Equipment, measurement and dose—a survey for therapeutic ultrasound

Background Dosimetry for Ultrasound Therapy (DUTy) is a large international project which addresses the development of a metrological infrastructure for the determination of ultrasound exposure and dose to tissue. Methods In order to seek the views of the wider therapy ultrasound community and to review dose and in situ exposure quantities that have been suggested or used previously, a web-based questionnaire containing a range of questions covering the type of ultrasound equipment that is used and the range of applications for which it has been developed was created at www.​surveymonkey.​com. This questionnaire was intended to cover any contemporary therapeutic ultrasound application (including physiotherapy, lithotripsy and drug delivery) and asked specific questions about quantification of in situ exposure and dose, especially as relevant to treatment planning, standardisation and/or regulation. Results This paper summarises the 123 responses submitted between February and September 2014 to the questions on clinical applications, equipment, quality assurance (QA) and measurement and standards, as well as to those relating to an understanding of “dose” in the context of ultrasound. The full set of anonymous responses is available in an additional Excel file. Conclusions The results clearly demonstrate the need not only for further improvements in measuring devices and for measurement guidelines but also for a wider dissemination and higher awareness of existing standards. Whilst it is unlikely that a single definition of dose can be sufficient for all ultrasound treatment modalities, the answers clearly indicate that many aspects would benefit from clear definitions of relevant dose quantities and shed light on the preferred form of such definitions

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The Hamiltonian describing 2D electron gas, in a spin-orbit active medium, can be cast into a consistent non-Abelian gauge field theory leading to a proper definition of the spin current. The generally advocated gauge symmetric version of the theory results in current densities that are gauge covariant, a fact that poses severe concerns on their physical nature. We show that in fact the problem demands gauge fixing, leaving no room to ambiguity in the definition of physical spin currents. Gauge fixing also allows for polarized edge excitations not present in the gauge symmetric case. The scenario here is analogous to that of superconductivity gauge theory. We develop a variational formulation that accounts for the constraints between U(1) physical fields and SU(2) gauge fields and show that gauge fixing renders a physical matter and radiation currents and derive the particular consequences for the Rashba SO interaction.Comment: to appear in EP

ISUOG Safety Committee updated recommendation on use of respirators by practitioners undertaking obstetric and gynecological ultrasound in context of SARS-CoV-2 Omicron variant of concern

status: publishe