Attenuation is the reduction of power, for example due to the passage through a medium or electrical component. In ultrasound imaging, attenuation means the decrease in amplitude and intensity as a sound wave travels through a medium. In ultrasound attenuation is often characterized as the half-value layer, or the half-power distance. These terms refer to the distance that ultrasound will travel in a particular tissue before its energy is attenuated to half its original value.

Attenuation originates through:
A thick muscled chest wall will offer a significant obstacle to the transmission of ultrasound. Non-muscle tissue such as fat does not attenuate acoustic energy as much. The half-value layer for bone is still less than muscle, that's why bone is such a barrier to ultrasound.

See also Attenuation Coefficient, and Derated Quantity.

This coefficient is a quantification of the energy intensity loss of waves (electromagnetic or mechanical) due to attenuation. In ultrasound imaging it is the relative energy intensity loss per traveled centimeter. The ultrasound attenuation coefficient is measured in units of dB/cm. The attenuation coefficient in soft tissues is nearly proportional to the ultrasound frequency. The attenuation coefficient is doubled when the frequency is doubled.
This coefficient (dB/cm) divided by the frequency (MHz) is almost constant in a given tissue.

A quantity (considering for attenuation) that is measured in water using standard methods and then multiplied by a derating factor. This calculates the attenuation of the ultrasound area of the tissue between the probe and a particular location in the body along the axis of the sound beam.
The 'Guidelines for the Safe Use of Diagnostic Ultrasound' of the Government of Canada recommend a derating factor of 0.3 dB/cm-MHz.

See also Attenuation Coefficient.

Enhancement artifacts occur if decreasing of the echo amplitude is not equal with penetration depth caused by inhomogeneous tissue layers and fluids like cysts or air-filled regions. The enhancement artifact appears as a hyperintense (hyperechoic) signal. The attenuation of the ultrasound wave in fluids is much lower as the attenuation in other tissues, therefore tissues distal to fluid are enhanced. Artificial enhancement may also be found distal to a homogeneous solid tumor surrounded by adipose tissue, due to the comparatively high attenuation in fat.

See also Boundary Layer, and Half-Value Layer.

To calculate the echo position, a constant sound speed of 1538.5 m/sec is assumed. Tissue penetration is frequency depended, if the frequency increases, the imaging depth decreases. The range resolution defines the depth. Ultrasound propagating in tissue is attenuated due to scattering and absorption. The attenuation is proportional to depth and frequency and is typically in the range from 0.5 to 1 dB/(MHz cm).

See also Attenuation Coefficient, Proximity Sensor, and Echo Ranging.