Quantitative Analysis of the Uniformity of Ultrasound Images: An Approach Based on the Horssen Method

Authors

  • Ester Azeredo da Silva Lima UFCSPA https://orcid.org/0009-0009-4278-7706
  • Thatiane Alves Pianoschi Alva
  • Rochelle Lykawka
  • Alexandre Bacelar
  • Viviane Rodrigues Botelho

DOI:

https://doi.org/10.29384/rbfm.2025.v19.19849001834

Keywords:

uniformidade, Ultrassom, Controle de qualidade

Abstract

Introduction: Ultrasound (US) imaging is widely used in medical procedures. RDC No. 611/2022 and IN No. 96/2021 establish quality control (QC) criteria for US systems in Brazil, including the uniformity test, which is often based on visual and subjective analyses.

Objectives: To evaluate the computational analysis of images from linear transducers based on the method of Horssen et al. (2017) for the uniformity test, considering the effect of acquisition mode and equipment gain.

Materials and Methods: Images were acquired at the Hospital de Clínicas de Porto Alegre and Clínica Sidi using a Konex UN-US simulator. The tested variables included transducer pressure and tilt, with images evaluated for uniformity and gain sensitivity according to Horssen et al. (2017) and IN 96. The analysis in Python applied statistical parameters such as covariance, skewness, and minimum value.

Results and Conclusions: The method effectively identified and quantified image uniformity, showing high covariance averages (22.48) and low Ulow values (-0.43), indicating lower uniformity. Extreme tilt angles negatively impacted uniformity, recommending 90°. Pressure variations had minimal influence. The method proved effective in assessing US image uniformity.

 

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References

Referências

Tsapaki V, Tsalafoutas IA, Triantopoulou SS, Triantopoulou C. Development and implementation of a quality control protocol for B-mode ultrasound equipment. J Ultrasound. 2022 Jun;25(2):155-165. doi: 10.1007/s40477-021-00579-7. Epub 2021 Apr 8. PMID: 33834366; PMCID: PMC9148367. Acesso em: 10 abr. 2024.

TabNet Win32 3.2: Produção Ambulatorial do SUS - por gestor - Brasil. Disponível em: <http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sia/cnv/qgbr.def>. Acesso em: 24 set. 2024.

TabNet Win32 3.2: Procedimentos hospitalares do SUS - por gestor - Brasil. Disponível em: <http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/qgbr.def>. Acesso em: 24 set. 2024.

Imprensa Nacional. ([s.d.]). Imprensa Nacional. Gov.br. Recuperado 27 de outubro de 2024, de https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-611-de-9-de-marco-de-2022-386107075. Acesso em: 20 set. 2024.

Brasil, Ministério da Saúde, Agência Nacional de Vigilância Sanitária, Diretoria Colegiada. Instrução Normativa no 96, DE 27 DE MAIO DE 2021. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2020/in096_27_05_2021.pdf . Acesso em: 29 out. 2023.

FILHO, S.; CARNEIRO, O.; ALBINO, L. D.Guia de Ultrassom para Controle de Qualidade. Disponível em: <https://edisciplinas.usp.br/pluginfile.php/4963410/mod_resource/content/0/GuiaOSEBook.pdf#:~:text=Uniformidade%20%C3%A9%20definida%20como%20a,do%20transdutor%20est%C3%A3o%20funcionando%20corretamente.>. Acesso em: 23 nov. 2023.

Goodsitt MM, Carson PL, Witt S, Hykes DL, Kofler JM Jr. Real-time B-mode ultrasound quality control test procedures. Report of AAPM Ultrasound Task Group No. 1. Med Phys. 1998 Aug;25(8):1385-406. doi: 10.1118/1.598404. PMID: 9725125. Acesso em: 23 out. 2023.

Ultrasound image Uniformity Phantom. Disponível em: <https://www.cirsinc.com/products/ultrasound/accreditation-phantom-for-uniformity/>. Acesso em: 24 set. 2024.

HANGIANDREOU, N. J. et al. Four-year experience with a clinical ultrasound quality control program. Ultrasound in medicine & biology, v. 37, n. 8, p. 1350–1357, 2011. Acesso em: 20 set. 2024.

Scorza A, Conforto S, Lupi G, Sciuto SA. A texture analysis approach for objective uniformity evaluation in diagnostic ultrasound imaging: A preliminary study. Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:6317-20. doi: 10.1109/EMBC.2015.7319837. PMID: 26737737. Acesso em: 14 out. 2024.

Horssen P et al. Automated quality control of ultrasound based on in-air reverberation patterns. Ultrasound. 2017. 24 (4):229-238. Acesso em: 29 out. 2023.

Simple inclinometer. Disponível em: <https://play.google.com/store/apps/details?id=com.syleosapps.inclinometer>. Acesso em: 21 jul. 2024.

Published

2025-07-11

How to Cite

Azeredo da Silva Lima, E., Alves Pianoschi Alva, T., Lykawka, R., Bacelar, A., & Rodrigues Botelho, V. (2025). Quantitative Analysis of the Uniformity of Ultrasound Images: An Approach Based on the Horssen Method. Brazilian Journal of Medical Physics, 19, 834. https://doi.org/10.29384/rbfm.2025.v19.19849001834

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Artigo Original

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