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Chapter 1 Safety
1-27
WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations on Thermal
and Non-Thermal Mechanisms for Biological Eects of Ultrasound, Ultrasound in Medicine and Biology,
1998: Vol. 24, Supplement1.
Acoustic Output and Measurement
Since the first usage of diagnostic ultrasound, the possible human biological effects (bioeffects) of
ultrasound exposure have been studied by various scientic and medical institutions. In October 1987, the
American Institute of Ultrasound in Medicine(AIUM) ratied a report prepared by its Bioeects Committee
(Bioeects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988: Vol.7,
No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed available data on possible
effects of ultrasound exposure. Another report “Bioeffects and Safety of Diagnostic Ultrasound, dated
January 28, 1993 provides more up to date information.
The acoustic output for this system has been measured and calculated in accordance with the December
1985 “510(K) Guide for Measuring and Reporting Acoustic Output of Diagnostic Ultrasound Medical
Devices, except that the hydrophone meets the requirements of Acoustic Output Measurement Standard
for Diagnostic Ultrasound Equipment” (NEMA UD 2-1992)
In Situ, Derated, and Water Value Intensities
All intensity parameters are measured in water. Since water does not absorb acoustic energy, these water
measurements represent a worst case value. Biological tissue does absorb acoustic energy. The true
value of the intensity at any point depends on the amount and type of tissue and the frequency of the
ultrasound that passes through the tissue. The intensity value in the tissue, In Situ, has been estimated
using the following formula:
In Situ = Water [
e
-(0.23 alf)
]
where: In Situ = In Situ Intensity Value
Water = Water Value Intensity
e = 2.7183
a = Attenuation Factor
Tissue a(dB/cm-MHz)
Brain .53
Heart .66
Kidney .79
Liver .43
Muscle .55
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