BACKGROUND: High frequency, high resolution B-scan ultrasound imaging (US) has been used to assess skin. The use of US is limited because of difficulty interpreting the various echoes. OBJECTIVES: To correlate the appearance of constant US echoes with histology in normal human skin. METHODS: Normal skin from eight volunteers was scanned with US at a frequency of 20-25 MHz, prior to excision for clinical reasons. The echogenic bands of the skin and histological measurements of various layers were related statistically. RESULTS: Three constant echogenic bands were identified, which correlated with skin surface, dermis, and subcutaneous fascia. CONCLUSION: The correct interpretation of echogenic bands in normal skin allows for the US to be more reliably used for assessment of skin disorders.
BACKGROUND: High frequency, high resolution B-scan ultrasound imaging (US) has been used to assess skin. The use of US is limited because of difficulty interpreting the various echoes. OBJECTIVES: To correlate the appearance of constant US echoes with histology in normal human skin. METHODS: Normal skin from eight volunteers was scanned with US at a frequency of 20-25 MHz, prior to excision for clinical reasons. The echogenic bands of the skin and histological measurements of various layers were related statistically. RESULTS: Three constant echogenic bands were identified, which correlated with skin surface, dermis, and subcutaneous fascia. CONCLUSION: The correct interpretation of echogenic bands in normal skin allows for the US to be more reliably used for assessment of skin disorders.