AeroLab Reading room

Physics / A2 level

Medical physics

Connect imaging signals with interactions while respecting model limits.

Learning objectives

The big idea

Medical images are reconstructed from physical signals. X-ray intensity decreases as the beam interacts with matter; attenuation differences produce contrast. CT combines measurements from multiple directions to reconstruct sections. In an X-ray tube, accelerating electrons sets the maximum photon energy, eV.

Ultrasound uses echoes at acoustic-impedance boundaries, so echo time includes outward and return travel. A larger impedance mismatch gives stronger reflection. PET detects paired photons associated with positron annihilation. These methods involve different physics and risks; model exercises do not qualify a learner to select or interpret a clinical procedure.

1. X-rays come from energy transfers

In an X-ray tube, electrons accelerated through voltage V can transfer energy when interacting with the target. The greatest possible photon energy is eV, giving a minimum wavelength hc/(eV) in the ideal limit. A broad spectrum and characteristic lines can occur. X-ray intensity decreases through material; a simple uniform monoenergetic model gives I = I₀e^(−μx), while real beams and tissues are more complex.

2. Images require contrast and reconstruction

Different attenuation produces differences in transmitted intensity. A projection overlaps structures along each ray, while computed tomography combines measurements from many directions to reconstruct sections. Greater image contrast is not automatically equivalent to better clinical information: resolution, noise, exposure and the question being investigated all matter. These notes explain physical mechanisms and cannot establish a patient-specific imaging choice or safe radiation exposure.

3. Ultrasound relies on acoustic boundaries

Acoustic impedance Z = ρc influences reflection at a boundary. At normal incidence in an ideal model, reflected intensity fraction is ((Z₂ − Z₁)/(Z₂ + Z₁))². Coupling gel reduces the problematic air gap between probe and skin. Echo time includes outward and return journeys, so depth = ct/2. Assuming one sound speed for different tissues introduces a modelling approximation, and strong reflection can obscure deeper structures.

4. PET uses coincident photon detection

A positron-emitting tracer produces positrons that can annihilate with electrons after slowing. Two photons are commonly emitted in approximately opposite directions, with about 511 keV each for annihilation at rest. Detectors registering suitable coincidences identify possible lines of emission, and many such events support reconstruction. The photons are detected, not a direct photograph of the positron’s path; timing, scattering and tracer behaviour influence the real system.

A method you can reuse

  1. Identify the physical signal: transmitted X-rays, sound echoes or annihilation photons.
  2. Choose an attenuation, energy or round-trip-time relationship.
  3. Convert microseconds and photon-energy units consistently.
  4. State ideal assumptions such as uniform material or normal incidence.
  5. Keep the mechanism separate from clinical interpretation and dose decisions.
Why can using ct instead of ct/2 double an ultrasound depth estimate?

The recorded echo time includes travel from probe to reflector and back. ct gives that total path length, whereas the reflector’s depth is only the outward portion in the simple geometry.

Equations and relationships

depth=ct2\text{depth}=\frac{ct}{2}

Pulse–echo time includes both directions.

I=I0e−μxI=I_0e^{-\mu x}

Ideal monoenergetic attenuation in a uniform material.

Z=ρcZ=\rho c

Acoustic impedance for density ρ and sound speed c.

IrIi=(Z2−Z1Z2+Z1)2\frac{I_r}{I_i}=\left(\frac{Z_2-Z_1}{Z_2+Z_1}\right)^2

Intensity reflection coefficient at normal incidence for an ideal boundary.

λmin⁡=hceV\lambda_{\min}=\frac{hc}{eV}

Minimum X-ray wavelength for ideal tube accelerating voltage V.

Worked example

An ultrasound echo returns after 200 μs. If sound speed is 1540 m/s, what is the reflector depth?

Follow the solution

Depth = 1540 × 200 × 10⁻⁶ / 2 = 0.154 m.

Investigate and explain

Use synthetic echo-time data to calculate depths and compare assumed sound speeds. No scanning of people or radiation source is needed.

These are related wave-interaction models, not clinical ultrasound, CT or PET scanners. Use them to discuss reflection and energy interaction only; they do not model diagnosis, tissue response or patient dose.

Open the interactive investigation

Check your understanding

1. Why is pulse–echo time divided by two to find depth?

  1. Sound always slows by half at a boundary.
  2. The pulse travels to the boundary and back.
  3. The detector records only half a pulse.
Check the answer and reasoning

The pulse travels to the boundary and back.

Measured time covers a path of twice the depth.

2. An ultrasound echo returns after 200 μs. If sound speed is 1540 m/s, what is the reflector depth?

  1. 0.308 m
  2. 15.4 m
  3. 0.154 m
Check the answer and reasoning

0.154 m

Depth = 1540 × 200 × 10⁻⁶ / 2 = 0.154 m.

3. Which method uses ionising electromagnetic radiation?

  1. X-ray imaging
  2. Ultrasound imaging
  3. A mechanical string wave
Check the answer and reasoning

X-ray imaging

X-rays are ionising photons; ultrasound is mechanical.