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How do X-rays, gamma cameras, PET and ultrasound let us see inside the body?

Medical imaging: the production and attenuation of X-rays, the gamma camera and PET scanning, and ultrasound with acoustic impedance and the Doppler effect.

A focused answer to the OCR H556 medical imaging content, covering the production of X-rays and their exponential attenuation, the gamma camera and PET scanning with positron annihilation, and ultrasound imaging with acoustic impedance, the intensity reflection coefficient and the Doppler effect for blood flow.

Generated by Claude Opus 4.812 min answer

Reviewed by: AI editorial process; not yet individually human-reviewed

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What this dot point is asking

OCR wants you to describe the production and exponential attenuation of X-rays, explain the gamma camera and PET scanning, and describe ultrasound imaging using acoustic impedance, the intensity reflection coefficient and the Doppler effect.

The answer

X-ray production and attenuation

The gamma camera and PET

Ultrasound and the Doppler effect

Examples in context

X-rays and CT scans image bones, lungs and dense structures and guide surgery, while PET and gamma-camera scans reveal function, such as blood flow in the heart or the metabolic activity of a tumour. Ultrasound is the safe, non-ionising choice for imaging soft tissue and monitoring pregnancy, and Doppler ultrasound measures blood flow to detect blocked arteries. Each method trades resolution, penetration and safety, which is why doctors choose between them according to the tissue and the clinical question.

Try this

Q1. State the exponential attenuation law for X-rays and define each term. [2 marks]

  • Cue. I=I0eμxI = I_0 e^{-\mu x}: transmitted intensity, initial intensity, attenuation coefficient and thickness.

Q2. An X-ray beam passes through tissue with μ=0.10 cm1\mu = 0.10\ \text{cm}^{-1}. Find the half-value thickness. Take ln2=0.693\ln 2 = 0.693. [2 marks]

  • Cue. x1/2=ln2μ=0.6930.10=6.9 cmx_{1/2} = \frac{\ln 2}{\mu} = \frac{0.693}{0.10} = 6.9\ \text{cm}.

Q3. Explain why a coupling gel is used in ultrasound scanning. [2 marks]

  • Cue. Without it, the large impedance mismatch between air and skin would reflect almost all the ultrasound; the gel matches the impedances so the beam enters the body.

Exam-style practice questions

Practice questions written in the style of OCR exam questions on this dot point, with worked answer explainers. The year tag is the paper they imitate, not the source.

OCR 20194 marksA parallel X-ray beam passes through 4.0 cm4.0\ \text{cm} of soft tissue with a linear attenuation coefficient of 0.20 cm10.20\ \text{cm}^{-1}. Calculate the fraction of the beam intensity transmitted, and the half-value thickness. Take ln2=0.693\ln 2 = 0.693.
Show worked answer →

Attenuation: I=I0eμxI = I_0 e^{-\mu x}, so the transmitted fraction is II0=eμx=e(0.20)(4.0)=e0.80\frac{I}{I_0} = e^{-\mu x} = e^{-(0.20)(4.0)} = e^{-0.80}.

e0.80=0.45e^{-0.80} = 0.45, so about 45 per cent is transmitted.

Half-value thickness: x1/2=ln2μ=0.6930.20=3.5 cmx_{1/2} = \frac{\ln 2}{\mu} = \frac{0.693}{0.20} = 3.5\ \text{cm}.

Markers reward I=I0eμxI = I_0 e^{-\mu x}, the transmitted fraction about 0.45, and the half-value thickness about 3.5 cm3.5\ \text{cm}.

OCR 20214 marksUltrasound passes from soft tissue (acoustic impedance 1.6×106 kg m2 s11.6 \times 10^{6}\ \text{kg m}^{-2}\ \text{s}^{-1}) to bone (acoustic impedance 6.4×106 kg m2 s16.4 \times 10^{6}\ \text{kg m}^{-2}\ \text{s}^{-1}). Calculate the fraction of the intensity reflected at the boundary, and explain why a coupling gel is used between the transducer and the skin.
Show worked answer →

Intensity reflection coefficient: IrIi=(Z2Z1Z2+Z1)2=(6.41.66.4+1.6)2=(4.88.0)2\frac{I_r}{I_i} = \left(\frac{Z_2 - Z_1}{Z_2 + Z_1}\right)^2 = \left(\frac{6.4 - 1.6}{6.4 + 1.6}\right)^2 = \left(\frac{4.8}{8.0}\right)^2.

=(0.60)2=0.36= (0.60)^2 = 0.36, so 36 per cent of the intensity is reflected at the tissue-bone boundary.

A coupling gel is used because the large impedance mismatch between air and skin would otherwise reflect almost all the ultrasound; the gel matches the impedances so the beam enters the body.

Markers reward the reflection-coefficient equation, the value 0.36, and an explanation that the gel removes the air gap and its huge impedance mismatch.

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