Two phantoms for assessing the performance of ultrasound scanners regarding detectability of small focal lesions are described. The spherical simulated lesions in the phantoms have diameters of 2.4, 3.0, and 4.0 mm and backscatter coefficients which are 16, 9, and 6 dB below that of the surrounding tissue-mimicking material, the latter simulating normal tissue such as liver. Random positioning and relatively large numbers of lesions deal with the statistical problem related to mistaking a normal textural fluctuation, characteristic of ultrasound images of parenchymal tissue, to be a small lesion. All lesions have ultrasonic properties that are the same as those of the surrounding material except for the backscatter coefficient; therefore, artifacts resulting from attenuation, reverberation, and/or refraction are absent, and detectability of deeper lesions is not influenced by the presence of more proximal ones. A method is outlined for using the phantoms to determine bounding proximal and distal depths of resolution, or detectability, of focal lesions of a given object contrast and size. Tests for observer dependence involving five subjects resulted in standard deviations in the distal and proximal depths of less than 0.5 cm. A repeat of the observer dependence tests 18 months later showed little change in the results. In addition, results obtained by two experienced observers are also given for a variety of specific scanners, scanning heads, and scanning parameters.

An apparatus and procedure for well-controlled exposure of cells or explant mouse embryos to clinical real-time ultrasound are described. Cells or embryos to be exposed are suspended in media made sufficiently viscous through inclusion of methylcellulose that cavitation is suppressed but thermal effects remain negligible. During exposure, the scanning beam is precisely centered in a 2 mm x 20 mm slot in a 20 cm diameter agar disc containing the suspension. The high viscosity causes the cells to remain distributed uniformly throughout the exposure; this fact, along with precision beam alignment, ensures that exposure is well defined. Exposure data are acquired with a 0.6 mm diameter hydrophone.

Determination of a complete set of sonographic exposure parameters is desirable for any clinical ultrasound unit and is particularly important in controlled studies of biologic effects. When the exposure system is a diagnostic real-time scanner operating in autoscan mode, the determination of two of these parameters, the spatial average-temporal average (SATA) and the spatial average-pulse average (SAPA) intensities, is not straightforward because of the spatial overlap of successive propagating pulses. A method is described for determining these intensities for autoscan operation. The primary tool in the method is a digital oscilloscope, which supports pretrigger recording and configuring of the oscilloscope's memory into segments that can record rapidly occurring successive pulses, each segment recording one pulse. Results for a few commercially available real-time scanning systems are presented.