Color Doppler Twinkling
Artifact
l Lee found twinkling artifact in 83 % of
urinary tract calculi
l Kamaya performed in vitro studies.
Found appearance of twinkling artifact
highly dependent on machine settings.
Likely due to narrow-band, intrinsic
machine noise called “jitter”.  Surface
roughness broadens noise spectrum,
making twinkling artifact more
prominent
Lee, et al AJR 2001; 176: 1441
Kamaya, et al AJR 2003; 180:215