This overview of bioeffects of ultrasound presents some key aspects of
selected papers dealing with biophysical end-points. Its purpose is t
o establish a basis for exposure and dosimetric standards for medical
ultrasonic equipment. It is intended to provide essential background r
esource material for the medical/scientific community, and more specif
ically for scientific working groups. This document was prepared by me
mbers of the Safety Committee of the World Federation for Ultrasound i
n Medicine and Biology. It was produced as a resource document in resp
onse to a request for information by Working Group 12 (Ultrasound expo
sure parameters) of the International Electrotechnical Commission Tech
nical Committee 87, Ultrasonics. IEC TC 87, WG12 is the working group
responsible for generating international standards for the classificat
ion of equipment by its acoustic fields based on safety thresholds. Ou
r paper is intended to update and supplement information on the therma
l mechanism provided in the publication, ''WFUMB Symposium on Safety a
nd Standardisation in Medical Ultrasound: Issues and Recommendations R
egarding Thermal Mechanisms for Biological Effects of Ultrasound'' (WF
UMB 1992). It also provides an overview of trends in research into non
thermal mechanisms as a preliminary to the next WFUMB Symposium on Saf
ety of Medical Ultrasound when this subject will be examined in detail
by a select group of international experts. The WFUMB-sponsored works
hop will take place in Utsunomiya, Japan during 11-15th July, 1994. Th
e purpose of the meeting is to evaluate the scientific literature and
to formulate internationally accepted recommendations on the safe use
of diagnostic ultrasound that may be endorsed as official policy of th
e WFUMB. It should be noted that the current publication is not intend
ed for review or endorsement as an official WFUMB document. It is prod
uced as a scientific paper by individuals who are members of the WFUMB
Safety Committee, and it therefore represents the opinions of the aut
hors. Nevertheless, during the preparation of this document, contribut
ions were received from members of the International Electrotechnical
Commission Technical Committee 87 as well as many other individual exp
erts, and the authors sincerely acknowledge their support.