Abstract

Ultrasound examinations are a standard procedure in the clinical diagnosis of many diseases. However, the efficacy of an ultrasound examination is highly dependent on the skill and experience of the operator, which has prompted proposals for ultrasound simulation systems to facilitate training and education in hospitals and medical schools. The key technology of the medical ultrasound simulation system is the probe tracking method that is used to determine the position and inclination angle of the sham probe, since this information is used to display the ultrasound images in real time. This study investigated a novel acoustic tracking approach for an ultrasound simulation system that exhibits high sensitivity and is cost-effective. Five air-coupled ultrasound elements are arranged as a 1D array in front of a sham probe for transmitting the acoustic signals, and a 5 × 5 2D array of receiving elements is used to receive the acoustic signals from the moving transmitting elements. Since the patterns of the received signals can differ for different positions and angles of the moving probe, the probe can be tracked precisely by the acoustic tracking approach. After the probe position has been determined by the system, the corresponding ultrasound image is immediately displayed on the screen. The system performance was verified by scanning three different subjects as image databases: a simple commercial phantom, a complicated self-made phantom, and a porcine heart. The experimental results indicated that the tracking and angle accuracies of the presented acoustic tracking approach were 0.7 mm and 0.5°, respectively. The performance of the acoustic tracking approach is compared with those of other tracking technologies.

Highlights

  • Medical ultrasound examinations have become essential for diagnostic, therapeutic, and surgical procedures in hospitals and other clinical environments

  • This study investigated a novel acoustic tracking approach for an ultrasound simulation system that exhibits high sensitivity and is cost-effective

  • There are gaps between the elements in the receiver unit. These do not influence the acoustic signals received by the sham probe because the elements are not focused, and so the effect of acoustic wave dispersion means that the adjacent elements still can receive the signal from transmitting elements

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Summary

Introduction

Medical ultrasound examinations have become essential for diagnostic, therapeutic, and surgical procedures in hospitals and other clinical environments. According to the recommendations from the American College of Cardiology and the American Heart Association, trainees who intend performing transthoracic echocardiography in adult patients need 12 months of training to achieve proficiency, which includes a minimum of 300 examinations and the interpretation of 450 Doppler examinations [2, 3]. The requirement for such a large number of examinations represents a large burden on both hospitals and trainees, and it may still be insufficient for ensuring that trainees are able to detect cases of rare disorders. This situation has prompted proposals for the development of an ultrasound simulation system for assisting ultrasound examination training and education

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