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IELTS Academic Reading Practice Test 156

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 with Sound: the rise of medical ultrasound

Ultrasound imaging is now so ordinary a part of medicine that few patients stop to wonder how it works. A pregnant woman is shown a moving picture of her unborn child; a surgeon uses sound to guide a needle into a tumour. None of these pictures is made with light. They are built from sound at frequencies far above the range of human hearing, and the principles behind them were established long before anyone imagined using them to look inside a living body.

The foundation was laid in 1880, when two French physicists, Jacques and Pierre Curie, discovered the piezoelectric effect. Certain crystals, quartz among them, produce an electric charge when they are squeezed; the same materials also do the reverse, changing shape when a voltage is applied across them. This second property is what makes medical ultrasound possible. A crystal driven by a rapidly alternating current can be made to vibrate millions of times a second, launching a beam of high-frequency sound into whatever lies in front of it.

The first serious use of such sound was military. During the First World War the French physicist Paul Langevin worked on a method of detecting submarines by sending pulses of high-frequency sound through water and listening for the echo returned by a submerged hull; quartz plates generated and received the vibrations. The war ended before the technique was perfected, but the principle was sound, and by the 1930s echo sounding was being used to measure the depth of the sea. The technique became known as sonar, from sound navigation and ranging.

Applying the idea to the human body took several more years. In the early 1940s an Austrian neurologist, Karl Dussik, tried to use ultrasound to examine the brain, hoping that tumours would show up in the reflected sound. In the late 1940s George Ludwig, working in the United States, used pulses of sound to search for gallstones. Then, in 1953, two researchers in Lund, Sweden, Inge Edler and Hellmuth Hertz, recorded echoes from a beating heart and so founded echocardiography. These early machines produced little more than a line traced across a screen.

The person usually credited with turning the technique into a practical tool for the abdomen and for pregnancy is Ian Donald, an obstetrician in Glasgow. Working with Tom Brown, an engineer at a local firm that made ultrasonic instruments for industry, he built a contact scanner and used it, from the late 1950s, to examine abdominal masses and pregnant women. His landmark paper appeared in The Lancet in 1958. Donald's achievement depended on borrowed expertise: the components, and much of the understanding of how sound behaves in materials, came from shipbuilding and engineering rather than from medicine.

A modern scanner works on the same principle as Langevin's apparatus, refined almost beyond recognition. A transducer, usually a ceramic material such as lead zirconate titanate, emits pulses of sound lasting a fraction of a microsecond. The same device then waits for the echoes. Because the speed of sound in soft tissue is roughly 1,540 metres a second, the delay before an echo returns reveals how deep the reflecting surface lies, while the strength of the echo determines how bright the corresponding point appears. A beam swept rapidly across the body builds up a two-dimensional image.

Two refinements transformed the usefulness of the technique. The first was the Doppler effect, described by the Austrian physicist Christian Doppler in 1842: sound reflected from a moving object returns at a slightly different frequency, which allows the speed and direction of blood to be measured. The second was the shift from still pictures to moving ones. Real-time scanners, developed during the 1960s and 1970s, produced images fast enough to show a heart beating or a fetus moving, and grey-scale displays, introduced in the same period, replaced harsh black-and-white echoes with a range of tones that trained eyes could interpret.

Ultrasound's great advantage is that it uses no ionising radiation, the kind associated with X-rays and computed tomography, which can damage DNA. This is why it is the imaging method of choice in pregnancy, and increasingly in children. It is not, however, entirely without risk: at high intensities sound can heat tissue and, where tiny bubbles of gas are present, cause them to collapse violently, a phenomenon known as cavitation. Guidelines therefore urge operators to use the lowest power that will produce an adequate image, and to keep examinations brief.

Sound does not travel well through bone or through gas, which is why the lungs and the interior of the skull are difficult to examine and why a gel must be spread on the skin to exclude air. The quality of an image also depends heavily on the skill of the operator, who must choose the angle of the probe and adjust the settings. Nor can a single frequency do everything: higher frequencies give finer detail but are absorbed more quickly, so deep structures must be imaged with longer waves and poorer resolution.

Recent years have brought smaller and cheaper machines. Probes that plug into a mobile phone now cost a fraction of the price of a hospital scanner, and have taken ultrasound into ambulances, rural clinics and emergency departments. Three-dimensional images, reconstructed from many thin slices, have become routine in some specialties. Even so, the technology has not replaced older methods; it is used alongside them, and its future may lie as much in better interpretation, including by machine learning, as in better hardware.

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Questions 1–6◎ Practise this set only

Complete the notes below. Choose ONE WORD AND/OR A NUMBER from the passage for each answer.

Write ONE WORD AND/OR A NUMBER for each answer.

The early development of ultrasound

The discovery behind the technique
  • In 1880 the Curie brothers found that certain crystals produce an electric charge when they are .
  • A crystal driven by a rapidly alternating can vibrate millions of times a second.
Echo sounding at sea
  • Paul Langevin sent pulses of sound through water and listened for the returned by a submarine.
The first medical work
  • Early 1940s: Karl Dussik tried to use reflected sound to examine the .
  • Late 1940s: George Ludwig used pulses of sound to look for .
  • 1953: Edler and Hertz recorded echoes from a beating heart in Lund.
Glasgow
  • Ian Donald's most important paper was published in .

Questions 7–13◎ 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.

Surgeons sometimes use ultrasound to help them insert a needle.
How bright a point in a scan appears is determined by how deep the structure is.
Doppler measurements cost more than other kinds of ultrasound examination.
Real-time scanners were already in use when the Doppler effect was first described.
Ultrasound is chosen for pregnancy scans because it avoids the kind of radiation that can damage DNA.
Ultrasound images of the lungs are harder to interpret than images of the brain.
Portable ultrasound devices are much cheaper than the scanners used in hospitals.

About this reading test

A full IELTS Academic Reading practice test with 40 questions on three original technology passages: the development of medical ultrasound, the engineering behind swarm robotics, and whether subsidies for electric cars have been worth the money. Includes explanations, a timer and a band estimate.

PartPassageQuestionsQuestion typesTopicsWords
1Seeing with Sound: the rise of medical ultrasound1–13Note completion, True / False / Not GivenHealth, Inventions, Science912
2Working Without a Leader: the promise of swarm robotics14–26Matching information, Multiple choice (choose more than one), Summary completionTechnology, Animals881
3The Electric Car and the Public Purse27–40Multiple choice, Yes / No / Not Given, Summary completion (word list)Business & Economics, Environment, Transport900

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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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