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Ultrasound in Med. & Biol., Vol. 43, No. 9, pp.

2086–2094, 2017
Ó 2017 World Federation for Ultrasound in Medicine & Biology
Printed in the USA. All rights reserved
0301-5629/$ - see front matter

http://dx.doi.org/10.1016/j.ultrasmedbio.2017.05.010

d Original Contribution

ACOUSTIC AND ELASTIC PROPERTIES OF GLYCEROL IN OIL-BASED GEL


PHANTOMS

LUCIANA C. CABRELLI, FELIPE W. GRILLO, DIEGO R. T. SAMPAIO, ANTONIO A. O. CARNEIRO,


and THEO Z. PAVAN
Departamento de Fısica, Faculdade de Filosofia, Ci^encias e Letras de Ribeir~ao Preto, Universidade de S~ao Paulo, Ribeir~ao Preto,
SP, Brasil

(Received 17 January 2017; revised 3 May 2017; in final form 3 May 2017)

Abstract—Phantoms are important tools for image quality control and medical training. Many phantom materials
have been proposed for ultrasound; most of them use water as the solvent, but these materials have disadvantages
such as dehydration and low temporal stability if not properly stored. To overcome these difficulties, copolymer-in-
oil gel was proposed as an inert and stable material; however, speed of sound for these materials is still lower than
what is described for most biological tissues. Here, we propose the glycerol dispersion in oil-based gels to modify
the acoustic and elastic properties of copolymer-in-oil phantoms. We manufactured copolymer-in-oil gels using
styrene-ethylene/butylene-styrene (SEBS) in concentrations 8%–15%. We used 2 types of mineral oils with
different viscosities. Glycerol was added in a volume fraction 0%–30% of the total amount of liquid. The acoustic
(i.e., speed of sound, attenuation and backscattering) and the mechanical (i.e., density and Young’s modulus) prop-
erties of the samples were within the range of values observed for soft tissues. The acoustic parameters of the sam-
ples were dependent on oil viscosity and glycerol concentration. The speed of sound ranged 1423 m/s – 1502 m/s,
while the acoustic attenuation and the ultrasonic backscattering increased by adding glycerol. The density and the
Young’s moduli were less affected by the presence of glycerol. We conclude that glycerol can be used to control the
acoustic parameters of copolymer-in-oil gels. Additionally, it opens the possibility of incorporating other oil-
insoluble substances to control further properties of the phantom. (E-mail: theozp@usp.br) Ó 2017 World
Federation for Ultrasound in Medicine & Biology.
Key Words: Tissue-mimicking phantom, Copolymer-in-oil, Glycerol, Ultrasound, SEBS, Elasticity, Backscattering.

INTRODUCTION essential for training procedures, such as biopsy, suturing


and others.
Tissue-mimicking phantoms are important tools to char-
The human body is mostly composed of water;
acterize new imaging techniques, simulate clinical pro-
therefore, water-based materials are usually a good
cedures and provide imaging quality control (Kharine
choice to manufacture tissue-mimicking phantoms. In
et al. 2003; Pogue and Patterson 2006). In
this case phantoms can be manufactured using water as
ultrasonography, phantoms may also be used for
the solvent and the matrix can be a natural polymer,
training clinical procedures, such as biopsy and
such as gelatin and agar, or a synthetic polymer, such as
anesthesia (Culjat et al. 2010; Vieira et al. 2013).
polyvinyl alcohol (PVA) cryogel and polyacrylamide
Ultrasonic properties of these phantoms, such as speed
(Culjat et al. 2010). These materials have been reported
of sound and acoustic attenuation, are expected to be as
to have good tunable acoustic and elastic properties; how-
similar as possible to tissue. The average speed of
ever, can present disadvantages such as low temporal sta-
sound in soft tissue is 1540 m/s (Szabo 2004), varying
bility and mechanical fragility (Culjat et al. 2010;
from 1430 m/s in fat to 1585 m/s in muscle. Some imag-
Kharine et al. 2003; Madsen et al. 1978).
ing modalities, i.e., elasticity imaging, require phantoms
These hydrogels can be manufactured to mimic
presenting realistic elastic behavior, which is also
different viscoelastic properties of tissue. Therefore, a
wide range of papers describing elastography phantoms
have been reported. Gelatin and agar biopolymer have
Address correspondence to: Theo Z. Pavan, Av. Bandeirantes,
3900 - Monte Alegre, Ribeir~ao Preto, SP, CEP 14040-901, Brasil. been extensively studied for elastography phantoms
E-mail: theozp@usp.br (Hall et al. 1997; Madsen et al. 2003, 2005). They can

