Integrated Electronics for Wireless Imaging Microsystems with CMUT Arrays

Integration of transducer arrays with interface electronics in the form of single-chip CMUT-on-CMOS has emerged into the field of medical ultrasound imaging and is transforming this field. It has already been used in several commercial products such as handheld full-body imagers and it is being implemented by commercial and academic groups for Intravascular Ultrasound and Intracardiac Echocardiography. However, large attenuation of ultrasonic waves transmitted through the skull has prevented ultrasound imaging of the brain. This research is a prime step toward implantable wireless microsystems that use ultrasound to image the brain by bypassing the skull. These microsystems offer autonomous scanning (beam steering and focusing) of the brain and transferring data out of the brain for further processing and image reconstruction. The objective of the presented research is to develop building blocks of an integrated electronics architecture for CMUT based wireless ultrasound imaging systems while providing a fundamental study on interfacing CMUT arrays with their associated integrated electronics in terms of electrical power transfer and acoustic reflection which would potentially lead to more efficient and high-performance systems. A fully wireless architecture for ultrasound imaging is demonstrated for the first time. An on-chip programmable transmit (TX) beamformer enables phased array focusing and steering of ultrasound waves in the transmit mode while its on-chip bandpass noise shaping digitizer followed by an ultra-wideband (UWB) uplink transmitter minimizes the effect of path loss on the transmitted image data out of the brain. A single-chip application-specific integrated circuit (ASIC) is de- signed to realize the wireless architecture and interface with array elements, each of which includes a transceiver (TRX) front-end with a high-voltage (HV) pulser, a high-voltage T/R switch, and a low-noise amplifier (LNA). Novel design techniques are implemented in the system to enhance the performance of its building blocks. Apart from imaging capability, the implantable wireless microsystems can include a pressure sensing readout to measure intracranial pressure. To do so, a power-efficient readout for pressure sensing is presented. It uses pseudo-pseudo differential readout topology to cut down the static power consumption of the sensor for further power savings in wireless microsystems. In addition, the effect of matching and electrical termination on CMUT array elements is explored leading to new interface structures to improve bandwidth and sensitivity of CMUT arrays in different operation regions. Comprehensive analysis, modeling, and simulation methodologies are presented for further investigation.Ph.D

Single-Chip Reduced-Wire CMUT-on-CMOS System for Intracardiac Echocardiography

CMUT-on-CMOS integration is particularly suitable for catheter based ultrasound imaging applications, where electronics integration enables multiplexing capabilities to reduce the number of electrical connections leading to smaller catheter cable profiles. Here, a single-chip CMUT-on-CMOS system for intracardiac echocardiography (ICE) is presented. In this system, a 64 element 1-D CMUT array is fabricated over an application specific integrated circuit (ASIC) that features a programmable transmit beamformer with high voltage (HV) pulsers and receive circuits using 8:1 time division multiplexing (TDM). Integration of pitch matched 64 channel front-end circuits with CMUT arrays in a single-chip configuration allows for implementation of catheter probes with miniaturization, reduced number of cables, and better mechanical flexibility. The ASIC is implemented in 60 V 0.18 μm HV process. It occupies 2.6×11 mm 2 which can fit in the catheter size of 9F, and reduces the number of wires from more than 64 to 22. This system is used for B-mode imaging of imaging phantoms and its potential application for 2D CMUT-on-CMOS arrays is discussed

Integrated Circuits for Medical Ultrasound Applications: Imaging and Beyond

Medical ultrasound has become a crucial part of modern society and continues to play a vital role in the diagnosis and treatment of illnesses. Over the past decades, the develop- ment of medical ultrasound has seen extraordinary progress as a result of the tremendous research advances in microelectronics, transducer technology and signal processing algorithms. How- ever, medical ultrasound still faces many challenges including power-efficient driving of transducers, low-noise recording of ultrasound echoes, effective beamforming in a non-linear, high- attenuation medium (human tissues) and reduced overall form factor. This paper provides a comprehensive review of the design of integrated circuits for medical ultrasound applications. The most important and ubiquitous modules in a medical ultrasound system are addressed, i) transducer driving circuit, ii) low- noise amplifier, iii) beamforming circuit and iv) analog-digital converter. Within each ultrasound module, some representative research highlights are described followed by a comparison of the state-of-the-art. This paper concludes with a discussion and recommendations for future research directions

