At normal incidence between lossless media with real positive acoustic impedances , continuity of pressure and normal particle velocity gives the pressure transmission amplitude . Since the mean acoustic intensity is , the fraction of incident energy transmitted isThis is acoustic reflection and transmission at an interface. With the supplied acoustic impedances,A thin water-based gel layer excludes air gaps and approximately matches the body's acoustic impedance. About of incident energy would otherwise reflect at the air-body interface. The coupling is also needed on the return journey, so it strongly improves the detectable echo. These figures concern interface transmission, before absorption within tissue; the gel is approximated by the stated water value.
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