2086
Glycerol in phantoms d L. C. CABRELLI et al. 2087

be used for homogenous or heterogeneous phantoms (i.e., SEBS) and using mineral oils with different
(Madsen et al. 2003, 2005) and the degree of stiffness viscosities.
(Hall et al. 1997), elastic non-linearity (Pavan et al.
2010) and viscoelasticity (Nguyen et al. 2014; Zhu
MATERIALS AND METHODS
et al. 2015) can be tailored by using different recipes
and fabrication methods. PVA gels have also been Material preparation
explored for elastography phantoms, where the Gel samples using the copolymer SEBS (Kraton G
mechanical properties can also be adjusted by changing 1650 M, Kraton Polymers, Paulınia, SP, Brazil) in min-
the concentration and manufacturing procedure (Chu eral oil were manufactured. The samples were prepared
and Rutt 1997; Eskandari et al. 2008; Pazos et al. mixing the SEBS copolymer, mineral oil and glycerol
2009). Polyacrylamide (Kumar et al. 2010), gellan gum and heated to 130 C in a vacuum oven (YK Oven Vac
(Chen and Shih 2013) and polyvinyl chloride (Li et al. 4, YK Tecnologia, Sapiranga, RS, Brazil). Mineral oil
2016) are other materials that have been explored as is the ideal solvent to SEBS copolymer, forming stable
phantoms for elastography. gels. These gels can be easily obtained by raising the
Oil-based phantoms usually present good temporal SEBS/mineral oil mixture temperature to 130 C until
stability and have been proposed for ultrasound (Kondo complete homogenization. In this case, it is not necessary
et al. 2005; Oudry et al. 2009; Vieira et al. 2013). to stir the mixture to obtain stable gels. For example, to
Copolymer-in-oil gel is a type of oil-based phantom obtain 500 mL of SEBS gel, the mixture rests in the vac-
that uses mineral oil as the solvent and has been proposed uum oven at 130 C for around 3 h. Since glycerol is not
as an alternative to manufacture phantoms mimicking soluble in oil, the mixture SEBS/mineral oil/glycerol
soft tissue. Several studies illustrated that these materials had to be vigorously stirred at 130 C until a fluid gel
are extremely stable in time and can be stored at room was formed. In the present study, the mixture was manu-
temperature, requiring no special care (Cabrelli et al. ally stirred using a plastic spatula. For that reason, the
2017; Oudry et al. 2009). These oil-based gels have mixture was removed from the vacuum oven and stirred
tunable elastic, acoustic and optical properties (Cabrelli until a homogenous solution was obtained. This proced-
et al. 2017; Oudry et al. 2009); however, they usually ure was repeated, every 5 min, until a viscous solution
present lower speed of sound than the average value for without any visible solid copolymer was obtained. The
soft tissues (Oudry et al. 2009). Solvent properties (e.g., increased viscosity indicates the polymerization of the
density, viscosity, etc.) can influence the gel characteris- gel was complete; therefore, the glycerol droplets were
tics (Oudry et al. 2009); furthermore, additives, such as trapped in the gel matrix. The resultant gel rested in the
low-density polyethylene (LDPE), can be used to modify oven under vacuum, at 130 C, to release trapped air bub-
its acoustical, optical and mechanical properties (Cabrelli bles. Finally it was poured, at 130 C, in molds used for
et al. 2017). In Cabrelli et al. (2017), we proposed the use acoustic and mechanical measurements and cooled at
of styrene-ethylene/butylene-styrene (SEBS) gels for op- room temperature to obtain a solid gel. In our experi-
tical imaging and revealed the viability for photoacous- ments we obtained homogenous gels using glycerol in
tics. In that study (Cabrelli et al. 2017) we verified that liquid volume fractions of up to 30%.
variations in SEBS and LDPE amounts had little impact We believe that SEBS in mineral oil gel acts as a sus-
on the gels’ speed of sound. pending agent or dispersant for the glycerol (Morrison
Glycerol is a colorless, nontoxic and viscous liquid et al. 2002), resulting in homogeneous and stable gels
that presents speed of sound higher than 1900 m/s and containing uniformly dispersed glycerol. For more details
has been used as an additive to water-based phantoms. about SEBS gels structure, the reader is referred to
In blood-mimicking fluids, for example, glycerol is added Sudarsan et al. 2005 and Yu et al. 2008.
to water to increase the speed of sound to values more To evaluate the influence of the mineral oil viscosity
similar to blood (Ramnarine et al. 1998) and to mimic on the mechanical and the acoustic properties, the sam-
the rheologic properties of blood (Oates 1991). It can ples were produced using two types of pharmaceutical
be added to agar/gelatin (Madsen et al. 1982, 2005) or grade paraffinic mineral oils with different viscosities:
PVA (Cournane et al. 2010) phantoms to increase the EMCAplus 070 (Oxiteno, S~ao Paulo, SP, Brazil) with
speed of sound with little impact in the acoustic attenua- lower viscosity and Naturol (Farmax, Divinopolis, MG,
tion. Therefore, the aim of this research is to evaluate the Brazil) with higher viscosity. The dynamic viscosity of
viability of using glycerol as an additive to copolymer-in- the mineral oils and the glycerol was measured using a
oil gels. First described is the method used to obtain sta- rheometer (RheolabQC, Anton Paar, Graz, Styria,
ble gels using mineral oil and glycerol. Then evaluated Austria) at a shear rate of 500 s21 at 25 C. The dynamic
are the acoustic and mechanical properties of gels that viscosities of the mineral oils were 19.7 mPa$s and
produced varying the amount of glycerol and copolymer 48.8 mPa$s and that of glycerol was 849.3 mPa$s.
2088 Ultrasound in Medicine and Biology Volume 43, Number 9, 2017

