Ultrasonography

Ultrasonography

Ultrasound (also called sonography or ultrasonography) is a noninvasive imaging test. An ultrasound picture is called a sonogram. Ultrasound uses high-frequency sound waves to create real-time pictures or video of internal organs or other soft tissues, such as blood vessels.

Ultrasound enables healthcare providers to “see” details of soft tissues inside your body without making any incisions (cuts). And unlike X-rays, ultrasound doesn’t use radiation.

Although most people associate ultrasound with pregnancy, healthcare providers use ultrasound for many different situations and to look at several different parts of the inside of your body.

How does an ultrasound work?

During an ultrasound, a healthcare provider passes a device called a transducer or probe over an area of your body or inside a body opening. The provider applies a thin layer of gel to your skin so that the ultrasound waves are transmitted from the transducer through the gel and into your body.

The probe converts electrical current into high-frequency sound waves and sends the waves into your body’s tissue. You can’t hear the sound waves.

Sound waves bounce off structures inside your body and back to the probe, which converts the waves into electrical signals. A computer then converts the pattern of electrical signals into real-time images or videos, which are displayed on a computer screen nearby.

What are the different kinds of ultrasounds?

There are three main categories of ultrasound imaging, including:

  • Pregnancy ultrasound (prenatal ultrasound).
  • Diagnostic ultrasound.
  • Ultrasound guidance for procedures.

How do I prepare for an ultrasound?

The preparations will depend on the type of ultrasound you’re having. Some types of ultrasounds require no preparation at all.

For ultrasounds of the pelvis, including ultrasounds during pregnancy, of the female reproductive system and of the urinary system, you may need to fill up your bladder by drinking water before the test.

For ultrasounds of the abdomen, you may need to adjust your diet or fast (not eat or drink anything except water) for several hours before your test.

In any case, your healthcare provider will let you know if you need to do anything special to prepare for your ultrasound. They may give you instructions during an appointment or when scheduling your ultrasound. Instructions may also be available in your electronic medical records if you use such a system.

Is an ultrasound painful?

Ultrasounds that are performed externally (over your skin) are generally not painful. You won’t feel the sound waves that ultrasound uses. If you have to have a full bladder for the procedure, it may be uncomfortable. It may also be uncomfortable to lay on the exam table if you’re pregnant.

Ultrasounds that go inside body cavities, such as your vagina or rectum, may be uncomfortable, but they shouldn’t hurt.

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