{"id":47,"date":"2023-11-02T23:19:36","date_gmt":"2023-11-02T23:19:36","guid":{"rendered":"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/chapter\/basic-image-interpretation-and-acquisition\/"},"modified":"2024-09-19T03:49:40","modified_gmt":"2024-09-19T03:49:40","slug":"basic-image-interpretation-and-acquisition","status":"publish","type":"chapter","link":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/chapter\/basic-image-interpretation-and-acquisition\/","title":{"raw":"Preparing for Ultrasound Scan, Basic Image Acquisition","rendered":"Preparing for Ultrasound Scan, Basic Image Acquisition"},"content":{"raw":"<strong>Introduction<\/strong>\r\n\r\nAcquiring and interpreting an image is one of the most enjoyable part in an ultrasound scan. The achievement of getting a diagnosis or findings that helps pointing towards a diagnosis is unbridled.\r\n\r\nIn this small chapter we'll bring you step by step on how to prepare you and the patient for your first ever ultrasound scan.\r\n\r\n&nbsp;\r\n\r\n<strong>Setting up the patient<\/strong>\r\n\r\nA patient should always be at the most comfortable position possible when undergoing an ultrasound scan. Preferably the patient should be at a semi-recumbent position at 45 degree angle and be approached from the right side as in any physical examination.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_46\" align=\"aligncenter\" width=\"1024\"]<img class=\"wp-image-41 size-large\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-1024x652.jpg\" alt=\"Patient position during Ultrasound\" width=\"1024\" height=\"652\" \/> Preferred patient position during ultrasound scan. Adopted from <a href=\"https:\/\/www.youtube.com\/watch?v=9AzgSQ15Ahk&amp;t=710s\" target=\"_blank\" rel=\"noopener\">\"01 Physics\"<\/a>\u00a0by\u00a0<a>SinaiEMUltrasound<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a>[\/caption]\r\n\r\n&nbsp;\r\n\r\n<strong>Holding the Probe<\/strong>\r\n\r\nIt is highly recommended to hold an ultrasound probe as if you're holding a pencil. It will give a good stability and also grip on the ultrasound probe, as well as the needed coordination when moving and manipulating a probe.\r\n\r\nStabilisation of the probe during scanning can be achieved by leaning your heel of hand or your 5th finger onto the patient's body. This will allow you to make minute movements in order to attain best window for your scan.\r\n\r\nAdequate amount of gel is needed to assist in moving the transducer along any specific planes and also to optimize the window and quality of image. This is because the gel will become the medium between the transducer and the tissue or surface being scanned, making sure that the ultrasound waves being reflected will not dissipate, which will decrease the quality of image.\r\n<p style=\"text-align: center;\"><img class=\"size-medium wp-image-42 aligncenter\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-300x222.jpg\" alt=\"Holding an ultrasound probe\" width=\"300\" height=\"222\" \/><\/p>\r\n<p style=\"text-align: center;\"><span style=\"text-align: initial; font-size: 1em;\">Adopted from <\/span><a style=\"text-align: initial; font-size: 1em;\" href=\"https:\/\/www.youtube.com\/watch?v=9AzgSQ15Ahk&amp;t=710s\" target=\"_blank\" rel=\"noopener\">\"01 Physics\"<\/a><span style=\"text-align: initial; font-size: 1em;\">\u00a0by\u00a0<\/span><a style=\"text-align: initial; font-size: 1em;\">SinaiEMUltrasound<\/a><span style=\"text-align: initial; font-size: 1em;\">\u00a0is licensed under\u00a0<\/span><a style=\"text-align: initial; font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\r\n&nbsp;\r\n<h5><strong>Image Acquisition<\/strong><\/h5>\r\nIt is important to be well oriented to the types of basic ultrasound probe movement and orientation.\r\n\r\nScreen markers are usually on the right side of the screen and tallies with right side of the patient.\r\n\r\n<img class=\"aligncenter wp-image-43 size-full\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen.jpg\" alt=\"Abdominal aorta scan showing screen indicator mark on the right side\" width=\"961\" height=\"659\" \/>\r\n<p style=\"text-align: center;\">Abdominal Ultrasound screen capture showing screen indicator on the right side which tally with probe marker on the right side of the patient, thus orientating the Abdominal aorta on the left side and inferior vena cava on the right. Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=vCSnP6SKiOI\" target=\"_blank\" rel=\"noopener\">\"POCUS Cases 10: Accuracy, Limitation &amp; Pitfalls of POCUS for AAA\"<\/a>\u00a0by\u00a0<a>EM Cases<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\r\n&nbsp;\r\n\r\nOther than that, there are several basic movements of the ultrasound probe that you or any ultrasound operator needs to master in order to get the best out of these state of the art tool.\r\n<ul>\r\n \t<li><strong>Plane Orientation<\/strong>: Start with standard planes\u2014longitudinal and transverse. These are fundamental for comparing anatomy and pathology.<\/li>\r\n \t<li><strong>Sweeping and sliding<\/strong>: Slowly sweep the transducer vertically or parallel to the skin across the area of interest to explore the anatomy comprehensively. Usually this is done without any added pressure or movement horizontally. If you are moving the transducer vertically sideways, the movement on the other hand is called sliding<\/li>\r\n \t<li><strong>Compression<\/strong> : Is the movement of the transducer towards the patient's body, all the time making sure that the transducer is fixed at the same angle horizontally<\/li>\r\n \t<li><strong>Tilting, Rocking and Rotating<\/strong>: Adjust the angle of the probe to optimize the image quality, especially when structures are obscured by bone or gas.