Medical ultrasound scanners use high-energy pulses to probe the human body. The radiation force resulting from the impact of such pulses on an object can vibrate the object, producing a localized high-intensity sound in the audible range. Here, a theoretical model for the audio sound generated by ultrasound scanners is presented. This model describes the temporal and spectral characteristics of the sound. It has been shown that the sound has rich frequency components at the pulse repetition frequency and its harmonics. Experiments have been conducted in a water tank to measure the sound generated by a clinical ultrasound scanner in various operational modes. Results are in general agreement with the theory. It is shown that a typical ultrasound scanner with a typical spatial-peak pulse-average intensity value at 2 MHz may generate a localized sound-pressure level close to 100 dB relative to 20 μPa in the audible (<20 kHz) range under laboratory conditions. These findings suggest that fetuses may become exposed to a high-intensity audio sound during maternal ultrasound examinations. Therefore, contrary to common beliefs, ultrasound may not be considered a passive tool in fetal imaging.

1.
Arulkumaran
,
S.
,
Talbert
,
D. G.
,
Talbert
,
D. G.
,
Westgren
,
M.
,
Su
,
H. S.
, and
Ratnam
,
S.
(
1991
). “
Audible in-utero sound from ultrasound scanner
,”
Lancet
338
,
704
705
.
2.
Arulkumaran
,
S.
,
Talbert
,
D. G.
,
Nyman
,
M.
,
Westgren
,
M.
,
Su
,
H. S.
, and
Su
,
H. S.
, and
Ratnam
,
S.
(
1996
). “
Audible in utero sound caused by the ultrasonic radiation force from a real-time scanner
,”
J. Obstet. Gynaecol. Res.
22
(
6
),
523
527
.
3.
Berkowitz
,
R. L.
,
Chitkara
,
U.
,
Goldberg
,
J. D.
,
Wilkins
,
I.
,
Chervenak
,
F. A.
, and
Lynch
,
L.
(
1986
). “
Intrauterine intravascular transfusions for severe red blood cell isoimmunization: Ultrasound-guided percutaneous approach
,”
Am. J. Obstet. Gynecol.
155
(
3
),
574
581
.
4.
Beyer
,
R. T.
(
1978
). “
Radiation pressure—the history of a mislabeled tensor
,”
J. Acoust. Soc. Am.
63
(
4
),
1025
1030
.
5.
Birnholz
,
J. C.
, and
Benacerraf
,
B. R.
(
1983
). “
The development of human fetal hearing
,”
Science
222
(
4623
),
516
518
.
6.
de Crespingy
,
L. C.
,
Robinson
,
H. P.
,
Quinn
,
M.
,
Doyle
,
L.
,
Ross
,
A.
, and
Cauchi
,
M.
(
1985
). “
Ultrasound-guided fetal blood transfusion for severe rhesus isoimmunization
,”
Obstet. Gynecol. (N.Y., NY, U. S.)
74
(
6
),
529
532
.
7.
Enderle, J. D., Blanchard, S. M., and Bronzino, J. D. (2000). Introduction for Biomedical Engineering (Academic, San Diego).
8.
Fatemi
,
M.
,
Ogburn
, Jr.,
P. L.
, and
Greenleaf
,
J. F.
(
2001
). “
Fetal stimulation by pulsed diagnostic ultrasound
,”
J. Ultrasound Med.
20
,
883
889
.
9.
Foster
,
K. R.
, and
Wiederhold
,
M. L.
(
1978
). “
Auditory responses in cats produced by pulsed ultrasound
,”
J. Acoust. Soc. Am.
63
,
1199
1205
.
10.
Gavrilov
,
L. R.
(
1984a
). “
Use of focused ultrasound for stimulation of nerve structures
,”
Ultrasonics
22
,
132
138
.
11.
Gavrilov
,
L. R.
(
1984b
). “
Focused ultrasound as a stimulator of the nerve structures. Archies of acoustics
,”
Arch. Acoust.
9
,
67
74
.
12.
Goodman, J. W. (1968). Introduction to Fourier Optics (McGraw-Hill, San Francisco).
13.
Harris
,
G. R.
(
1985
). “
A discussion of procedures for ultrasonic intensity and power calculations from miniature hydrophone measurements
,”
Ultrasound Med. Biol.
11
(
6
),
803
817
.
14.
Manning
,
F. A.
(
1995
). “
Dynamic ultrasound based fetal assessment
,”
Clin. Obstet. Gynecol.
38
,
26
44
.
15.
McDicken, W. N. (1991). Diagnostic Ultrasonics. Principles and Use of Instruments, 3rd ed. (Churchill Livingstone, Edinburgh).
16.
NCRP Report No. 140 (2002). Exposure Criteria for Medical Diagnostic Ultrasound: II. Criteria Based on All Known Mechanisms (National Council on Radiation Protection and Measurements, Bethesda, MD).
17.
Saeian
,
K.
,
Weintraub
,
R.
,
Hagen-Ansert
,
S.
,
Sahn
,
C.
,
Shiota
,
T.
,
Kenny
,
A.
, and
Sahn
,
D. J.
(
1995
). “
Increased fetal activity and heart rate during and immediately after pulsed Doppler echocardiography
,”
Echocardiography
12
,
71
77
.
18.
Torr
,
G. R.
(
1984
). “
The acoustic radiation force
,”
Am. J. Phys.
52
(
5
),
402
408
.
19.
Tsirulnikov
,
E. M.
,
Vartanyan
,
I. A.
,
Gersuni
,
G. V.
,
Rosenblyum
,
A. S.
,
Pudov
,
V. I.
, and
Gavirolov
,
L. R.
(
1988
). “
Use of amplitude-modulated focused ultrasound for diagnosis of hearing disorders
,”
Ultrasound Med. Biol.
14
,
277
285
.
20.
Querleu
,
D.
,
Renard
,
X.
, and
Crepin
,
G.
(
1981
). “
Perception auditive et reactivite foetale aux stimulations sonores” (Auditory perception and fetal reaction to react to sound stimulation”
),
J. Gynecol. Obstet. Biol. Reprod. (Paris)
10
(
4
),
307
314
.
21.
Westervelt
,
P. J.
(
1951
). “
The theory of steady force caused by sound waves
,”
J. Acoust. Soc. Am.
23
(
4
),
312
315
.
This content is only available via PDF.
You do not currently have access to this content.