Tuesday, June 1, 2010

ABDOMINAL, PELVIC (GENERAL) ULTRASOUND

http://www.radiologyinfo.org/en/info.cfm?pg=abdominus



Abdominal Ultrasound

What is Ultrasound Imaging of the Abdomen?

Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
An abdominal ultrasound produces a picture of the organs and other structures in the upper abdomen.
A Doppler ultrasound study may be part of an abdominal ultrasound examination.
Doppler ultrasound is a special ultrasound technique that evaluates blood flow through a blood vessel, including the body's major arteries and veins in the abdomen, arms, legs and neck.

What are some common uses of the procedure?

Ultrasound: Gallbladder
Gallbladder and common bile duct.
Abdominal ultrasound imaging is performed to evaluate the:
Ultrasound: Kidney
Sample image: Power Doppler ultrasound of the kidney. This image shows the tiny blood vessels in the kidney like the branches of a tree.
Ultrasound is used to help diagnose a variety of conditions, such as:
  • abdominal pain or distention.
  • abnormal liver function.
  • enlarged abdominal organ.
  • stones in the gallbladder or kidney.
  • an aneurysm in the aorta.
Additionally, ultrasound may be used to provide guidance for biopsies.
Ultrasound: Liver
Sample image: Ultrasound of the liver. This image demonstrates the liver tissue. The darker linear areas in the liver are veins bringing blood and nutrients to the liver and others are draining blood from the liver and returning it to the heart.
Doppler ultrasound images can help the physician to see and evaluate:
  • blockages to blood flow (such as clots).
  • narrowing of vessels (which may be caused by plaque).
  • tumors and congenital malformation.

How should I prepare?

You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.
You may be asked to wear a gown during the procedure.
Tell your doctor if you have had a barium enema or a series of upper GI (gastrointestinal) tests within the past two days. Barium that remains in the intestines can interfere with the ultrasound test.
Other preparations depend on the type of ultrasound you are having.
  • For a study of the liver, gallbladder, spleen, and pancreas, you may be asked to eat a fat-free meal on the evening before the test and then to avoid eating for eight to 12 hours before the test.
  • For ultrasound of the kidneys, you may be asked to drink four to six glasses of liquid about an hour before the test to fill your bladder. You may be asked to avoid eating for eight to 12 hours before the test to avoid gas buildup in the intestines.
  • For ultrasound of the aorta, you may need to avoid eating for eight to 12 hours before the test.

What does the equipment look like?

Ultrasound scanners consist of a console containing a computer and electronics, a video display screen and a transducer that is used to scan the body and blood vessels. The transducer is a small hand-held device that resembles a microphone, attached to the scanner by a cord. The transducer sends out high frequency sound waves into the body and then listens for the returning echoes from the tissues in the body. The principles are similar to sonar used by boats and submarines.
The ultrasound image is immediately visible on a nearby video display screen that looks much like a computer or television monitor. The image is created based on the amplitude (strength), frequency and time it takes for the sound signal to return from the patient to the transducer and the type of body structure the sound travels through.

How does the procedure work?

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves it is possible to determine how far away the object is and its size, shape, and consistency (whether the object is solid, filled with fluid, or both).
In medicine, ultrasound is used to detect changes in appearance of organs, tissues, and vessels or detect abnormal masses, such as tumors.
In an ultrasound examination, a transducer both sends the sound waves and records the echoing waves. When the transducer is pressed against the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off of internal organs, fluids and tissues, the sensitive microphone in the transducer records tiny changes in the sound's pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images.
Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels. The movement of blood cells causes a change in pitch of the reflected sound waves (called the Doppler effect). A computer collects and processes the sounds and creates graphs or color pictures that represent the flow of blood through the blood vessels.

How is the procedure performed?