<\/li>\r\n<\/ul>\r\n[embed]https:\/\/www.youtube.com\/watch?v=AxuGkz78pBA&amp;list=PLe-hkQ8u80lxEoQFpiOcKmS9nkh1xp7ea[\/embed]\r\n<h5 style=\"text-align: center;\">The video shows basic orientation of probes and monitor as well as basic movements of transducers during any types of scan. Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=AxuGkz78pBA&amp;list=PLe-hkQ8u80lxEoQFpiOcKmS9nkh1xp7ea\" target=\"_blank\" rel=\"noopener\">\"Ultrasound: How to Scan\"<\/a>\u00a0by\u00a0<a>Radiology Frameworks<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/h5>\r\n&nbsp;\r\n<h5><strong>Making Sense of a Formed Image<\/strong><\/h5>\r\nThe first challenge of any scan is to obtain a satisfactory image to form a diagnosis. Surely surface anatomy plays an important role for you to ensure correct placement of the probe with the help of anatomical landmarks in order to get a beautiful image that everybody can make sense of.\r\n\r\nPlacing the probe on the right place is only half the battle. Getting a sharp image and qualified picture to make sure of a finding is the next part of it. It is therefore important to make the most out of\u00a0 multiple settings available to you.\r\n\r\nMultiple settings on how to adjust the formed image is discussed briefly in the previous chapter of this book.\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<strong>Scanning modes<\/strong>\r\n\r\nBasically there are 3 types of ultrasound modes, of which 2 still applies heavily to the aim and application of this book.\r\n\r\n<em>A<\/em> mode or Amplitude mode uses amplitude return on an oscilloscope display and now mainly used in opthalmology.\r\n\r\n<img class=\"aligncenter wp-image-44 size-large\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-1024x473.jpg\" alt=\"A pciture depicting A Mode in Ultrasound\" width=\"1024\" height=\"473\" \/>\r\n<p style=\"text-align: center;\">A Mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">\"Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)\"<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\r\n&nbsp;\r\n\r\n<em>B<\/em> mode or Brightness mode is the majority of use these days and used for diagnostic imaging. It is a 2 dimensional image that displays brightness on the screen due to the effect of waves travelling to and from the objects being scanned.\r\n\r\n<img class=\"aligncenter size-large wp-image-45\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-1024x576.jpg\" alt=\"Image Depicting B mode in Ultrasound\" width=\"1024\" height=\"576\" \/>\r\n<p style=\"text-align: center;\">B mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">\"Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)\"<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n<strong><em>M<\/em> mode<\/strong> or <strong>Motion mode<\/strong> is a mode that capture motion, mainly along a single line in a 2D image. This mode is usually reserved for advanced users and is very important for quantitative measurements.\r\n\r\n<img class=\"aligncenter size-large wp-image-46\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-1024x576.jpg\" alt=\"\" width=\"1024\" height=\"576\" \/>\r\n<p style=\"text-align: center;\">M Mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">\"Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)\"<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\r\n&nbsp;\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Preparing for Ultrasound Scan, Basic Image Acquisition<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n[h5p id=\"3\"]\r\n\r\n<\/div>\r\n<\/div>\r\n&nbsp;\r\n\r\n&nbsp;","rendered":"<p><strong>Introduction<\/strong><\/p>\n<p>Acquiring and interpreting an image is one of the most enjoyable part in an ultrasound scan. The achievement of getting a diagnosis or findings that helps pointing towards a diagnosis is unbridled.<\/p>\n<p>In this small chapter we&#8217;ll bring you step by step on how to prepare you and the patient for your first ever ultrasound scan.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Setting up the patient<\/strong><\/p>\n<p>A patient should always be at the most comfortable position possible when undergoing an ultrasound scan. Preferably the patient should be at a semi-recumbent position at 45 degree angle and be approached from the right side as in any physical examination.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_46\" aria-describedby=\"caption-attachment-46\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-41 size-large\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-1024x652.jpg\" alt=\"Patient position during Ultrasound\" width=\"1024\" height=\"652\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-1024x652.jpg 1024w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-300x191.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-768x489.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-65x41.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-225x143.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position-350x223.jpg 350w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2023\/11\/patient-position.jpg 1326w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-46\" class=\"wp-caption-text\">Preferred patient position during ultrasound scan. Adopted from <a href=\"https:\/\/www.youtube.com\/watch?v=9AzgSQ15Ahk&amp;t=710s\" target=\"_blank\" rel=\"noopener\">&#8220;01 Physics&#8221;<\/a>\u00a0by\u00a0<a>SinaiEMUltrasound<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Holding the Probe<\/strong><\/p>\n<p>It is highly recommended to hold an ultrasound probe as if you&#8217;re holding a pencil. It will give a good stability and also grip on the ultrasound probe, as well as the needed coordination when moving and manipulating a probe.