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Radiology · Imaging modalities and physics: mechanical index
Sample itemA sonographer is scanning a fetus and wants to reduce the risk of acoustic cavitation. Which on-screen output index relates to this bioeffect?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Mechanical index
The mechanical index reflects the peak negative pressure of the pulse and the risk of non-thermal cavitation. The thermal index estimates tissue heating, and both are kept as low as reasonably achievable in obstetric scanning.
Option by option
A. Thermal index
The thermal index estimates the potential temperature rise of tissue and does not predict cavitation.
B. Pulse repetition frequency
Pulse repetition frequency sets how often pulses are sent and is not a safety index.
C. Mechanical index (correct)
Correct. The mechanical index predicts cavitation risk.
D. Time-gain compensation
Time-gain compensation adjusts echo amplification with depth and has no safety meaning.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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