sensors are used (single-element or ring grid) and phased electronic. Operating frequency - 3.5 or 5 MHz. Recently, in high-end devices with color doppler mapping, percussion sensors are used.

    5. Sensors for pediatrics. Pediatrics use the same sensors as for adults, but with a higher frequency - 5 or 7.5 MHz. This allows you to get higher image quality due to small patient sizes. In addition, special sensors are applied. For example, a sectorial or microconvex sensor with a frequency of 5 or 6 MHz is used to examine the brain brain of newborns through the spring.

    6. Biopsy sensors.Used to accurately guiding biopsy or puncture needles. For this purpose, sensors in which the needle can pass through the hole (or slit) in the working surface (aperture) are specifically designed. Due to the technological complexity of performing sensor data (which significantly increases the cost of the biopsy sensor), biopsy adapters are often used - devices for guiding biopsy needles. Removable adapter, hard fastened on the body of the ordinary sensor.

    7. Multi-frequency sensors.Sensors with a wide strip of working frequencies. The sensor operates on different switchable frequencies depending on which depth is interested in the researcher.

    8. Doppler Sensors.Used to obtain information about the speed or spectrum of blood flow velocities in vessels. In our case, ultrasonic waves are reflected from blood particles, and this change directly depends on the blood flow rate.