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Chapter 1 Safety
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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 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.
Many of the assumptions used in the process of measurement and calculation are conservative in
nature. Over-estimation of actual in situ exposure, for the vast majority of tissue paths, is built into
the measurement and calculation process. For example:
The measured water tank values are de-rated using a conservative, industry standard, attenuation
coeicient of 0.3dB/cm-MHz.
Conservative values for tissue characteristics were selected for use in the TI models. Conservative
values for tissue or bone absorption rates, blood perfusion rates, blood heat capacity, and tissue
thermal conductivity were selected.
Steady state temperature rise is assumed in the industry standard TI models, and the assumption is
made that the ultrasound probe is held steady in one position long enough for steady state to be
reached.
A number of factors are considered when estimating the accuracy of display values: hardware
variations, algorithm accuracy estimation and measurement variability. Variability among probes
and systems is a signicant factor. Probe variability results from piezoelectric crystal eciencies,
process-related impedance dierences, and sensitive lens focusing parameter variations.
Dierences in the system pulse voltage control and eciencies are also a contributor to variability.
There are inherent uncertainties in the algorithms used for estimating acoustic output values over
the range of possible system operating conditions and pulse voltages. Inaccuracies in laboratory
measurements are related to dierences in hydrophone calibration and performance, positioning,
alignment and digitization tolerances, and variability among test operators.
The conservative assumptions of the output estimation algorithms of linear propagation, at all
depths, through a 0.3dB/cm-MHz attenuated medium are not taken into account in calculation of
the accuracy estimate displayed. Neither linear propagation, nor uniform attenuation at the 0.3dB/
cm-MHz rate, occur in water tank measurements or in most tissue paths in the body. In the body,
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