Development of Silicone-Based Vascular Ultrasound Phantom: An Instructional Material
Authors
Southern Luzon State University (Philippines)
Southern Luzon State University (Philippines)
Southern Luzon State University (Philippines)
Article Information
DOI: 10.51244/IJRSI.2026.1305000274
Subject Category: Health Science
Volume/Issue: 13/5 | Page No: 3168-3183
Publication Timeline
Submitted: 2026-05-18
Accepted: 2026-05-23
Published: 2026-06-15
Abstract
This study determined the accuracy of a silicone-based phantom as an instructional material for vascular ultrasound. Three silicone rubber samples (200g) with varying silicone thinner concentrations (5%:10g. 10%:20g, and 15%:30g) were developed as part of prototype testing, each was embedded with ultrasoft epoxy resin vessels (8x12mm and 10x12mm) with water. Experimental research design was employed to assess each sample in terms of physical properties, including appearance, surface texture, durability, elasticity, and curing time. Aside from that, tissue-like softness, echogenicity, as well as ultrasound imaging performance in terms of probe positions (longitudinal and transverse) and movements (sliding and tilting). Findings revealed that increasing the concentration of silicone thinner improved tissue-like softness and elasticity, however, it reduced the durability and imaging capability. Moreover, it revealed that the thicker the ultrasoft resin vessel the lower its reflectivity and harder for ultrasound waves to pass through. Based on the results, the 5% concentration of silicone thinner produced the most stable and well-defined weasel visualization across the probe positions and movements, the 10% concentration demonstrated moderate performance in all aspects, while 15% concentration revealed the poorest image property. Overall, the silicone-based phantom demonstrated potential as an effective instructional material in vascular ultrasound, with the 5% silicone thinner concentration and 10x12mm ultrasoft epoxy resin vessel size as the optimal configuration.
Keywords
Silicone-based phantom, silicone rubber, silicone thinner, ultrasoft epoxy resin, vascular ultrasound phantom
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References
1. AIU. (2025, June 16). Vascular ultrasound training for sonographers, vascular surgeons. Retrieved October 12, 2025, from https://www.aiu.edu.au/ultrasound-courses/vascular/av-4day/ [Google Scholar] [Crossref]
2. Anand, R., Swain, B. P., Nag, D. S., Patel, R., & Gope, R. L. (2024). Do-It-Yourself Ultrasonography Phantom model for improving hand skills: A Technical report. Retrieved October 12, 2025, from Cureus. https://doi.org/10.7759/cureus.54750 [Google Scholar] [Crossref]
3. Bagtasos, V. C., Distor, J. C., Lopez, V. H., Manas, L. E., Set, C. M., & Tatlongmaria, H. A. (2023). Intentions to work abroad of radiologic technologists in Cavite. [Bachelor's thesis, De La Salle Medical and Health Sciences Institute]. GreenPrints. Retrieved April 8, 2026, from https://greenprints.dlshsi.edu.ph/bsrt/683 [Google Scholar] [Crossref]
4. Basic Vascular Sonography Training Program Philippines. (2025.). HB Calleja Center Academy for Medical Skills Advancement. Retrieved April 8, 2026, from https://callejacenter.com/training-programs/program/basic-vascular-sonography-program/ [Google Scholar] [Crossref]
5. Binder, T. (2020). 4. B mode imaging – Carotid artery | 123sonography. Retrieved April 8, 2026, from https://123sonography.com/blog/4-b-mode-imaging-carotid-artery [Google Scholar] [Crossref]
