Geometric and intensity distortion in echography.

Anatomic structures possessing varying sonic propagation velocities refract ultrasonic beams and create distortions in the sonographic image. The distortions consist of inaccurate positioning of echogenic locations (geometric distortions) and of inaccurate display of ultrasonic intensities (intensity distortions). Artifacts of both types occur in the region distal to a structure of circular cross section with an internal sonic propagation velocity lower than that of its surroundings. In an attempt to better understand these distortions, a model is developed from first principles of the production of sonograms of such a region. Assuming a uniform ultrasonic beam and uniform echogenicity of the surrounding tissue, a mathematical expression has been derived for the intensity of the sound arriving at each point and returning to the transducer. Computer simulations of the resulting sonographic image are provided for visualization. In spite of many simplifying assumptions, this model is shown to be consistent with several known artifacts, and provides insight into the mechanisms of their production.

Effect of scan format on refraction artifacts.

Refraction artifacts occur when the ultrasound beam is bent from its original direction as it passes through a boundary between tissues having different sound speeds. Refraction artifacts result in both the improper positioning and the improper brightness of echoes displayed in clinical sonograms. The effect of scan format on the sonographic appearance of several refraction artifacts due to a circular object possessing a sonic speed differing from its surrounding tissue was studied using a mathematical model and computer generated images. A quantitative index of artifact prominence was developed to compare the differences between the rectilinear and the sector scan formats. Theoretically predicted results were compared with actual sonograms of a specially designed phantom. Results included the finding that the retrolenticular afterglow was more prominent in the sector scan format, and that differences were most prominent when the refracting object was close to the transducer.

The retrolenticular afterglow: an echo enhancement artifact.

A mathematical model for a sonogram containing a circular object with a sonic speed less than that of its surroundings was constructed. The circular object acts as a lens to the ultrasound beam, which explains the refractive artifacts often observed. An unexpected artifact is also predicted, a region of increased echogenicity, which the authors named the retrolenticular afterglow, since it occurs behind a lens-like structure. An experiment was designed to show the appearance of this artifact occurring distal to an ethyl alcohol-filled cylindrical well in a tissue equivalent phantom.