For most ultrasound exams, the patient is positioned lying face-up on an examination table that can be tilted or moved.
A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin. The sonographer (ultrasound technologist) or radiologist then presses the transducer firmly against the skin in various locations, sweeping over the area of interest or angling the sound beam from a farther location to better see an area of concern.
Doppler sonography is performed using the same transducer.
When the examination is complete, the patient may be asked to dress and wait while the ultrasound images are reviewed. However, the sonographer or radiologist is often able to review the ultrasound images in real-time as they are acquired and the patient can be released immediately.
This ultrasound examination is usually completed within 30 minutes.

What will I experience during and after the procedure?

Most ultrasound examinations are painless, fast and easy.
After you are positioned on the examination table, the radiologist or sonographer will apply some warm water-based gel on your skin and then place the transducer firmly against your body, moving it back and forth over the area of interest until the desired images are captured. There is usually no discomfort from pressure as the transducer is pressed against the area being examined.
If scanning is performed over an area of tenderness, you may feel pressure or minor pain from the transducer.
If a Doppler ultrasound study is performed, you may actually hear pulse-like sounds that change in pitch as the blood flow is monitored and measured.
Once the imaging is complete, the gel will be wiped off your skin.
After an ultrasound exam, you should be able to resume your normal activities immediately.

Who interprets the results and how do I get them?

A radiologist, a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care physician or the physician who referred you for the exam, who will share the results with you. In some cases the radiologist may discuss results with you at the conclusion of your examination.

What are the benefits vs. risks?

Benefits

  • Most ultrasound scanning is noninvasive (no needles or injections) and is usually painless.
  • Ultrasound is widely available, easy-to-use and less expensive than other imaging methods.
  • Ultrasound imaging does not use any ionizing radiation.
  • Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x-ray images.
  • Ultrasound provides real-time imaging, making it a good tool for guiding minimally invasive procedures such as needle biopsies and needle aspiration.

Risks

What are the limitations of Abdominal Ultrasound Imaging?

Ultrasound waves are disrupted by air or gas; therefore ultrasound is not an ideal imaging technique for the bowel or organs obscured by the bowel. In most cases, barium exams, CT scanning, and MRI are the methods of choice in this setting.
Large patients are more difficult to image by ultrasound because tissue attenuates (weakens) the sound waves as they pass deeper into the body.

Abdominal Ultrasound

Power Doppler ultrasound of the kidney. This image shows the tiny blood vessels in the kidney like the branches of a tree.
Power Doppler ultrasound of the kidney. This image shows the tiny blood vessels in the kidney like the branches of a tree.

Abdominal Ultrasound

Gallbladder and common bile duct.<br />a. common bile duct<br />b. gallbladder
Gallbladder and common bile duct.
a. common bile duct
b. gallbladder

Ultrasound of the liver. This image demonstrates the liver tissue. The darker linear areas in the liver are veins bringing blood and nutrients to the liver and others are draining blood from the liver and returning it to the heart.
Ultrasound of the liver. This image demonstrates the liver tissue. The darker linear areas in the liver are veins bringing blood and nutrients to the liver and others are draining blood from the liver and returning it to the heart.

Ultrasound showing blood flowing from intestines into liver. Image on the left: routine. On the right with power Doppler.
Ultrasound showing blood flowing from intestines into liver. Image on the left: routine. On the right with power Doppler.


What is General Ultrasound Imaging?

Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
Click to view larger
Ultrasound image of the gallbladder.

Ultrasound: Gallbladder
Conventional ultrasound displays the images in thin, flat sections of the body. Advancements in ultrasound technology include three-dimensional (3-D) ultrasound that formats the sound wave data into 3-D images. Four-dimensional (4-D) ultrasound is 3-D ultrasound in motion.
A Doppler ultrasound study may be part of an ultrasound examination.
Doppler ultrasound is a special ultrasound technique that evaluates blood flow through a blood vessel, including the body's major arteries and veins in the abdomen, arms, legs and neck.
There are three types of Doppler ultrasound:
  • Color Doppler uses a computer to convert Doppler measurements into an array of colors to visualize the speed and direction of blood flow through a blood vessel.
  • Power Doppler is a newer technique that is more sensitive than color Doppler and capable of providing greater detail of blood flow, especially when blood flow is little or minimal. Power Doppler, however, does not help the radiologist determine the direction of blood flow, which may be important in some situations.
  • Spectral Doppler. Instead of displaying Doppler measurements visually, Spectral Doppler displays blood flow measurements graphically, in terms of the distance traveled per unit of time.