6. Biwa, S., & Iwasaki, H. (2022). Ultrasonic Characterization of Alumina/Silicone Rubber Composites for Acoustical Applications. Retrieved October 12, 2025, from http://hdl.handle.net/2433/287764 [Google Scholar] [Crossref]
7. Chen, W., Kang, Y., Wang, T., Lin, C., Cheng, C., Suk, F., Hsu, C., Huang, S., & Huang, W. (2022). Does ultrasound education improve anatomy learning? Effects of the Parallel Ultrasound Hands-on (PUSH) undergraduate medicine course. BMC Medical Education, 22(1). Retrieved October 12, 2025, from https://doi.org/10.1186/s12909-022-03255-4 [Google Scholar] [Crossref]
8. CoLtd, J. C. S. I. a. E. (2021, June 4). Is There Any Harm In Applying Silicone Oil ToSilicone Rubber? - Knowledge - Jiande City Silibase Import and Export Co.,Ltd. Silibase. Retrieved April 8, 2026, from https://www.silibasesilicone.com/info/is-there-any-harm-in-applying-silicone-oil-to-58092564.html [Google Scholar] [Crossref]
9. Costigan, C., & Rosenblum, N. (2022). Antenatally Diagnosed Kidney Anomalies. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/abs/pii/S0031395522000918 [Google Scholar] [Crossref]
10. Dávila-Román, V. G., Toenjes, A. K., Meyers, R. M., Lenzen, P. M., Simkovich, S. M., Herrera, P., Fung, E., Papageorghiou, A. T., Craik, R., McCracken, J. P., Thompson, L. M., Balakrishnan, K., Rosa, G., Peel, J., Clasen, T. F., Hossen, S., Checkley, W., & De Las Fuentes, L. (2021). Ultrasound Core Laboratory for the Household Air Pollution Intervention Network Trial: Standardized training and image management for field studies using portable ultrasound in fetal, lung, and vascular evaluations. Ultrasound in Medicine & Biology, 47(6), 1506–1513. Retrieved October 12, 2025, from https://doi.org/10.1016/j.ultrasmedbio.2021.02.015 [Google Scholar] [Crossref]
11. Dutta, D. (2023, December 6). USG Basics, Part 8: Practical applications and Techniques for Ultrasound transducers. Samobathi PainClinic. Retrieved April 8, 2026, from https://www.google.com/url?q=https://www.samobathipain.com/post/usg-basics-part-8-practical-applications-and-techniques-for-ultrasound-transducers&usg=AOvVaw1G0plk4undBhsMONL51WAu&hl=en-PH [Google Scholar] [Crossref]
12. EDM Medical Solutions. (2023). Better Learning, Better Outcomes: How Ultrasound Training Phantoms are Revolutionizing Medical Education. EDM Medical Solutions. Retrieved October 12, 2025, from https://us.edm-imaging.com/blogs/ultrasound-today/better-learning-better-outcomes-how-ultrasound-training-phantoms-are-revolutionizing-medical-education [Google Scholar] [Crossref]
13. Fan, C., Hao, Y., Chen, L., Cheng, J., Wang, Y., Xu, L., & Li, J. (2025). Echogenicity of carotid plaques as a predictor of regression following lipid-lowering therapy. Thrombosis Journal, 23(1). Retrieved October 12, 2025, from https://doi.org/10.1186/s12959-025-00753-5 [Google Scholar] [Crossref]
14. Farizani. (2022, March 29). What is A Vascular Ultrasound? | Dr. Forough Farizani, D.O. Hillcroft Physicians. Retrieved October 12, 2025, from https://hillcroftphysicians.com/health-education/what-is-a-vascular-ultrasound/ [Google Scholar] [Crossref]
15. Frederick, M., Stolz, L. (2025). Molding the Future: A Novel Method for Developing Custom Silicone Molds for the Creation of Sonographic Ballistics Gelatin Phantoms. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/pii/S0736467925003452 [Google Scholar] [Crossref]
16. Gettle, L. M., & Revzin, M. (2020). Innovations in Vascular Ultrasound. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/abs/pii/S0033838920300312 [Google Scholar] [Crossref]
