Oxford Revise AQA A Level Physics | Chapter P24 answers

P24: Medical imaging

Question

Answers

Extra information

Mark

AO

Spec reference

01.1

Time = 0.7 s

Pulse rate =\(\frac{60}{0.7}\)= 86 beats per minute

1

1

3.10.3.1

AO1

01.2

Suitable scale added 0 to 1 mV

Each small square is 0.2 mV

1

1

3.10.3.1

AO1

01.3

Max 4 marks from: (should be in this order)

  • Sino-atrial node fires/depolarisation
  • Atria contracts
  • Impulse delayed at the atrio-ventricular node/to allow ventricles to fill
  • Ventricular node fires/depolarisation
  • Ventricle contracts
  • Heart muscle repolarises/heart muscle relaxes

A suitably labelled diagram can gain all marks

max 4

3.10.3.1

AO1

01.4

Max 2 marks from:

  • T would decrease
  • Flat part of the trace would be shorter
  • The trace will have noise

1

1

3.10.3.1

AO2

01.5

Hair and dead skin removed

Use of conducting gel/no air gap

1

1

3.10.3.1

AO1

02.1

Max 4 marks from:

  • Alternating/high frequency pd/emf applied
  • Crystal expands and contracts
  • Vibration of faces produces ultrasound/pressure waves/greater than 20 kHz
  • Backing material damps/stops vibrations
  • Short pulses
  • Received signals cause crystal to vibrate
  • Producing alt pd across the crystal

Must contain at least one point about received signal for full marks

max 4

3.10.4.1

AO1

02.2

Signal reflected/transmitted at boundary between two media

Proportion reflected depends on the acoustic impedance of each medium

1

1

3.10.4.1

AO1

02.3

Correctly identifying B and C

T = 3 × 2.5 × 10–6 s

D = s × t = 4080 × 3 × 2.5 × 10–6 = 0.031 m

Allow 2 marks for correct working but wrong section identified

1

1

1

3.10.4.1

AO2

02.4

\(
\begin{array}{l}
\textit{v} = f \lambda\\
\lambda = \frac{4080}{8 \times {10}^6} = 5.1 \times 10^{-4}\textrm{ m}\\
\end{array}
\)

1

3.3.1.1

AO1

02.5

The resolution is the ability to distinguish between objects close together (or wtte)

The smaller the wavelength, the greater detail it is possible to see

1

1

3.10.4.1

AO2

03.1

Max 2 marks from:

  • Use of lead diaphragm/cone perpendicular to the beam
  • Film is close to object
  • Distance from source to film is large
  • Grid used to absorb scattered X-ray photons

max 2

3.10.5.1

AO2

03.2

Filters out low-energy photons

These cannot pass through tissue, so not needed for diagnosis/are absorbed by tissue increasing harm/risk

1

1

3.10.5.1

AO2

03.3

Decrease in intensity, decrease increasing at 3 cm then more steadily at 4.5 cm

Clear exponential drop shown for 1.5 cm of bone suitably labelled

Values of intensity can be ignored – looking for contrast between bone and muscle

1

1

3.10.5.3

AO3

03.4

Max 3 marks from:

  • Muscle and tissue have similar attenuation coefficients
  • Heart does not stay still for long
  • Image captured quickly/short exposure
  • Contrast used
  • With high coefficient/high Z

max 3

3.10.5.3

AO2

04.1

\(
\begin{array}{l}
\sin C = \frac{{{n_2}}}{{{n_1}}}\\
\sin C = \frac{{1.43}}{{1.55}}\\
\textit{C} = 67^{\circ}\\
\end{array}
\)

1

1

3.3.2.3

AO1

04.2

This decreases the angle of incidence,

making it more likely to be less than the critical angle

Increases probability

1

1

3.10.4.2

AO2

04.3

Max 3 marks from:

  • Coherent has fixed arrangement of fibres at each end
  • Incoherent has a random arrangement of fibres
  • Coherent is used to transmit an image
  • Incoherent is used to light up the inside of the body

max 3

3.10.4.2

AO3

04.4

Cutting tissue/cauterising/stopping bleed/removing tumour

Comparatively non-invasive/less scaring/less risk to patient

Allow any sensible suggestion here

1

1

3.10.4.2

AO1

05.1

Max 4 marks from:

  • Patient lies in strong/superconducting/intense magnetic field
  • Pulse of specific radio frequency/RF radiation is applied
  • Hydrogen nuclei align to a different position
  • When RF stops H/nuclei return to original/equilibrium positions
  • Releases RF radiation which is detected and processed by computer
  • This release of energy happens at different relaxation times for different tissues

max 4

3.10.4.3

AO1

05.2

Points to consider:

Advantages CT scanner:

  • Good for bone fractures; will also give good image of the brain and abdominal organs
  • Good resolution
  • Gives full cross-sectional image
  • It is non-invasive

Disadvantages CT scanner:

  • Highly ionising
  • Limited contrast between tissues of similar density
  • Often requires patients to hold their breath, which some may find hard to do

Advantages MR scanner:

  • No ionising radiation
  • Can distinguish between different types of soft tissue better than a CT scan
  • The resolution for soft tissue is better than a CT scan
  • It can show both three-dimensional and cross-sectional images
  • It is non-invasive

Disadvantages MR scanner:

  • MR scans cannot be used if the patient has any metallic implants, such as a pacemaker
  • The patient might have to be still for up to an hour
  • Bone and calcium do not show up on this type of scan

6 marks will clearly explain the advantages and disadvantages of both scanners in a range of situations

4 marks will include at least one advantage and disadvantage for each or consider one scanner in detail

