1. What is Attenuation?
Attenuation means the sound wave gets weaker as it travels through the body.
It's like how your voice sounds quieter when someone is far away.
It's measured in decibels (dB), which is a special way of measuring how much sound has been lost.
Key points:
+3 dB = sound is twice as strong
–3 dB = sound is half as strong
+10 dB = 10 times stronger
–10 dB = 10 times weaker
2. What Causes Attenuation?
There are 3 main reasons why sound gets weaker:
Absorption – the sound turns into heat (this happens most often).
Scattering – sound bounces off in different directions (like light hitting rough water).
Reflection – sound bounces straight back (like an echo).
More distance = more weakening
Higher frequency (pitch) = more weakening
3. What is a Decibel (dB)?
A decibel is a way to compare two sound levels using math.
It uses logarithms (just a fancy math tool that helps with really big or small numbers).
Example:
If the sound gets 10 times stronger, that’s +10 dB.
If it gets 10 times weaker, that’s –10 dB.
4. Reflection & Transmission (How sound moves at boundaries)
When sound hits a boundary between two tissues (like muscle and fat), three things can happen:
Reflection – part of the sound bounces back (this is how we make ultrasound images).
Transmission – some sound keeps going into the next tissue.
Scattering – sound spreads out in different directions (usually in rough or small objects).
Smooth surfaces = clear echo (specular reflection)
Rough surfaces = scattered echo (diffuse reflection)
5. Acoustic Impedance (Z)
This is how much a tissue resists the sound wave.
Each type of tissue (like bone, muscle, or fat) has its own impedance.
When two tissues have very different impedance, more sound reflects back (like sound hitting bone).
6. Refraction (Bending of Sound)
If the sound hits a boundary at an angle, and the second tissue has a different speed, the sound bends.
This is called refraction, like how a straw looks bent in water.
It only happens when:
The sound hits at an angle (not straight).
The two tissues have different speeds.
7. Attenuation Coefficient
This tells us how much sound is lost per cm as it travels.
It depends on frequency:
High frequency = more sound lost (less deep penetration)
Low frequency = less sound lost (can go deeper)
Example:
In soft tissue, about 0.5 dB is lost per cm per MHz.
8. Half-Value Layer (HVL)
This is the distance it takes for the sound to lose half its strength.
If HVL is thin, the sound gets weak quickly (high frequency).
If HVL is thicker, the sound goes deeper before getting weak (low frequency).
Simple Summary
Sound gets weaker as it travels—this is called attenuation.
It happens because of absorption, scattering, and reflection.
Decibels help us measure how much is lost.
Reflections create ultrasound images.
Sound bends at tissue boundaries if the angle and speed change (refraction).
High-frequency sound gives better pictures but can’t go deep.