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  • Define acoustic impedance and intensity reflection coefficient.
  • Describe medical and other uses of ultrasound technology.
  • Calculate acoustic impedance using density values and the speed of ultrasound.
  • Calculate the velocity of a moving object using Doppler-shifted ultrasound.
An ultrasound image of a 21 week old fetus.
Ultrasound is used in medicine to painlessly and noninvasively monitor patient health and diagnose a wide range of disorders. (credit: abbybatchelder, Flickr)

Any sound with a frequency above 20,000 Hz (or 20 kHz)—that is, above the highest audible frequency—is defined to be ultrasound. In practice, it is possible to create ultrasound frequencies up to more than a gigahertz. (Higher frequencies are difficult to create; furthermore, they propagate poorly because they are very strongly absorbed.) Ultrasound has a tremendous number of applications, which range from burglar alarms to use in cleaning delicate objects to the guidance systems of bats. We begin our discussion of ultrasound with some of its applications in medicine, in which it is used extensively both for diagnosis and for therapy.

Characteristics of ultrasound

The characteristics of ultrasound, such as frequency and intensity, are wave properties common to all types of waves. Ultrasound also has a wavelength that limits the fineness of detail it can detect. This characteristic is true of all waves. We can never observe details significantly smaller than the wavelength of our probe; for example, we will never see individual atoms with visible light, because the atoms are so small compared with the wavelength of light.

Ultrasound in medical therapy

Ultrasound, like any wave, carries energy that can be absorbed by the medium carrying it, producing effects that vary with intensity. When focused to intensities of 10 3 to 10 5 W/m 2 , ultrasound can be used to shatter gallstones or pulverize cancerous tissue in surgical procedures. (See [link] .) Intensities this great can damage individual cells, variously causing their protoplasm to stream inside them, altering their permeability, or rupturing their walls through cavitation . Cavitation is the creation of vapor cavities in a fluid—the longitudinal vibrations in ultrasound alternatively compress and expand the medium, and at sufficient amplitudes the expansion separates molecules. Most cavitation damage is done when the cavities collapse, producing even greater shock pressures.

A picture of a brain tumor being removed from the skull using a clinical probe.
The tip of this small probe oscillates at 23 kHz with such a large amplitude that it pulverizes tissue on contact. The debris is then aspirated. The speed of the tip may exceed the speed of sound in tissue, thus creating shock waves and cavitation, rather than a smooth simple harmonic oscillator–type wave.

Most of the energy carried by high-intensity ultrasound in tissue is converted to thermal energy. In fact, intensities of 10 3 size 12{"10" rSup { size 8{3} } } {} to 10 4 W/m 2 size 12{"10" rSup { size 8{4} } "W/m" rSup { size 8{2} } } {} are commonly used for deep-heat treatments called ultrasound diathermy. Frequencies of 0.8 to 1 MHz are typical. In both athletics and physical therapy, ultrasound diathermy is most often applied to injured or overworked muscles to relieve pain and improve flexibility. Skill is needed by the therapist to avoid “bone burns” and other tissue damage caused by overheating and cavitation, sometimes made worse by reflection and focusing of the ultrasound by joint and bone tissue.

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Source:  OpenStax, College physics. OpenStax CNX. Jul 27, 2015 Download for free at http://legacy.cnx.org/content/col11406/1.9
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