To evaluate the influence of glycerol on the mechan- minimize the friction with the samples during the tests.
ical and acoustical properties of the copolymer-in-oil The data acquisition started at the moment the compression
phantoms, volume fractions of glycerol varying 0%– plate touched the sample. This contact point was automat-
30% were used. The upper limit to obtain stable and ho- ically identified by the equipment. The Young’s modulus
mogeneous gels using the method described here was was calculated using the stress-strain curves.
30% of glycerol. The use of surfactants could be a future
study in an attempt to use a higher concentration of glyc-
erol. Three groups of samples using different concentra- Acoustic characterization
tions of SEBS and glycerol were prepared. A total of 16 To evaluate the acoustic properties, the gel was
gel samples using 2 types of mineral oils, with different poured into PVC cylindrical molds with 7.5 cm in diam-
viscosities, were produced. The composition of the man- eter and 2.5 cm thick, sealed with PVC wrap film.
ufactured gel samples are shown in Table 1. The speed of sound was estimated using the substi-
tution technique (Madsen et al. 1999) in an acrylic tank,
with dimensions of 11 cm 3 13 cm 3 11 cm, filled
Density measurements with degassed water, using 2 narrowband transducers
To evaluate the densities of the samples, the volume with central frequencies of 1 MHz. The distance between
and mass of cylindrical samples with 2 cm in diameter the transducers was 99.98 6 0.05 mm. The temperature
and 1.6 cm in height were measured. Volume measure- of the water and the samples was 21 C. The speed of
ments were performed by mineral oil displacement of sound was calculated using
the samples with a measuring cylinder. The samples
cw
masses were measured with a precision balance (model cs 5  ; (1)
bl 3200 h, Shimadzu, Kyoto, Kansai, Japan). 11cwdDt

