LECTURE-1 INTRODUCTION OF MEDICAL PHYSICS Sherif H. El-Gohary , Phd Assistant Professor, Biomedical Engineering Engineering Sh.ElGohary@eng1.cu.edu.eg MEDICAL PHYSICS WHAT IS MEDICAL PHYSICS? Application of the concepts and methods of physics to the diagnosis and treatment of human disease Medical Physicist Physics Medicine AIMS OF THE MEDICAL PHYSICS Application of the concepts and methods of physics to understanding the function of human body in health and disease MEDICAL PHYSICS 1 .Physics of the body is to understanding physical aspect of the body such as ; forces on and in the body , work , energy ,power of the body, heat ,blood flow , respiration , electricity , ,circulation, and hearing. 2. MEDICAL PHYSICS DISCIPLINES • Diagnostic Medical Physics • Therapeutic Medical Physics • Nuclear Medical Physics • Medical Health Physics Radiation Safety 3.APPLICATION OF PHYSICS IN MEDICINE Medical physics Techniques are used for a. Diagnostic : • Stethoscope • Manometer (blood pressure ) • Sphygmomanometer • Electrocardiograph(ECG), • X- Ray, • Electroencephalograph(EEG), • Electromyography (EMG) DIAGNOSTIC MEDICAL PHYSICS DIAGNOSTIC MEDICAL PHYSICS • Computer tomography (CT scan ) , • Ultrasound • Magnetic Resonance Imaging (MRI), • Flow meter , • Spirometer to study the function lungs, • Audiometer, • Optics, • Laser, • Gamma camera to study the function of kidney ,liver ,and lungs . B. THERAPY • Radiotherapy • Ultrasound • infrared • Radio frequency • Heating • Laser THERAPEUTIC MEDICAL PHYSICS 1-PHYSICAL UNITS (SI UNIT) SI units(Standard units): Two types of SI units 1.Physical unit a. MKS system M = meter K = Kilogram S = Second b. CGS system C = centimeter G = gram S = second 2 .PHYSIOLOGICAL UNIT In medicine it is often convenient to measure quantities in nonstandard units. For example :the physical units of pressure is Newtons per square meter , Physiological unit of blood pressure is expressed in millimeter of mercury (mm Hg) Another example of pulse rate measures in pulse per minute NUCLEAR MEDICAL PHYSICS Brain perfusion neurotransmission MEDICAL HEALTH PHYSICS Radiation Protection Radiation Safety Officer Sherif El-Gohary, Ph.D. Medical Physics HEMN123 Listen Up! WHAT IS SOUND? • A vibration is the complete back and forth motion of an object. • Beating a drum causes the drum skin to vibrate, which causes the air around it to vibrate. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 WHAT ARE SOUND WAVES? •A sound wave is a longitudinal wave that is caused by vibrations and that travels through a medium. • In a longitudinal wave, the particles of a medium vibrate in the same direction that the wave travels. •As the wave passes through a medium, its particles compress together and then spread out. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 WHAT ARE SOUND WAVES? •Longitudinal waves are also called compression waves. They are made up of compressions and rarefactions. •A compression is the part of a longitudinal wave where particles are close together. •A rarefaction is the part of a longitudinal wave where particles are spread apart. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO SOUND WAVES TRAVEL? • Sound waves travel in all directions away from their source. • They can only travel through a medium. • All matter—solids, liquids, and gases—is composed of particles. The particles in matter make up the medium through which waves can travel. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO SOUND WAVES TRAVEL? • The particles of a medium only vibrate back and forth along the path of the sound waves. • Most sounds travel through air, but some travel through other materials, such as water, glass, and metal. • In a vacuum there are no particles to vibrate, so no sound can be made. • Sound must travel through a medium to be detected. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO HUMANS HEAR SOUND? Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO HUMANS HEAR SOUND? •Humans detect sounds with their ears, which act like funnels for sound waves. •The ear directs sound vibrations from the environment to the three tiny bones in the middle ear. •These bones carry vibrations from the eardrum to the oval window, which leads to the inner ear. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO HUMANS HEAR SOUND? •Vibrations travel through fluid to the cochlea, which has thousands of nerve cells. •Each nerve cell has tiny surface hairs that bend with the vibrations to send electrical signals to the brain, which interprets the signals as sound. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 HOW DO HUMANS HEAR SOUND? Describe how sound gets interpreted by the brain. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 INTRODUCTION • Sound : It is the audible waves of frequency between 20 Hz and 20 kHz. • Infrasound : refers to the sound of frequency below the normal hearing range (<20 Hz) and subsonic (0 to 20Hz),which cannot be heard. • Ultrasound : It ranges above 20 kHz ,which is also cannot be heard Sherif El-Gohary, Ph.D. Medical Physics HEMN123 INTRODUCTION • Bats and dolphins are animals that use ultrasound as SONAR (Sound Navigation and Ranging) for both hunting and navigation. • It is believed that they can make a picture in their brains from the ultrasound echoes they pick up. