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Chapter 1 Safety
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Mechanical Index (MI) Display
Mechanical bioeects 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
bioeects varies with peak pressure and ultrasound frequency. The MI accounts for these two
factors. The higher the MI value, the greater the potential for mechanical bioeects will be. There
are no set MI values that show whether mechanical bioeects are actually occurring. 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 specic body tissues. The actual temperature increase is aected by
various factors such as the tissue type, vascularity, operation mode, etc. This is because TI is used
only as a standard reference 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 uid, 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. You can select
either TIs or TIb using the TIs/TIb selection in the Miscellaneous system setups. TIc is displayed when
you select a trans-cranial application.
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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
as actual physical values for investigated tissue or organs. The initial data that is used to support
the output display is derived from laboratory measurements based on the AIUM measurement
standard. The measurements are then put into algorithms for calculating the displayed output
values.
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