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Strengths and weaknesses
Strengths of ultrasound imaging
It images muscle and soft tissue very well and is particularly
useful for delineating the interfaces between solid
and fluid-filled spaces.
It renders "live" images, where the operator
can dynamically select the most useful section for diagnosing
and documenting changes, often enabling rapid diagnoses.
It shows the structure as well as some aspects of the
function of organs.
It has no known long-term side effects and rarely causes
any discomfort to the patient.
Equipment is widely available and comparatively flexible.
Small, easily carried scanners are available; examinations
can be performed at the bedside.
Relatively inexpensive compared to other modes of investigation
(e.g. DEXA, computed X-ray tomography or magnetic resonance
imaging).
Weaknesses of ultrasound imaging
Classical ultrasound devices have trouble penetrating
bone but current research on ultrasound bone imaging
will make it possible with dedicated devices in the
future.
Ultrasound performs very poorly when there is a gas
between the scan head and the organ of interest, due
to the extreme differences in acoustical impedence.
For example, overlying gas in the gastrointestinal tract
often makes ultrasound scanning of the pancreas difficult,
and lung imaging is not possible (apart from demarcating
pleural effusions).
Even in the absence of bone or air, the depth penetration
of ultrasound is limited, making it difficult to image
structures that are far removed from the body surface,
especially in obese patients.
The method is operator-dependent. A high level of skill
and experience is needed to acquire good-quality images
and make accurate diagnoses.
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