Annular-ring CMUT arrays for forward-looking IVUS: transducer characterization and imaging

In this study, a 64-element, 1.15-mm diameter annular-ring capacitive micromachined ultrasonic transducer (CMUT) array was characterized and used for forward-looking intravascular ultrasound (IVUS) imaging tests. The array was manufactured using low-temperature processes suitable for CMOS electronics integration on a single chip. The measured radiation pattern of a 43 X 140-microm2 array element depicts a 40 degrees view angle for forward-looking imaging around a 15-MHz center frequency in agreement with theoretical models. Pulse-echo measurements show a -10-dB fractional bandwidth of 104% around 17 MHz for wire targets 2.5 mm away from the array in vegetable oil. For imaging and SNR measurements, RF A-scan data sets from various targets were collected using an interconnect scheme forming a 32-element array configuration. An experimental point spread function was obtained and compared with simulated and theoretical array responses, showing good agreement. Therefore, this study demonstrates that annular-ring CMUT arrays fabricated with CMOS-compatible processes are capable of forward-looking IVUS imaging, and the developed modeling tools can be used to design improved IVUS imaging arrays.     

High frame rate imaging system for limited diffraction array beam imaging with square-wave aperture weightings.

A general-purpose high frame rate (HFR) medical imaging system has been developed. This system has 128 independent linear transmitters, each of which is capable of producing an arbitrary broadband (about 0.05-10 MHz) waveform of up to +/- 144 V peak voltage on a 75-ohm resistive load using a 12-bit/40-MHz digital-to-analog converter. The system also has 128 independent, broadband (about 0.25-10 MHz), and time-variable-gain receiver channels, each of which has a 12-bit/40-MHz analog-to-digital converter and up to 512 MB of memory. The system is controlled by a personal computer (PC), and radio frequency echo data of each channel are transferred to the same PC via a standard USB 2.0 port for image reconstructions. Using the HFR imaging system, we have developed a new limited-diffraction array beam imaging method with square-wave aperture voltage weightings. With this method, in principle, only one or two transmitters are required to excite a fully populated two-dimensional (2-D) array transducer to achieve an equivalent dynamic focusing in both transmission and reception to reconstruct a high-quality three-dimensional image without the need of the time delays of traditional beam focusing and steering, potentially simplifying the transmitter subsystem of an imager. To validate the method, for simplicity, 2-D imaging experiments were performed using the system. In the in vitro experiment, a custom-made, 128-element, 0.32-mm pitch, 3.5-MHz center frequency linear array transducer with about 50% fractional bandwidth was used to reconstruct images of an ATS 539 tissue-mimicking phantom at an axial distance of 130 mm with a field of view of more than 90 degrees. In the in vivo experiment of a human heart, images with a field of view of more than 90 degrees at 120-mm axial distance were obtained with a 128-element, 2.5-MHz center frequency, 0.15-mm pitch Acuson V2 phased array. To ensure that the system was operated under the limits set by the U.S. Food and Drug Administration, the mechanical index, thermal index, and acoustic output were measured. Results show that higher-quality images can be reconstructed with the square-wave aperture weighting method due to an increased penetration depth as compared to the exact weighting method developed previously, and a frame rate of 486 per second was achieved at a pulse repetition frequency of about 5348 Hz for the human heart.     

Intravascular ultrasound tissue harmonic imaging in vivo

Tissue harmonic imaging (THI) has been shown to increase image quality of medical ultrasound in the frequency range from 2 to 10 MHz and might, therefore, also be used to improve image quality in intravascular ultrasound (IVUS). In this study we constructed a prototype IVUS system that could operate in both fundamental frequency and second harmonic imaging modes. This system uses a conventional, continuously rotating, single-element IVUS catheter and was operated in fundamental 20 MHz, fundamental 40 MHz, and harmonic 40 MHz modes (transmit 20 MHz, receive 40 MHz). Hydrophone beam characterization measurements demonstrated the build-up of a second harmonic signal as a function of increasing pressure. Imaging experiments were conducted in both a tissue-mimicking phantom and in an atherosclerotic animal model in vivo. Acquisitions of fundamental 20 and 40 MHz and second harmonic acquisitions resulted in cross sections of the phantom and a rabbit aorta. The harmonic results of the imaging experiments showed the feasibility of intravascular THI with a conventional IVUS catheter both in a phantom and in vivo. The harmonic acquisitions also showed the potential of THI to reduce image artifacts compared to fundamental imaging.     

