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IELTS Academic Reading Practice Test 158

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.

Slices of the Body: The Invention of the CT Scanner

When Wilhelm Röntgen discovered X-rays in 1895, he gave medicine its first way of seeing inside a living body. The new rays passed through soft tissue but were stopped by bone, and within months doctors were using them to locate fractures and bullets. The technique had an obvious weakness, however. An X-ray photograph is a flat shadow: every structure between the source and the film is superimposed on everything else, so a tumour inside the skull is hidden behind the dense bone that surrounds it. For nearly seventy years radiologists could do little about this except take pictures from several angles and try to imagine the three-dimensional structure that had produced them.

The man who solved the problem was not a doctor but an engineer. Godfrey Hounsfield was born in 1919 on a farm in Nottinghamshire and studied electrical engineering. During the Second World War he worked on radar with the Royal Air Force, and afterwards he joined EMI, a British company whose interests ranged from records to electronics. There he helped to build one of Britain's first all-transistor computers. That experience, unusual for an engineer of his generation, gave him the tool he would later need. It is often said that EMI's profits from its music business, including the Beatles, helped to pay for the research that followed.

Walking in the countryside in 1967, Hounsfield had an idea. If a narrow beam of X-rays were passed through the body from many different directions, and the amount absorbed were measured each time, a computer could work backwards from those measurements to calculate how much absorbing material lay in each small region of a slice through the body. A slice could be represented as a grid of thousands of tiny squares, or pixels, each with its own value. The mathematics was demanding and the computing power required was enormous by the standards of the day, but Hounsfield was convinced that the principle was sound.

Unknown to him, a South African-born physicist had already published the essential mathematics. Allan Cormack, working at Tufts University in Massachusetts, had become interested in reconstructing a cross-section from measurements taken along many lines, and in 1963 and 1964 he published papers showing how it could be done. He had even built a simple experimental apparatus, but his work attracted almost no attention. Hounsfield reached the same conclusion independently.

At EMI's laboratories in Hayes, west London, Hounsfield built the first machine. It was not a graceful object: a heavy frame, a rotating table and a rig that carried a source and a detector around the patient's head in a series of sweeps, taking readings at one degree intervals. Because the range of intensities passing through a head was too great for the detectors of the period to measure accurately, the head was surrounded by a bag of water, which evened out the signal. That water bag became a familiar feature of the first generation of scanners.

The first patient was examined on 1 October 1971 at Atkinson Morley's Hospital in Wimbledon, south London, where the neurosurgeon James Ambrose had agreed to test the machine. The patient had a suspected tumour in the frontal lobe of the brain. The scan took several minutes and produced, for the first time, a picture of the inside of a living human brain in which grey matter, white matter, fluid and bone could be distinguished. It showed the lesion clearly.

Ambrose's colleagues were impressed, and the results were presented at a congress in 1972. Orders followed from hospitals in Britain and the United States. The earliest machines could examine only the head, because the skull was small enough to be enclosed in the water bag and the reconstruction of a moving chest was beyond the computers then available; scanners for the whole body appeared later in the 1970s. By the end of the decade CT — originally 'computerised axial tomography', hence the older name CAT scan — had become an established part of hospital practice.

In 1979 Hounsfield and Cormack shared the Nobel Prize in Physiology or Medicine, an unusual honour for men working outside medicine, and Hounsfield was knighted two years later. The award recognised both the mathematics and the machine.

Modern scanners are different in almost every respect. The cables that once connected the rotating X-ray tube to the rest of the machine, and which limited it to one direction of travel, were replaced in the late 1980s by slip rings that allow continuous rotation. The table now moves steadily through the ring, so that the data describe a helix rather than a series of separate slices, and images can be reconstructed at any point along it. A modern scanner acquires hundreds of slices in the time a patient can hold a breath; a scan that once took hours to compute appears on a screen within seconds.

The main drawback is radiation. A CT examination delivers a dose many times greater than a plain X-ray — for a scan of the abdomen, roughly several years' worth of natural background radiation — and the risk rises with repeated scans, particularly in children. Radiologists therefore try to keep doses as low as reasonably practicable, and newer reconstruction methods can produce acceptable images from fewer measurements than were once thought necessary. Patients and doctors must weigh those risks against the information that a scan provides, and in many cases the balance favours having the examination.

Tip: select any text in the passage to highlight it in one of four colours. Click a highlight to remove it.

Questions 1–6◎ Practise this set only

Complete the flow chart below. Choose NO MORE THAN TWO WORDS from the passage for each answer.

Write NO MORE THAN TWO WORDS for each answer.

The development of the CT scanner

1967: Hounsfield works out that a slice can be treated as a grid of thousands of tiny , each with its own value.
A source and a detector sweep around the head, taking readings at one intervals.
The skull is enclosed in a bag of because early detectors cannot measure the full range of intensities.
1 October 1971: the first scan takes place, on a patient with a suspected tumour in the frontal of the brain.
Late 1980s: the rotating parts are joined by slip , which allow continuous rotation.
Today: hundreds of slices are obtained while the patient holds a .

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.

Early X-ray photographs allowed doctors to see a tumour inside the skull clearly.
Hounsfield's wartime work was connected with radar.
EMI's electronics division contributed more money to the project than its music business did.
Cormack had published the necessary mathematics before Hounsfield had his idea.
The first CT scanners were able to image the whole body.
Hounsfield was made a knight before he received the Nobel Prize.
Each additional CT scan adds to the risk from radiation.

About this reading test

A full IELTS Academic Reading practice test with 40 questions on three original technology passages: how the CT scanner was invented, how humanoid robots work and why they are so hard to build, and whether workplace messaging apps help or harm productivity. Includes explanations and a band estimate.

PartPassageQuestionsQuestion typesTopicsWords
1Slices of the Body: The Invention of the CT Scanner1–13Flow-chart completion, True / False / Not GivenInventions, Health, Technology902
2Why Build a Robot That Looks Like Us?14–26Matching information, Multiple choice (choose more than one), Summary completionTechnology, Society932
3The Green Dot27–40Multiple choice, Yes / No / Not Given, Summary completion (word list)Society, Technology, Psychology793

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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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