The rippling of the cusp surface produced by the collagen fibers in the fibrosa is clearly
visualized. The three histological layers are readily distinguished because the fibrous outer
layers appear hyperechoic (bright) and the aqueous inner layer appears hypoechoic (dark) in
the images. See Nondestructive Evaluation of Heart Valve Biomaterials
Using High-Frequency Ultrasound in the Research Interests section for further discussion.