Transducer for harmonic intravascular ultrasound imaging

A recent study has shown the feasibility of tissue harmonic imaging (THI) using an intravascular ultrasound (IVUS) transducer. This correspondence describes the design, fabrication, and characterization of a THI-optimized piezoelectric transducer with oval aperture of 0.75 mm by 1 mm. The transducer operated at 20 MHz and 40 MHz, and was comprised of a single piezoelectric layer with additional passive layers. The Krimholtz-Leedom-Matthaei (KLM) model was used to iteratively find optimal material properties of the different layers. The transducer characterization showed -6 dB fractional bandwidths of 30% and 25%, and two-way insertion losses of -20 dB and -36 dB, respectively.     

A ring transducer system for medical ultrasound research.

An ultrasonic ring transducer system has been developed for experimental studies of scattering and imaging. The transducer consists of 2048 rectangular elements with a 2.5-MHz center frequency, a 67% -6 dB bandwidth, and a 0.23-mm pitch arranged in a 150-mm-diameter ring with a 25-mm elevation. At the center frequency, the element size is 0.30lambda x 42lambda and the pitch is 0.38lambda. The system has 128 parallel transmit channels, 16 parallel receive channels, a 2048:128 transmit multiplexer, a 2048:16 receive multiplexer, independently programmable transmit waveforms with 8-bit resolution, and receive amplifiers with time variable gain independently programmable over a 40-dB range. Receive signals are sampled at 20 MHz with 12-bit resolution. Arbitrary transmit and receive apertures can be synthesized. Calibration software minimizes system nonidealities caused by noncircularity of the ring and element-to-element response differences. Application software enables the system to be used by specification of high-level parameters in control files from which low-level hardware-dependent parameters are derived by specialized code. Use of the system is illustrated by producing focused and steered beams, synthesizing a spatially limited plane wave, measuring angular scattering, and forming b-scan images.     

Two-dimensional localization with a single diffuse ultrasound field excitation

Traditional ultrasound imaging methods rely on the bandwidth and center frequency of transduction to achieve axial and radial image resolution, respectively. In this study, a new modality for spatially localizing scattering targets in a two-dimensional field is presented. In this method, the bandwidth of field excitation is high, and the center frequency is lowered such that the corresponding wavelengths are substantially larger than the target profiles. Furthermore, full two-dimensional field measurements are obtained with single send-receive sequences, demonstrating a substantial simplification of the traditional scanning techniques. Field reconstruction is based on temporal-spectral cross-correlations between measured backscatter data and a library of region of interest (ROI) backscatter data measured a priori. The transducer design is based upon a wedge-shaped geometry, which was shown to yield spatially frequency-separated bandwidths of up to 156% with center frequencies of 1.38 MHz. Initial results with these send-and-receive transducer parameters and cylindrical reflection targets in a 10-mm x 10-mm ROI demonstrate two-dimensional target localization to within 0.5 mm. Spatial localization of point scatterers is demonstrated for single and multiple scattering sites.     

