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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
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Chest Pain in Children and Adults

Mitral Regurgitation: New Concepts

Diastolic and Systolic Function

Changing the Outcome of CAD

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2000 MV
2001 Chest Pain
2002 Heart Failure


Recording a Two-Dimensional Display

The simplest method of recording a two-dimensional display is to focus a TV camera on the oscilloscope image and record it on a standard video tape recorder. However, this does not give very good image quality, partly because of the double conversion from electrical to visible image, then back to electrical before obtaining the final visible image, and also because of interaction between the radial scan lines forming the sector image and the parallel lines used for TV. Another possibility is to use a movie camera, but film is expensive and processing it takes time. Furthermore, unless the movie camera shutter is synchronized to the oscilloscope scan rate, there will be unsightly flickering or blank bars across the picture.

Fig. 9

A much better method is to change the sector image into a TV format by means of a digital scan converter (Fig. 9). This comprises a matrix of electronic memory cells (typically 512 x 512 elements). The image intensity at each point on the waveform is assigned a specific number by which is it expressed in digital form on a scale of 0-64 grey levels and its value stored in the appropriate memory cell. The memory matrix can then be "read" in any sequence, for example as a series of horizontal lines to form a TV image, or as vertical lines to enable it to be printed by a fiberoptics strip chart recorder. Digitizing the image also permits a certain amount of manipulation, for example addition of alphanumeric characters, changing contrast, or elimination of low-level "noise".

Images from a scan converter can be transferred directly onto videotape. For quantitative analysis, selected scans can be photographed or measured directly from the oscilloscope screen.

Fig. 8

It is sometimes useful to be able to record M-mode and two-dimensional images simultaneously. This makes it possible, for example, to analyze in detail the motions of structures whose precise spatial orientation is defined by a two-dimensional image. An electronic cursor superimposed on the display is adjusted to the desired position and the appropriate B-mode lines are printed on an M-mode strip-chart recorder. Unfortunately, with a mechanical sector scanner only one such line is available for each two-dimensional scan field (typically 60 per second) and the resulting M-mode recording quality is poor. With an electronically steered system, however, the beam direction can be changed in any desired sequence. For example, it is thus possible to allocate 500 pulses a second for transmission along a selected axis to form a good quality M-mode recording, alternating these with pulses whose direction is changed sequentially to form the two-dimensional image (Fig. 8).

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