where cw is the water speed of sound, Dt is the time shift


Elastic measurements after immersing the sample in the ultrasonic wave path
To evaluate the elasticity of each sample, the stress- and d is the sample thickness.
strain curves were measured at room temperature via me- The acoustic attenuation coefficient was evaluated
chanical uniaxial compression using a texture analyser using 5 immersion unfocused narrowband ultrasound
(TA.XTplus, Stable Micro Systems, Godalming, Surrey, transducers (Panametrics, Olympus NDT Inc., Waltham,
UK) equipped with a 5-kg load cell. The same cylinder sam- MA, USA) with frequencies ranging 1 MHz–10 MHz be-
ples used to determine the density were tested. The samples ing driven by tone bursts of 12 cycles. Table 2 shows the
were compressed (deformations up to 18%) at a constant nominal and peak frequencies, 26 dB bandwidth and di-
speed of 0.1 mm/s using an acrylic platen with 40 mm in mensions of each transducer. The transmitted ultrasonic
diameter. Mineral oil was used to lubricate the platens to waves were detected by a needle hydrophone (0.5 mm
needle sensor, sn 1861, Precision Acoustics, Dorchester,
Table 1. Composition of the samples where the Dorset, UK) positioned opposite to the ultrasonic trans-
concentrations of SEBS are given in weight percentage of ducers. The hydrophone system was provided with a cali-
the whole material, while for glycerol it is given as bration certificate covering the frequency range
volume fraction of the total amount of liquid 1–20 MHz. In the frequency range 1–10 MHz, the sensi-
Oil viscosity tivity fluctuates 345–500 mV/MPa. The samples were
Set Phantom (mPa$s) SEBS (%) Glycerol (%) positioned between the ultrasound transducer and the hy-
A A1 19.7 10 0
drophone, with both samples and hydrophone located in
A2 19.7 10 5 the far field zone of the transducers. In all measurements
A3 19.7 10 10 we ensured the faces of the samples were parallel to the
A4 19.7 10 15
A5 19.7 10 20
A6 19.7 10 30 Table 2. Properties of the ultrasonic transducers used in
B B1 48.8 10 0
B2 48.8 10 5
the acoustic measurements
B3 48.8 10 10
Nominal Peak
B4 48.8 10 15
frequency frequency Diameter 26 dB
B5 48.8 10 20
(MHz) (MHz) size (in) bandwidth
B6 48.8 10 30
C C1 48.8 8 15
1.0 0.98 0.5 62.08%
C2 48.8 10 15
3.5 3.22 0.25 59.66%
C3 48.8 12 15
5.0 5.00 0.375 59.71%
C4 48.8 15 15
7.5 7.13 0.50 61.38%
10.0 10.0 0.25 70.76%
SEBS 5 styrene-ethylene/butylene-styrene.
Glycerol in phantoms d L. C. CABRELLI et al. 2089

ultrasonic transducers. The acoustic attenuation coeffi- shown in Figure 1. The presence of glycerol resulted in
cient was obtained by higher opacity of the material (Fig. 1). Optical micro-
  scopy images of the gels revealed a uniform distribution
20 A0 of glycerol microspheres with diameters ranging
a 5 log ; (2)
d A 5–30 mm.
where A0 and A are, respectively, the ultrasonic pressure
amplitude in volts acquired in water and after positioning Density
the samples between the hydrophone and the ultrasonic Table 3 shows the densities measured for the gel
transducer. The dependence of the acoustic attenuation samples. The samples had slightly increments in the den-
coefficient a and the ultrasonic frequency f were analyzed sity by increasing the glycerol percentage. Also, samples
by a( f ) 5 a0f n. of set A manufactured with the lower viscosity oil were
To understand the influence of glycerol dispersion slightly less dense than samples of set B. However, these
on ultrasound wave scattering, the apparent integrated differences, between oil type (sets A and B) or between
backscattering (AIB) of set A samples were evaluated. samples of the same set, were not statistically significant
This parameter is defined as the frequency average of (p . 0.05). These values are similar to that of soft tissues
the ratio between the power spectrums of the sample of 1 g/cm3 (Culjat et al. 2010).
and a reference; and has been commonly used to charac-
terize tissue (Hoffman et al. 2011; Jiang et al. 2014; Naito Speed of sound
et al. 1994). These samples were scanned using a linear The speeds of sound for the mineral oils with higher
array (L14-5/38) connected to an ultrasound machine and lower viscosities are 1432 m/s and 1395 m/s, respec-
(Sonix RP, Ultrasonix, Richmond, BC, Canada). The tively. Figure 2 shows the speed of sound of the 3 sets of
beamformed radio frequency (RF) backscattered signals materials. In all measurements the instrumental uncer-
from the phantoms were acquired using the Texo tainty was 1.5 m/s. The results suggest that speed of
software development kit (version 5.7.4, Ultrasonix). To sound increased with oil viscosity, because samples of
calculate AIB, 10 frames composed of 20 scan-lines set B were made with the oil of higher viscosity. This
were acquired for each phantom. After averaging the 10 result is in agreement with that observed by Oudry
frames, the RF signals were truncated using a hamming et al. (2009). According to Parthasarathy and Bakhshi
window in 7.5 ms segments. The center of each segment (1953), a non-linear relationship exists between viscosity
was positioned at 0.6-cm depth. The reference RF back- and speed of sound; however, this relationship is depen-
scattered signal was obtained from a stainless steel plate dent on the type of substance analysed and density of
positioned at the same depth in a water tank. AIB was the material.
estimated over the 26 dB bandwidth (Df26 The speed of sound of sets A and B were fitted by a
dB 5 fH2fL) of the transducer with a measured center fre- linear function, resulting in cs 5 (1420.5 1 1.60x) m/s
quency fc 5 4.0 MHz, according to for A and cs 5 (1460 1 1.37x) m/s for B, where x is
ð fH   glycerol concentration. The slopes of the 2 fits show
1 Pph ðf Þ that glycerol concentration similarly increased the
AIB 5 10 log df ; (3)
Df26dB fL Pr ðf Þ

