Syllabus Edition

First teaching 2020

Last exams 2024

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Ultrasound & X-rays (CIE A Level Physics)

Exam Questions

3 hours9 questions
1a
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2 marks

State what is meant by the specific acoustic impedance of a medium.

1b
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3 marks

Table 1.1 shows the density and speed of ultrasound in soft tissue and in air.

Table 1.1

  density / kg m−3 speed of ultrasound / m s−1
air 1.29 330
soft tissue 1060 1540
bone 1600 4000

Using the data in Table 1.1, calculate

(i)
the acoustic impedance of air,
[1]
(ii)
the acoustic impedance of soft tissue,
[1]
(iii)
the acoustic impedance of bone.
[1]
1c
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3 marks

The intensity reflection coefficient α for two media is given by

alpha space equals space open parentheses Z subscript 1 space minus space Z subscript 2 close parentheses squared over open parentheses Z subscript 1 space plus space Z subscript 2 close parentheses squared

Where Z1 and Z2 are the specific acoustic impedances of the two media.

Explain how this equation can be used to predict if ultrasound will be reflected or transmitted at the boundary between two materials.

1d
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2 marks

State what is meant by impedance matching and explain how it may be achieved.

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2a
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6 marks

Fig. 1.1 shows an incomplete diagram of a piezoelectric transducer.

24-1-2a-e-structure-of-a-piezoelectric-transducer-cie-ial-sq-a

Fig. 1.1

(i)
Fill in the three missing labels on Fig. 1.1.
[3]
(ii)
State the purpose of the components in (a)(i) in relation to the generation of ultrasound waves.
[3]
2b
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4 marks
(i)
State two main pieces of information about internal body structures that ultrasound can provide.
[2]
(ii)
State the properties of the ultrasound signal that provide these pieces of information.
[2]
2c
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4 marks
(i)
Explain what is meant by ionising radiation and why it can be harmful.
[2]
(ii)
Place ticks () next to the scans in Table 1.1 which use ionising radiation.
Table 1.1
Type of scan  
X-ray Imaging  
Ultrasound  
PET scan  
CT scan  
[2]
2d
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3 marks

Describe the differences between CT scanning and X-ray imaging.

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3a
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10 marks

Fig. 1.1 shows a simplified diagram of an X-ray tube.

24-1-3a-e-24-1-e-structure-of-an-x-ray-tube-cie-ial-sq

Fig. 1.1

State the name and purpose of

(i)
Component A
[2]
(ii)
Component B
[2]
(iii)
Component C
[2]
(iv)
Component D
[2]
(v)
Component E
[2]
3b
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4 marks

The accelerating potential difference between the cathode and the anode of an X-ray tube is 75 kV.

(i)
State the maximum energy, in eV, of the photons produced in the X-ray tube.
[1]
 
(ii)
Calculate the minimum wavelength of photons in the X-ray beam.
[3]
3c
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2 marks

A parallel beam of X-rays is incident on a medium with a linear absorption coefficient μ.

State what is meant by the linear absorption coefficient.

3d
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3 marks

Table 1.1 shows the linear absorption coefficient μ for an X-ray beam in blood and in muscle.

Table 1.1

  μ / cm−1
blood 0.23
muscle 0.22

(i)
State what is meant by the contrast of an X-ray.
[1]
(ii)
Using the data in Table 1.1, explain why an X-ray image of blood vessels in muscle would have poor contrast.
[2]

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1a
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3 marks
(i)
State what is meant by contrast in an X-ray image.

[1]

(ii)
A parallel beam of X-ray radiation is incident, separately, on samples of bone and of muscle.

Data for the thickness x of the samples of bone and of muscle, together with the linear attenuation coefficients μ of the radiation in bone and in muscle, are given in Table 10.1.

Table 10.1

  x / cm μ / cm–1
bone 1.5 2.9
muscle 4.0 0.95

Calculate the ratio

fraction numerator space intensity space of space radiation space transmitted space through space the space bone space over denominator intensity space of space radiation space transmitted space through space the space muscle end fraction.




ratio = ........................................ [2]

1b
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7 marks
(i)
Explain how ultrasound pulses are used to obtain diagnostic information about internal body structures in medical diagnosis.

[3]

(ii)
Define specific acoustic impedance.

[2]

(iii)
Two media have specific acoustic impedances Z1 and Z2.

State the approximate value of the intensity reflection coefficient at the boundary between the two media when:

•    Z1 is almost equal to Z2

intensity reflection coefficient = ................................

•    Z1 is very different from Z2.

intensity reflection coefficient = ................................

[2]

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2a
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5 marks
(i)
Explain how X-rays are produced for use in medical diagnosis
[3]
 
(ii)
Discuss one advantage and one disadvantage of using CT scanning over X-ray imaging.
[2]
2b
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4 marks

An X-ray image is taken of the skull of a patient. Another patient has a CT scan taken of their entire head.

Describe how the image produced during CT scanning differs from the image produced by X-ray imaging.

