ALARA principle
As Low As Reasonably Achievable — минимально необходимая exposure.
ISUOG Safety Committee / AIUM
- УЗИ только по показаниям, не «для памятного снимка» без клинической цели.
- Минимизировать dwell time и MI/TI при doppler.
- Thermal index — контроль при длительном doppler.
Официальный источник →Bioeffects diagnostic ultrasound
Диагностическое УЗИ при стандартном использовании — низкий риск; doppler требует осторожности.
AIUM Consensus Report on Bioeffects
- Mechanical index (MI) — cavitation risk at high MI.
- Thermal index (TI) — heating; limit exposure time in sensitive zones (embryo, eye).
- Follow manufacturer output display standard (ODS).
Официальный источник →Doppler I trimester
DV, UtA — только в certified screening protocols; не routine entertainment scans.
ISUOG · 11–14 week guidelines
- ISUOG/FMF: doppler markers in trained hands at 11–13+6.
- Document MI/TI when displayed.
- Avoid unnecessary repeated doppler in early pregnancy.
Training & competency
PoCUS и screening требуют documented training (ISUOG Basic / FMF).
ISUOG / AIUM Training Guidelines
- ISUOG Training Guidelines — minimum training for obstetric ultrasound.
- AIUM Training Guidelines — CME and credentialing.
- SonoGyn Pro: ISUOG Basic course + exam checklists for self-assessment.
Официальный источник →