When ultrasound travels from a medium of acoustic impedance Z1 into one of Z2, part of it is reflected at the boundary. For a beam hitting the boundary at right angles, the fraction of the intensity reflected (the intensity reflection coefficient) isIr / I0 = (Z2 − Z1)2 / (Z2 + Z1)2 Ir is the reflected intensity and I0 the incident intensity. The rest of the intensity is transmitted, so the fraction transmitted is 1 − Ir/I0.
• If Z1 = Z2, the fraction reflected is 0 and all the ultrasound passes on.
• The bigger the difference between Z1 and Z2, the larger the fraction reflected.Worked example 1: muscle (Z = 1.7 × 106) to bone (Z = 7.8 × 106 kg m−2 s−1).Ir/I0 = (6.1 / 9.5)2 = 0.41 About 41% is reflected and 59% is transmitted, so bone gives a strong echo and little ultrasound reaches the tissue behind it.Worked example 2: air (Z = 430) to skin (Z = 1.7 × 106 kg m−2 s−1).Ir/I0 = (1.7 × 106 − 430)2 / (1.7 × 106 + 430)2 = 0.999 Almost all the ultrasound is reflected, so hardly any would enter the body through a layer of air.
• The bigger the difference between Z1 and Z2, the larger the fraction reflected.Worked example 1: muscle (Z = 1.7 × 106) to bone (Z = 7.8 × 106 kg m−2 s−1).