Skip to content

OCR A Physics · Module 6: Particles and medical physics

Medical imaging: practice questions with answers

6 exam-style questions on medical imaging. Try each one on paper first, then open the answer to see the full working and the common slips that cost marks.

  1. Using the right equation2 marks

    An X-ray beam passes through 4.0 cm of tissue with linear attenuation coefficient 0.28 cm⁻¹. Calculate the percentage of the intensity transmitted.

    I/I₀ = %

    Show the answer and working

    Answer I/I₀ = 32.6 %

    I/I₀ = e^(-μx) = e^(-0.28 × 4.0) = e^(-1.12) = 0.326, which is 32.6%.

    • Got 67.4%? This is the percentage absorbed or scattered. The transmitted fraction is e^(-μx) = e^(-1.12) = 32.6%.
    • Got 112%? You used μx as the fraction. Use I = I₀e^(-μx): the transmitted fraction is e^(-1.12) = 32.6%.
  2. Using the right equation2 marks

    The linear attenuation coefficient of lead for a beam of gamma rays is 1.4 mm⁻¹. Calculate the half-value thickness of lead, in mm.

    x½ = mm

    Show the answer and working

    Answer x½ = 0.495 mm

    I = I₀e^(-μx) with I = I₀/2 gives x½ = ln 2 ÷ μ = 0.693 ÷ 1.4 = 0.495 mm.

    • Got 0.714 mm? You used 1/μ, which is the mean free path. The half-value thickness is ln 2 ÷ μ = 0.495 mm.
    • Got 0.97 mm? You multiplied instead of dividing. x½ = ln 2 ÷ μ = 0.693 ÷ 1.4 = 0.495 mm.
  3. Using the right equation3 marks

    Soft tissue has density 1060 kg m⁻³ and ultrasound speed 1540 m s⁻¹. Bone has acoustic impedance 7.8 × 10⁶ kg m⁻² s⁻¹. Calculate the percentage of ultrasound intensity reflected at a soft tissue and bone boundary.

    Ir/I₀ = %

    Show the answer and working

    Answer Ir/I₀ = 42.8 %

    Z₁ = ρc = 1060 × 1540 = 1.63 × 10⁶ kg m⁻² s⁻¹. Reflected fraction = ((7.8 × 10⁶ - 1.63 × 10⁶) ÷ (7.8 × 10⁶ + 1.63 × 10⁶))² = 0.428, so 42.8%.

    • Got 65.4%? You did not square the ratio. Reflected fraction = ((Z₂ - Z₁) ÷ (Z₂ + Z₁))² = (0.654)² giving 42.8%.
    • Got 4.38%? You used (Z₁/Z₂)². The reflection equation is ((Z₂ - Z₁) ÷ (Z₂ + Z₁))², giving 42.8%.
  4. Unit prefixes2 marks

    An ultrasound pulse takes 130 μs to travel to a boundary and return as an echo. The speed of ultrasound in tissue is 1540 m s⁻¹. Calculate the depth of the boundary, in cm.

    d = cm

    Show the answer and working

    Answer d = 10 cm

    Distance there and back = vt = 1540 × 130 × 10⁻⁶ = 0.200 m. Depth = half of this = 10 cm.

    • Got 20 cm? You used the total path length. The pulse travels to the boundary and back, so d = vt ÷ 2 = 10 cm.
    • Got 0.1 cm? That is the depth in metres. Multiply by 100 to give cm: 10 cm.
  5. Using the right equation1 mark

    In PET scanning, what is detected?

    • A Reflected ultrasound pulses from tissue boundaries.
    • B Radio waves emitted by protons relaxing in a magnetic field.
    • C Two gamma photons emitted in opposite directions from positron-electron annihilation.
    Show the answer and working

    Answer C: Two gamma photons emitted in opposite directions from positron-electron annihilation.

    A positron annihilates with an electron producing two gamma photons in opposite directions, which detectors locate.

    • Why not A? That describes ultrasound imaging, not PET.
    • Why not B? That describes MRI, not PET.
  6. Using the right equation1 mark

    In MRI, what is the purpose of the gradient magnetic fields?

    • A To make the position of the resonating protons identifiable.
    • B To produce the radio-frequency pulse.
    • C To ionise tissue to produce an image.
    Show the answer and working

    Answer A: To make the position of the resonating protons identifiable.

    The field strength varies with position, so the Larmor frequency of protons depends on position and location can be worked out.

    • Why not B? The RF pulse comes from separate radio-frequency coils.
    • Why not C? MRI uses non-ionising radio waves and magnetic fields.