What are the limitations of General Ultrasound Imaging?
Ultrasound has difficulty penetrating bone and therefore can only see the outer surface of bony structures and not what lies within. For visualization of bone, other imaging modalities such as Magnetic Resonance Imaging (MRI) may be selected. Ultrasound waves do not pass through air; therefore an evaluation of the stomach, small intestine and large intestine may be limited. Intestinal gas may also prevent visualization of deeper structures such as the pancreas and aorta. Patients suffering from obesity are more difficult to image—this is because tissue attenuates (weakens) the sound waves as they pass deeper into the body. Obstetric ultrasound cannot identify all fetal abnormalities. Consequently, when there are clinical or laboratory suspicions for a possible abnormality, a pregnant woman may have to undergo nonradiologic, invasive testing such as amniocentesis (the evaluation of fluid taken from the sac surrounding the fetus) or chorionic villus sampling (evaluation of placental tiss