Evaluation of polyvinyl alcohol cryogel as an acoustic coupling medium for low‐intensity transcranial focused ultrasound

Transcranial focused ultrasound (FUS) has emerged as a noninvasive neuromodulatory modality with exquisite depth penetration and spatial selectivity. Liquids, such as degassed water or mineral oil, are used as acoustic coupling media between the ultrasound‐generating transducer and the brain; however, they require a separate container that limits the spatial orientation of the transducers with respect to the sonication target. Nonliquid, gel‐like materials that do not require a housing container have been sought after as coupling media to overcome such limitations. Polyvinyl alcohol (PVA), when dissolved in water and undergone freeze–thaw cycle(s), forms a flexible hydrogel having a high level of acoustic transmission. To examine the feasibility of the PVA cryogel as the coupling material for transcranial FUS, the mechanical properties (in terms of its Young's modulus) and acoustic attenuation of the PVA cryogel were examined using different concentrations and number of freeze–thaw cycles. The cryogel with 6 or 7% (w/v) concentrations and two freeze–thaw cycles showed minimum pressure attenuation (on the order of 1%) across the different ultrasound frequencies (250–650 kHz). The cryogel was molded to fit around a single‐element FUS transducer and was applied to a head phantom, showing the flexibility in orienting the sonication paths at different angles and depths. The use of the cryogel did not alter the location and shape of acoustic focal profile compared to the one measured in the degassed water. The present work suggests that PVA cryogel may be used as an alternative acoustic coupling medium for low‐intensity FUS applications.