ultrasound phantoms: b-mode, doppler and...

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Ultrasound Phantoms: B-Mode, Doppler and Others Heather M. Pierce, B.S. Norfolk, VA AAPM 2010

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Page 1: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms:B-Mode, Doppler and Others

Heather M. Pierce, B.S.Norfolk, VA

AAPM 2010

Page 2: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Design of ultrasound phantoms• Types of phantoms available• Use of phantoms in a QA/QC program• Advantages and limitations of phantoms

AAPM 2010

Overview

Page 3: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• A test object containing Tissue Mimicking Material (TMM) that simulates certain acoustic and physical properties of tissue

• May also contain various types of embedded objects

• Used to assess diagnostic ultrasound system performance over time

AAPM 2010

What is an Ultrasound Phantom?

Page 4: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Agar• Zerdine™• Urethane• TPE• Other

– Epoxies– Liquids– Natural materials

AAPM 2010

Common TMM

Page 5: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Speed of Sound• Attenuation Coefficient• Backscatter Coefficient or Relative Contrast• Elasticity• Thermal Properties• Mechanical Properties

AAPM 2010

Simulated Properties of TMM

Page 6: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Speed of Sound

• Attenuation Coefficient

• Backscatter Coefficient

AAPM 2010

Important Properties for QA1540 m/s

Page 7: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

AAPM 2010

Speed of Sound

120 mm

• Distance Measurements• Volume Measurements• Focusing Parameters

Page 8: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Speed of Sound

• Attenuation Coefficient

• Backscatter Coefficient

AAPM 2010

Important Properties for QA1540 m/s

0.5 dB/cm-MHz0.7 dB/cm-MHz

Page 9: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

AAPM 2010

Attenuation Coefficient• Depth of Penetration• Resolution Parameters

16 cm

Page 10: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Speed of Sound

• Attenuation Coefficient

• Backscatter Coefficient

AAPM 2010

Important Properties for QA1540 m/s

0.5 dB/cm-MHz0.7 dB/cm-MHz

3 X 10-4 dB/cm-sr

Page 11: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

AAPM 2010

Backscatter Coefficient• Depth of Penetration• Resolution Parameters• Lesion Detectability

Page 12: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Wires– Properties

• 0.1mm - 0.3mm diameter• nylon monfilament• stainless steel

• Cylindrical & Spherical Anthropomorphic Objects– Properties

• >1mm diameter• varying contrast relative to background• varying stiffness relative to background material

• Channels– Properties

• >3mm diameter• Walled or wall-less• Can be attached to various pumping systems

AAPM 2010

Types of QC Phantom Targets

Page 13: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

AAPM 2010

Page 14: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Target Position Verification– CMM Machining– Ultrasonic Techniques

• Acoustic Property Verification– Testing on samples from

individual batches or completed phantoms

• Visual Inspections

AAPM 2010

Phantom Quality

Page 15: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• General Purpose QA Phantoms– Typically used for general B-Mode imaging

• System Specific QA Phantoms– Prostate Brachytherapy– Breast Ultrasound– 3D Systems– Radiotherapy Systems– Doppler Systems– Elasticity Systems

• Training & Demonstration Phantoms– Developing eye-hand coordination– Learning general scan techniques– System Demonstrations– Task Trainers

AAPM 2010

Types of Phantoms

Page 16: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

AAPM 2010

Page 17: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Equipment Selection• Acceptance Testing/Commissioning• Consistency Checks

– Is my system performing the same today as it did yesterday?• Accreditation Programs

– ACR– AIUM– ICAVL

AAPM 2010

Use of phantoms in Ultrasound QC/QA

Page 18: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• B-Mode Parameters– Image Uniformity– Depth of Penetration– Axial, Lateral and

Elevational Resolution– Near Field/Dead Zone– Lesion Detectability

• high contrast (anechoic objects)

• low contrast (gray scale objects)

AAPM 2010

Phantom QA/QC Measurements• 3-D Parameters

– Volume– Reconstruction Accuracy

• Doppler Parameters– Flow Rate– System Sensitivity– Directional Discrimination– Location of Flow– Maximum Penetration

Page 19: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Known characteristics– Acoustic properties– Size of embedded targets– Location of embedded targets

• Stability over time• Readily available

AAPM 2010

Advantages of Ultrasound Phantoms

Page 20: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• Difficult to determine specific mode of failure

• Qualitative vs Quantitative • Stability over time

AAPM 2010

Limitations of Ultrasound Phantoms

Page 21: Ultrasound Phantoms: B-Mode, Doppler and Othersaapm.org/meetings/amos2/pdf/49-14379-35435-483.pdfTypes of QC Phantom Targets. AAPM 2010. Ultrasound Phantoms: B-Mode Doppler and Others

Ultrasound Phantoms: B-Mode Doppler and Others

• ATS Laboratories– www.atslabs.com

• Blue Phantom– www.bluephantom.com

• CIRS– www.cirsinc.com

• Gammex– www.gammex.com

• Kyoto Kagaku– www.kyotokagaku.com

AAPM 2010

Ultrasound Phantom Manufacturers