where Pph and Pr are the power spectrum of the backscat-


tered RF signals of the phantom and the reference,
respectively.

Statistical analysis
Statistical tests were performed using analysis of
variance (one-way ANOVA) and post hoc analysis to
confirm differences between samples. We used a signifi-
cance value of 0.05 for all statistical tests. The statistical
analyses were performed using R statistical computing
environment.
Fig. 1. Samples of set B. Sample B1 with 0% of glycerol (left),
RESULTS AND DISCUSSIONS sample B2 with 5% of glycerol (center) and sample B6 with
30% of glycerol (right). The presence of glycerol modified
The gels manufactured only with mineral oil, some properties of the materials, e.g., adding glycerol increased
without glycerol, were translucent to visible light, as the phantom’s opacity.
2090 Ultrasound in Medicine and Biology Volume 43, Number 9, 2017

Table 3. Density of the gel samples phantom and the error bars are the combined uncer-
Density Density Density
tainties. To improve visualization, the error bars for set
Sample (g/cm3) Sample (g/cm3) Sample (g/cm3) C results are not shown (Fig. 3c). Table 4 shows the values
obtained for a0 and n of all samples. The acoustic atten-
A1 0.77 6 0.11 B1 0.84 6 0.12 C1 0.89 6 0.12
A2 0.77 6 0.11 B2 0.87 6 0.12 C2 0.87 6 0.12
uation was clearly increased with glycerol concentration
A3 0.78 6 0.11 B3 0.87 6 0.12 C3 0.88 6 0.12 in the samples of sets A and B. Samples A6 and B6 ex-
A4 0.81 6 0.12 B4 0.86 6 0.12 C4 0.89 6 0.12 hibited the highest attenuations. This result was expected
A5 0.82 6 0.12 B5 0.90 6 0.13
A6 0.88 6 0.13 B6 0.93 6 0.13
because glycerol viscosity is higher than those for min-
eral oils 1 and 2. Samples of sets A and B illustrated a
monotonically increase of a0 with the concentration of
speed of sound for the two set of samples. The speed of glycerol. The acoustic attenuation was consistently
sound achieved the highest value of 1502 m/s for the higher for samples of sets B compared with the samples
sample B6, increasing 41 m/s if compared with sample of set A manufactured using the same composition of
B1. Similar variation in speed of sound was observed in SEBS and glycerol. Post hoc analysis suggested differ-
samples of set A. In this case, the speed estimated for ences between samples with 0%–20% glycerol
sample A1 was 1423 m/s, while for sample A6 it was (p , 0.05). This result is also expected because of higher
1473 m/s. Increasing SEBS concentration, for a fixed viscosity of the mineral oil used to produce the samples of
amount of glycerol (15%), increased the speed of sound set B. The results obtained for set C show that varying the
from 1474 m/s (8% of SEBS) to 1481 m/s (15% of amount of SEBS had little impact in the attenuation coef-
SEBS), resulting in cs 5 (1467 1 1.03y) m/s, where y ficient with no significant statistical differences between
is SEBS concentration. Therefore, the slope of the speed the samples (p . 0.05). No trends in the non-linear
of sound versus concentration for the glycerol in SEBS dependence of acoustic attenuation with frequency were
gels is much lower for increased concentration of SEBS. observed for different concentrations of glycerol and
Although lower than the average values adopted for SEBS; values of n varied between 1.61 and 1.86. Statisti-
soft tissues (1540 m/s) (Szabo 2004), the range of values cal tests confirmed this parameter was not dependent
obtained here is in agreement with a variety of soft tissues (p . 0.05) on the amount of glycerol and SEBS or oil
such as fat and breast tissues (Szabo 2004). For example, type.
the mean value for breast tissue can vary with age from The literature reports a0 for soft tissues varying from
1490 m/s to 1450 m/s for women of 25–30 y and 0.15 dB/cm/MHz2n for blood to 0.75 dB/cm/MHz2n for
.65 y, respectively (Katz-Hanani et al. 2014). These breast tissue (Szabo 2004), which is in the range of values
values are within the range of the glycerol in SEBS gels obtained here. The values obtained for n are equivalent to
manufactured in this study. those reported for kidney and breast, but still higher than
other soft tissues, such as liver and muscle (Szabo 2004).

