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Chapter 1 Safety
Always limit ultrasound exposure time. Do not rush the exam. Ensure that the indices are kept to a
minimum and that exposure time is limited without compromising diagnostic sensitivity.
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Mechanical Index (MI) Display
Mechanical bioeffects are threshold phenomena that occur when a certain level of output is
exceeded. The threshold level varies, however, with the type of tissue. The potential for mechanical
bioeffects varies with peak pressure and ultrasound frequency. The MI accounts for these two
factors. The higher the MI value, the greater the likelihood of mechanical bioeffects occurring but
there is no specific MI value that means that a mechanical effect will actually occur. The MI should
be used as a guide for implementing the ALARA principle.
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Thermal Index (TI) Display
The TI informs the user about the potential for temperature increase occuring at the body surface,
within body tissue, or at the point of focus of the ultrasound beam on bone. The TI is an estimate
of the temperature increase in specific body tissues. The actual amount of any temperature rise is
influenced by factors such as tissue type, vascularity, and mode of operation etc. The TI should be
used as a guide for implementing the ALARA principle.
The bone thermal index (TIb) informs the user about potential heating at or near the focus after
the ultrasound beam has passed through soft tissue or fluid, for example, at or near second or third
trimester fetal bone.
The cranial bone thermal index (TIc) informs the user about the potential heating of bone at or near
the surface, for example, cranial bone.
The soft tissue thermal index (TIs) informs the user about the potential for heating within soft
homogeneous tissue.
TIc is displayed when you select a trans-cranial application.
You can select TI Display in Utility > Setup > Display > Display.
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Mechanical and Thermal indices Display Precision and Accuracy
The Mechanical and Thermal Indices on the system are precise to 0.1 units.
The MI and TI display accuracy estimates for the system are given in the Acoustic Output Tables
manual. These accuracy estimates are based on the variability range of probes and systems, inherent
acoustic output modeling errors and measurement variability, as described below.
The displayed values should be interpreted as relative information to help the system operator
achieve the ALARA principle through prudent use of the system. The values should not be interpreted
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