PURPOSE: To test the performance of transrectal ultrasound (US) scanne
rs in the detection of low-contrast focal lesions as a function of dep
th, size, and contrast. MATERIALS AND METHODS: US images of two phanto
ms were analyzed by three observers. One phantom was most suitable for
US units allowing scanning in the transverse or longitudinal planes,
while the other was suitable for any scanning situation. Both phantoms
were made of tissue-mimicking material and had six sections. Five sec
tions contained different sizes of low-contrast simulated lesions, whi
ch were of different echogenicities and were randomly distributed to a
depth of 8 cm. The sixth section contained only background material a
nd served as a reference. A resolution zone, corresponding to the dept
h range over which a given type of lesion was detectable, was determin
ed for each of the five lesion-containing sections and a figure of mer
it equal to a weighted sum of resolution zone lengths computed. RESULT
S: Data from 12 different scanner configurations were analyzed; a broa
d range of figures of merit were found. Agreement was found among the
three observers regarding relative performance of the scanner configur
ations. CONCLUSION: The phantoms are useful for comparing performances
of different transrectal US configurations.