Intravascular ultrasound detection and delivery of molecularly targeted microbubbles for gene delivery

We are investigating the combination of microbubble-based targeted drug delivery and intravascular ultrasound (IVUS) imaging as a potential therapy to reduce incidence of restenosis following stent placement in atherosclerotic coronary arteries. The goal of these studies was to determine whether IVUS could be used to detect targeted microbubbles and enhance drug/gene delivery through targeting. Quiescent vascular smooth muscle cells (SMCs) were stimulated with cytokine IL-1β to induce the inflammatory cell surface marker vascular cell adhesion molecule 1 (VCAM-1). Molecular-targeted (VCAM-1 Ab or IgG control Ab), fluorescent-labeled microbubbles were conjugated with plasmid DNA expressing green fluorescent protein (GFP, pMax-GFP) and exposed to the inflamed SMCs under flow to measure adhesion compared with control microbubbles. Gene delivery was performed using a modified IVUS catheter to generate 1.5-MHz ultrasound at 200 kPa. Detection of adherent microbubbles to inflamed SMCs in culture and flow chambers was measured using an IVUS catheter and scanner. VCAM-1-targeted microbubbles enhanced adhesion to inflamed SMCs 100-fold over nontargeted microbubbles. Compared with noninflamed SMCs, VCAM-1-targeted microbubbles exhibited a 7.9-fold increase in adhesion to IL-1β-treated cells. Targeted microbubbles resulted in a 5.5-fold increase in plasmid DNA transfection over nontargeted microbubbles in conjunction with a focused 2.54-cm (1-in) diameter 1-MHz transducer and also enhanced transfection by the modified IVUS transducer at 1.5 MHz. Targeted microbubbles (at a density of 3 × 10? microbubbles/mm2) increased IVUS image intensity 13.2 dB over non-microbubble-coated surfaces. Rupture of microbubbles from the modified IVUS transducer resulted in a 53% reduction in image intensity. Taken together, these results indicate that IVUS may be used to detect targeted microbubbles to inflamed vasculature and subsequently deliver a gene/drug locally.     

Magnetoelectric effect in thick-film heterostructures of PZT and Ni-Zn ferrites

This paper presents an experimental study of the magnetoelectric (ME) properties of layered heterostructures consisting of PZT-46, PZT-19, and Ni-Zn ferrites (1000NN and 2000NN). Their magnetoelectric response is examined as a function of the configuration, shape, and thickness of the layers in the composites. The results demonstrate that increasing the thickness of the magnetostrictive layer from 0.35 to 3.5 mm has an adverse effect on the magnitude of the ME effect. A comparative analysis of the data for rectangular and disk-shaped samples shows that the ME response of the disks is a factor of 2.5 stronger.     

Integrated catheter for 3-D intracardiac echocardiography and ultrasound ablation

A catheter device with integrated ultrasound imaging array and ultrasound ablation transducer is introduced. This device has been designed for use in interventional cardiac procedures in which the cardiac anatomy is first imaged using real-time three-dimensional (3-D) ultrasound, then ablated to treat arrhythmias. The imaging array includes 112 elements operating at 5.4 MHz arranged in a 2-D matrix. Individual elements have a bandwidth of 21% and an insertion loss of 80 dB. The array has an azimuth resolution of 12 degrees and an elevation resolution of 8.7 degrees. The ablation transducer is a concentric piezoelectric transducer PZT-4 ring (outside diameter (O.D.), 4.5 mm, inside diameter (I.D.), 3.1 mm) operating at 10 MHz that surrounds the imaging array. It can produce a spatial-peak, temporal-average intensity up to 16 W/cm2. The entire device fits into a 9 Fr lumen with a 14 Fr tip to accommodate the ablation ring. With this device we have imaged, in realtime 3-D, a variety of targets including wire phantoms, fixed sheep hearts, and fresh bovine tissue. The ablation ring has been used to heat tissue-mimicking rubber 14 degrees C, as well as create lesions in fresh bovine tissue.     

