WWW - Studyguide.pk: AS Physics - Revision Notes Unit 3 - Medical Physics
WWW - Studyguide.pk: AS Physics - Revision Notes Unit 3 - Medical Physics
WWW - Studyguide.pk: AS Physics - Revision Notes Unit 3 - Medical Physics
=
4. A boundary between air and another substance will cause practically all of the ultrasound to be
reflected, and so any air in the body during an ultrasound scan will effectively act as a block for
the transmission of ultrasound.
5. An ultrasound transducer uses piezoelectric crystals. These are made of a non-conducting material
(usually quartz) that will alter its charge distribution when squeezed, setting up a potential
difference across the crystal:
a. To transmit, a pulse of electricity across the crystal causes it to vibrate and send out a
pulse of ultrasound at its precise resonant frequency.
b. To receive, the reflected ultrasound will cause the crystal to vibrate, and induce a current.
6. During an ultrasound scan, the transducer must be placed on a layer of jelly on the skin, with
acoustic impedance closely matching that of the skin, as this will ensure that the ultrasound will
get through the skin and into the body.
7. An ultrasound A-scan will have the following components in its circuit:
a. Transducer transmits and receives the ultrasound.
b. Transmitter generates a short pulse of ultrasound into the body via the transducer.
c. Receiver detects the returning echoes from the body interfaces, and sends a signal to the
Y-plates of the oscilloscope, proportional to the echo strength.
d. Swept Gain Generator progressively increases the gain of the receiver amplifier, to take
into account the absorption of ultrasound in the body that makes the later signals weaker.
e. Time Base controls the movement of the time across the oscilloscope.
f. Rate Generator synchronises the whole process, simultaneously triggering the
transmitter, swept gain generator and time base.
g. Oscilloscope this displays the data as a CRT image. Expert analysis is needed to relate
this to the physical parameters.
8. An ultrasound B-scan works on the same principles as the A-scan, but the Y-plates of the
oscilloscope are not altered, and instead the brightness of the spot is altered, and so an actual
picture of the body can be built up (this is the most commonly used).
9. Ultrasound is considered to be safe, and is therefore much better for the patient than X-Rays.
Nuclear Medicine
1. In diagnostic studies, a radioactive substance is injected into the body along with other substances
to target a specific organ:
a. The tracer is the radioisotope to be detected.
b. The tracee is the solution containing the tracer.
www.studyguide.pk
questionbase.50megs.com AS-Level Revision Notes
2. A tracer must have the following features:
a. The half-life must fit in with the scale of the investigation.
b. It must be a gamma emitter, as this can be detected and is less harmful to the body.
c. It must be non-toxic.
3. Iodine tracers can be produced as the by-products of nuclear fission:
a. n Y I U n U
1
0
95
39
138
53
236
92
1
0
235
92
3 + + + .
b. The
138
I is straightforward to be removed using chemical techniques.
c. From this, the
138
I will decay into more useful isotopes.
d. This is extremely dangerous however, as the spent fuel rods are extremely radioactive,
making the process costly and hazardous.
4. An alternative method is to place stable isotopes of iodine in the control rods, where they will be
bombarded with neutrons and converted into unstable isotopes. There are fewer risks this way.
5. A metastable isotope is one that is in a state of stability that it shouldnt be in. It will decay into a
stable state by rearranging the nucleus, and therefore emitting just gamma radiation.
6. Technetium-99m is one of the most widely used tracer:
a.
99m
Tc has a half-life of 6 hours, and so is produced on site from molybdenum-99.
b. e Tc Mo
m 0
1
99
43
99
42
+ .
c. As the
99
Mo decays, the
99m
Tc builds up in the generator. This is washed out in daily
elutions with a saline solution.
d. The
99
Mo has a half-life of 60 days, and so a fresh technetium generator is delivered to
the hospital every week.
e. Most investigations will be scheduled shortly after delivery, as there will be the most
99m
Tc at this time.
7. There are three different types of half-life:
a. Radioactive half-life (T
r
) the time taken for half of a sample to radioactively decay.
b. Biological half-life (T
b
) the time taken for half of a sample to be biologically removed
from the body.
c. Effective half-life (T
e
) the actual half-life as a combination of the radioactive and
biological half-lives. This is given by:
b r e
T T T
1 1 1
+ =
8. A gamma camera has the following components:
a. Collimator a lead grid that only allows radiation normal to the grid to pass through.
b. Scintillation crystal converts gamma radiation into visible light. This is 1 to 2 cm thick
to ensure an efficient conversion rate, but this compromises the transmitted accuracy.
c. Photomultiplier tubes amplifies light from the crystals. Light will hit a photoelectric
emitting plate, which releases an electron that can be accelerated across a high voltage to
give a pulse of electricity.
d. Display electronics early equipment used an oscilloscope to display the results, but
modern equipment produces clear, colour-coded displays of the study area. An averaging
process will be used, to allow for the randomness of radioactive emissions.
9. Dilution analysis can be used to determine the quantity of blood in the body:
a. The tracer used will be tritiated water i.e. water containing
3
H (half-life 12 years).
b. A known volume of tracer is introduced to the body, with activity around 10
4
Bq.
c. An identical volume is retained as a standard.
d. Eight hours later, a sample of blood is isolated from the body, and centrifuged.
e. The activity of the plasma of same volume as the standard is now measured and compared
with that of the standard.
f. The proportion of activity measured will give rise to the total volume of blood.
10. A similar method is used to find the volume of red blood cells:
a. The tracer used will be
53
Cr (half-life 27.8 days).
b. The tracer is introduced to a sample of the patients blood.
c. After 30 minutes this is re-introduced into the blood stream; a standard sample is retained.
d. After 15 minutes, another blood sample is obtained.
e. This is compared to the activity of the standard to calculate the quantity of red blood cells.
www.studyguide.pk