“…In cosmetic efficacy studies, participants with multiple actinic keratoses or other inflammatory conditions (eczema, psoriasis) should be avoided, as these conditions could affect ultrasound imaging 12,31 . Typically, between 20 and 100 participants are recruited for studies using HFUS, but the number depends on the objective and the number of variables 4,9,12,31,36,43–46,48–51 . When a study design involves more than one analysis technique, special attention must be paid to the sequence of tests to ensure that the conductive gel does not interfere with other measures 44 …”