In the 19 th century many women died during childbirth . There were many causes for these deaths but doctors often had no instrument to diagnose the cause . Some of the causes like abnormal position of the baby , abnormal position of placenta etc produced deadly complications during delivery. But ,because they were not diagnosed early often treatment was delayed and many pregnant women died due to uterus rupture( due to abnormal baby position )or severe bleeding (due to abnormal placental position) A remarkable invention helps us nowadays to diagnose these problems months before the actual time of birth thereby preventing complications . What is more the same device can even predict the date of birth with some degree of accuracy . We often hear pregnant women telling other people about their “due date “ . This due date is also calculated by the images produced by this great invention .
This remarkable instrument is called an ultrasound machine . As the name implies it works by ultra –sound . Using sound frequencies above the audible range of 20000 hertz ultrasound is produced by the machine .These sound waves travel inside the body and get reflected from the organs inside our body. In the case of pregnancy, sound waves are reflected by the baby inside the mothers uterus
The ultrasound probe is the part of the ultrasound machine which contains most important part of the machine . It contains crystal made of quartz which works on the principle of pressure electricity or piezoelectric effect . When a small current is applied on this quartz crystal it undergoes a rapid change of shape . This rapid change or vibrations produce high frequency ultrasound waves They are transmitted into the body . Different body organs reflect these waves back into the ultrasound probe. These reflected waves produce mild electric current in the crystal . This minimal electric current is amplified and processed by the computer inside the ultrasound machine .This processed signals are displayed as an image or picture in a display like a television screen producing an ultrasound image .
Ultrasound image is very useful to find pregnancy complications . Not only is it used to study pregnant women it is used to study the inside of the abdomen to find diseases of liver ,gall bladder ,appendix etc .It is also used for fast screening of abdominal injury in road traffic accident victims by emergency trauma care teams . Nowadays we have ultrasound machines of all sizes from the pocket sized portable ultrasound to machines which have different frequency probes to study different parts of the body . The advantage of ultrasound over other imaging modalities like CT scan and MRI scan is it is cheaper , easily available and portable. 3D ultrasound is relatively new where the images produced are more lifelike due to their 3 Dimensional nature They are useful to see the face of an unborn baby . Imagine the joy when a pregnant mother sees her unborn childs face on the computer screen . .
. The world of oceanography has a similar machine called sonar .The advantage of ultrasound is that it does not produce harmful radiation . Also , ultrasound waves are used by bats to locate their prey even in total darkness.
Cardiologists or the doctors who treat heart diseases use a type of ultrasound called cardiac ultrasound or echocardiography . Here sound waves are used like ultrasound but the frequency shift of the reflected beam is used to find the velocity of moving structures like blood moving in the heart or valve motion in the heart . These frequency shifts can be colour coded and valve problems like narrowing or leaks in heart valves can be accurately seen .
The frequency shift or Doppler effect is also used in doppler ultrasonography to study all the arteries and veins in the body .This helps us to know the blockages within artery and veins .Unlike the public municipal drainage system we cannot cut open the body whenever a block is suspected . By using Doppler ultrasound without cutting open we can diagnose the blockage of artery and veins .
In short this remarkable machine helps us in seeing the inside of body and helps doctors in diagnosing a lot of diseases before they can cause harm .
Good work Haroon. I am sure the non radiologist doctors as well as the general public will find this very useful. Keep up the good work
ReplyDeletethanks mami for the comment . plan to write on ct scan , mri including functional mri soon ... before that i have to write urgenbtly non academic topic :) surprise ...
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haroon
Another great article Haroon. Really useful,i nformative and simple to understand. Didn't know that ultrasonography had so much value. Thanks once again.
ReplyDeletethanks mami . planning to write on mri and other medical topics soon ,
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