Acoustic attenuation Apparent integrated backscattering


Acoustic attenuation measurements were performed Figure 4 shows B-mode images of the phantoms A1,
in the range of 1–10 MHz for each set of samples and the A2 and A4. Figure 4a demonstrates absence of backscat-
results are shown in Figure 3. The values are the average tered ultrasonic waves from the phantom made with no
of 5 measurements taken at different positions of the addition of glycerol (sample A1). In this image we can

a b 1500
1500 Set A Set C
Set B
Speed of sound (m/s)

1490
Speed of sound (m/s)

1480
1480
1460
1470
1440
1460
1420
1450
0 5 10 15 20 25 30 7 8 9 10 11 12 13 14 15 16
Glycerol (%) SEBS (%)

Fig. 2. Speed of sound of (a) samples of sets A and B; (b) samples of set C.
Glycerol in phantoms d L. C. CABRELLI et al. 2091

Fig. 3. Acoustic attenuation of samples of (a) set A, (b) set B and (c) set C.

see only the reflection of the phantom’s surface. The im- all very similar (data not shown), resulting in poor
ages in Figures 4(b, c) show a speckled pattern because of graphic presentation, which suggests no relation be-
scattered waves caused by the presence of dispersed glyc- tween Young’s modulus and oil type or glycerol concen-
erol droplets inside the phantoms. Dispersing oil in tration. The samples displayed non-linear elastic
gelatin/agar gels is a common strategy used to adjust behavior; therefore, the Young’s modulus was estimated
the acoustic and mechanical properties of water-based fitting a linear function 0%–2.5% of strain. Table 5
phantoms. The oil droplets formed in these gels also in- shows the Young’s moduli estimated for all samples.
crease the ultrasonic scattering (Madsen et al. 1982; The Young’s moduli of samples are within the range
Pavan et al. 2012). found for a great variety of soft tissues (Fung 2013;
Figure 5 shows AIB estimated for the samples of set Krouskop et al. 1998). Further adjustment to
A. The graph shows an increment of about 20 dB in AIB manufacture softer or stiffer samples can be achieved
for the phantoms containing glycerol. There is no by using SEBS concentrations below or above the
apparent dependence of AIB with glycerol concentration. limits adopted here. Varying the SEBS concentration is
Because the backscattered signal from sample A1 can be also related to small variations in the speed of sound
considered insignificant (confirmed by visual inspection and attenuation of the material (Cabrelli et al. 2017;
of the RF signals), we can assume values close to Oudry et al. 2009). All samples exhibited a weak
265 dB as the noise level of our data. Variations in degree of elastic non-linearity, which can be a limitation
AIB as a result of changes in SEBS concentration were to adequately reproduce the pronounced non-linear
insignificant because the glycerol is the source of behavior of some tissues.
backscattering. The Young’s modulus of set C samples increased
with SEBS concentration following a power law Y 5
(0.8 x1.65) kPa. In Oudry et al. (2009) the stiffness of
Elasticity
the gels followed a power law with SEBS concentra-
Figure 6 shows the stress-strain curves for the sam-
tion with an exponent of 2.46, suggesting that adding
ples of set C. Stress-strain curves for sets A and B were
glycerol to SEBS gels decreases the value of the
exponent. Although more results are needed to
Table 4. Values of a0 and n estimated for all samples.
confirm this speculation, this result is in interesting
Sample a0 (dB/cm/MHz2n) n agreement with the results found in Pavan et al.
(2010). However, in Pavan et al. (2010) the authors
A1 0.10 6 0.01 1.78 6 0.04
A2 0.15 6 0.02 1.73 6 0.05 analysed the stiffness of agar/gelatin gels containing
A3 0.19 6 0.02 1.78 6 0.04 dispersed oil droplets varying the amount of agar
A4 0.21 6 0.03 1.81 6 0.07
and found a decrease in the exponent by increasing
A5 0.29 6 0.04 1.86 6 0.06
A6 0.52 6 0.07 1.83 6 0.07 the amount of oil in the dispersion. The Young’s
B1 0.18 6 0.01 1.88 6 0.03 modulus of sets A and B samples did not depend on
B2 0.26 6 0.02 1.76 6 0.03
B3 0.39 6 0.02 1.76 6 0.02
the mineral oil viscosity (p . 0.05) and increased
B4 0.45 6 0.02 1.71 6 0.02 around 10 kPa, in both cases (27 kPa–37 kPa), by
B5 0.50 6 0.04 1.76 6 0.03 increasing the glycerol concentration 0%–30%. On
B6 0.59 6 0.03 1.86 6 0.03
C1 0.46 6 0.05 1.62 6 0.07
the other hand, adding oil to gelatin/agar gels
C2 0.42 6 0.04 1.66 6 0.06 decrease the stiffness of the samples (Madsen et al.
C3 0.42 6 0.06 1.73 6 0.08 2003; Pavan et al. 2010). Post hoc analysis showed
C4 0.42 6 0.07 1.73 6 0.07
differences between samples without glycerol (A1
2092 Ultrasound in Medicine and Biology Volume 43, Number 9, 2017

