SPI study materials
SPI study resources

SPI key terms

SPI · Get comfortable with the vocabulary.

Piezoelectric effect

The property of certain crystals and ceramics to change shape when an alternating voltage is applied, producing sound waves, and to generate a voltage when returning echoes deform them.

Related: Harmonic imaging
Acoustic impedance

The resistance of a medium to sound travel, calculated as density multiplied by propagation speed. Large differences in impedance between two tissues cause strong reflections at their boundary.

Related: Attenuation, Propagation speed
Attenuation

The loss of sound energy as a beam travels through tissue, caused by absorption, reflection, and scattering. It increases with depth and with higher transducer frequency.

Related: Time gain compensation, Acoustic shadowing, Acoustic enhancement
Propagation speed

How fast sound travels through a medium, determined by its stiffness and density. In soft tissue it averages about 1,540 meters per second, while in bone and air it differs greatly.

Related: Acoustic impedance, Attenuation
Spatial pulse length

The physical length of one pulse measured from its front to its back, equal to the number of cycles multiplied by the wavelength. Shorter pulses give better axial resolution.

Related: Axial resolution, Pulse repetition frequency
Axial resolution

The ability to show two reflectors lying along the beam path as separate echoes. It equals half the spatial pulse length and improves with higher frequency and fewer cycles per pulse.

Related: Spatial pulse length, Lateral resolution
Lateral resolution

The ability to distinguish two reflectors lying side by side, perpendicular to the beam. It is best at the focal zone and worsens with greater depth or a wider beam.

Related: Focal zone, Axial resolution
Focal zone

The region of the sound beam where it is narrowest and image detail is sharpest. Its position and length are set by the element's curvature or by electronic focusing.

Related: Lateral resolution, Frame rate
Pulse repetition frequency

The number of ultrasound pulses emitted per second. Higher values allow faster frame rates but reduce the maximum depth that can be imaged before range ambiguity occurs.

Related: Frame rate, Nyquist limit, Aliasing
Duty factor

The fraction of time the transducer is actively transmitting compared with the total pulse repetition period. Continuous-wave Doppler has a duty factor of 1.0; imaging modes are far lower.

Related: Pulse repetition frequency, Continuous-wave Doppler
Dynamic range

The ratio, usually stated in decibels, between the strongest and weakest signals a system can handle or display. Choosing it appropriately affects image contrast and displayed echo brightness.

Related: Bit depth, Time gain compensation
Time gain compensation

A control that increases amplification of echoes returning from greater depths to offset attenuation, so that similar reflectors appear with similar brightness across the image.

Related: Attenuation, Dynamic range
Frame rate

The number of complete images produced per second. It falls when imaging depth, line density, or the number of focal zones is increased.

Related: Pulse repetition frequency, Focal zone
Harmonic imaging

A technique that listens for echoes at twice the transmitted frequency, generated as sound travels through tissue. It improves contrast and reduces haze without the need for contrast agents.

Related: Attenuation
Bit depth

The number of binary bits used to store each echo sample's amplitude, which determines how many shades of gray the displayed image can potentially show.

Related: Dynamic range
Doppler shift

The change in frequency between transmitted sound and echoes returning from moving red blood cells. The shift is proportional to blood velocity and to the cosine of the Doppler angle.

Related: Doppler angle, Continuous-wave Doppler
Doppler angle

The angle between the ultrasound beam and the direction of blood flow. Shifts are converted to accurate velocities only when this angle is 60 degrees or less.

Related: Doppler shift, Color Doppler
Continuous-wave Doppler

A mode using separate elements to transmit and receive without pausing, so it detects flow at any depth along the beam but cannot localize where that flow occurs.

Related: Pulsed-wave Doppler, Duty factor
Pulsed-wave Doppler

A mode that transmits short pulses and listens only during a chosen time window, allowing flow velocity to be measured at a specific depth selected by the operator.

Related: Sample volume, Nyquist limit, Aliasing
Nyquist limit

The highest Doppler shift that can be displayed without ambiguity, equal to half the pulse repetition frequency. Shifts above it appear on the wrong side of the baseline.