17. Giannotti, E., Jethwa, K., Closs, S., Sun, R., Bhatti, H., James, J., & Clarke, C. (2022a). Promoting simulation-based training in radiology: a homemade phantom for the practice of ultrasound-guided procedures. British Journal of Radiology, 95(1137). Retrieved October 12, 2025, from https://doi.org/10.1259/bjr.20220354 [Google Scholar] [Crossref]
18. Goldemund, D. (2024). Intima-media thickness (IMT) | STROKE MANUAL. Retrieved October 12, 2025, from STROKE-MANUAL.https://www.stroke-manual.com/intima-media-thickness-imt [Google Scholar] [Crossref]
19. Grogan, S. P., & Mount, C. A. (2023, March 27). Ultrasound Physics and instrumentation. StatPearls - NCBI Bookshelf. Retrieved October 12, 2025, from https://www.ncbi.nlm.intima-media-thickness-im [Google Scholar] [Crossref]
20. GT Simulators by Global Technologies. (n.d.). X-Ray Phantoms | Radiology Training Phantoms and Simulators. GTSimulators.com. Retrieved October 12, 2025, from https://www.gtsimulators.com/collections/x-ray-training-phantoms?srsltid=AfmBOopaO1DbZYzJR3uuWm1b7_frkE56yIPOdr2-n2jXWST9XpoppoVZ [Google Scholar] [Crossref]
21. Hall, R. J. (2025). The Science of Sonology: The Semantics of the Professional 2025. Journal of Diagnostic Medical Sonography. Retrieved October 12, 2025, from https://doi.org/10.1177/87564793251343889 [Google Scholar] [Crossref]
22. HB Calleja Center Academy for Medical Skills Advancement. (2020, March 3). HB Calleja Center Academy for Medical Skills Advancement. Retrieved April 8, 2026, from https://callejacenter.com/career-awareness/article/what-is-a-vascular-sonographer/ [Google Scholar] [Crossref]
23. Himalayas. (2025, May 25). How to Become a Vascular Technician: Career Path & Guide; Retrieved April 8, 2026, from Himalayas. https://himalayas.app/career-guides/vascular-technician [Google Scholar] [Crossref]
24. Illa, J., & Illa, J. (2023, November 15). PREPARING FOR A VASCULAR ULTRASOUND: WHAT TO EXPECT AND HOW TO GET READY. Advanced Heart and Vascular Institute. Retrieved October 12, 2025, from https://www.advancedhvi.com/2023/11/24/preparing-for-a-vascular-ultrasound-what-to-expect-and-how-to-get-ready/ [Google Scholar] [Crossref]
25. Internal carotid artery. (2023, October 30). Kenhub. Retrieved October 12, 2025, from https://www.kenhub.com/en/library/anatomy/internal-carotid-artery [Google Scholar] [Crossref]
26. Izdihar, K., Abdul Razak, H. R., Supion, N., Karim, M. K. A., Osman, N. H., & Norkhairunnisa, M. (2021). Structural, Mechanical, and Dielectric Properties of Polydimethylsiloxane and Silicone Elastomer for the Fabrication of Clinical-Grade Kidney Phantom. Applied Sciences, 11(3), 1172. Retrieved October 12, 2025, from https://doi.org/10.3390/app11031172 [Google Scholar] [Crossref]
27. J. Yu, J. P., M. Spieler, B., L. Chan, T., & M. Johnson, E. (2018). Academic Radiology: Promoting Collaborations Between Radiologists and Scientists. Science Direct, 25(1), 9–17. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/abs/pii/S1076633217303380 [Google Scholar] [Crossref]
28. Jagoda, P., Stroeder, J., Buecker, A., Gawlitza, J., Frenzel, F., & Raczeck, P. (2020). Effectiveness of a brief teaching scenario in a Phantom-Based learning model for students to achieve Ultrasound-Guided vascular Access—a prospective study. Indian Journal of Surgery, 85(S1), 234–240. Retrieved October 12, 2025, from https://doi.org/10.1007/s12262-020-02655-4 [Google Scholar] [Crossref]