What are some common uses of the procedure?

Click to view larger
Power Doppler ultrasound image of the kidney.

Ultrasound: Kidney
Ultrasound examinations can help to diagnose a variety of conditions and to assess organ damage following illness.
Ultrasound is used to help physicians evaluate symptoms such as:
  • pain
  • swelling
  • infection
Ultrasound is a useful way of examining many of the body's internal organs, including but not limited to the:
Click to view larger
Ultrasound image of the liver.

Ultrasound: Liver
Ultrasound is also used to:
  • guide procedures such as needle biopsies, in which needles are used to extract sample cells from an abnormal area for laboratory testing.
  • image the breasts and to guide biopsy of breast cancer (see the Ultrasound-Guided Breast Biopsy page).
  • diagnose a variety of heart conditions and to assess damage after a heart attack or diagnose for valvular heart disease.
Doppler ultrasound images can help the physician to see and evaluate:
  • blockages to blood flow (such as clots).
  • narrowing of vessels (which may be caused by plaque).
  • tumors and congenital malformation.
With knowledge about the speed and volume of blood flow gained from a Doppler ultrasound image, the physician can often determine whether a patient is a good candidate for a procedure like angioplasty.

How should I prepare?

You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.
You may be asked to wear a gown during the procedure.
Other preparation depends on the type of examination you will have. For some scans your doctor may instruct you not to eat or drink for as many as 12 hours before your appointment. For others you may be asked to drink up to six glasses of water two hours prior to your exam and avoid urinating so that your bladder is full when the scan begins.

What does the equipment look like?

Ultrasound scanners consist of a console containing a computer and electronics, a video display screen and a transducer that is used to scan the body and blood vessels. The transducer is a small hand-held device that resembles a microphone, attached to the scanner by a cord. The transducer sends out high frequency sound waves into the body and then listens for the returning echoes from the tissues in the body. The principles are similar to sonar used by boats and submarines.
The ultrasound image is immediately visible on a nearby video display screen that looks much like a computer or television monitor. The image is created based on the amplitude (strength), frequency and time it takes for the sound signal to return from the patient to the transducer and the type of body structure the sound travels through.

How does the procedure work?

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves it is possible to determine how far away the object is and its size, shape, and consistency (whether the object is solid, filled with fluid, or both).
In medicine, ultrasound is used to detect changes in appearance of organs, tissues, and vessels or detect abnormal masses, such as tumors.
In an ultrasound examination, a transducer both sends the sound waves and records the echoing waves. When the transducer is pressed against the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off of internal organs, fluids and tissues, the sensitive microphone in the transducer records tiny changes in the sound's pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images.
Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels. The movement of blood cells causes a change in pitch of the reflected sound waves (called the Doppler effect). A computer collects and processes the sounds and creates graphs or color pictures that represent the flow of blood through the blood vessels.

How is the procedure performed?

For most ultrasound exams, the patient is positioned lying face-up on an examination table that can be tilted or moved.
A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin. The sonographer (ultrasound technologist) or radiologist then presses the transducer firmly against the skin in various locations, sweeping over the area of interest or angling the sound beam from a farther location to better see an area of concern.
Doppler sonography is performed using the same transducer.
When the examination is complete, the patient may be asked to dress and wait while the ultrasound images are reviewed. However, the sonographer or radiologist is often able to review the ultrasound images in real-time as they are acquired and the patient can be released immediately.
In some ultrasound studies, the transducer is attached to a probe and inserted into a natural opening in the body. These exams include:
  • Transesophageal echocardiogram. The transducer is inserted into the esophagus to obtain images of the heart.
  • Transrectal ultrasound. The transducer is inserted into a man's rectum to view the prostate.
  • Transvaginal ultrasound. The transducer is inserted into a woman's vagina to view the uterus and ovaries.
Most ultrasound examinations are completed within 30 minutes to an hour.

