Ultrasound uses high frequency sound waves to generate images of the inside of the body without using ionizing radiation. It works by transmitting sound wave pulses into the body from a probe, detecting the echoes returning from tissue boundaries, and processing and displaying the images on a screen. Ultrasound gel is used between the probe and skin to allow for tight contact and transmission of the waves. Doppler ultrasound can detect the speed and direction of moving structures like blood cells by measuring the change in frequency of returning echoes. The images can display flow information in color or measure concentration and velocity.