Transmit beamforming for optimal second-harmonic generation

A simulation study of transmit ultrasound beams from several transducer configurations is conducted to compare second-harmonic imaging at 3.5 MHz and 11 MHz. Second- harmonic generation and the ability to suppress near field echoes are compared. Each transducer configuration is defined by a chosen f-number and focal depth, and the transmit pressure is estimated to not exceed a mechanical index of 1.2. The medium resembles homogeneous muscle tissue with nonlinear elasticity and power-law attenuation. To improve computational efficiency, the KZK equation is utilized, and all transducers are circular-symmetric. Previous literature shows that second-harmonic generation is proportional to the square of the transmit pressure, and that transducer configurations with different transmit frequencies, but equal aperture and focal depth in terms of wavelengths, generate identical second-harmonic fields in terms of shape. Results verify this for a medium with attenuation f1. For attenuation f1.1, deviations are found, and the high frequency subsequently performs worse than the low frequency. The results suggest that high frequencies are less able to suppress near-field echoes in the presence of a heterogeneous body wall than low frequencies.     

Synthetic aperture imaging for small scale systems

Multi-element synthetic aperture imaging methods suitable for applications with severe cost and size limitations are explored. Array apertures are synthesized using an active multi-element receive subaperture and a multi-element transmit subaperture defocused to emulate a single-element spatial response with high acoustic power. Echo signals are recorded independently by individual elements of the receive subaperture. Each method uses different spatial frequencies and acquisition strategies for imaging, and therefore different sets of active transmit/receive element combinations. Following acquisition, image points are reconstructed using the complete data set with full dynamic focus on both transmit and receive. Various factors affecting image quality have been evaluated and compared to conventional imagers through measurements with a 3.5 MHz, 128-element transducer array on different gel phantoms. Multielement synthetic aperture methods achieve higher electronic signal to noise ratio and better contrast resolution than conventional synthetic aperture techniques, approaching conventional phased array performance     

A 32 x 32 element row-column addressed capacitive micromachined ultrasonic transducer

This paper presents characterization and initial imaging results of a 32 x 32 element two-dimensional capacitive micromachined ultrasonic transducer array. The devices are fabricated using a wafer bonding process in which both the insulation layer and the membrane are user-deposited silicon nitride. The transducers use a row-column addressing scheme to simplify the fabrication process and beamformer. By adjusting the number of rows and columns that are biased, the effective aperture of the transducer can be adjusted. This is significant because it permits imaging in the near-field of the transducer without the use of a lens. The effect on the transmit beam profile is demonstrated. The transducer has a center frequency of 5.9 MHz and a relative bandwidth of 110%. Images of horizontal and vertical wires are taken to demonstrate image resolution. A three-dimensional image of four pin heads is also demonstrated.     

Real-time 3-D ultrasound guidance of interventional devices

We have previously developed 2-D array transducers for many real-time volumetric imaging applications. These applications include transducers operating up to 7 MHz for transthoracic imaging, up to 15 MHz for intracardiac echocardiography (ICE), 5 MHz for transesophageal echocardiography (TEE) and intracranial imaging, and 7 MHz for laparoscopic ultrasound imaging (LUS). Now we have developed a new generation of miniature ring-array transducers integrated into the catheter deployment kits of interventional devices to enable real-time 3-D ultrasound scanning for improved guidance of minimally invasive procedures. We have constructed 3 new ring transducers. The first consists of 54 elements operating at 5 MHz. Typical measured transducer element bandwidth was 25%, and the 50 Ohm round trip insertion loss was -65 dB. Average nearest neighbor cross talk was -23.8 dB. The second is a prototype 108-element transducer operating at 5 MHz. The third is a prototype 108-element ring array with a transducer center frequency of 8.9 MHz and a -6 dB bandwidth of 25%. All transducers were integrated with an 8.5 French catheter sheath of a Cook Medical, Inc. vena cava filter deployment device.     

