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IELTS Academic Reading Practice Test 155

Part 1 · Read the text and answer questions 1–13

You should spend about 20 minutes on Questions 1–13, which are based on Reading Passage 1 below.

Seeing Inside the Body

The magnetic resonance imaging (MRI) scanner has become a familiar sight in hospitals: a large white cylinder into which the patient slides on a motorised bed. It produces pictures of soft tissue — brain, muscle and ligament — that X-rays cannot show clearly, and it does so without exposing the patient to ionising radiation. Yet the technique grew out of an experiment in physics that had nothing to do with medicine, and its development was driven by a handful of researchers whose training was in physics rather than in clinical practice.

In 1946 two American physicists, Felix Bloch at Stanford and Edward Purcell at Harvard, independently detected a phenomenon that became known as nuclear magnetic resonance. Certain atomic nuclei, including the single proton that forms the nucleus of ordinary hydrogen, behave like tiny magnets. Placed in a strong magnetic field, they line up with it; struck by a pulse of radio waves at exactly the right frequency, they absorb energy and then release it as they relax. The frequency depends on the strength of the field and on the element, which makes the response a kind of signature. Bloch and Purcell shared the Nobel Prize in Physics in 1952.

Chemists quickly adopted the technique for identifying molecules, because the precise frequencies at which nuclei responded revealed the structure of a compound. The other useful piece of information was timing. Once a nucleus had been excited, the period it took to relax depended on its surroundings, so the same nucleus could give different signals in different chemical environments. It was this observation that eventually suggested medical uses.

In 1971 Raymond Damadian, an American physician, reported that the relaxation times of hydrogen nuclei in certain rat tumours differed from those in healthy tissue. He proposed that the technique might be used to detect cancer and filed patents covering the idea of scanning the human body with magnetic resonance. His work convinced many people that a medical application was possible, but it did not show how to produce an image. A signal gathered from a whole region of tissue gives a single number, not a picture.

The crucial step was taken by Paul Lauterbur, a chemist then working at the State University of New York at Stony Brook. In 1973 he published a method in which the magnetic field was deliberately made uneven, with a gradient from one side of the sample to the other. Because the resonant frequency depends on field strength, nuclei at different positions then responded at different frequencies. A spectrum could therefore be decoded to give the distribution of hydrogen along the gradient, and by taking such measurements from several directions Lauterbur built up an image. He called the result zeugmatography, a term that never caught on.

Peter Mansfield, a physicist at the University of Nottingham, developed the mathematics further and found ways of making the process much faster. His work on switching gradients rapidly while the signal was being recorded turned a slow laboratory procedure into something that could be completed in a practical scanning time. Speed mattered because a scan of a moving patient is blurred, and a patient who can hold still for only a few seconds can still be examined. Mansfield also described echo-planar imaging, which in principle captures an entire picture in a fraction of a second and later made it possible to watch the brain at work.

The first image of a human being was produced in 1977 by Damadian's team, using a machine he had built himself and named Indomitable. The patient was placed in a large superconducting magnet, and the resulting picture of the chest took hours to acquire. Commercial scanners followed in the early 1980s. Early models were marketed as NMR machines, but the word 'nuclear' alarmed patients, who confused it with radioactivity. The technique was renamed magnetic resonance imaging.

Modern scanners work at magnetic fields of 1.5 or 3 tesla, tens of thousands of times stronger than the Earth's field, and the magnet is kept at superconducting temperatures by liquid helium. Three sets of gradient coils allow position to be encoded in three dimensions, while radio-frequency coils both transmit the pulse and listen for the reply. Because different tissues return their signal at different rates, the operator can weight an image towards fat or towards water, so that the same anatomy can be shown in several distinct ways. Software then assembles these measurements into pictures of astonishing detail.

The scanner has hazards as well as limitations. The magnetic field is always on and is strong enough to pull a steel oxygen cylinder across a room, which is why departments control access so carefully. Patients with certain pacemakers or metal fragments cannot be scanned at all, and the gradients switch on and off noisily, producing bangs loud enough to require ear protection. Movement spoils the images, so children and anxious adults may need sedation. Claustrophobia is common, although wider and shorter tunnels have made the experience less alarming than it once was.

In 2003 Lauterbur and Mansfield received the Nobel Prize in Physiology or Medicine. Damadian, whose earlier work had pointed the way, was not included, a decision that provoked considerable argument at the time. MRI is now one of the most versatile tools in medicine, used to examine the brain, the joints and the heart, and, in functional imaging, to map activity while a person is thinking or feeling.

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Questions 1–7◎ Practise this set only

Do the following statements agree with the information given in Reading Passage 1? Choose TRUE if the statement agrees with the information, FALSE if the statement contradicts the information, or NOT GIVEN if there is no information on this.

An MRI scan gives the patient a small dose of ionising radiation.
The frequency at which a nucleus responds depends partly on which element it belongs to.
Chemists were slow to see any practical value in nuclear magnetic resonance.
Damadian's 1971 paper explained how a picture of internal tissue could be constructed.
Lauterbur's method allowed the position of hydrogen nuclei to be worked out from the frequencies they produced.
Echo-planar imaging was in routine hospital use by the end of the 1970s.
The word 'nuclear' was dropped from the name because patients connected it with radioactivity.

Questions 8–13◎ Practise this set only

Complete the table below. Choose ONE WORD ONLY from the passage for each answer.

Write ONE WORD ONLY for each answer.

How an MRI scanner works

Part of the machineDetail

Superconducting magnet

Kept cold by liquid

Gradient coils

Allow position to be encoded in three

Image weighting

Lets the same anatomy be shown in different

Safety

The field is strong enough to pull a steel across a room

Noise

Ear is needed because of the bangs

Movement

Spoils the images, so some patients are given

About this reading test

A full IELTS Academic Reading test with 40 questions on three original passages: how the MRI scanner was developed, how robot vacuum cleaners map a room, and the debate over nuclear power. Includes explanations and a band estimate.

PartPassageQuestionsQuestion typesTopicsWords
1Seeing Inside the Body1–13True / False / Not Given, Table completionHealth, Inventions, Science900
2Where Am I? How a Robot Vacuum Makes a Map14–26Matching information, Multiple choice (choose more than one), Note completionTechnology, Inventions899
3Weighing the Nuclear Option27–40Multiple choice, Yes / No / Not Given, Summary completion (word list)Environment, Technology, Business & Economics901

How to use this practice test

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  • For gap-fill questions, keep to the word limit; an answer over the limit is marked wrong, as in the real exam.

All passages and questions on Sprechify are written by our own team in the official IELTS format. They are not taken from Cambridge IELTS books or any other published test. Band scores are estimates based on the conversion commonly used for practice tests.

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