Development, evaluation, and overview of standardized training phantoms for abdominal ultrasound-guided interventions.

PURPOSE: Ultrasound (US) represents the primary approach for abdominal diagnosis and is regularly used to guide diagnostic and therapeutic interventions (INVUS). Due to possible serious INVUS complications, structured training concepts are required. Phantoms can facilitate teaching, but their use is currently restricted by complex manufacturing and short durability of the materials. Hence, the aim of this study was the development and evaluation of an optimized abdominal INVUS phantom. MATERIALS AND METHODS: Phantom requirements were defined in a structured research process: Skin-like surface texture, homogeneous matrix with realistic tissue properties, implementation of lesions and abscess cavities in different sizes and depths as well as a modular production process allowing for customized layouts. The phantom prototypes were evaluated in certified ultrasound courses. RESULTS: In accordance with the defined specifications, a new type of matrix was developed and cast in multiple layers including different target materials. The phantom structure is based on features of liver anatomy and includes solid focal lesions, vessels, and abscess formations. For a realistic biopsy procedure, ultrasound-proof material was additionally included to imitate bone. The evaluation was performed by US novices (n=40) and experienced participants (n=41). The majority (73/81) confirmed realistic visualization of the lesions. The 3D impression was rated as "very good" in 64% of cases (52/81) and good in 31% (25/81). Overall, 86% (70/81) of the participants certified high clinical relevance of the phantom. CONCLUSION: The presented INVUS phantom concept allows standardized and realistic training for interventions.

Poled composites with Nd-Mn-doped PZT fibers under bipolar electrical load.

Using the sol-gel process, Nd-Mn-doped PZT fibers were produced. The PZT was doped with 2 mol% neodymium and 1.1 mol% manganese. For characterization, the fibers were embedded in a polymer. The resulting 1-3 composites were poled with constant electric field. Strain and polarization were measured by applying a bipolar sinusoidal voltage of high amplitude. Instead of the expected shifted butterfly-shaped strain hysteresis, an asymmetric strain-field relation was observed. It is characterized by a rather linear region in direction of the poling field and an inflated region without strain switching for reversed polarity. Within the temperature range from room temperature to 80 degrees C, the strain switching seems to be suppressed. Measurements of the piezoelectric coefficient at superimposed electric field prove the blocking of strain switching. Cyclation experiments with sesquipolar load show a pronounced linearity of the strain loops that declines after more than 2 x 10(4) cycles.