Integrated backscatter (IB) has been used for ultrasonic tissue characteriz
ation. To assess the potential variables in IB measurements, we performed b
oth theoretical simulations and in vitro phantom measurements. First, we si
mulated data in which the scatterer position randomly was varied. IB values
for the resulting images were calculated. Second, RF data from a tissue-mi
micking phantom were acquired. Third, an adapted imaging approach, based on
phase insensitivity, was evaluated. For both the simulations and phantom m
easurements, IB showed a standard deviation of +/-20%. These large deviatio
ns can be explained by variations in interference of signals and are not re
lated to the state of the tissue. Small deviations in position of the scatt
erers resulted in important variations in IB. They must be taken into accou
nt and may limit the use of LB in cardiological applications. An improvemen
t potentially can be obtained using phase insensitivity in new ultrasound p
rocessing schemes. (C) 1998 World Federation for Ultrasound in Medicine & B
iology.