Samsung MYSONO U6 Manuel d'utilisateur Page 40

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Operation Manual
Mechanical Index (MI) Display
Mechanical bioeects 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
bioeects 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 bioeects occurring.
However, there is no specic MI value that means that a mechanical eect will actually occur. The
MI should be used as a guide for implementing the ALARA principle.
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 specic body tissues. The actual amount of any temperature rise is
inuenced by factors such as tissue type, vascularity, and mode of operation. 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. Tic is displayed
when you select a trans-cranial application.
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 to calculate 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 coecient of 0.3dB/cm-MHz.
Conservative values for tissue characteristics were selected for use in the TI models. Conservative
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