Design and implementation of intravascular hifu catheter ablation system

High-intensity focused ultrasound is an energy-based thermal therapy for noninvasive or minimally invasive treatment of wide range of medical disorders including solid cancer tumors, brain surgery, atrial fibrillation (AF) and other cardiac arrhythmias. Conventional HIFU is extracorporeally administered but in applications where a small lesion or more precise energy localization in shorter time is required, catheter-based HIFU devices which are positioned directly within or adjacent to the target may be the best solution. Available HIFU catheters use array of piezoelectric transducers with complex external high-voltage (HV) and high-frequency amplifiers, a cooling system and several coaxial cables within the catheter. In this study, a HV transmitter IC has been designed, manufactured and integrated with an 8-element capacitive micromachined ultrasound transducer (CMUT) on a prototype HIFU probe appropriate for a 6-Fr catheter. The transmitter IC fabricated in 0.35 μm HV CMOS process and comprises eight continuouswave HV buffers (10.9 ns and 9.4 ns rise and fall times at 20 Vpp output into a 15 pF), an eight-channel transmit beamformer (8-12 MHz output frequency with 11.25 º phase accuracy) and a phase locked loop with an integrated VCO as a tunable clock source (128–192 MHz). The chip occupies 1.85×1.8 mm2 area including input and output (I/O) pads. Electrical measurements, IR thermography and Ex-vivo experiment results reveal that the presented HIFU system can elevate the temperature of the target region of tissue around 19 ºC by delivering 600 CEM43 equivalent thermal dose while surface temperature of the probe rises less than 5 º

Multielement Ring Array Based on Minute Size PMUTs for High Acoustic Pressure and Tunable Focus Depth

This paper presents a multielement annular ring ultrasound transducer formed by individual high-frequency PMUTs (17.5 MHz in air and 8.7 MHz in liquid) intended for high-precision axial focalization and high-performance ultrasound imaging. The prototype has five independent multielement rings fabricated by a monolithic process over CMOS, allowing for a very compact and robust design. Crosstalk between rings is under 56 dB, which guarantees an efficient beam focusing on a range between 1.4 mm and 67 µm. The presented PMUT-on-CMOS annular array with an overall diameter down to 669 µm achieves an output pressure in liquid of 4.84 kPa/V/mm 2 at 1.5 mm away from the array when the five channels are excited together, which is the largest reported for PMUTs. Pulse-echo experiments towards high-resolution imaging are demonstrated using the central ring as a receiver. With an equivalent diameter of 149 µm, this central ring provides high receiving sensitivity, 441.6 nV/Pa, higher than that of commercial hydrophones with equivalent size. A 1D ultrasound image using two channels is demonstrated, with maximum received signals of 7 mVpp when a nonintegrated amplifier is used, demonstrating the ultrasound imaging capabilities

Agile and Bright Intracardiac Catheters

Intracardiac imaging catheters represent unique instruments to diagnose and treat a diseased heart. While there are imminent advances in medical innovation, many of the commercially available imaging catheters are outdated. Some of them have been designed more than 20 years and therefore they lack novel sensor technology, multi-functionality, and often require manual assembly process. Introduction chapter of this thesis discusses clinical needs and introduces new technological concepts that are needed to progress the functionality and clinical value of the intracardiac catheters along with efficient and simple designs to make the catheters affordable for the patients. The following chapters are grouped into two parts that explore complementary transducer technology and a novel optical fiber-link solution for catheter-based intracardiac imaging. _Part I_ focuses on developing a new intracardiac catheter that has an advanced functionality, which provides clinician with high penetration or close-up high resolution ultrasound imaging in a single device. This agile ultrasound visualization is enabled by a capacitive-micromachined ultrasound transducer (CMUT), operated in collapse-mode, of which the operating frequency can be tuned. Acoustic performance of a fabricated CMUT is modelled and measured. Imaging performance of the CMUT array is quantified on a tissue-mimicking phantom and demonstrated both ex vivo and in vivo experiments. It is found that the combination of the forward-looking design, frequency-tuning and agile deflectability of the catheter allow for visualizing intracardiac structures of various sizes at different distances relative to the catheter tip, providing both wide overviews and detailed close-ups. _Part II_ is devoted to a novel optical technology for transmitting signals and transferring power inside catheters. A novel concept of an all-optical fiber link is introduced. A key insight obtained is that a blue light-emitting diode (LED) may be used as a photo-voltaic converter. Used in reverse under illumination with violet light, it converts significant amount of photonic energy to electricity and at the same time it may emit blue light back, which makes it a unique miniature power and communication channel for catheters. A pressure-sensing catheter prototype is built to demonstrate the concept of transmitting signals and delivering power using a single optical fiber and an LED. The potential of the power and signal fiber link solution is exploited further for ultrasound imaging. A bench-top demonstrator scalable to catheter dimensions is built, in which electrical wires for ultrasound-sensor signal and power tra

MEMS Technology for Biomedical Imaging Applications

Biomedical imaging is the key technique and process to create informative images of the human body or other organic structures for clinical purposes or medical science. Micro-electro-mechanical systems (MEMS) technology has demonstrated enormous potential in biomedical imaging applications due to its outstanding advantages of, for instance, miniaturization, high speed, higher resolution, and convenience of batch fabrication. There are many advancements and breakthroughs developing in the academic community, and there are a few challenges raised accordingly upon the designs, structures, fabrication, integration, and applications of MEMS for all kinds of biomedical imaging. This Special Issue aims to collate and showcase research papers, short commutations, perspectives, and insightful review articles from esteemed colleagues that demonstrate: (1) original works on the topic of MEMS components or devices based on various kinds of mechanisms for biomedical imaging; and (2) new developments and potentials of applying MEMS technology of any kind in biomedical imaging. The objective of this special session is to provide insightful information regarding the technological advancements for the researchers in the community