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Phantom design for tracked ultrasound-based surgical navigation systems
V J van Boheemen1,2, J M van der Zee1, M Kuipers3
1Princess Maxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht 3584 CS, the Netherlands.
Methodsx
|November 24, 2025
Summary
Researchers developed low-cost anatomical phantoms for validating tracked ultrasound surgical navigation systems. These phantoms mimic human tissue properties, aiding preclinical assessment of pediatric oncology tumor removal technologies.
Area of Science:
- Biomedical Engineering
- Medical Imaging
- Surgical Navigation
Background:
- Radical tumor removal is critical for pediatric oncology patients.
- Tracked ultrasound surgical navigation shows promise for improving tumor removal rates.
- Preclinical validation requires specialized anatomical phantoms with specific acoustic and contrast properties.
Purpose of the Study:
- To develop a method for creating cost-effective anatomical phantoms for evaluating tracked ultrasound-based surgical navigation systems.
- To create phantoms with material properties comparable to human tissue for accurate ultrasound imaging.
- To incorporate anatomical structures with both ultrasound and Computed Tomography (CT) contrast.
Main Methods:
- A gelatin-vinegar matrix was utilized for its suitable speed of sound, durability, and stability.
- Tumor simulants were created using polyvinyl alcohol, glass microspheres, and barium sulfate for dual contrast properties.
- Speed of sound was verified using ultrasound and CT depth measurements.
Main Results:
- The developed phantoms exhibit a speed of sound approximating human tissue, enabling effective tracked ultrasound.
- Phantoms are durable, stable, and possess both ultrasound and CT contrast.
- The fabrication process is straightforward, utilizing readily available materials, with a low cost per phantom (<$50).
Conclusions:
- This study provides a reproducible protocol for creating essential anatomical phantoms for surgical navigation system development.
- These phantoms facilitate the preclinical validation of tracked ultrasound systems, particularly for pediatric tumor surgery.
- The developed method addresses the scarcity of suitable phantoms, promoting advancements in surgical navigation technology.

