Skip to main content

Principles of Ultrasonic Imaging and Instrumentation

  • Chapter
  • First Online:

Abstract

Vivid images of the carotid bifurcation and atherosclerotic plaques can be obtained using real time transcutaneous ultrasound (Fig. 5.1). Compared to other imaging methods, ultrasound has several advantages for studying the dynamic processes that characterize arterial pathology. Acquiring data at rates as high as 10,000 samples per second, while measuring motions less than 0.001 mm (1 μm) and strains in millimeter voxels less than 0.1%, ultrasound is ideally suited to obtain information about complicated turbulent blood flow in real time, as well as the associated dynamics of the arterial walls containing those flows. However, the identification of intraplaque tissue types visualized in ultrasound images has been elusive. Differentiating the types of plaque tissues is considered to be important.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Barnett HJ et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med. 1998;339:1415–1425.

    Article  PubMed  CAS  Google Scholar 

  2. Sadat U et al. Utility of high resolution MR imaging to assess carotid plaque morphology: a comparison of acute symptomatic, recently symptomatic and asymptomatic patients with carotid artery disease. Atherosclerosis. 2009;207(2):434–449.

    Article  PubMed  CAS  Google Scholar 

  3. Comess KA, Beach KW, Hatsukami T, Strandness DE Jr, Daniel W. Pseudocolor displays in B-mode imaging applied to echocardiography and vascular imaging: an update. J Am Soc Echocardiogr. 1992;5:13–32.

    PubMed  CAS  Google Scholar 

  4. Griffin M, Nicolaides A, Kyriacou E. Normalisation of ultrasonic images of atherosclerotic plaques and reproducibility of grey scale median using dedicated software. Int Angiol. 2007;26:372–377.

    PubMed  CAS  Google Scholar 

  5. Kakkos SK et al. Texture analysis of ultrasonic images of symptomatic carotid plaques can identify those plaques associated with ipsilateral embolic brain infarction. Eur J Vasc Endovasc Surg. 2007;33:422-429.

    Article  PubMed  CAS  Google Scholar 

  6. Biasi GM et al. Carotid plaque echolucency increases the risk of stroke in carotid stenting: the Imaging in Carotid Angioplasty and Risk of Stroke (ICAROS) study. Circulation. 2004;110:756–762.

    Article  PubMed  Google Scholar 

  7. Tegos TJ, Kalomiris KJ, Sabetai MM, Kalodiki E, Nicolaides AN. Significance of sonographic tissue and surface characteristics of carotid plaques. AJNR Am J Neuroradiol. 2001;22:1605–1612.

    PubMed  CAS  Google Scholar 

  8. Tegos TJ et al. Determinants of carotid plaque instability: echoicity versus heterogeneity. Eur J Vasc Endovasc Surg. 2001;22:22–30.

    Article  PubMed  CAS  Google Scholar 

  9. Duncan GW, Gruber JO, Dewey CF Jr, Myers GS, Lees RS. Evaluation of carotid stenosis by phonoangiography. N Engl J Med. 1975;293:1124–1128.

    Article  PubMed  CAS  Google Scholar 

  10. Knox R, Breslau P, Strandness DE Jr. Quantitative carotid phonoangiography. Stroke. 1981;12:798-803.

    Article  PubMed  CAS  Google Scholar 

  11. Plett MI et al. In vivo ultrasonic measurement of tissue vibration at a stenosis: a case study. Ultrasound Med Biol. 2001;27:1049–1058.

    Article  PubMed  CAS  Google Scholar 

  12. Barber FE, Baker DW, Nation AW, Strandness DE Jr, Reid JM. Ultrasonic duplex echo-Doppler scanner. IEEE Trans Biomed Eng. 1974;2:109–113.

    Article  Google Scholar 

  13. Dunmire B, Beach KW, Labs K, Plett M, Strandness DE Jr. Cross-beam vector Doppler ultrasound for angle-independent velocity measurements. Ultrasound Med Biol. 2000;26:1213–1235.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

Thanks to Ajay Anand, Kris Dickie, Siddhartha Sikdar, Edward Stutzman, Lei Sui, and Canxing Xu for providing images. Thanks to Jean Primozich for the first vibration waveforms and for studies on the effect of Doppler examination angles. Thanks to Professor Yongmin Kim for his collaboration on advanced ultrasound methods. Special thanks to David Phillips for teaching me about the physics of ultrasound and for conceiving ultrasound displacement measurements. Greatest thanks to Professor D. Eugene Strandness, Jr. for inviting me into this fascinating endeavor. Thanks also to the taxpayers of the United States and their support through the National Institute of Health.

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag London Limited

About this chapter

Cite this chapter

Beach, K.W. (2011). Principles of Ultrasonic Imaging and Instrumentation. In: Nicolaides, A., Beach, K., Kyriacou, E., Pattichis, C. (eds) Ultrasound and Carotid Bifurcation Atherosclerosis. Springer, London. https://doi.org/10.1007/978-1-84882-688-5_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-688-5_5

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-687-8

  • Online ISBN: 978-1-84882-688-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics