(TIS) The bone thermal index is an exposure model for the case that the ultrasound beam heats primarily soft tissue.

(TI) The definition of the thermal index is the ratio of the total acoustic power to that required raising a maximum temperature increase of 1 °C under defined assumptions. A thermal index of 1 indicates the acoustic power achieving a temperature increase of 1 °C. A thermal index of 2 has the doubled power but would not necessarily indicate a peak temperature rise of 2 °C. The temperature rise is dependent on tissue type and is particularly dependent on the presence of bone.
Classifications of thermal indices:
For fetal ultrasound, the highest temperature increase would be expected occurring at bone. Therefore, TIB gives the worst-case conditions. If the ultrasound system can exceed an index of 1, the mechanical index and thermal index must be displayed. The displayed indices are based on the manufacturer's data.

See also Cranial Bone Thermal Index, Bone Thermal Index, Soft Tissue Thermal Index.

(TIB) The bone thermal index is an exposure model for the case that the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone.
The longitudinal waves of ultrasound are reflected and transformed into transverse waves, creating a heating effect. Muscle and bone absorb more energy at interfaces with other heterogeneous tissues.

See also Sheer Wave.