Ultrasound

Ultrasound is the term used for high frequency soundwaves. An ultrasound examination uses these sound waves to produce an image onto a screen that shows the inside of your body.
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What is an Ultrasound?

An ultrasound examination is performed using a smooth, hand held device called a transducer that is move across the body with a sliding and rotating action. The transducer transmits the high-frequency sound waves into your body. The sound waves are then reflected from the different tissues in different ways. The sound waves are converted to electrical impulses, which are used to produce a moving image onto the screen.

Why would my doctor refer me for an Ultrasound?

An ultrasound examination is often used in medical care during pregnancy and childbirth. It is an ideal examination to look at the baby as it grows throughout the various stages of pregnancy, and is a wonderful opportunity to meet your forming baby.

Ultrasound can take high quality pictures or images of most parts of your body, which makes it an excellent diagnostic test. For example, it is used to examine abdominal and other organs, to watch blood flow in any of the arteries or veins throughout the various parts of your body, and to evaluate the musculoskeletal system (muscles, bones and joints related).

How do I prepare for an Ultrasound?
  • Read any instructions given to you by your doctor, or provided by us
  • Wear clothing that will provide easy access to the area that is being imaged
  • Bring any previous ultrasound examination films with you, for comparison.

IMPORTANT: If you have diabetes, or you are on any medications prescribed by your doctor, or any other medication including any over the counter medicines or complementary therapies such as vitamins, etc., contact us to check special preparation instructions.

If a baby, infant or child (up to 18 years) is having an ultrasound, special instructions apply. Again, contact us so that you get the instructions that are appropriate to your child’s age. This will ensure the best test is performed at minimum discomfort to your child.

Preparation depends on the type of ultrasound examination you are having. The following is a guide for the most common examinations, it may vary slightly depending on the clinic you attend but we will confirm details when you make your appointment.

Abdomen ultrasound

You will need to fast (have nothing to eat or drink) for eight hours prior to the examination. This ensures there is no food or fluid covering the area that is to be examined. It also ensures the gallbladder is not contracted so it can be imaged appropriately.

Female pelvis ultrasound

This examination may be performed internally, externally or both.

  • Internal pelvic ultrasound – The best way to examine the pelvic organs in detail is to perform a transvaginal (endovaginal) ultrasound, in which the ultrasound transducer is on the end of a thin probe which is inserted into the vagina.

Transvaginal ultrasound is usually recommended for patients who are 18 years and above. If the examination is not urgent, it is best performed between days 5 to 12 of your menstrual cycle. The sonographer will explain the process in detail and ensure that you are happy to have the examination – it will not be performed without your consent.

  • External pelvic ultrasound – In situations where an internal pelvic ultrasound is not appropriate, the examination will be performed by placing the ultrasound transducer on top of the lower abdomen. To ensure that the inside of the pelvis area is seen clearly on the screen, a full bladder is required, and you will need to drink 750 mL of water one hour prior to the procedure.

Do not go to the toilet after drinking the fluid.

Renal (kidney related) ultrasound

You will need to drink 750 mL of water, one hour prior to the procedure. Do not go to the toilet after drinking the fluid. Drinking the water prior to the examination will enlarge the bladder, enabling it and the surrounding internal areas to be examined.

Vascular (blood vessel related) ultrasound

  • Renal (kidney) arteries – You will need to fast (have nothing to eat or drink) for eight hours prior to the examination to ensure that the renal arteries are not covered by food or fluid.
  • Aorta or Leg arteries – You will need to fast (have nothing to eat or drink) for eight hours prior to the examination to minimise bowel gas that may obscure the large arteries in your lower abdomen, which are examined as part of this test.

NOTE: Most other vascular ultrasound examinations do not require any preparation.

Interventional ultrasound

Used to guide injections, biopsies (where sample tissue is removed for testing) and drainage tubes, to clear away fluid from a wound. If you are attending for one of these examinations, we will provide instructions on what you need to do before and after the examination.

No preparation is required for the following ultrasound examinations:

  • Breast ultrasound
  • Thyroid ultrasound
  • Testes ultrasound
  • Musculoskeletal (muscles, bones and joints related) ultrasound
What happens during an Ultrasound?

Before you have the examination, the sonographer (technologist), will ask you questions about why you have come for the ultrasound scan. They will then explain the procedure you are having in detail and answer any questions you have.

You are normally asked to lie down on a bed and the area to be examined is exposed while the rest of the body is covered. Clear gel is applied to the area of your body which is being imaged. The sonographer will then place the “transducer” (a smooth hand held device) onto this area using gentle pressure. The transducer is moved across the area with a sliding and rotating action to allow the image to project onto the screen.

The sonographer takes still photographs from the moving images on the screen.

During the examination you may be asked to perform some simple movements to improve the quality of the imaging. These movements you will be asked to perform will be simple, for example:

  • ‘Taking a bigger breath’ to assist during an abdominal ultrasound and allow the areas underneath the rib cage to be clearly viewed
  • During an obstetric examination you may be asked to roll around to encourage the foetus or unborn baby to roll into a position appropriate for imaging
  • In musculoskeletal ultrasound, the transducer moving over any painful areas often provides valuable insights into the true source of the pain

However, if any of these movements cause you concern or discomfort, you should let the sonographer know immediately.

How long does an Ultrasound take?

Typically, an ultrasound examination will take about 30 minutes. However, some examinations, may take longer than this because of the detailed imaging that is required and the number and size of the organ/s being examined. Ask us when making your appointment how long the type of ultrasound you are having normally takes.

What are the benefits of an ultrasound?

Ultrasound provides excellent imaging of the soft tissues of the human body and is often the best and most appropriate diagnostic test.

It is a safe procedure which does not have the risks associated with imaging that uses radiation. There are no proven harmful effects of sound waves at the levels used in ultrasound performed in our clinics.

Ultrasound can be performed with patient movement so is ideal for imaging babies and children. Imaging movement is also very valuable in musculoskeletal (muscles, bones and joints related), gynaecological (women’s health, especially of the reproductive organs) and vascular (blood vessel related) ultrasound. Dynamic imaging (moving pictures) provided by images using ultrasound sound waves gives the opportunity for looking at the inside of the body in positions or with movements where there is pain or movement restriction.

Ultrasound does not require an injection of contrast medium (a small amount of material used with some X-ray scanning to detect certain types of diseases or problems in the body). Ultrasound is mostly non-invasive, provides accurate imaging tests of the human body, is readily available and relatively inexpensive.

Who does an ultrasound?

The ultrasound examination is performed by a sonographer, a health professional specialised in performing ultrasound examinations. They have a graduate qualification and are fully qualified to perform the examination.

The sonographer performs the examination and provides an interpretation of the images on the screen to a radiologist (medical specialist), who will review the sonographer’s interpretation and discuss the images with them, before providing a report on the findings to your doctor.

Sometimes, it will be necessary for the radiologist to attend the examination, as it may be important to see the images on the screen rather than just the still photographs and discuss your symptoms.

What are the risks of an ultrasound?

Ultrasound is a safe examination which provides excellent imaging without any significant risk.

Are there any after effects of an ultrasound?

It is rare to have after effects from an ultrasound examination. Occasionally, a little tenderness is reported in the area that has been examined, but this is uncommon and rarely persists.

How do I get my results?

Your doctor will receive a written report on your test as soon as is practicable.

It is very important that you discuss the results with the doctor whom referred you so that they can explain what the results mean for you.

This information is credited to Inside Radiology, Royal Australian and New Zealand College of Radiology (RANZCR). insideradiology.com.au June 2014

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