29. Kankaria, A., Wiley, A. P., Yokemick, J., Culp, J., Lal, B. K., & Desikan, S. K. (2023). Vascular Laboratory Workshop increases medical student understanding of vascular diagnostic studies and promotes interest in vascular surgery specialty. Journal of Vascular Surgery, 77(6), e142–e143. Retrieved October 12, 2025, from https://doi.org/10.1016/j.jvs.2023.03.196 [Google Scholar] [Crossref]
30. Karimpour, P., Ferizoli, R., May, J. M., & Kyriacou, P. A. (2024). Customisable Silicone Vessels and Tissue Phantoms for In Vitro Photoplethysmography Investigations into Cardiovascular Disease. Sensors (Basel, Switzerland), 24(5), 1681. Retrieved October 12, 2025, from https://doi.org/10.3390/s24051681 [Google Scholar] [Crossref]
31. Kappel C, Chaudhuri D, Hassall K, et al. (2022). Point-of-care ultrasound training for respiratory therapists: A scoping review. Canadian Journal of Respiratory Therapy. Retrieved April 8, 2026, from https://share.google/fnIBlW00nZwl7svyw [Google Scholar] [Crossref]
32. Klein, K. A., & Neal, C. H. (2016). Simulation in radiology education. Academic Radiology, 23(7), 908–910. Retrieved October 12, 2025, from https://doi.org/10.1016/j.acra.2016.02.013 [Google Scholar] [Crossref]
33. Kweki, A. G., Tharin, M. S. K., Baptista, V., Kenneth, E., Rohin, F., Scoote, M., & Howard, A. Q. (2023). The Impact of Simulation-Based Training in Cardiovascular Medicine: A Systematic review. Cureus. Retrieved October 12, 2025, from https://doi.org/10.7759/cureus.50414 [Google Scholar] [Crossref]
34. Mafraji, M. A. (2025, January 10). Ultrasound. MSD Manual Consumer Version. Retrieved October 12, 2025, from https://www.msdmanuals.com/home/special-subjects/common-imaging-tests/ultrasound [Google Scholar] [Crossref]
35. Majumdar, S., Senthil Kumar, P., & Pandit, A. B. (2020). Effect of liquid-phase properties on ultrasound intensity and cavitational activity. Ultrasonics Sonochemistry. Retrieved April 8, 2026, fromhttps://www.sciencedirect.com/science/article/abs/pii/S1350417798000194#:~:text=4.,the%20effect%20of%20the%20same. [Google Scholar] [Crossref]
36. Mencarelli, M., Puggelli, L., Virga, A., Furferi, R., & Volpe, Y. (2024). Acoustic velocity and stability of tissue-mimicking echogenic materials for ultrasound training phantoms. Journal of Materials Science, 59(15), 6509–6524. Retrieved October 12, 2025, from https://doi.org/10.1007/s10853-024-09610-8 [Google Scholar] [Crossref]
37. Mendoza, A. A. (2021). Program learning outcomes of the BS in Radiologic Technology at the University of Makati. Retrieved October 12, 2025, from https://ejournals.ph/article.php?id=17651 [Google Scholar] [Crossref]
38. Mindray. (2023, September 8). Looking Ahead – The Future of Vascular Ultrasound. Retrieved October 12, 2025, from https://www.mindray.com/na/news-and-events/blog/the-future-of-vascular-ultrasound/ [Google Scholar] [Crossref]
39. Mitchell, C., Xiong, P. L., Cox, B. L., Adoe, M. A., Cordio, M. M., Quade, T. R., Petry, G., & Eliceiri, K. W. (2020). Evaluating the effectiveness of a lower extremity venous phantom on developing ultrasound examination skills and confidence. Ultrasound, 29(1), 18–26. Retrieved October 12, 2025, from https://doi.org/10.1177/1742271x20950777 [Google Scholar] [Crossref]
40. Nagy, T. (2024, August 15). Understanding the Carotid Arteries: Anatomy, function, and disease - Dr. Ahmed Farah Abdulrahman. Dr. Ahmed Farah Abdulrahman. Retrieved October 12, 2025, from https://drahmedfarah.com/carotid-artery/ [Google Scholar] [Crossref]
41. Nysora. (2026, February 3). Physics of ultrasound. NYSORA. Retrieved April 8, 2026, from https://www.nysora.com/topics/equipment/physics-of-ultrasound/#:~: text=Density%20is%20the%20concentration%20of,to%201640%20m/s). [Google Scholar] [Crossref]