<\/p>\n<p>Stabilisation of the probe during scanning can be achieved by leaning your heel of hand or your 5th finger onto the patient&#8217;s body. This will allow you to make minute movements in order to attain best window for your scan.<\/p>\n<p>Adequate amount of gel is needed to assist in moving the transducer along any specific planes and also to optimize the window and quality of image. This is because the gel will become the medium between the transducer and the tissue or surface being scanned, making sure that the ultrasound waves being reflected will not dissipate, which will decrease the quality of image.<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-42 aligncenter\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-300x222.jpg\" alt=\"Holding an ultrasound probe\" width=\"300\" height=\"222\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-300x222.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-1024x758.jpg 1024w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-768x568.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-65x48.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-225x166.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe-350x259.jpg 350w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/holding-the-probe.jpg 1353w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"text-align: initial; font-size: 1em;\">Adopted from <\/span><a style=\"text-align: initial; font-size: 1em;\" href=\"https:\/\/www.youtube.com\/watch?v=9AzgSQ15Ahk&amp;t=710s\" target=\"_blank\" rel=\"noopener\">&#8220;01 Physics&#8221;<\/a><span style=\"text-align: initial; font-size: 1em;\">\u00a0by\u00a0<\/span><a style=\"text-align: initial; font-size: 1em;\">SinaiEMUltrasound<\/a><span style=\"text-align: initial; font-size: 1em;\">\u00a0is licensed under\u00a0<\/span><a style=\"text-align: initial; font-size: 1em;\" href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Image Acquisition<\/strong><\/h5>\n<p>It is important to be well oriented to the types of basic ultrasound probe movement and orientation.<\/p>\n<p>Screen markers are usually on the right side of the screen and tallies with right side of the patient.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-43 size-full\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen.jpg\" alt=\"Abdominal aorta scan showing screen indicator mark on the right side\" width=\"961\" height=\"659\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen.jpg 961w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen-300x206.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen-768x527.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen-65x45.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen-225x154.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/Ultrasound-orientation-screen-350x240.jpg 350w\" sizes=\"auto, (max-width: 961px) 100vw, 961px\" \/><\/p>\n<p style=\"text-align: center;\">Abdominal Ultrasound screen capture showing screen indicator on the right side which tally with probe marker on the right side of the patient, thus orientating the Abdominal aorta on the left side and inferior vena cava on the right. Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=vCSnP6SKiOI\" target=\"_blank\" rel=\"noopener\">&#8220;POCUS Cases 10: Accuracy, Limitation &amp; Pitfalls of POCUS for AAA&#8221;<\/a>\u00a0by\u00a0<a>EM Cases<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Other than that, there are several basic movements of the ultrasound probe that you or any ultrasound operator needs to master in order to get the best out of these state of the art tool.<\/p>\n<ul>\n<li><strong>Plane Orientation<\/strong>: Start with standard planes\u2014longitudinal and transverse. These are fundamental for comparing anatomy and pathology.<\/li>\n<li><strong>Sweeping and sliding<\/strong>: Slowly sweep the transducer vertically or parallel to the skin across the area of interest to explore the anatomy comprehensively. Usually this is done without any added pressure or movement horizontally. If you are moving the transducer vertically sideways, the movement on the other hand is called sliding<\/li>\n<li><strong>Compression<\/strong> : Is the movement of the transducer towards the patient&#8217;s body, all the time making sure that the transducer is fixed at the same angle horizontally<\/li>\n<li><strong>Tilting, Rocking and Rotating<\/strong>: Adjust the angle of the probe to optimize the image quality, especially when structures are obscured by bone or gas.<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Ultrasound: How to Scan\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/AxuGkz78pBA?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h5 style=\"text-align: center;\">The video shows basic orientation of probes and monitor as well as basic movements of transducers during any types of scan. Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=AxuGkz78pBA&amp;list=PLe-hkQ8u80lxEoQFpiOcKmS9nkh1xp7ea\" target=\"_blank\" rel=\"noopener\">&#8220;Ultrasound: How to Scan&#8221;<\/a>\u00a0by\u00a0<a>Radiology Frameworks<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/h5>\n<p>&nbsp;<\/p>\n<h5><strong>Making Sense of a Formed Image<\/strong><\/h5>\n<p>The first challenge of any scan is to obtain a satisfactory image to form a diagnosis. Surely surface anatomy plays an important role for you to ensure correct placement of the probe with the help of anatomical landmarks in order to get a beautiful image that everybody can make sense of.<\/p>\n<p>Placing the probe on the right place is only half the battle. Getting a sharp image and qualified picture to make sure of a finding is the next part of it. It is therefore important to make the most out of\u00a0 multiple settings available to you.<\/p>\n<p>Multiple settings on how to adjust the formed image is discussed briefly in the previous chapter of this book.