Evidence map›Paper›PMID 36899998›Full record

ReviewDiagnostics (Basel, Switzerland)2023

A Review on Biological Effects of Ultrasounds: Key Messages for Clinicians.

Carla Maria Irene Quarato, Donato Lacedonia, Michela Salvemini, Giulia Tuccari, Grazia Mastrodonato, Rosanna Villani, Lucia Angela Fiore, Giulia Scioscia, Antonio Mirijello, Annarita Saponara and 1 more

Full text readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Assessment of Cavitation From DEFINITY and DEFINITY RT.Ultrasound in medicine & biology · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Overview of Diagnostic Ultrasound Safety: Review for Research and Institutional Review Boards.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Carla Maria Irene QuaratoDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0003-4299-7403
Donato LacedoniaDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0003-0429-7967
Michela SalveminiDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.
Giulia TuccariDepartment of Medical and Surgical Sciences, Institute of Geriatric, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.
Grazia MastrodonatoDepartment of Basic Medical Science, Neuroscience and Sensory Organs, Institute of Sports Medicine, University "Aldo Moro" of Bari, 70122 Bari, Italy.
Rosanna VillaniDepartment of Medical and Surgical Sciences, Institute of Internal Medicine, Liver Unit, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-9875-019X
Lucia Angela FioreDepartment of Medical and Surgical Sciences, Institute of Geriatric, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.
Giulia SciosciaDepartment of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario "Riuniti" di Foggia, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-2667-077X
Antonio MirijelloDepartment of Internal of Medicine, IRCCS Fondazione Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.ORCID 0000-0003-3932-3803
Annarita SaponaraUnità Sanitaria Locale (ASL) di Potenza, 85100 Potenza, Italy.
Marco SperandeoUnit of Interventional and Diagnostic Ultrasound of Internal Medicine, IRCCS Fondazione Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.ORCID 0000-0001-6685-6942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultrasound (US) is acoustic energy that interacts with human tissues, thus, producing bioeffects that may be hazardous, especially in sensitive organs (i.e., brain, eye, heart, lung, and digestive tract) and embryos/fetuses. Two basic mechanisms of US interaction with biological systems have been identified: thermal and non-thermal. As a result, thermal and mechanical indexes have been developed to provide a means of assessing the potential for biological effects from exposure to diagnostic US. The main aims of this paper were to describe the models and assumptions used to estimate the "safety" of acoustic outputs and indices and to summarize the current state of knowledge about US-induced effects on living systems deriving from in vitro models and in vivo experiments on animals. This review work has made it possible to highlight the limits associated with the use of the estimated safety values of thermal and mechanical indices relating above all to the use of new US technologies, such as contrast-enhanced ultrasound (CEUS) and acoustic radiation force impulse (ARFI) shear wave elastography (SWE). US for diagnostic and research purposes has been officially declared safe, and no harmful biological effects in humans have yet been demonstrated with new imaging modalities; however, physicians should be adequately informed on the potential risks of biological effects. US exposure, according to the ALARA (As Low As Reasonably Achievable) principle, should be as low as reasonably possible.

Indexed as

biological effectsbiological hazardcavitationdiagnostic imagingheatingmedical practiceradiation forcesafetyultrasound

Identifiers

PMID36899998
PMCPMC10001275

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read17
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.