42. Oktar, S. Ö., Cerit, M. N., Şendur, H. N., & Kılıç, A. C. K. (2025). Recent advances in vascular ultrasound imaging technology and their clinical implications. Diagnostic and Interventional Radiology, 32(1), 47–56. Retrieved April 8, 2026, from https://doi.org/10.4274/dir.2025.253448 [Google Scholar] [Crossref]
43. Overview of the vascular system. (2024, March 20). Johns Hopkins Medicine. Retrieved October 12, 2025, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/overview-of-the-vascular-system#:~:text=Arteries.,blood%20back%20to%20the%20heart. [Google Scholar] [Crossref]
44. Papa, I., Lopresto, V., & Langella, A. (2021, March). Ultrasonic inspection of composites materials: application to detect impact damage. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/pii/S2588840420300342 [Google Scholar] [Crossref]
45. Philippine Information Agency. (2023). PBBM directs CHED to address shortage of nurses. Retrieved April 8, 2026, from https://pia.gov.ph/press-release/pbbm-directs-ched-to-address-shortage-of-nurses/#:~:text=Hence%2C%20a%20gap%20of%20more,be%20more%20rosy%20than%20before [Google Scholar] [Crossref]
46. Phillips, H., Franklin, C., Brearley, J., Holmes, M., & Genain, M. (2023). Natural ballistic gelatine ultrasound phantoms are suitable to be used for student education and can be produced cheaply and effectively. Veterinary Radiology & Ultrasound, 64(4), 733–739. Retrieved October 12, 2025, from https://doi.org/10.1111/vru.13235 [Google Scholar] [Crossref]
47. Pleouras, D. S., Sakellarios, A. I., Tsompou, P., Kigka, V., Kyriakidis, S., Rocchiccioli, S., Neglia, D., Knuuti, J., Pelosi, G., Michalis, L. K., & Fotiadis, D. I. (2020). Simulation of atherosclerotic plaque growth using computational biomechanics and patient-specific data. Scientific Reports, 10(1). Retrieved October 12, 2025, from https://doi.org/10.1038/s41598-020-74583-y [Google Scholar] [Crossref]
48. Recker, F., Neubauer, R., Dong, Y., Gschmack, A. M., Jenssen, C., Möller, K., Blaivas, M., Ignacio, P. M., Lucius, C., Ruppert, J., Sänger, S., Sirli, R., Weimer, J., Westerway, S. C., Zervides, C., & Dietrich, C. F. (2024). Exploring the dynamics of ultrasound training in medical education: current trends, debates, and approaches to didactics and hands-on learning. BMC Medical Education, 24(1). Retrieved October 12, 2025, from https://doi.org/10.1186/s12909-024-06092-9 [Google Scholar] [Crossref]
49. Schmidt, W. A., & Schäfer, V. S. (2024). Diagnosing vasculitis with ultrasound: findings and pitfalls. Therapeutic Advances in Musculoskeletal Disease, 16. Retrieved October 12, 2025, from https://doi.org/10.1177/1759720x241251742 [Google Scholar] [Crossref]
50. Sethi, D., Gofur, E. M., & Munakomi, S. (2023, July 24). Anatomy, head and neck: carotid arteries. StatPearls - NCBI Bookshelf. Retrieved October 12, 2025, from Retrieved October 12, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK545238/ [Google Scholar] [Crossref]
51. Sharma, R. (2024, September 4). What are the composition and uses of ultrasound gel. Ganesh Diagnostic. Retrieved October 12, 2025, from https://www.ganeshdiagnostic.com/blog/composition-and-uses-of-ultrasound-gel [Google Scholar] [Crossref]
52. Shin-Etsu. (2025). Characteristic properties of silicone rubber compounds. Shin-Etsu Silicone. Retrieved October 12, 2025, from https://www.shinetsusilicone-global.com/catalog/pdf/rubber_e.pdf [Google Scholar] [Crossref]