Producing bowtie limited diffraction beams with synthetic arrayexperiment

Limited diffraction beams have a large depth of field and could have applications in medical ultrasound and other wave related areas such as electromagnetics and optics. However, these beams have higher sidelobes than conventional focused beams at their focuses. Recently, a new type of beam, called bowtie limited diffraction beams, was developed. These beams can achieve both low sidelobes and a large depth of field in medical imaging. In this paper, the production of bowtie beams in water with a synthetic array experiment is reported. A broad-band PZT ceramic/polymer composite transducer of about 1 mm diameter and 2.5 MHz central frequency was scanned in a raster format and placed at the centers of elements of an equivalent two-dimensional array of 50 mm diameter aperture. A polyvinylidene fluoride (PVDF) needle hydrophone of 0.5 mm diameter was used to receive the waves produced by the transducer. Proper weighting functions were applied to the received signals to produce various beams. Results show that the bowtie beams produced with the synthetic array experiment are in good agreement with those derived from theory and obtained by computer simulations. The depth of field of these beams is about 216 mm and sidelobes of a tenth derivative bowtie X wave in pulse-echo imaging are about 30 dB lower than those of rotary symmetric limited diffraction beams such as the zeroth-order X wave discovered previously     

Design and fabrication of PZN-7%PT single crystal high frequency angled needle ultrasound transducers

A high-frequency angled needle ultrasound transducer with an aperture size of 0.4 x 0.56 mm2 was fabricated using a lead zinc niobate-lead titanate (PZN- 7%PT) single crystal as the active piezoelectric material. The single crystal was bonded to a conductive silver particle matching layer and a conductive epoxy backing material through direct contact curing. A parylene outer matching layer was formed by vapor deposition. Angled needle probe configuration was achieved by dicing at 45 degrees to the single crystal poling direction to satisfy a clinical request for blood flow measurement in the posterior portion of the eye. The electrical impedance magnitude and phase of the transducer were 42 Omega and -63 degrees , respectively. The measured center frequency and the fractional bandwidth at -6 dB were 43 MHz and 45%, respectively. The two-way insertion loss was approximately 17 dB. Wire phantom imaging using fabricated PZN-7%PT single crystal transducers was obtained and spatial resolutions were assessed.     

Probing acoustic fields of clinically relevant transducers: the effect of hydrophone probes' finite apertures and bandwidths

The influence of finite aperture and frequency response of piezoelectric ultrasonic hydrophone probes on the free-field pulse intensity integral (PII) and mechanical index (MI) was investigated using a comprehensive acoustic wave propagation model. The model developed was capable of predicting the true pressure-time waveforms at virtually any point in the field. The input to the model used pressure amplitude data measured in the immediate vicinity of the acoustic source or transducer considered. The experimental verification of the model was obtained using a commercially available, 8 MHz, dynamically focused linear array and a single element, 5 MHz, focused rectangular source. The verification was performed at low and high excitation levels, corresponding to linear and nonlinear acoustic wave propagation, respectively. The pressure-time waveforms were recorded using piezoelectric polymer hydrophone probes that had different sensitivities, frequency responses, bandwidths, and active element diameters. The nominal diameters of the probes ranged from 50 to 500 microm, and their useable bandwidths varied between 55 and 100 MHz. The PII, used to calculate the thermal index (TI), was found to increase with increasing bandwidth and decreasing effective aperture of the probes. The MI, another safety indicator, also was affected, but to a lesser extent. The corrections predicted using the model were used to reduce discrepancies as large as 30% in the determination of PII. The results of this work indicate that, by accounting for hydrophones' finite aperture and correcting the value of PII, all intensities derived from the PII can be corrected for spatial averaging error. The results also point out that caution should be exercised when comparing acoustic output data. In particular, hydrophone's frequency characteristics of the effective diameter and sensitivity are needed to correctly determine the MI, TI, and the total acoustic output power produced by an imaging transducer.     

