{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:02:39Z","timestamp":1779786159326,"version":"3.53.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ultrason Med"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Stand\u2010off gel pads made of natural ingredients may provide a low\u2010cost option in clinical ultrasound imaging. This study investigated the performance and safety of homemade pads.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty stand\u2010off gel pads were made of aloe vera, xanthan gum and cucumber. Testing of each was performed to assess mechanical failure, moisture loss, contamination rate and image quality. Mechanical strength was measured using a tensile testing machine; drying rate was calculated using the moisture loss formula; contamination was evaluated through colony counting; and image quality was assessed using a chicken breast phantom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was a significant difference in compressive force resistance between the stand\u2010off gel pads (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044). The force required was higher for those made of xanthan gum compared with cucumber (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047). There was a significant difference in moisture loss (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Aloe vera<\/jats:italic>\n                      <\/jats:styled-content>\n                      gel exhibited a higher moisture loss (9.65%\u2009\u00b1\u20090.15%) compared with xanthan gum (5.94%\u2009\u00b1\u20090.11%) and cucumber (5.81%\u2009\u00b1\u20090.11%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was a significant difference in axial resolution (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037), lateral resolution (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029) and striations in the chicken breast parenchyma (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037). Speckle artefacts are presented in xanthan\u2010gum\u2010based stand\u2010off gel pad. There was a borderline significant difference of artefact presence in images produced using all pads (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.050). Microbial counts were too low to be quantified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A cucumber stand\u2010off gel pad is a practical alternative for clinical use owing to its structural integrity, retained moisture and low microbial contamination. The image quality produced using the pad was comparable with the conventional glove\u2010filled\u2010with\u2010water stand\u2010off method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajum.70044","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T03:47:10Z","timestamp":1779421630000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Homemade Ultrasound Stand\u2010Off Gel Pads: A Multi\u2010Parameter Performance Study"],"prefix":"10.1002","volume":"29","author":[{"given":"Muhammad Fiqqrie De Gracious Bin Mohd Firdaus","family":"William","sequence":"first","affiliation":[{"name":"Centre for Medical Imaging Studies Universiti Teknologi MARA  Selangor Malaysia"},{"name":"M&amp;S Medica Supplies Sdn Bhd  Johor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Arisha Binti","family":"Jamil","sequence":"additional","affiliation":[{"name":"Centre for Medical Imaging Studies Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9225-1461","authenticated-orcid":false,"given":"Sook Sam","family":"Leong","sequence":"additional","affiliation":[{"name":"Centre for Medical Imaging Studies Universiti Teknologi MARA  Selangor Malaysia"},{"name":"Medical Imaging &amp; Radiomics AI Lab (MIRA Lab) Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafidah","family":"Supar","sequence":"additional","affiliation":[{"name":"Centre for Medical Imaging Studies Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazimah","family":"Ab Mumin","sequence":"additional","affiliation":[{"name":"Medical Imaging &amp; Radiomics AI Lab (MIRA Lab) Universiti Teknologi MARA  Selangor Malaysia"},{"name":"Faculty of Medicine Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Razali","family":"Ishak","sequence":"additional","affiliation":[{"name":"Centre for Environmental Health &amp; Safety Studies Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurul Syafiqah Binti Noor","family":"Idzam","sequence":"additional","affiliation":[{"name":"Centre for Environmental Health &amp; Safety Studies Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd Nazzihan Md","family":"Ajis","sequence":"additional","affiliation":[{"name":"Centre for Environmental Health &amp; Safety Studies Universiti Teknologi MARA  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anushya","family":"Vijayananthan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universiti of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/app12105009"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-019-00376-3"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.34.4.713"},{"key":"e_1_2_17_5_1","first-page":"61","article-title":"A Substitute of Ultrasound Acoustic Stand\u2010Off Pad Made From Locally Available Material: An Innovation to Survive in Resource Limited Conditions","volume":"5","author":"Moudgil S.","year":"2021","journal-title":"Fortune J"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usab422"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-024-09416-8"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.101"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/7520882"},{"key":"e_1_2_17_10_1","first-page":"1","article-title":"Ready for the Count? 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