Epidemiologic studies form the basis for any policy regarding the clinical safety of ultrasound. An overview of experimental design and the difficulties inherent in such studies are discussed. An extensive summary of reports of populations exposed in utero is presented.
1. Environmental Health Directorate Safety Code 23: Guidelines for the safe use of ultrasound, Part I. Medical and paramedical applications, Report 8-EHD-59, 1981, Environmental Health Directorate, Health Protection Branch, Ottawa, Canada.
2.
2. Ziskin MC. Survey of patient exposure to diagnostic ultrasound, in Reid JM, Sikov MR (eds). Interaction of ultrasound and biological tissues. Washington, DC: U. S. Government Publications Office; 1972. U. S. Department of Health, Education and Welfare Publication (FDA) 78-8008, pp 203-208.
3.
3. Kohorn ET, Pritcheard JW, Hobbins JC. The safety of clinical ultrasound examination. Obstet Gynecol1967;29:272-274.
4.
4. Bennett MJ, Little G, Dewhurst J. Predictive value of ultrasound measurement in early pregnancy: A randomized controlled trial. Br J Obstet Gynaecol1982;89:338-341.
5.
5. Falus M, Koranyi G, Sobel M, et al. Follow-up studies on infants examined by ultrasound during the fetal age. Orv Hetil1972;13:2119-2121.
6.
6. Lyons EA, Dyke C, Toms M, Cheang M. In utero exposure to diagnostic ultrasound: A six-year follow-up. Radiology1988;166:687-690.
7.
7. Wladimiroff JW, Laar J. Ultrasonic measurement of fetal body size: A randomized controlled trial. Acta Obstet Gynecol Scand1980;59:177-179.
8.
8. Moore R Jr, Barrick M, Hamilton P. Effects of sonic radiation on growth and development, Abstract Annual Meeting Society of Epidemiologic Research. Am J Epidemiol1982;116:571-571.
9.
9. Moore RM, Diamond EL, Cavalieri RL. The relationship of birth weight and intrauterine diagnostic ultrasound exposure. Obstet Gynecol1988;71:513-517.
10.
10. Stark CR, Orleans M, Haverkamp AD, Murphy J. Short-and long-term risks after exposure to diagnostic ultrasound in utero. Obstet Gynecol1984;63:194-200.
11.
11. Bakketeig LS, Eik-Nes SH, Jacobsen G, et al. Randomized controlled trial of ultrasonographic screening on pregnancy. Lancet1984;2:207-210.
12.
12. Bernstine RL. Safety studies with ultrasonic Doppler technic: A clinical follow-up of patients and tissue culture study. Obstet Gynecol1969;34:707-709.
13.
13. Hellman LM, Duffus GM, Donald I, Sunden B. Safety of diagnostic ultrasound in obstetrics. Lancet1970;1:1133-1135.
14.
14. Lyons EA, Coggrave-Toms M. Longterm follow-up study of children exposed to ultrasound in utero, in Proceedings 24th Annual Meeting of American Institute of Ultrasound in Medicine, Montreal, Canada, 1979, p 112-112.
15.
15. Lyons EA, Coggrave M, Brown RE. Follow-up study in children exposed to ultrasound in utero: Analysis of height and weight in the first six years of life, in Proceedings 25th Annual Meeting of the American Institute of Ultrasound in Medicine, New Orleans, LA, 1980, p 49-49.
16.
16. Scheidt PC, Stanley F, Bryla DA. One-year follow-up of infants exposed to ultrasound in utero. Am J Obstet Gynecol1978;131:743-748.
17.
17. Abdulla U, Dewhurst CJ, Campbell C, et al. Effects of diagnostic ultrasound on maternal and fetal chromosomes. Lancet1971;2:829-831.
18.
18. Ikeuchi T, Sasaki M, Oshimura M, et al. Ultrasound and embryonic chromosomes. Br Med J1973;1:112-112.
19.
19. Serr DM, Padeh B, Zabat H, et al. Studies on the effect of ultrasonic waves on the fetus, in Huntington PJ, Beard RW, Hutten EE, Seapes JW (eds.). Proceedings of the Second European Congress on Perinatal Medicine. London; 1971.
20.
20. Cartwright RA, McKinney PA, Hopton PA, et al. Ultrasound examinations in pregnancy and childhood cancer. Lancet1984;2:999-1000.
21.
21. Kinner Wilson LM, Waterhouse JAH. Obstetric ultrasound and childhood malignancies. Lancet1984;2:997-999.