What will I experience during and after the procedure?

Most ultrasound examinations are painless, fast and easy.
After you are positioned on the examination table, the radiologistor sonographer will apply some warm water-based gel on your skin and then place the transducer firmly against your body, moving it back and forth over the area of interest until the desired images are captured. There is usually no discomfort from pressure as the transducer is pressed against the area being examined.
If scanning is performed over an area of tenderness, you may feel pressure or minor pain from the transducer.
Ultrasound exams in which the transducer is inserted into an opening of the body may produce minimal discomfort.
If a Doppler ultrasound study is performed, you may actually hear pulse-like sounds that change in pitch as the blood flow is monitored and measured.
Once the imaging is complete, the gel will be wiped off your skin.
After an ultrasound exam, you should be able to resume your normal activities immediately.

Who interprets the results and how do I get them?

A radiologist, a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care physician or the physician who referred you for the exam, who will share the results with you. In some cases the radiologist may discuss results with you at the conclusion of your examination.

What are the benefits vs. risks?

Benefits

  • Most ultrasound scanning is noninvasive (no needles or injections) and is usually painless.
  • Ultrasound is widely available, easy-to-use and less expensive than other imaging methods.
  • Ultrasound imaging does not use any ionizing radiation.
  • Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x-ray images.
  • Ultrasound is the preferred imaging modality for the diagnosis and monitoring of pregnant women and their unborn babies.
  • Ultrasound provides real-time imaging, making it a good tool for guiding minimally invasive procedures such as needle biopsies and needle aspiration.

Risks

Ultrasound of the gallbladder. The wall or lining of the gallbladder is white, the bile within the gallbladder is mostly made of water and it appears as a clear black space within the walls of the gallbladder.
Ultrasound of the gallbladder. The wall or lining of the gallbladder is white, the bile within the gallbladder is mostly made of water and it appears as a clear black space within the walls of the gallbladder.

Ultrasound of the liver. This image demonstrates the liver tissue. The darker linear areas in the liver are veins bringing blood and nutrients to the liver and others are draining blood from the liver and returning it to the heart.
Ultrasound of the liver. This image demonstrates the liver tissue. The darker linear areas in the liver are veins bringing blood and nutrients to the liver and others are draining blood from the liver and returning it to the heart.
5 month old female: hip evaluated for congenital dysplasia<br />  Ultrasound of a normal hip.<br />a. gluteus muscle<br />  b. ilium<br />  c. acetabulum<br />  d. head of femur
5 month old female: hip evaluated for congenital dysplasia
Ultrasound of a normal hip.
a. gluteus muscle
b. ilium
c. acetabulum
d. head of femur

5 month old female: hip evaluated for congenital dysplasia<br />  Ultrasound showing a dislocated hip—head of femur out of alignment with hip socket.
5 month old female: hip evaluated for congenital dysplasia
Ultrasound showing a dislocated hip—head of femur out of alignment with hip socket.

What is Pelvic Ultrasound Imaging?

Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels.
Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
A pelvic ultrasound provides pictures of the structures and organs in the lower abdomen or pelvis.
There are three types of pelvic ultrasound:
A Doppler ultrasound exam may be part of a pelvic ultrasound examination.
Doppler ultrasound is a special ultrasound technique that evaluates blood flow through a blood vessel, including the body's major arteries and veins in the abdomen, arms, legs and neck.

What are some common uses of the procedure?

