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TELECONFRENCES
2004
The Changing Left Ventricle

2003
Aortic Valve Disease: New Dimensions in Evaluation and Management

2002
Heart Failure: Echo's Role in and Emerging Health Crisis

2001
Chest Pain in Children & Adults: The Role of Echo

2000
Mitral Regurgitation: New Concept

1998
The Falling Left Ventricle: Diastolic & Systolic Function

1997
Changing the Outcome of Coronary Artery Disease
ECHO GRAND ROUNDS
Digital Integration
LEARN THE BASICS
Echocardiography
Doppler Echo
VIDEO ARCHIVES

Chest Pain in Children and Adults

Mitral Regurgitation: New Concepts

Diastolic and Systolic Function

Changing the Outcome of CAD

BROADCAST SUPPLEMENTS
2000 MV
2001 Chest Pain
2002 Heart Failure


Two-Dimensional Scanning
Electronically Steered or Phased Array Sector Scanners
Fig. 2

The ultrasound beam can also be steered electronically, without moving the transducer. Electronically steered, or "phased array" systems (Figs. 2 to 4) typically comprise 96 to 128 small elements (only a few are shown), which are pulsed in a very rapid, precisely controlled sequence. The top element is pulsed first (Fig. 2); because it is very small, the ultrasound wave it generates is circular. Very soon afterwards, the second element is pulsed, and so on. The individual wavelets combine to make one compound wave that, because of the pulsing sequence, travels at an angle to the axis of the transducer array. Returning echoes do not reach all the transducer elements simultaneously; electronic circuits delay the signals from those arriving first, allowing the remainder to catch up (Fig. 4).

Fig. 3

Continuously changing the pulsing sequence scans the ultrasound beam in a manner similar to a mechanical scanner. Despite the necessary complexity of the electronic circuitry the phased array technique offers methods for reading the effective beam width not possible with mechanical systems. This is a very important factor in improving image quality. Focusing can be achieved by fitting a plastic lens over the face of the transducer. Phased array systems can provide additional focusing electronically; a lens works by delaying portions of the wavefront and a phased array can achieve the same effect electronically by further modifying the pulsing sequence (Fig. 3).

Fig. 4

A phased array system can also employ a technique called "dynamic focusing" (Fig. 4). If a pulse is transmitted across two interfaces, A and B, the echo from A returns first. Its curved wavefront reaches the center transducer elements before those at the edges. The electrical signals from the central elements are delayed to allow those from the edges to catch up. All the signals are then added together (A1). A few microseconds later, echoes from B arrive. This wavefront is less curved, so the delay pattern is altered. In this way the receiver changes its focal distance as echoes from more distant structures arrive, just as a pair of binoculars can be adjusted to keep an airplane in focus as it flies past. This technique rejects off-axis echoes that reduce effective beam width.

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