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 INTRODUCTION Ultrasound - Sound waves with frequencies above the normal human range of hearing. Sounds in the range from 20-100kHz Infrasound - Sounds with frequencies below the normal human range of hearing. Sounds in the 20-200 Hz range Sherif El-Gohary, Ph.D. Medical Physics HEMN123 Sherif El-Gohary, Ph.D. Medical Physics HEMN123 TWO TYPES OF WAVE TRAVEL Particles in a medium vibrate about their mean positions, transferring energy but not matter. longitudinal wave – vibration along the direction of energy transfer transverse wave – vibration perpendicular to the direction of energy transfer Sherif El-Gohary, Ph.D. Medical Physics HEMN123 LONGITUDINAL WAVES It can be thought of as ‘density waves’ in a material medium (solid, liquid or gas). ‘pressure’ or ‘compression’ waves, because compressions alternate with rarefactions. • slinky spring Sherif El-Gohary, Ph.D. Medical Physics HEMN123 In sound waves, also known as acoustic waves, the local oscillations always move in the same direction as the wave The ‘hot’ colors occur wherever particles are close together and the ‘cold’ colors occur wherever they are far apart. The colors therefore represent the density of air Sherif El-Gohary, Ph.D. Medical Physics HEMN123 TRANSVERSE WAVES Wave particles vibrate in an up-and-down motion. • Crests Highest part of a wave • Troughs The low points of the wave Sherif El-Gohary, Ph.D. Medical Physics HEMN123 GRAPHING A SOUND WAVE. Sound as a pressure wave The variation of pressure with distance is a useful way to represent a sound wave graphically. But remember – sound is actually a longitudinal wave. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 Sherif El-Gohary, Ph.D. Medical Physics HEMN123 DETECTORS OF SOUND • Ear – structure, range of hearing, locating a sound source by comparing arrival times • Microphone • Sound level meter Sherif El-Gohary, Ph.D. Medical Physics HEMN123 MEASURE THE SPEED OF SOUND … with a double beam oscilloscope …or use echoes from an exterior school wall. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 GENERAL MODEL FOR RADIATION SOURCE MEDIUM DETECTOR Journey: may involve transmission, reflection, refraction, partial absorption detector: absorption at the journey’s end Sherif El-Gohary, Ph.D. Medical Physics HEMN123 GENERAL PROPERTIES OF SOUND • Sound waves require a medium for their transmission. . Matter must be present for sound to travel. 1. A sound wave is a mechanical disturbance in a gas, liquid or solid cause local pressure increase (i.e. compression )and pressure decrease (rarefaction). 2. Sound wave spread outward as a longitudinal wave i.e. the pressure changes occur in the same direction that the wave travels. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 GENERAL PROPERTIES OF SOUND • Velocity of the sound is given by : V =f * λ • f= frequency of vibration of the sound wave. • λ =wave length of the sound wave. • The velocity of the sound differs from the medium to medium, Why? Sherif El-Gohary, Ph.D. Medical Physics HEMN123 VELOCITY OF ULTRASOUND IN SEVERAL MATERIALS OF MEDICAL INTEREST Sherif El-Gohary, Ph.D. Medical Physics HEMN123 VELOCITY OF ULTRASOUND IN SEVERAL MATERIALS OF MEDICAL INTEREST • Note that the velocity of ultrasound in bone is twice that in soft tissue and the velocity in soft tissue is five times that in air. • The velocity of ultrasound does not depend on frequency, it is determined by the medium. • i.e.. Speed in gas < speed in liquid < Sherif El-Gohary, Ph.D. Medical Physics HEMN123 speed in solid REFLECTION Sound Source Incident Transmitted Reflected MEDIUM 1 MEDIUM 2 Acoustic Interface Sherif El-Gohary, Ph.D. Medical Physics HEMN123 REFLECTION Soft Tissue (1540 m/s) Fat (1459 m/s) Acoustic interface / Acoustic Mismatch Soft Tissue (1540 m/s) Sherif El-Gohary, Ph.D. Medical Physics HEMN123 Bone (4080 m/s) TWO TYPES OF ULTRASOUND • The two types of ultrasound employed in diagnostic are: 1. Continuous wave 2. Pulsed wave. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 TWO TYPES OF ULTRASOUND Sherif El-Gohary, Ph.D. Medical Physics HEMN123 ACOUSTIC IMPEDANCE • Acoustic impedance (Z) is used to describe the reflection of sound at an interface. • It is a function of the density of the medium and its compressibility, which is measured by the velocity of sound in the medium. Sherif El-Gohary, Ph.D. Medical Physics HEMN123 ACOUSTIC IMPEDANCE • Mathematically, acoustic impedance is described by: Z = ρV • Where • ρ : is the density of the medium (Kg/m3) • V : is the velocity of the sound in the medium (m/ s) .∙. Acoustic impedance therefore has unit (Kg/m2.s) Sherif El-Gohary, Ph.D. Medical Physics HEMN123 Sherif El-Gohary, Ph.D. Medical Physics HEMN123