Multilayer piezoelectric ceramics for two-dimensional array transducers

In medical ultrasound imaging, 2-D array transducers have become essential to implement dynamic focusing and phase-correction in the elevation dimension as well as real-time volumetric scanning. Unfortunately, the small size of a 2-D array element results in a small clamped capacitance and a large electrical impedance near resonance. These elements have poor sensitivity because their impedance is much higher than the electrical impedance of the transmit and receive circuitry. Sensitivity can be improved by using an N layer structure of PZT ceramic with the layers connected acoustically in series and electrically in parallel. For the multilayer ceramic (MLC), the damped capacitance is multiplied by a factor of N(2) and the electrical impedance by 1/N(2) compared to a single layer element of the same dimensions. A 3x43 phased-array transducer has been fabricated using 3 layer PZT-5H material. Each element had a thickness of 0.66 mm and an area of 0.37x3.5 mm. The MLC was manufactured using thick film technology with plated-through vias to electrically interconnect the electrode layers. The completed transducer was compared to a single layer control array of similar dimensions. With a light epoxy backing and a lambda/4 matching layer, the MLC array elements had an impedance of 100 Omega at series resonance of 2.25 MHz, compared to 800 Omega for the control elements. The lower impedance of the MLC elements resulted in a minimum round-trip insertion loss of 24.0 dB, compared to an 34.1 dB for the control array elements. These results were consistent with KLM modeling. B-scan images were made of cysts in a tissue-mimicking phantom and of the left kidney in vivo. The images clearly showed a higher signal-to-noise ratio for the MLC array compared to the control. As a result, 2-D arrays made of multilayer ceramics can be used to form images at a higher frequency and greater range than single layer arrays.     

Exposimetry of unfocused pulsed ultrasound

Therapeutic applications of unfocused pulsed ultrasound have recently been identified and require specialized exposimetry. Spatial distributions of pressure and several measures of intensity are presented for an unfocused pulsed ultrasound field produced by a PZT-4 transducer with diameter 3.8 cm and center frequency 2 MHz. Distributions of pressure I_tp and I_m were adequately uniform over a 4-cm² area in a transverse plane at an axial distance of 7 cm, but not so for I_ta and I_pa , which both exhibited off-axis asymmetric maxima     

Correlation processing for correction of phase distortions in subaperture imaging

Ultrasonic subaperture imaging combines synthetic aperture and phased array approaches and permits low-cost systems with improved image quality. In subaperture processing, a large array is synthesized using echo signals collected from a number of receive subapertures by multiple firings of a phased transmit subaperture. Tissue inhomogeneities and displacements in subaperture imaging may cause significant phase distortions on received echo signals. Correlation processing on reference echo signals can be used for correction of the phase distortions, for which the accuracy and robustness are critically limited by the signal correlation. In this study, we explore correlation processing techniques for adaptive subaperture imaging with phase correction for motion and tissue inhomogeneities. The proposed techniques use new subaperture data acquisition schemes to produce reference signal sets with improved signal correlation. The experimental test results were obtained using raw radio frequency (RF) data acquired from two different phantoms with 3.5 MHz, 128-element transducer array. The results show that phase distortions can effectively be compensated by the proposed techniques in real-time adaptive subaperture imaging.     

High-frequency membrane hydrophone

A membrane hydrophone with a 37-μm diameter spot poled electrode has been fabricated on a 4-μm-thick film of the piezoelectric copolymer, polyvinylidene fluoride trifluoroethylene (PVDF-TrFE), and initially characterized. The hydrophone has an effective spot size of less than 100 μm, an on-membrane +7-dB gain buffer amplifier, and a -3-dB bandwidth of 150 MHz. The acoustic properties of the hydrophone were investigated with a transducer equivalent circuit model, the electric fringe fields due to poling were characterized with a finite difference electrostatic field model, and the effective spot diameters 2a₃ and 2a₆ were estimated. Measurements on the bandwidth, effective spot size, and sensitivity are presented. This hydrophone appears suitable for the characterization of both the frequency and spatial parameters of high-frequency transducers such as intravascular ultrasound (IVUS) catheter transducers operating in the 10-40 MHz range