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User Manual
Some factors might create articially high or low thermal index readings e.g. presence of uid or bone,
or the ow of blood. A highly attenuating tissue path, for example, will cause the potential for local
zone heating to be less than the thermal index displays.
Scanned modes versus unscanned modes of operation aect the thermal index. For scanned modes,
heating tends to be near the surface; for unscanned modes, the potential for heating tends to be
deeper in the focal zone.
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 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 likelihood of mechanical bioeects occurring but
there is no specic MI value that means that a mechanical eect 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 specic body tissues. The actual amount of any temperature rise is
inuenced 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 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 on the Miscellaneous system setups. TIc is
displayed when you select a trans-cranial application.
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