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Creating Ultrasound Phantoms Using Turkey Breasts and Olives
Chaithanya Ganji
Introduction Product Ultrasound
Ultrasound is a crucial imaging tool that is used for To combat the limitations of CAFs, phantoms made of turkey breasts various purposes such as monitoring pregnancies or were tested (TF). TFs are made with turkey breasts and pitted green performing needle biopsies. The focus of this product olives as targets. TFs are considerably cheaper than CAFs and are is on ultrasound guided needle biopsies. This seen to be just as effective, if not even more due to the lack of procedure is important to pathology because this how samples of masses such as tumors or cysts are needle tracks. TFs also more closely resemble real flesh than a gel- obtained. Obtaining these samples without an imaging based CAF would. Below is the process of creating the phantoms tool is near impossible, and ultrasound is the most and the to the right are images produced by the ultrasound. practical since it is portable, fast, and poses no harm to the patient. Ultrasound works by sending an electrical Materials and Costs: energy into the transducer, causing the crystals within Turkey Breasts (15 USD for 4) Plastic Wrap (5 USD) it to vibrate at a frequency greater than 20000 Hz Olives (3 USD for small jar) US Machine (20000 USD) (piezoelectric effect). These sound waves enter the tissues and bounce back to the transducer resulting in a top-down grey-scale image. These real-time images can then be used to guide a needle to the site of the Creation biopsy. However, it is essential to practice and refine these skills on phantoms instead of real patients so that the patient is comfortable and free from harm. This is typically done by using CAFs, or commercially available phantoms, which are made from agar or Conclusion and Reflection konjac gel. CAFs are very expensive, being well over The TFs were seen to be very effective, any problems 500 USD. They can also produce needle tracks which associated with the images were a result of the ultrasound. can hinder learning. Furthermore, they poorly mimic The images that were produced were grainy, but the olive human tissue. The goal of this product is to make a could be made out in the control TFs. However, in the phantom that can bypass all of these limitations. experimental TF which was made with two turkey breasts, the olives in the bottom layer were not detected because of the But how does all this connect to pathology? It is a rather peculiar relationship, coming in two different limitations of the ultrasound machine. ways. The first of which is radiology – this is an indirect relationship. Radiologists are the ones doing This internship was an incredibly valuable experience in biopsies to produce satisfactory samples that the pursuing a career in the medical field. I was able to learn pathologist can diagnose properly. The second way is about how a hospital works by working with Dr. Jakowski as a direct relationship through a sub-specialty in well as helping the secretaries. There are so many different cytopathology, interventional cytopathology. These roles that are crucial to ensure a patient gets the best care pathologists perform the biopsies themselves as well possible. I also gained an understanding of what to expect as making the diagnoses. They have recently started when I am doing rotations as a student and a medical incorporating ultrasound-guided biopsies into their resident. I would love to be able to do another internship if practices. possible.