Certified Diagnostic Ophthalmic Sonographer (CDOS) Practice exam

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What do most ophthalmic B-scan ultrasound instruments require?

Linear amplification and a broad sound beam

Logarithmic amplification and a focused narrow sound beam

Most ophthalmic B-scan ultrasound instruments require logarithmic amplification and a focused narrow sound beam. This is because logarithmic amplification allows for a more efficient range of signal detection, permitting the visualization of structures that may have differing echogenicities. By using logarithmic amplification, the system can enhance weaker echoes without saturating the stronger echoes, which is crucial in assessing various ocular structures, especially when fine details are needed.

Additionally, a focused narrow sound beam is essential in ophthalmic ultrasound because it provides improved resolution and accuracy when imaging the eye. A narrow beam concentrates the ultrasound energy to a smaller area, enhancing the definition of the structures being examined, such as the retina, choroid, and sclera. This focused approach minimizes the chance of overlap or confusion between different layers of ocular tissues, which can occur with broader sound beams.

Overall, the combination of logarithmic amplification and a focused narrow sound beam enhances the diagnostic capabilities of B-scan ultrasound, enabling clinicians to obtain clear and detailed images necessary for accurate evaluation and management of ocular conditions.

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Flat amplification and a wide sound beam

Spherical amplification and a multi-directional beam

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