In women, a pelvic or abdominal ultrasound is most often performed to evaluate the:
Pelvic ultrasound exams are also used to monitor the health and development of an embryo or fetus during pregnancy. See the Obstetrical Ultrasound page (www.RadiologyInfo.org/en/info.cfm?pg=obstetricus) for more information.
Ultrasound examinations can help diagnose symptoms experienced by women such as:
  • pelvic pain
  • abnormal bleeding
  • other menstrual problems
and help identify:
A transvaginal ultrasound is usually performed to view the endometrium or the lining of the uterus, including its thickness, and the ovaries. Transvaginal ultrasound also affords a good way to evaluate the muscular walls of the uterus, called the myometrium. Sonohysterography allows for a more in-depth investigation of the uterine cavity. These exams are typically performed to detect:
  • uterine anomalies
  • uterine scars
  • endometrial polyps
  • fibroids
  • cancer, especially in patients with abnormal uterine bleeding
Some physicians also use sonohysterography for patients with infertility. See the Sonohysterography page (www.RadiologyInfo.org/en/info.cfm?pg=hysterosono) for more information.
In men, a pelvic or abdominal ultrasound is used to evaluate the:
  • bladder
  • seminal vesicles
  • prostate
Transrectal ultrasound, a special study usually done to view the prostate gland, involves inserting a specialized ultrasound transducer into a man's rectum. See the Prostate Ultrasound page (www.RadiologyInfo/en/info.cfm?pg=us-prostate) for more information.
In men and women, a pelvic ultrasound exam can help identify:
  • kidney stones.
  • bladder tumors.
  • other disorders of the urinary bladder.
Pelvic ultrasound is also used to guide procedures such as needle biopsies, in which needles are used to extract a sample of cells from organs for laboratory testing.
Doppler ultrasound images can help the physician to see and evaluate:
  • blockages to blood flow (such as clots).
  • narrowing of vessels (which may be caused by plaque).
  • tumors and congenital malformation.

How should I prepare?

You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.
You may be asked to wear a gown during the procedure.
A full bladder helps to visualize the uterus, ovaries, bladder wall and prostate gland for transabdominal ultrasound.

What does the equipment look like?

Ultrasound scanners consist of a console containing a computer and electronics, a video display screen and a transducer that is used to scan the body and blood vessels. The transducer is a small hand-held device that resembles a microphone, attached to the scanner by a cord. The transducer sends out high frequency sound waves into the body and then listens for the returning echoes from the tissues in the body. The principles are similar to sonar used by boats and submarines.
The ultrasound image is immediately visible on a nearby video display screen that looks much like a computer or television monitor. The image is created based on the amplitude (strength), frequency and time it takes for the sound signal to return from the patient to the transducer and the type of body structure the sound travels through.
For ultrasound procedures requiring insertion of the transducer, such as transvaginal or transrectal exams, the device is covered and lubricated.

How does the procedure work?

Ultrasound imaging is based on the same principles involved in the sonar used by bats, ships and fishermen. When a sound wave strikes an object, it bounces back, or echoes. By measuring these echo waves it is possible to determine how far away the object is and its size, shape, and consistency (whether the object is solid, filled with fluid, or both).
In medicine, ultrasound is used to detect changes in appearance of organs, tissues, and vessels or detect abnormal masses, such as tumors.
In an ultrasound examination, a transducer both sends the sound waves and records the echoing waves. When the transducer is pressed against the skin, it directs small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off of internal organs, fluids and tissues, the sensitive microphone in the transducer records tiny changes in the sound's pitch and direction. These signature waves are instantly measured and displayed by a computer, which in turn creates a real-time picture on the monitor. One or more frames of the moving pictures are typically captured as still images.
The same principles apply to ultrasound procedures such as transrectal and transvaginal which require insertion of a special transducer into the body.
Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels. The movement of blood cells causes a change in pitch of the reflected sound waves (called the Doppler effect). A computer collects and processes the sounds and creates graphs or color pictures that represent the flow of blood through the blood vessels.

How is the procedure performed?

