ULTRASOUND REVIEW 1a. Outline how ultrasound, in a medical context, is produced. 1b. Suggest the advantage in medical diagnosis of using ultrasound of frequency 1 MHz rather than 0.1 MHz. 1c. Ultrasound can be used to measure the dimensions of a blood vessel. Suggest why a B scan is preferable to an A scan for this application. 2a. An ultrasound A-scan is performed on a patient. State one advantage and one disadvantage of using ultrasound imaging in medicine compared to using x-ray imaging. Advantage: Disadvantage: 2b. Suggest why ultrasound gel is necessary during an ultrasound examination. 2c. Ultrasound of intensity 50 mW m-2 is incident on a muscle. The reflected intensity is 10 mW m-2. Calculate the relative intensity level between the reflected and transmitted signals. 1 2d. The graph shows a received signal incident upon a transducer to produce an A-scan. The density of the soft tissue being examined is approximately 1090 kg m-3. The acoustic impedance of soft tissue is 1.65 × 106 kg m-2 s-1. Show that the speed of sound in the soft tissue is approximately 1500 m s–1. 2e. Estimate, using data from the graph, the depth of the organ represented by the dashed line. 2f. In the ultrasound scan the frequency is chosen so that the distance between the transducer and the organ is at least 200 ultrasound wavelengths. Estimate, based on your response to (b)(ii), the minimum ultrasound frequency that is used. 2g. A physician has a range of frequencies available for ultrasound. Comment on the use of higher frequency sound waves in an ultrasound imaging study. 2 ANSWERS/MARKSCHEME 1a. mention of AC voltage OR to piezo-electric crystal ✔ crystal vibrates «at its resonant frequency» ✔ 1b. 1 MHz waves have shorter wavelength than 0.1 MHz ✔ can probe smaller size areas of organs/have higher resolution ✔ 1c. a B scan is a computer generated combination of a large number of A scans ✔ allowing a measurement in different directions/two dimensional image ✔ 2a. Advantage of ultrasound compared to X-rays: no exposure to radiation OR relatively harmless OR can be performed in a doctor’s office OR can be used to measure blood flow rate OR Video image possible <<eg heart, foetus>> ✔ Accept any reasonable advantage. Disadvantage: limited resolution OR difficulty imaging lungs or gastrointestinal system OR difficulty imaging any body part with a gas in it ✔ Accept any reasonable disadvantage. Do not allow answers that contradict each other. 2b. [2 marks] gel has similar Z to skinOR gel prevents acoustic mismatch ✔ without gel much ultrasound is reflected at skin OR gel increases ultrasound transmission ✔OWTTE 2c. [1 mark] 2d. [1 mark] «ms–1» ✔ «≈1500ms–1» Answer 1500 is given, check working or look for at least 3 significant figures. 2e. 4.5 × 10−2 «m»✔ 2f. «m» ✔ «Hz» ✔ 2g. «compared to lower frequencies, higher frequencies» have better resolution ✔ have greater attenuation ✔ used for superficial structures/organs ✔ have greater heating effect ✔ OWTTE Award [0] for contradictory comments or for any incorrect comment 3