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Is the intensity of a sound beam uniform with pulsed ultrasound?
NO, the intensity varies depending on the measurement point within the beam.
What is the Isp (spatial peak intensity)?
The beam’s intensity at the location where it is maximum
What is the Isa (spatial average intensity)?
The beam’s average intensity across the entire cross-sectional area
True or False- spatial peak intensity is always higher than the spatial average intensity
TRUE
What is the Itp (temporal peak intensity)?
The intensity of the beam at the instant in time of its maximal value
What is the Imax?
The AVERAGE intensity during the MOST intense half-cycle
What is the Ipa (pulse average intensity)?
The average intensity during the transmit time
What is the Ita (temporal average intensity)?
The average intensity during the talking AND listening time (PRP)
Rank the 4 temporal intensities from largest to smallest.
Itp, Imax, Ipa, Ita
What are the units for all intensities?
Watts/cm²
Which intensity is the most important regarding thermal bio-effects?
SPTA (spatial peak, temporal average)
Which intensity has the highest value?
SPTP (spatial peak, temporal peak)
Which intensity has the lowest value?
SATA (spatial average, temporal average)
Rank the following intensities from lowest to highest: SPTA, SPPA, SAPA, SATA
SATA, SAPA, SPTA, SPPA
True or False- the pulse average and temporal average intensities are the same for continuous wave ultrasound (SPTA = SPPA, SATA = SAPA)
TRUE, since the beam is always on for CW ultrasound
Decibel notation is ___.
logarithmic, a relative measurement, a comparison, a ratio of the final and initial intensities
decibels
a standard measurement tool used to report CHANGES in the strength of the beam; compares two values but does not give an exact value
positive decibels
report signals that are getting BIGGER
negative decibels
report signals that are getting SMALLER
what happens to a wave’s intensity when there is a +3 dB relative change?
doubles
what happens to a wave’s intensity when there is a +10 dB relative change?
increases ten-fold (ten times larger)
what happens to a wave’s intensity when there is a -3 dB relative change?
halved; reduced to ½ its original value
what happens to a wave’s intensity when there is a -10 dB relative change?
reduced to 1/10 its original value
what happens to a wave’s intensity when there is a +6 dB relative change?
4 times bigger
what happens to a wave’s intensity when there is a -6 dB relative change?
reduced by ¼ its original value
the acoustic power indicates a level of -6 dB, the ultrasound system is pulsing at __% off its original power.
25%
attenuation
the decrease in intensity, power, and amplitude as sound propagates
what are the 2 factors that determine attenuation?
path length (distance) and frequency
what is the relationship between distance and attenuation?
DIRECT; the farther sound travels, the greater the attenuation
what is the relationship between frequency and attenuation?
DIRECT; the higher the frequency, the higher the attenuation (hence lower penetration)
what are the 3 processes that contribute to attenuation?
reflection, scattering, absorption
reflection
as a sound strikes a boundary, a portion of the wave’s energy may be reflected back to the sound source
what are the 2 types of reflection?
specular and diffuse
specular reflection
when the boundary is SMOOTH, the sound is reflected in only ONE direction in an organized manner. Think of a mirror!
do specular reflections at an angle return to the transducer?
NO
specular reflections are seen well when the sound strikes the reflector at __ degrees
90
what else can cause specular reflections to occur?
when the pulse’s wavelength is much smaller than the irregularities in the boundary
what is the greatest of all attenuators?
air
what is the least of all attenuators?
water
why is bone a big attenuator?
Due to absorption and reflection
why are the lungs a big attenuator?
due to scattering
diffuse reflection (backscatter)
when a wave reflects off an IRREGULAR surface, it radiates in MORE THAN ONE direction
what is the advantage of diffuse reflections?
interfaces at suboptimal angles to the sound beam can still produce reflections that will return to the transducer
what is the disadvantage of diffuse reflections?
backscattered signals have a lower strength than specular reflections
scattering
if the boundary between 2 media have irregularities with a size SIMILAR to or SMALLER than the pulse’s wavelength, then the wave may be CHAOTICALLY redirected in ALL directions
how is scattering related to frequency?
DIRECTLY related; higher frequency sound beams scatter much more than lower frequency sound beams (hence higher attenuation)
speckle
grainy appearance from scattering
rayleigh scattering
occurs when a sound wave strikes a reflector that is MUCH SMALLER than the pulse’s wavelength, the sound energy is diverted in ALL directions but stays ORGANIZED
what causes rayleigh scattering in clinical ultrasound?
RBCs
how is rayleigh scattering related to frequency?
DIRECTLY related; rayleigh scattering is related to frequency raised to the 4th power; when frequency doubles, rayleigh scattering is 16 times larger (2×2×2×2)
absorption
occurs when ultrasonic energy is converted into another energy form like heat
how is absorption related to frequency?