Related: Aliasing, Pulse repetition frequency
Aliasing

The wrap-around of a Doppler waveform or color map when the shift exceeds the Nyquist limit, showing peak velocities on the opposite side of the baseline or as a color reversal.

Related: Nyquist limit, Color Doppler
Wall filter

A high-pass filter that removes strong, low-frequency Doppler shifts coming from slow-moving vessel walls and surrounding tissue so that blood flow signals stand out more clearly.

Related: Color Doppler, Power Doppler
Color Doppler

A mode that displays mean flow velocity across a region of interest as a color map, typically red toward and blue away from the transducer, with brightness indicating speed.

Related: Aliasing, Wall filter, Power Doppler
Power Doppler

A mode that displays the strength of Doppler signals rather than their frequency shift, making it more sensitive to slow flow but unable to show direction or velocity.

Related: Color Doppler, Wall filter
Sample volume

The small gate in pulsed-wave Doppler, positioned along the beam, from which returning echoes are accepted. Its length sets the depth range over which flow is measured.

Related: Pulsed-wave Doppler, Doppler angle
Tissue-equivalent phantom

A test object made of material that mimics soft tissue attenuation and speed, containing targets of known position and size, used to check system performance over time.

Related: Uniformity, Vertical distance accuracy, Sensitivity
Sensitivity

A system's ability to detect weak echoes from deep structures. It is tested by finding the greatest depth at which echoes remain visible at a fixed output setting.

Related: Tissue-equivalent phantom, Dead zone
Dead zone

The region immediately in front of the transducer where echoes cannot be resolved because the pulse has not yet ended, so very superficial structures may be missed.

Related: Axial resolution, Sensitivity
Uniformity

The evenness of brightness across an image made while scanning a uniform test object. Uneven areas point to element failures, focusing problems, or gain errors.

Related: Tissue-equivalent phantom, Sensitivity
Vertical distance accuracy

How closely a depth measured on the display matches the true depth of a target, checked using phantom pins placed at known separations.

Related: Tissue-equivalent phantom
Preventive maintenance

Scheduled inspection, cleaning, and testing of scanners and transducers to catch problems early and keep image quality and safety within accepted limits.

Related: Tissue-equivalent phantom, Sensitivity
ALARA

As Low As Reasonably Achievable: the principle of using the lowest acoustic output and the shortest exposure time that still yields a diagnostic result, limiting patient exposure.

Related: Thermal index, Mechanical index
Thermal index

An estimate of the temperature rise tissue may experience from absorbed sound, calculated as acoustic output power divided by the power needed to raise tissue temperature by one degree Celsius.

Related: ALARA, SPTA intensity
Mechanical index

An indicator of the likelihood of cavitation, calculated as the peak negative pressure in megapascals divided by the square root of the frequency in megahertz.

Related: Cavitation, ALARA
Cavitation

The formation, oscillation, or collapse of gas bubbles in tissue or contrast agents when exposed to sound, which can damage nearby cells at high intensities.

Related: Mechanical index
SPTA intensity

Spatial peak temporal average intensity: the highest intensity within the beam averaged over time. It is the value most closely linked to thermal bioeffects.

Related: Thermal index, ALARA
Reverberation artifact

Multiple false echoes appearing behind a strong reflector at evenly spaced depths, caused by sound bouncing back and forth between the reflector and the transducer.

Related: Mirror image artifact, Acoustic shadowing
Acoustic shadowing

A darker region behind a structure that reflects or absorbs most of the sound, such as bone or a gallstone, because little energy reaches the tissue beyond it.

Related: Acoustic enhancement, Attenuation
Acoustic enhancement

Increased brightness behind a fluid-filled structure that weakens sound less than the surrounding tissue, so tissues deeper than the fluid return stronger echoes.

Related: Acoustic shadowing, Attenuation
Mirror image artifact

A duplicate of a real structure appearing on the far side of a strong reflector, created when sound bounces off the reflector before reaching the true object.

Related: Reverberation artifact