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Chapter 1 Safety
X WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations on
Thermal and Non-Thermal Mechanisms for Biological Eects of Ultrasound, Ultrasound in Medicine
and Biology, 1998: Vol. 24, Supplement1.
Acoustic Output and Measurement
Since the rst usage of diagnostic ultrasound, the possible human biological eects (bioeects) of
ultrasound exposure have been studied by various scientic and medical institutions. In October 1987, the
American Institute of Ultrasound in Medicine (AIUM) ratied a report prepared by its Bioeects Committee
(Bioeects 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 eects
of ultrasound exposure. Another report “Bioeects 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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