2 marks will address at least one of the bullet points

1 mark will have any sensible comment

0 marks has no relevant physics

max 6

AO2

3.10.4.3

3.10.5.4

06.1

Collimator: Only gamma rays/photons which travel along the axes of lead tubes are detected/ensures only photons originating from directly below that point reach the scintillator

Scintillator: A gamma ray photon produces thousands/many photons of (visible) light

Photomultiplier: An electrical pulse is produced from each photon of visible light/one electron released, accelerated and then releases 4 more, etc., until electric pulse achieved

1

1

1

AO1

3.10.6.3

06.2

Annihilation when electron meets positron

Conservation of momentum means they have to travel in opposite directions

1

1

3.1.2.3

AO2

06.3

\(
\begin{array}{l}
E = mc^{2}\\
E = 2 \times 9.11 \times 10^{-31} \times (3 \times 10^{8})^{2}\\
\textrm{Total }E = 1.6398 \times 10^{-13}\textrm{ J}\\
\end{array}
\) \(
\begin{array}{lll}
E \textrm{ of 1 photon } & = & \frac{8.199 \times 10^{-14} \textrm{ J}}{1.6 \times 10^{-19}}\\
E \textrm{ of 1 photon } & = & 0.51\textrm{ MeV}\\
\end{array}
\)

1

1

1

3.1.2.3

AO2

06.4

Gamma photons are detected at different times at opposite points

Computer calculates point of origin using

distance = speed of light × time difference

1

1

3.10.6.1

AO1

07.1

The time taken for half the initial sample of material to be excreted from the body by biological means

1

3.10.6.2

A01

07.2

\(
\begin{array}{l}
\frac{1}{T_{\rm{e}}} = \frac{1}{T_{\rm{p}}} + \frac{1}{T_{\rm{b}}}\\
\frac{1}{T_{\rm{e}}} = \frac{1}{21700}+\frac{1}{86400}\\
{T_{\rm{e}}} = 17\ 000\textrm{ s}\\
{T_{\rm{e}}} = 4.8\textrm{ hours}\\
\end{array}
\)

1

1

3.10.6.2

A03

07.3

Allow time between 1 and 5 hours

By 5 hours, activity halved so needs to be within that time

But needs time to be taken up by tissues so greater than 1 hour

Allow any sensible suggestion

1

1

1

3.10.6.2

A03

07.4

Longer half-life so that activity is higher for longer period (or wtte)

Beta emitter so ionises local tissue/tumour only

Must have description and explanation for mark

1

1

3.10.6.5

A01

08.1

Thermionic emission

1

3.10.5.1

AO1

08.2

To prevent collisions of electrons with molecules

To stop the target overheating/melting

1

1

3.10.5.1

AO1

08.3

\(
\begin{array}{l}
\textrm{Use of } E = eV,\ E = \frac{hc}{\lambda }\textrm{ or } eV = \frac{hc}{\lambda }\\
\lambda = \frac{hc}{ev} = \frac{6.63 \times 10^{-34} \times 3 \times 10^8}{1.6 \times 10^{-19} \times 180\ 000}\\
\lambda = 6.9 \times 10^{-12}\textrm{ m}\\
\end{array}
\)

1

1

3.2.1.3

3.10.5.1

AO2

08.4

\(
\begin{array}{l}
\textrm{Use of } Q = It \textrm{ or number of photons needed } = \frac{1.2}{eV} = 4.166 \times 10^{13}\\
\textrm{Number of electrons per second } = \frac{25 \times 10^{-3}}{1.6 \times 10^{-19}}\\
\textrm{1% photons produced } = 0.01 \times \frac{25 \times 10^{-3}}{1.6 \times 10^{-19}}\\
\textrm{Only 4% produced used}\\
\textrm{photons per second } = 0.04 \times 0.01\ \times \frac{25 \times 10^{-8}}{1.6 \times 10^{-19}} = 6.25 \times 10^{13}\textrm{ per second}\\
\rm{Time } =\frac{\textrm{number of photons}}{\textrm{photons per second}} = \frac{4.1666 \times 10^{18}}{6.25 \times 10^{15}} = 0.67\textrm{ s}\\
\end{array}
\)

1

1

1

1

3.5.1.1

3.2.1.3

3.10.5.1

AO3

Skills box answers

Question

Answer

1

Oxygen atoms are found in many compounds used by the body, so radioactive 15O incorporated into water or glucose molecules will be carried by the blood and travel through the body to the brain.

2(a)

\(^{15}{\rm{O}} \to \,^{15}\rm{N} + \rm{e}^+ \ + \rm{v}\left( \rm{position} + \rm{neutrino} \right)\)

2(b)

\(\frac{\ln 2}{2.03 \textrm{ min}} = 0.34 \textrm{ min}^{-1} \textrm{ or} \frac{\ln 2}{(2.03 \times 60\textrm{ s})} = 5.7 \times 10^{-3} \textrm{s}^{-1}\)

3

Activity after 3 days:\(A = A_0 \textrm{ e}^{-\lambda t} = 14.8 \textrm{ MBq} \times \textrm{ e}^{( -0.053\textrm{h} – 1 \times (24 \times 3)\textrm{h})} = 0.33\textrm{ MBq}\).

Activity after 11 days:\(A = 14.8 \textrm{ MBq} \times \rm{ e}^{(0.053\textrm{ h }-1 \times (24 \times 11 ) \rm{h} )} = 12 \textrm{Bq}\).

Two days after the test, the patient will still be emitting gamma rays with an activity of 0.33MBq. If they were to sleep next to someone else for about 7 h this would increase the radiation dose of that person too, so they should keep at a distance for 11 days until the 123I has decayed to an activity of tens of becquerels. However, in public they would not be so close to another person for such long periods so it is not a risk to other people to go out while the activity is still slightly raised.

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