Resolution and accuracy in two dimensional echocardiography.

The resolution and accuracy of commercially available two dimensional echocardiographic systems were tested by imaging two types of in vitro test objects. One consisted of a series of fine parallel threads spaced at known intervals and the other was a tissue phantom in which a series of holes of known size had been cut. The echocardiographic systems tested included a mechanical single element sector scanner, a three element rotary sector scanner and a phased array system. Azimuthal resolution, lateral resolution and accuracy of horizontal distance measurements were assessed at depths of 2 and 6 cm. For each system, azimuthal resolution was better than lateral resolution, especially when assessed with use of the parallel threads. When the tissue phantom was imaged, the best resolution (2 mm in azimuthal and lateral directions) was obtained with the highest frequency transducer tested (3.5 MHz). The apparent size of a tissue defect was sensitive to gain settings, especially at a depth of 2 cm with lower frequency transducers; at a depth of 6 cm, echographic measurements of defect size were accurate to within 2.5 mm. Recent applications of two dimensional echocardiography require near the apparent limits of current equipment. It is recommended that the highest frequency transducer and lowest possible gain settings be used in these situations.