An ultrasound probe includes an ultrasound probe housing (36) and one or more ultrasound transducers (32) disposed in the ultrasound probe housing. A dosimeter (40) or ionizing radiation detector is disposed in or attached to the ultrasound probe housing. An alarm device (24, 52, 54, 56) receives radiation dose or radiation exposure data acquired by the dosimeter or ionizing radiation detector. The alarm device includes an electronic processor (24, 56) programmed to detect excessive radiation dose or radiation exposure received by the ultrasound probe based on the radiation dose or radiation exposure data acquired by the dosimeter or ionizing radiation detector, and output an alarm warning of the detection of excessive radiation dose or radiation exposure received by the ultrasound probe. In some embodiments, the dosimeter is a one-time use dosimeter that is not resettable.