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Interactions of Sound and Media
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What is Attenuation?
The gradual weakening of a sound wave as it travels through tissue.
Decibel Notation (dB)
⦠Measure a change in signal strength
⦠Based on a logarithmic scale
⦠Compare a starting value to a final value
Why dB uses Logs?
Because ultrasound Intensity changes over extremely large ranges.
What are Decibels - dB?
Measures how much a beamās strength changes as it travels through the body.
Compares 2 Intensity Levels:
⦠Original intensity (before)
⦠New intensity (after)
Common dB Values:
+3dB = Intensity x 2
-3dB = Intensity/ 2
+10dB = I x 10
-10dB = I / 10
Decibels Measured as a Ratio
Ratio = New Intensity / Original Intensity
Ex: 100 ā 10
Intensity decreased by a factor of 10
So, Change = -10dB Decibels measures a difference, not an actual Value
Components of Attenuation:
Reflection, Scattering and Absorption
What are two factors that Increase Attenuation?
-Distance (Path Length)
-Frequency
Higher Frequency = Greater Attenuation
Frequency
Higher Frequency = Greater Attenuation
Lower frequency = less attenuation and deeper penetration
Reflection
Occurs when sound encounters a boundary between two tissues
⦠Part of the sound wave returns to the transducer
⦠Reflection is the most important component of Attenuation because it creates the echoes used to form an image

Specular Reflection
Occurs at smooth, flat boundaries
⦠Vessel walls
⦠Diaphragm
⦠Organ capsules
Echoes return in a single organized direction
Limitations of Specular Reflection
⦠Requires the beam to strike surface nearly perpendicular
⦠If beam is off-axis, echo may miss transducer

Diffuse Reflection (Back Scatter)
Occurs when sound strikes an irregular surface
⦠Echoes are scattered in many directions
⦠Most Images are created from Backscatter
Advantage:
⦠Produces echoes even when the beam is not perpendicular
Limitation of Diffuse Reflection (Backscatter):
Weaker echoes than specular reflection

Scattering
Occurs when the reflecting surface is very small
ā¦Sound waves are redirected in many directions
ā¦About the same size or smaller than the sound's wavelength
ā¦Lung tissue scatters sound strongly because of the many tiny air-filled alveoli.
ā¦Higher frequency sound scatters more than lower frequency sound
Scattering Relationship with Frequency is what?
Directly Related

Rayleigh Scattering
Occurs when scatterer is much smaller than wavelength
⦠Sound is scattered equally in all directions
⦠Omnidirectional scattering
Ex: Red Blood Cells
Rayleigh Scattering Relationship with Frequency is what?
Inversely Proportional
Rayleigh Scattering ā Frequencyā“
⦠If frequency doubles:
2ā“ = 16
⦠Scattering increases 16-fold
Absorption
Occurs when sound energy is converted into another form of energy
⦠Most commonly converted into heat
Important Facts:
⦠Bone absorbs more sound than any other tissue
⦠Absorption is directly related to frequency
⦠Absorption is the largest contributor to attenuation
Absorption Relationship with Frequency is what?
Directly Related
Higher Frequency ā More Absorption
Lower Frequency ā Less Absorption
Attenuation Coefficient
The amount of sound energy lost per centimeter traveled
Units: dB/cm
In Soft Tissue:
Attenuation Coefficient Formula:
ā Frequency Ć· 2
or 0.5 dB/cm/MHz
Attenuation Coefficient Relationship with Frequency is what?
Directly Related
Higher Frequency ā Higher Attenuation per cm

Attenuation Coefficient Example
12 Mhz Ć· 2 = 6 dB/cm
Total Attenuation Formula
Total Attenuation (dB) = Attenuation Coefficient (dB/cm) x distance (cm
Half-Value Layer Thickness (HVL)
The distance sound travels before its intensity is reduced by 50%
⦠50% intensity loss = 3 dB decrease
Units:
ā¦Cm
⦠Any unit of length
Also Known As:
⦠Penetration Depth
⦠Depth of Penetration
⦠Half-Boundary Layer

Thin Half-Value Layer:
More Attenuation
ā¦High-frequency sound
ā¦Highly attenuating media
ā¦Bone
ā¦Lung

Thick Half-Value Layer:
Less Attenuation
ā¦Low-frequency sound
ā¦Low-attenuating media
ā¦Water
ā¦Fluids
Acoustic Impedance
Resistance a medium offers to the transmission of sound.
Key Facts:
Symbol = Z
Measured in Rayls (MRayls)
⦠Calculated, not directly measured
Typical Values in Soft Tissue = 1.25 ā 1.75 MRayls
Impedance Formula
Z = Density Ć Propagation Speed
Tissue Impedance
⦠Dense tissues resist sound more
⦠Stiff tissues transmit sound faster & have higher impedance
Tissue Impedance is measured not calculated
Higher Density + Higher Speed = Higher Impedance

Why is Impedance Important?
Reflection occurs when sound encounters a boundary between tissues with different impedances.
Small Difference:
⦠Little reflection
⦠Most sound transmitted
Large Difference:
⦠Strong reflection
⦠Less transmission