Transabdominal:
Transabdominal transducer
Transabdominal transducer
For most ultrasound exams, the patient is positioned lying face-up on an examination table that can be tilted or moved.
A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin. The sonographer (ultrasound technologist) or radiologist then presses the transducer firmly against the skin in various locations, sweeping over the area of interest or angling the sound beam from a farther location to better see an area of concern.
Transvaginal:
Transvaginal transducer
Transvaginal transducer
Transvaginal ultrasound is performed very much like a gynecologic exam and involves the insertion of the transducer into the vagina after the patient empties her bladder. The tip of the transducer is smaller than the standard speculum used when performing a Pap test. A protective cover is placed over the transducer, lubricated with a small amount of gel, and then inserted into the vagina. Only two to three inches of the transducer end are inserted into the vagina. The images are obtained from different orientations to get the best views of the uterus and ovaries. Transvaginal ultrasound is usually performed with the patient lying on her back, possibly with her feet in stirrups similar to a gynecologic exam.
Transrectal:
Transrectal transducer
Transrectal transducer
For a transrectal ultrasound, a protective cover is placed over thetransducer, it is lubricated, and then placed into the rectum.
The patient usually lies on his or her side, facing away from the examiner, with the knees and hips slightly flexed.
Doppler sonography is performed using the same transducer.
When the examination is complete, the patient may be asked to dress and wait while the ultrasound images are reviewed. However, the sonographer or radiologist is often able to review the ultrasound images in real-time as they are acquired and the patient can be released immediately.
These ultrasound examinations are usually completed within 30 minutes.

What will I experience during and after the procedure?

Most ultrasound examinations are painless, fast and easy.
For a transabdominal exam:
After you are positioned on the examination table, the radiologist or sonographerwill apply some warm water-based gel on your skin and then place the transducerfirmly against your body, moving it back and forth over the area of interest until the desired images are captured. There is usually no discomfort from pressure as the transducer is pressed against the area being examined.
If scanning is performed over an area of tenderness, you may feel pressure or minor pain from the transducer.
Ultrasound exams in which the transducer is inserted into an opening of the body may produce minimal discomfort.
For a transvaginal exam:
With transvaginal ultrasound, although the examination is often performed to look for a cause of pelvic pain, the sonogram itself should not be painful or significantly increase your discomfort. A vaginal sonogram is usually more comfortable than a manual gynecologic examination.
For a transrectal exam:
If no biopsy is required, transrectal ultrasound of the prostate is similar or may have less discomfort than a rectal exam performed by your doctor.
If a biopsy is performed, additional discomfort, due to the needle insertion, is usually minimal because the rectal wall is relatively insensitive to the pain in the region of the prostate. A biopsy will add time to the procedure.
If a Doppler ultrasound study is performed, you may actually hear pulse-like sounds that change in pitch as the blood flow is monitored and measured.
Once the imaging is complete, the gel will be wiped off your skin.
After an ultrasound exam, you should be able to resume your normal activities immediately.

Who interprets the results and how do I get them?

A radiologist, a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care physician or the physician who referred you for the exam, who will share the results with you. In some cases the radiologist may discuss results with you at the conclusion of your examination.

What are the benefits vs. risks?

Benefits

  • Most ultrasound scanning is noninvasive (no needles or injections) and is usually painless.
  • Ultrasound is widely available, easy-to-use and less expensive than other imaging methods.
  • Ultrasound imaging does not use any ionizing radiation.
  • Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x-ray images.
  • Ultrasound is the preferred imaging modality for the diagnosis and monitoring of pregnant women and their unborn babies.
  • Ultrasound provides real-time imaging, making it a good tool for guiding minimally invasive procedures such as needle biopsies and needle aspiration.
  • Pelvic ultrasound can help to identify and evaluate a variety of urinary and reproductive system disorders in both sexes without even the minimal risks associated with x-ray exposure.

Risks

What are the limitations of Pelvic Ultrasound Imaging?

Ultrasound waves are disrupted by air or gas; therefore ultrasound is not an ideal imaging technique for the bowel or organs obscured by the bowel. In most cases, barium exams, CT scanning, and MRI are the methods of choice in this setting.
Large patients are more difficult to image by ultrasound because tissue attenuates (weakens) the sound waves as they pass deeper into the body.
Right ovary - transvaginal showing follicular cysts
Right ovary - transvaginal showing follicular cysts
Fetal face - third trimester pregnancy
Fetal face - third trimester pregnancy






























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