2c
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6 marks

Ultrasound is thought to be more suitable than X-rays for scanning an unborn foetus.

 
(i)
Describe how ultrasound imaging can be used to produce an image of an unborn foetus.
[4]
(ii)
When obtaining the ultrasound image of an unborn foetus, a coupling gel is used.
 
Explain why a coupling gel is needed and state the property of the gel that ensures a good quality image.
[2]
2d
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5 marks

Some values of linear attenuation coefficient of different media are shown in Table 1.1

Table 1.1

medium attenuation coefficient / cm−1
soft tissue 0.23
blood 0.03
fat 0.48

 

(i)
State what is meant by the attenuation of an ultrasound wave.
[1]
(ii)

A parallel beam of ultrasound passes through a medium.

The incident intensity I subscript 0 is reduced to 0.75 I subscript 0 on passing through a thickness of 0.094 m of the medium.

Use Table 1.1 to determine the medium that the ultrasound passed through.

[4]

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3a
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8 marks

Fig. 1.1 shows a diagram of a piezoelectric transducer.

24-1-3a-m-ultrasound-piezoelectric-transducer-cie-ial-sq

Fig. 1.1

With reference to Fig. 1.1:

 
(i)
Describe the process by which the transducer produces a pulse of ultrasound.
[4]
(ii)
Explain how short pulses of ultrasound are produced and state why they are essential.
[2]
(iii)
Explain how the received signals are detected.
[2]
3b
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4 marks

Two patients arrive at a hospital. One patient is a child with a broken arm, the other is a pregnant woman coming in for a check-up for her unborn foetus.

Over the course of the diagnosis and treatment of the child’s broken arm, several images of the arm are required.

Similarly, to check the progress of a woman’s pregnancy, several images of the foetus are required.

For each scenario, suggest the most appropriate imaging technique to use and give two reasons for the choice.

3c
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4 marks

Ultrasound is incident on a boundary between two materials. Some of the ultrasound is reflected at the boundary and the rest is transmitted across the boundary.

The acoustic impedance of air is 4.29 × 102 kg m–2 s–1

The acoustic impedance of coupling gel is 1.48 × 106 kg m–2 s–1  

The acoustic impedance of skin is 1.65 × 106 kg m–2 s–1

Calculate the percentage of the ultrasound which would be transmitted into the skin when incident on
 
(i)
an airskin boundary,
[2]
(ii)
a gel−skin boundary.
[2]

3d
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6 marks

An X-ray image showing the cross-section of the bone and muscle is shown in Fig. 1.1.

24-1-3d-m-24-1-xray-bone-muscle-diagram-cie-ial-sq

Fig. 1.1

Parallel X-ray beams of intensity I subscript 0 are incident on the muscle and bone as shown. The emergent beam after passing through muscle alone has an intensity of I subscript m and an intensity of I subscript b m end subscript after passing through the bone and the muscle.

(i)
Determine, in terms of I subscript 0, the intensities I subscript m and I subscript b m end subscript of the emergent X-rays.
 
The linear attenuation coefficient of bone is 2.90 cm−1

The linear attenuation coefficient of muscle of 0.95 cm−1.

[4]

(ii)
Suggest why, on an X-ray plate, the contrast between bone and muscle is much greater than the contrast between fat and muscle.
 
The linear attenuation coefficient of fat is 0.90 cm−1.
[2]

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1a6 marks

Most modern ultrasound transducers are made from the piezoelectric material lead zirconate titanate (PZT).

Fig. 1.1 shows the effect on the structure of a crystal of PZT when an alternating potential difference is applied across it.

24-1-1a-h-24-1-h-piezoelectric-crystal-applied-p-d--cie-ial-sq

Fig. 1.1

(i)
Describe what happens at a molecular level when an alternating potential difference is applied across a PZT transducer to generate ultrasound.
 
You may draw on Fig. 1.1 to help with your answer.
[4]
(ii)
Describe the conditions that will enable maximum energy conversion into ultrasound to occur.
[2]
1b5 marks

An eye can be imaged using either an A-scan or a B-scan ultrasound. Fig. 1.2 shows the position of a piezoelectric transducer being used during an A-scan of an eye.

24-1-1b-h-24-1-h-ultrasound-eye-a-scan-cie-ial-sq

Fig. 1.2

(i)
Explain how an A-scan could be used to measure the thickness of a patient’s eye lens. You may draw on Fig. 1.2 to help with your answer.
[3]
(ii)
Explain why a B-scan would be better than an A-scan for imaging damaged tissue that surrounds the eye.
[2]
1c5 marks

Fig. 1.3 shows an ultrasound A-scan trace from the scan of an eye.

24-1-1c-h-24-1-h-ultrasound-pulse-oscilloscope-cie-ial-sq

Fig. 1.3

The speed of ultrasound in the eye is 1520 m s–1 and the speed of ultrasound in the lens is 1670 m s–1.

