The gels were tested at power levels and at frequencies that reflect commonly applied parameters in the clinical setting - some of the previous work has used parameters to do not reflect clinical practice.
The gel thickness was evaluated as it would reasonably be expected to make a difference to energy transmission. Testing with gel thicknesses betwee 0.2 and 6mm, we were able to identify a difference, but at the 'thinnest' two (0.2 and 1.5mm) we were unable to detect any clinically significant difference. Certainly increasing the thickness of the gel will diminish the ultrasound energy reaching the patient, and thus it is suggested that you should not make the gel any thicker than it needs to be in order to replace the air gap - the thicker the gel, the less ultrasound reaches the patient.
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Ultrasound Gels
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