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Scanning modes<\/strong><\/p>\n<p>Basically there are 3 types of ultrasound modes, of which 2 still applies heavily to the aim and application of this book.<\/p>\n<p><em>A<\/em> mode or Amplitude mode uses amplitude return on an oscilloscope display and now mainly used in opthalmology.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-44 size-large\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-1024x473.jpg\" alt=\"A pciture depicting A Mode in Ultrasound\" width=\"1024\" height=\"473\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-1024x473.jpg 1024w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-300x138.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-768x355.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-65x30.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-225x104.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode-350x162.jpg 350w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/A-mode.jpg 1382w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p style=\"text-align: center;\">A Mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">&#8220;Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)&#8221;<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><em>B<\/em> mode or Brightness mode is the majority of use these days and used for diagnostic imaging. It is a 2 dimensional image that displays brightness on the screen due to the effect of waves travelling to and from the objects being scanned.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-45\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-1024x576.jpg\" alt=\"Image Depicting B mode in Ultrasound\" width=\"1024\" height=\"576\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-1024x576.jpg 1024w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-300x169.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-768x432.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-1536x864.jpg 1536w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-65x37.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-225x127.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode-350x197.jpg 350w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/B-mode.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p style=\"text-align: center;\">B mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">&#8220;Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)&#8221;<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>M<\/em> mode<\/strong> or <strong>Motion mode<\/strong> is a mode that capture motion, mainly along a single line in a 2D image. This mode is usually reserved for advanced users and is very important for quantitative measurements.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-46\" src=\"https:\/\/openbook.ums.edu.my\/shaipointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-1024x576.jpg\" alt=\"\" width=\"1024\" height=\"576\" srcset=\"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-1024x576.jpg 1024w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-300x169.jpg 300w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-768x432.jpg 768w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-1536x864.jpg 1536w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-65x37.jpg 65w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-225x127.jpg 225w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1-350x197.jpg 350w, https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-content\/uploads\/sites\/182\/2024\/09\/M-mode-1.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p style=\"text-align: center;\">M Mode in Ultrasound Adapted from <a href=\"https:\/\/www.youtube.com\/watch?v=fUu7wv3NtdM\" target=\"_blank\" rel=\"noopener\">&#8220;Short Topics in Ultrasound Imaging: Basic Imaging Modes (Arabic Narration)&#8221;<\/a>\u00a0by\u00a0<a>Biomedical Engineering<\/a>\u00a0is licensed under\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\" target=\"_blank\" rel=\"noopener\">CC BY 4.0<\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Preparing for Ultrasound Scan, Basic Image Acquisition<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<div id=\"h5p-3\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-3\" class=\"h5p-iframe\" data-content-id=\"3\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Preparing for Ultrasound Scan, Basic Image Acquisition\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":7,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["mohammad-firdaus-bolong"],"pb_section_license":""},"chapter-type":[],"contributor":[61],"license":[54],"class_list":["post-47","chapter","type-chapter","status-publish","hentry","contributor-mohammad-firdaus-bolong","license-cc-by-sa"],"part":33,"_links":{"self":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapters\/47","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/users\/7"}],"version-history":[{"count":3,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapters\/47\/revisions"}],"predecessor-version":[{"id":157,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapters\/47\/revisions\/157"}],"part":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/parts\/33"}],"metadata":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapters\/47\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/media?parent=47"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/pressbooks\/v2\/chapter-type?post=47"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/contributor?post=47"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/openbook.ums.edu.my\/pointofcareultrasoundforundergraduates\/wp-json\/wp\/v2\/license?post=47"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}