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Upstream and downstream stenosis refers to the location of the stenotic site relative to the ultrasound probe. Upstream stenosis means the location of stenosis is located before the ultrasound probe. It causes a marked decrease in peak systolic velocity when compared to end-diastolic velocity, causing marked reduction in resistance index.
TEE probes are similar in style to those used for esophagogastroduodenoscopy except the probe contains an ultrasound crystal rather than a visual camera. The ultrasound crystal images radially to the probe rather than axially (along the probe length) as the heart is not inline with the esophagus, but rather adjacent (anterior) to it. [citation ...
Most probes include the ability to deflect the tip of the probe in one or two dimensions to further refine the perspective of the heart. Additionally, the ultrasound crystal is often a two-dimension crystal and the ultrasound plane being used can be rotated electronically to permit an additional dimension to optimize views of the heart structures.
From the probe tip, a beam of continuous wave ultrasound is directed through the esophageal wall into the aorta and reflects off the moving blood back to the probe; the Doppler effect is used to directly measure the velocity of the blood (by the shift in frequency of the reflected ultrasound signal compared to the original beam).
A transthoracic echocardiogram (TTE) is the most common type of echocardiogram, which is a still or moving image of the internal parts of the heart using ultrasound.In this case, the probe (or ultrasonic transducer) is placed on the chest or abdomen of the subject to get various views of the heart.
The PA probe consists of many small ultrasonic transducers, each of which can be pulsed independently.By varying the timing, for instance by making the pulse from each transducer progressively delayed going up the line, a pattern of constructive interference is set up that results in radiating a quasi-plane ultrasonic beam at a set angle depending on the progressive time delay.
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Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g., distances and velocities) or to generate an informative audible sound.
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