Intro; Preface; Contents; Contributors; Part I: Basic Methods; 1: Physical Principles of Ultrasound; Introduction; Basic Concepts of Sound; Imaging Modalities; The Ultrasound Beam; The 2-D Sector Scan; M-Mode; Critical Ultrasound Concepts: Attenuation, Reflection and Depth Compensation; Attenuation: The Decrease in Amplitude and Intensity as a Wave Travels Through a Medium; Reflection: The Amount of Sound/Signal Returned from a Boundary/Medium (Echo Reflection)
2D Imaging and Basic Image ManipulationFocal Zone; Depth; Measurements; Harmonics; Conclusions; 4: Cardiac Anatomy by Three-Dimensional Echocardiography; Introduction; Mitral Valve; Mitral Annulus; Mitral Leaflets; Chordae Tendineae and Papillary Muscles; Aortic Valve Anatomy; Introduction; The Ventriculoarterial Junction; The Aortic Leaflet; Tricuspid Valve Anatomy; Pulmonary Valve Anatomy; The Right Atrium; The Terminal Crest; The Right Atrial Appendage; The Cavotricuspid Isthmus; The Coronary Sinus; The Right Side of the Interatrial Septum; The Left Atrium; The Ventricles
Limitations of Color Flow ImagingTissue Doppler Imaging (TDI); Power Mode (Amplitude) Imaging; Continuous-Wave (CW) Spectral Doppler; The Continuity Equation and Flow Through a Restricting Orifice; Is Ultrasound Safe?; Conclusions; 2: Conducting a Cardiac Ultrasound Examination; Introduction; Normal Cardiac Anatomy; Standard Imaging Planes; Left Parasternal Window; Long-Axis View of the Left Ventricle; Long-Axis View of Right Ventricular Inflow; Short-Axis Views of the Heart from Basis to Apex; Short Axis-Level of the Great Arteries; Short-Axis-Level of Mitral Leaflets
Short-Axis-Level of Papillary MusclesApical Window; Apical Four-Chamber View; Apical Two-Chamber View; Apical Long-Axis View; Subcostal Window; Subcostal Long-Axis of the Inferior Vena Cava; Subcostal Four-Chamber View; Subcostal Short Axis-Left Ventricular Level; Suprasternal Window; Suprasternal Aortic Arch View; Doppler Basics; Color Flow Doppler; Pulsed Wave Doppler; Continuous Wave Doppler; Conclusions; 3: Machine Controls and Optimizing the Images; Introduction; Preparing the Machine; Preset; Patient Identification; Transducer Selection; Monitor Setup
Time Gain Compensation (TGC or Depth Compensation): Adjusts or Equalizes the Amplitude of Received Signals to Account for Attenuation and ReflectionResolution of Ultrasound Images; Artifacts: Attenuation, Reverberation and Mirror (Ghost); Parallel Processing; Grey Scale; Harmonic Imaging; Contrast Harmonic; Tissue Harmonic Imaging; Transesophageal Imaging; Real-Time 3D Imaging; Doppler Echocardiography; Doppler Principles; Pulsed Wave (PW) Doppler; Aliasing Effect; Clinical Applications of PW Doppler; High PRF PW Doppler; Color Flow Imaging; Advantages of Color Flow Imaging
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This updated textbook provides an essential evidence-based approach to echocardiography and includes practical case-based instruction illustrating a wide variety of clinical scenarios in which echocardiography is a vital diagnostic option for physicians. It reflects how echocardiography has evolved into a complex multimodality method for evaluating and quantifying cardiovascular lesions, and explains the use of hemodynamic assessment of the heart using echocardiography, transesophageal and three-dimensional echocardiography, deformation imaging and assessment of myocardial perfusion, which have added a new dimension to real-time noninvasive evaluation of patients. Echocardiography highlights the clinical utility of these evolving modalities that are now crucial to the renaissance of echocardiography, and it provides a thorough clinical review of this most revealing and adaptable methods of imaging a patient. The Editors and their world-class group of contributors have created an essential reference for those in training or who already use echocardiography in their practice.