Use Fig. 1.3 to calculate the thickness of

 
(i)
the lens, in mm,
[2]
(ii)
the eye, in cm.
[3]
1d4 marks

The graph in Fig. 1.4 shows the attenuation of the intensity of ultrasound at a frequency of 3 MHz with depth.

24-1-1d-h-24-1-h-attenuation-of-ultrasound-graph-3-mhz-cie-ial-sq

Fig. 1.4

When carrying out the scan, a gel is applied between the transducer and eye to enable 100% transmission of the ultrasound into the eye.
 
Use the information in Table 1.1 and the graph in Fig. 1.4 to calculate the ratio of the intensity of the reflections from A and B, by the time the pulses come back to the receiver.
 

Table 1.1

  acoustic impedance / kg m–2 s–1
eye 1.52 × 106
eye lens 1.84 × 106
surrounding tissue 1.69 × 106

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2a3 marks

The data in Table 1.1 shows how the attenuation coefficient μ depends on the energy of the X-rays in bone and muscle. 

Table 1.1

maximum X-ray energy / keV mu subscript b o n e end subscript / cm−1 mu subscript m u s c l e end subscript / cm−1
50 3.32 0.54
100 0.60 0.21
250 0.32 0.16
4000 0.087 0.049

Using the data in Table 1.1, state and explain which X-ray energy would produce an image of a bone next to a muscle with the best contrast.

2b6 marks

For X-ray energies around 30 keV and below, the attenuation coefficient μ is approximately proportional to the cube of the proton number Z of the absorbing material.

The proton numbers of muscle, bone and some contract media are shown in Table 1.2

Table 1.2

substance main elements  
muscle  straight H presubscript 1straight C presubscript 6straight O presubscript 8  
bone  H presubscript 1C presubscript 6straight O presubscript 8P presubscript 15Ca presubscript 20  
contrast media  I presubscript 53Ba presubscript 56  

 

Using the information in Table 1.2

 
(i)
Show that bone absorbs X-rays about eight times more strongly than muscle.
[3]
(ii)
Explain why contrast media are made from elements with high values of atomic number Z.
[3]
2c4 marks

The graph in Fig. 1.1 shows how the attenuation coefficient μ of muscle varies with photon energy E.

24-1-2c-h-24-1-h-attenuation-xray-energy-cie-ial-sq

Fig. 1.1

Using Fig. 1.1, explain why X-rays with energies less than 20 keV are usually filtered out of the beam.

2d3 marks

An X-ray beam of energy 20 keV and intensity I subscript 0 is incident on a sample of muscle and bone as shown in Fig. 1.2. The emergent beam intensities from the muscle and bone are I subscript m and I subscript b respectively.

24-1-2d-h-24-1-h-muscle-bone-xray-comparison-cie-ial-sq

Fig. 1.2

Using the graph in Fig. 1.1, calculate the ratio of intensities to compare the attenuation produced by 1 cm of bone and 1 cm of muscle.

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3a6 marks

An ultrasound investigation was used to identify a small volume of an unknown substance in a patient. It is suspected that this substance is either a cyst or a tumour.

During the ultrasound investigation, an ultrasound pulse of frequency 5 MHz is passed through soft tissue and then into the small volume of the unknown substance.

The ratio of the reflected intensity to the incident intensity for the ultrasound pulse reflected at the boundary was found to be 7.54 × 10−5.

Table 1.1 shows some information about the density and speed of ultrasound in soft tissue, cysts and tumours.

Table 1.1

material density / kg m−3 ultrasound velocity / m s−1
soft tissue 1065 1530
cyst 1020 1570
tumour 990 1565

 

(i)
Use the information in Table 1.1 to show that the unknown medium is a cyst.
[4]
(ii)
A pulse of ultrasound reflected from the front surface of the cyst was detected 27.5 µs later and a pulse from the rear surface was detected 43.2 µs later.
 
Determine the length of the cyst, in cm.
[2]
3b3 marks

Fig. 1.1 shows a beam of X-rays of energy 20 keV incident normally on some soft tissue which contains the cyst.

The cyst is located 2.1 cm from the surface of the soft tissue.

24-1-3b-h-24-1-h-x-ray-intensity-cyst-cie-ial-sq

Fig. 1.1 (not to scale)

The attenuation constant of the soft tissue is 0.85 cm–1. The incident intensity of the beam is 4.6 × 103 W m–2.

The X-ray beam is switched on for a time t.

Determine the energy of the X-ray beam incident on the front surface of the cyst each second. State any assumptions you make.

3c5 marks

The ratio of the intensities of the emergent X-ray beams X and Y is determined to be

I subscript Y over I subscript X space equals space 0.94

(i)
Determine the attenuation coefficient of the cyst.
[3]
(ii)
Compare the quality of the images that would be obtained from the ultrasound and the X-ray scans of the cyst.
[2]
3d3 marks

Suggest a different imaging technique that could be used to image the cyst. Explain one advantage and one disadvantage of using this technique over ultrasound.

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