10  Virtual Touch  Applications 
Instructions for Use  10 - 3  
Acoustic Radiation Force Impulse Technology 
  WARNING: To prevent the possibility of inadvertently heating tissue, avoid repeated image 
acquisitions near the interface of bone and tissue within a short period of time.  
The following features use acoustic radiation force impulse (ARFI) technology to obtain 
qualitative visualizations or quantitative measurements of tissue stiffness: 
  Virtual Touch Imaging 
  Virtual Touch Quantification 
  Virtual Touch IQ 
ARFI technology uses a time-controlled sequence of "push pulses" from the transducer, rather 
than manual compression or palpation cycles, to induce a small displacement of tissue. The 
image qualitatively depicts the relative stiffness of tissue within a selected region of interest 
compared to surrounding tissue. The system can also provide a quantitative measurement of 
shear velocity (Vs) or elasticity (E) at a specific anatomical location. 
During acquisition, ARFI technology combines a period of pulse sequences with a temporary 
freeze period of no transmit power. A timer indicates the remaining time in seconds until the 
transducer is available for imaging. This duration is typically a few seconds depending on the 
transducer and imaging conditions. The cooling timer prevents possible heating of the 
transducer surface from the momentary shear wave generation pulses. 
Cooling 5 
Example of Virtual Touch timer. 
The system uses an optimization algorithm to ensure acceptable levels for the I
SPTA.3
, the 
Mechanical Index (MI), and the Thermal Index (TI) during use. When imaging is activated, you 
cannot adjust imaging parameters that affect the transmit power output until the acquisition is 
complete.