53. Shrimal, P., Thakur, N., Gopinath, B., Mishra, P. R., Rajalekshmi, R., Bhoi, S., Aggarwal, P., Jamshed, N., & Upadhyay, A. D. (2024). Comparing commercial versus low-cost gelatinous phantoms for ultrasound-guided needle tracking: A randomized crossover trial, among emergency medicine residents. PubMed, 24(2), 103–110. Retrieved October 12, 2025, from https://doi.org/10.4103/tjem.tjem_206_23 [Google Scholar] [Crossref]
54. SpecialChem. (2025). Silicone rubber: How to select the right grade?. Retrieved October 12, 2025, from https://www.specialchem.com/silicone-rubber-elastomer [Google Scholar] [Crossref]
55. Structural Learning. (2023, January 29). Dual Coding: A Teacher’s guide. Retrieved October 12, 2025, from https://www.structural-learning.com/post/dual-coding-a-teachers-guide [Google Scholar] [Crossref]
56. UIbata, D. (2025, November 17). Linear vs Curvilinear Probe: Which to Choose? - Humimic. Humimic Medical. Retrieved April 8, 2026, fromhttps://humimic.com/linear-vs-curvilinear-probe-how-to-choose-for-ultrasound-training/?srsltid=AfmBOormwxCQvZNzL3YECrWAcMCxnUMMOIWYbi 4ubYM9VBgCw5Ouph7G#:~:text=Sliding%20%E2%80%93%20moves%20the%20probe%20across,structures%20closer%20to%20the%20probe. [Google Scholar] [Crossref]
57. Wake, N., Ianniello, C., Browns, R., & Collins, C. (2021). 3D Printing for the Radiologist: Chapter 14 - 3D Printed Imaging Phantoms. Science Direct, 175–189. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/abs/pii/B9780323775731000075 [Google Scholar] [Crossref]
58. Wang, S., & Qiu, Y. (2022). Synthesis of SiO2 Nanoparticle Epoxy Resin Composite and Silicone-Containing Epoxy Resin for Coatings. Applied bionics and biomechanics, 2022, 8227529. Retrieved October 12, 2025, from https://doi.org/10.1155/2022/8227529 [Google Scholar] [Crossref]
59. Wegner, M., Gargioni, E., & Krause, D. (2023). Procedia CIRP: Classification of phantoms for medical imaging. Science Direct, 119, 1140–1145. Retrieved October 12, 2025, from https://www.sciencedirect.com/science/article/pii/S2212827123006340#:~:text=Phantoms%20are%20physical%20models%20that,offer%20an%20adequate%20test%20environment. [Google Scholar] [Crossref]
60. What are the composition and uses of ultrasound gel. (2025). Retrieved October 12, 2025, from https://www.ganeshdiagnostic.com/blog/composition-and-uses-of-ultrasound-gel [Google Scholar] [Crossref]
61. What is Silicone Rubber for Molding? | Shin-Etsu Silicone Rubber for Molding Selection Guide. (2025). Retrieved April 8, 2026, from https://www.shinetsusilicone-global.com/guide/rubber/about/ [Google Scholar] [Crossref]
62. Zhao, F., Levoni, P., Frabasile, L., Qi, H., Lacerenza, M., Lanka, P., Torricelli, A., Pifferi, A., Cubeddu, R., & Spinelli, L. (2022). Reproducibility of identical solid phantoms. Journal of biomedical optics, 27(7), 074713. Retrieved October 12, 2025, from https://doi.org/10.1117/1.JBO.27.7.074713 [Google Scholar] [Crossref]
63. Zonoobi, M., Tabatabaee, M., & Amini, H. (2024). The effects of an educational intervention on reducing stigma among medical students toward patients with psychiatric disorders. BMC Medical Education, 24(1). Retrieved October 12, 2025, from https://doi.org/10.1186/s12909-024-06189-1 [Google Scholar] [Crossref]
64. Šulek, P. (2025b, February 25). Key parameters of epoxy resin explained: properties, uses, and performance factors. DIY misAdventures. Retrieved October 12, 2025 https://www.diymisadventures.com/p/key-parameters-of-epoxy-resin-explained-properties-uses-and-performance-factors [Google Scholar] [Crossref]
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