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bladder need to drink one pint of water one hour before the examination and
not go to the toilet until the examination is completed. This is important as a
full bladder helps to show the pelvic organs clearly.
What does the procedure involve?
The ultrasound equipment consists of a console containing a computer and
electronics, a video display screen and a transducer that is used to scan the
body. The transducer is a small, hand-held device about the size of a bar of
soap, attached to the scanner by a cable. The radiologist or sonographer
spreads a lubricating gel on the patient's abdomen in the area being
examined, and then presses the transducer firmly against the skin to obtain
images.
The US image is immediately visible on a nearby screen that looks much like
a computer or television monitor. The radiologist or sonographer watches this
screen during an examination; often, the patient is able to see it as well.
How does the procedure work?
Ultrasound Imaging is based on the same principles involved in the sonar
used by bats, ships at sea, and anglers with fish detectors. As a controlled
sound wave bounces against objects, its echoing waves can be used to
identify how far away the object is, how large it is, and how uniform it is.
The ultrasound transducer functions as both a loudspeaker (to create the
sounds) and a microphone (to record them). When the transducer is pressed
against the skin, it directs a beam of inaudible, high frequency sound waves
into the body. As the sound waves are echoed from the body's fluids and
tissues, the sensitive microphone in the transducer records tiny changes in
the sound's pitch and direction. These waves are instantly measured and
displayed by a computer, which in turn creates a real-time picture on the
monitor. The live images of the examination can be recorded on videotape. In
addition, still frames of the moving picture are usually "frozen" to capture a
series of images, which are stored on the Queen Elizabeth Hospitals Trust
Picture Archiving and Communication System (PACS).
How is the procedure performed?
There are three methods of performing pelvic ultrasound: abdominal
(transabdominal), vaginal (transvaginal, endovaginal), and rectal (transrectal).
The same principles of high-frequency sound apply in each technique.
In the transabdominal approach, the patient is positioned on an examination
table, and a clear gel is applied to the lower abdomen to help the transducer
make secure contact with the skin. (The sound waves produced by the
transducer cannot penetrate air, so the gel helps to eliminate air pockets
between the transducer and the skin.) The sonographer then presses the
transducer firmly against the skin and sweeps it back and forth to image the
area of interest.
Almost all abdominal and pelvic examinations take less than 20 minutes.
Who interprets the results and how do I get them?
The radiologist or sonographer who performs the examination and is
experienced in US and other Imaging techniques, will analyse the images and
send a report, usually the same day. As soon as the examination is reported,
the report will be instantly available on the hospital information computer
system. Results for general practitioner (GP) patients are posted to the GP
and are usually available within 7 to 10 days after the procedure. Additionally,
once the images have been reported, all GP reports are electronically sent
direct to the GP surgery. The Queen Elizabeth Hospital has a picture
archiving and communications system (PACS), which allows the distribution
of diagnostic images and reports, within the hospital, by computer and the
images are usually available to hospital clinics and wards within 10 minutes of
being archived.
Are there any risks?
Ultrasound Imaging is a painless, non-invasive, low cost examination, which is
widely available and easy to use. Ultrasound Imaging uses no radiation, and
is the preferred Imaging modality for diagnosis and monitoring of pregnant
women and their unborn infants.
For standard diagnostic ultrasound there are no known harmful effects to
humans.
What are the limitations of abdominal or pelvic ultrasound Imaging?
Ultrasound has difficulty penetrating bone and therefore can only see the
outer surface of bony structures and not what lies within. For visualising bone
or internal structure of certain joints, ultrasound waves do not reflect clearly
from bone or air. For visualisation of bone, other Imaging modalities, such as
computed tomography (CT) or magnetic resonance Imaging (MRI) are
preferred. Excess body tissue may also reduce the quality of the images.
Any further questions?
We hope that this information has helped to answer some of your questions
and reinforced the information you have already been given.
If you have any questions that have not yet been answered, you may want to
write them down. This will help you to cover any concerns you still have when
you speak to the radiologist, sonographer or nurse.