There are many thousands of Doppler fetal heart beat detectors in medi
cal use and many different detector manufacturers but, until recently,
there has been no well-defined quantitative method for measuring the
sensitivity of these detectors and, therefore, no way of directly comp
aring their technical performance under standardised test conditions.
At NPL, we have developed a reference test facility for measuring dete
ctor sensitivity to meet the needs of manufacturers, and to comply wit
h the requirements of an international standard (TEC 1995) that define
s methods of measurement of the sensitivity of fetal heart beat detect
ors, The test facility has primarily been developed for detectors oper
ating at a transmitted frequency of 2 MHz and with Doppler shifts of u
p to 1 kHz. The detectors are tested by directing the ultrasound beam
at a small moving target being driven at a constant velocity, and then
monitoring the output signal from the detector, which will be at the
Doppler shift frequency, To determine the sensitivity, attenuators are
inserted into the beam until the output signal is reduced to 6 dB abo
ve the noise level, The sensitivity is calculated by adding the final
signal level above the noise to the total insertion loss of the attenu
ators in the ultrasound path and the reflection loss of the target, A
crucial aspect of this calculation is the knowledge of the target stre
ngths and characteristics. This has already been extensively studied (
Preston and Bond 1997) over the frequency range of interest, The NPL t
est facility developed for undertaking the sensitivity measurements is
described, including an assessment of the uncertainties in such a mea
surement and solutions to problems encountered along the way. (C) 1998
Crown copyright, Reproduced by permission of the Controller of HMSO.
Published by Elsevier Science Inc.