Grey scale echography portrays the internal echoes originating from small impedance discontinuities formed by the structural organisation of soft tissue. These internal echoes are independent of inclination whilst their size and distribution is specific to the type of tissue examined. Thus normal and pathological tissues are portrayed with a differing appearance allowing their identification on the echograms. The principle of selecting a range of magnitudes of echoes for display on a restricted dynamic range of a display unit is described as well as methods used for compensating for the factors that effect the magnitude of echoes. Grey scale echography gives a new active role to simple scanning and a comparison of the features of simple and compound scanning is made. The simples and most reliable application of grey scale echography is the differentiation between cystic and solid structures and the criteria used in this application are discussed. The classification of soft tissue is more difficult, normal soft tissues being classified primarily by the appearance of the internal echoes, whilst the classification of localized pathological processes is based on the appearance of both the internal and the boundary echoes. The diagnosis of diffuse pathological conditions is the most difficult and is based on the change in the normal structural echo pattern.
Read full abstract