High-frequency ultrasound (HFUS) can image deep skin layers and subcutaneous fat, but not superficial interfaces like the corneo-epidermal junction. A 10 MHz transducer is suitable for standard skin echograms.
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High-frequency ultrasound (HFUS) is a non-invasive imaging technique.
Previous studies have explored HFUS for skin imaging, but detailed characterization of superficial skin layers remains challenging.
Purpose of the Study:
To evaluate the capability of B-mode echography in visualizing different layers of the skin, including the stratum corneum, epidermis, dermis, and subcutaneous fat.
To compare ultrasound images with histologic sections for accuracy.
To investigate regional variations in normal skin echograms and determine optimal transducer frequency.
Main Methods:
Sector B-mode echograms were obtained from skin samples: pemphigus foliaceus bulla stratum corneum, split-thickness skin grafts (epidermis and superficial dermis), and whole skin with subcutaneous fat.
Ultrasound imaging was performed using 5, 10, and 15 MHz transducers.
Echograms were compared with corresponding histologic sections.
In vivo normal skin echograms were recorded from various body regions (forehead, abdomen, back, upper arm, thigh, lower leg, heel).
Main Results:
The corneo-epidermal and epidermo-dermal interfaces were not delineated by any of the tested transducer frequencies (5, 10, or 15 MHz).
Subcutaneous fat appeared as an echolucent zone with weak echoes from fibrous trabeculae and large blood vessels.
Regional differences in normal skin echograms were observed, with clear demonstration of underlying cutaneous muscles, fascia, or bone.
A 10 MHz transducer was deemed appropriate for standard skin echograms, primarily yielding detailed images of deep dermal and subcutaneous structures.
Conclusions:
High-frequency ultrasound is effective in imaging deeper skin structures like subcutaneous fat and underlying tissues.
Superficial skin layers and their interfaces (corneo-epidermal, epidermo-dermal) are not well-visualized with current B-mode echography technology.
A 10 MHz transducer is suitable for general skin imaging, but detailed visualization of superficial structures requires further technological advancements.