Fig. 4. Ultrasound B-mode images of phantoms (a) A1, (b) A2 and (c) A4. (The images are 2-cm depth.) The image of
sample A1 shows negligible backscattering, while the images of phantoms A2 and A4 demonstrate enhancement in back-
scattering by adding glycerol to the SEBS gels.

and B1) and samples with glycerol (p , 0.05). the gels to be used in a variety of imaging modalities.
Significant difference was found between A6 (30% Currently, our group is investigating how this strategy
of glycerol) and the other samples in set A, while can be useful to the production of SEBS gel phantoms
no differences were found between samples A2–A5. for optical and magnetic resonance imaging.
The phantoms evaluated in this study have shown
good stability. For example, all samples were retested af- CONCLUSION
ter 5 mo and the Young’s moduli did not vary more than
Tissue-mimicking materials composed of SEBS
6 kPa. Also, SEBS phantoms with dispersed glycerol
copolymer and mineral oil, using glycerol as an additive
droplets prepared about 1 y ago and stored with no special
for tuning the acoustical properties, were developed. In
care still look and feel as new.
all samples the glycerol was well dispersed, resulting in
Here we show the viability of producing stable oil-
homogeneous and stable gel phantoms. Increasing the
based gels with dispersed glycerol in concentrations up
concentration of glycerol increased the speed of sound
to 30%. The influence of glycerol in the acoustic and me-
and acoustic attenuation with a minor effect on the den-
chanical properties of the gel were described. Future
sity and Young’s modulus of the samples. In this study,
studies will focus on evaluating the acoustic properties
the speed of sound up to 1503 m/s was obtained. Ultra-
for frequencies above 10 MHz and the viscosity of the
sound images and apparent integrated backscattering
phantoms. Besides using glycerol to tune the acoustic
measurements showed that the presence of glycerol
behavior of the gels, the presence of this substance can
enhanced ultrasonic scattering. The speed of sound and
be explored to incorporating other oil-insoluble liquids
acoustic attenuation of the samples also depended on
and solids to the phantoms. This strategy can be adopted
the mineral oil viscosity. In addition, to modify ultrasonic
to further adjust the physical and chemical properties of
and mechanical properties of the gels, mixing glycerol in
the samples opens the possibility of incorporating other
Set A
15
-45 C1
C2
-50 C3
Stress (kPa)

10 C4
AIB (dB)

-55

-60
5
-65

-70
0
0 5 10 15 20 30
Glycerol (%) 0 2 4 6 8 10 12 14 16 18
Strain (%)
Fig. 5. Apparent integrated backscattering obtained for samples
of set A. Fig. 6. Stress-strain curves obtained for the samples of set C.
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