Sound will travel faster through media where the molecules are closer
together and so the velocity is higher in solids than in liquids, and higher in
liquids than in gasses. For example, the velocity of sound in stainless steel
is approximately 5800 m/s, in water 1500 m/s and in air only 330 m/s.
As the sound wave passes through the medium, causing molecules to
vibrate, some of the energy in the wave is converted from kinetic energy to
heat. For a collimated sonic beam the intensity, power per unit area
decreases exponentially with the distance travelled.
The attenuation of the beam is also dependent upon the frequency of the
sound. In solids the attenuation is proportional to frequency whereas in
liquids the attenuation is proportional to the square of the frequency. The
usual method of specifying the degree of attenuation of ultrasound in
different media is by the half depth. The half depth is the distance the
ultrasound must travel through the medium for its intensity to be reduced to
one half of its original value. Many attempts have been made to measure the
attenuation in various types of tissue with varying results. It is perhaps more
important to remember which types of tissue have the highest absorption and
which the lowest. With the lowest absorption first the order is fat, muscle,
skin, tendon, cartilage and bone. For soft tissue the half depth is around 50
mm at 1 MHz and 15 mm at 3 MHz.
It is also important to remember that where there is a change in medium or
tissue type there will be both reflection and refraction of the ultrasound beam.
In particular there is almost 100% reflection at the interface of a solid or liquid
to air at therapeutic ultrasound frequencies. Any air bubbles in coupling
medium will therefore reduce the effective intensity of the ultrasound. Bone
also reflects a high percentage of incident ultrasound. It is important,
therefore, when applying ultrasound to keep the transducer orthogonal to the
surface of the treatment area, to keep the ultrasound transducer moving and
to use a good coupling medium to avoid unwanted reflections and locally
high intensities.
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