DIRECTLY related
attenuation coefficient
the number of decibels of attenuation that occurs when sound travels one centimeter. THE ONLY COEFFICIENT/FACTOR WITH UNITS! (dB/cm)
how is the attenuation coefficient related to the frequency?
DIRECTLY related
does the attenuation coefficient change when path length changes?
NO
what is the equation for total attenuation?
total attenuation (dB) = atten. coefficient (dB/cm) x path length/distance (cm)
if the path length is 5 cm and the attenuation coefficient is 3 dB/cm. what is the total attenuation?
15 dB
A 7 MHz sound beam travels through two media. It attenuates 4 dB in medium A and 6 dB in medium B. What is the total attenuation that the sound beam undergoes as it travels through both media?
4 dB + 6 dB = 10 dB
what is the attenuation coefficient in SOFT TISSUE?
half of the frequency (MHz); atten. coefficient = frequency (MHz) / 2
A sonographer is scanning an abdominal/cardiac exam and is using a 4 MHz frequency transducer. What would be the attenuation coefficient?
4 MHz / 2 = 2 dB/cm
In soft tissue, a 4 MHz ultrasonic wave starts with an intensity of 8 mW/cm². What is the total attenuation, after traveling a depth of 10 cm?
atten. coefficient = 4 MHz / 2 = 2 dB/cm
total attenuation = atten. coefficient x path length = 2 dB/cm × 10 cm = -20 dB (negative b/c energy is lost with attenuation)
Rank the following mediums from lowest to highest attenuation:
water, blood, soft tissue, muscle, bone and lung, air
half-value layer thickness
the distance that sound travels in a tissue that reduces the intensity of sound to ½ its original value AKA the depth of tissue that results in 3 dB of attenuation to the intensity
what causes a thin half value?
high frequency sound, media with high attenuation rate
what causes a thick half value?
low frequency sound, media with low attenuation rate
impedence
the acoustic resistance to sound traveling in a medium. Calculated by multiplying the density of a medium by the speed at which sound travels in the medium
impedence is associated with __.
only the medium
oblique angles
angles with a measure other than 90 degrees. Acute and obtuse angles are oblique angles
normal incidence
the incident sound beam strikes the boundary at EXACTLY 90 degrees. AKA perpendicular
oblique incidence
the incident sound beam strikes the boundary at an angle OTHER THAN 90 degrees
incident intensity
the sound wave’s intensity immediately BEFORE it strikes a boundary
reflected intensity
the portion of the incident intensity that, AFTER striking a boundary, changes direction and RETURNS BACK from where it came from
transmitted intensity
the portion of the incident intensity, that AFTER striking a boundary, CONTINUES FORWARD in the same direction it was traveling
what is the formula for incident intensity?
incident (starting) intensity = reflected intensity + transmitted intensity
intensity reflection coefficient (IRC)
the PERCENTAGE of the intensity that BOUNCES BACK when a sound beam strikes the boundary between 2 media
intensity transmission coefficient (ITC)
the PERCENTAGE of intensity that PASSES THROUGH when the beam strikes the boundary between 2 media
what must adding the IRC and ITC equal?
100% = IRC + ITC
At the boundary between two media, the principle of “___” applies
conservation of energy; this is why IRC + ITC = 100%
in soft tissue, what percentage of the incident ultrasound energy is reflected at a soft tissue boundary?
1% or less
what percentage of the incident ultrasound energy is reflected at a air-tissue boundary?
99%
what percentage of the incident ultrasound energy is reflected at a bone-tissue boundary?
50%
reflection with normal incidence only occurs when ___.
the two media at the boundary have DIFFERENT acoustic impedances
will reflection occur with normal incidence if the two media have identical impedences?
NO
a ___ reflection will occur with normal incidence if the impedances are slightly different
small
a ___ reflection will occur with normal incidence if the impedances are substantially different
large
with normal incidence, __ of the sound is TRANSMITTED when the two media have the SAME impedance
ALL
does reflection and transmission occur with OBLIQUE incidence?
I DON’T KNOW! Reflection and transmission MAY or MAY NOT occur with oblique incidence
if reflection and transmission DOES occur with oblique incidence, the reflection angle will ___ the incident angle
EQUAL
refraction
a CHANGE in direction of a wave propagating from one medium to another; refraction is transmission with a bend!!!
what are the 2 conditions that are needed for refraction to occur?
oblique incidence and different propagation speeds of the 2 media
the physics of refraction are described by ___.
Snell’s law: transmission angle / incident angle = propagation speed 2 / propagation speed 1
if propagation speed of medium 2 is LESS than propagation speed of medium 1, then the transmission angle is ___ than the incident angle
LESS
if propagation speed of medium 2 is GREATER than propagation speed of medium 1, then the transmission angle is ___ than the incident angle
GREATER
will refraction occur when medium 1 and 2 have the SAME propagation speeds?
NO