Parameters that increase risk of thermal bioeffects
1) higher transmit power
2) non-scanned modality (spectral, M-mode)
3) higher duty factor (PD/PRP)
4) Greater absorption rate (collagen content)
5) longer scan time
6) below fluid-filled structures
Mechanical index
measurement of US bioeffects
MI = peak rarefactional pressure / SQRT (operating frequency)
Two types of cavitation
1) inertial (transient)
2) stable
Typical transmit voltages for different modalities
2-D pulse = 150V M-mode pulse = 60V Color doppler = 40V PW doppler = 30 CW doppler = 8
Duty factor
Pulse duration / PRP
Mechanical vs thermal risk in different modes
Mechanical risk highest in B mode with highest voltage
Thermal risk highest in CW doppler with highest duty factor