Prelinearized Class-B Power Amplifier for Piezoelectric Transducers and Portable Ultrasound Systems

Smart Sensors and Microtechnologies in the Precision Medicine Approach against Lung Cancer

BACKGROUND AND RATIONALE

The therapeutic interventions against lung cancer are currently based on a fully personalized approach to the disease with considerable improvement of patients' outcome. Alongside continuous scientific progresses and research investments, massive technologic efforts, innovative challenges, and consolidated achievements together with research investments are at the bases of the engineering and manufacturing revolution that allows a significant gain in clinical setting.

AIM AND METHODS

The scope of this review is thus to focus, rather than on the biologic traits, on the analysis of the precision sensors and novel generation materials, as semiconductors, which are below the clinical development of personalized diagnosis and treatment. In this perspective, a careful revision and analysis of the state of the art of the literature and experimental knowledge is presented.

RESULTS

Novel materials are being used in the development of personalized diagnosis and treatment for lung cancer. Among them, semiconductors are used to analyze volatile cancer compounds and allow early disease diagnosis. Moreover, they can be used to generate MEMS which have found an application in advanced imaging techniques as well as in drug delivery devices.

CONCLUSIONS

Overall, these issues represent critical issues only partially known and generally underestimated by the clinical community. These novel micro-technology-based biosensing devices, based on the use of molecules at atomic concentrations, are crucial for clinical innovation since they have allowed the recent significant advances in cancer biology deciphering as well as in disease detection and therapy. There is an urgent need to create a stronger dialogue between technologists, basic researchers, and clinicians to address all scientific and manufacturing efforts towards a real improvement in patients' outcome. Here, great attention is focused on their application against lung cancer, from their exploitations in translational research to their application in diagnosis and treatment development, to ensure early diagnosis and better clinical outcomes.

Harmonic-Reduced Bias Circuit for Ultrasound Transducers

The gain of class-C power amplifiers is generally lower than that of class-A power amplifiers. Thus, higher-amplitude input voltage signals for class-C power amplifiers are required. However, high-amplitude input signals generate unwanted harmonic signals. Therefore, a novel bias circuit was proposed to suppress the harmonic signals generated by class-C power amplifiers, which improves the output voltage amplitudes. To verify the proposed idea, the input harmonic signals when using a harmonic-reduced bias circuit (-61.31 dB, -89.092 dB, -90.53 dB, and -90.32 dB) were measured and were found to be much lower than those when using the voltage divider bias circuit (-57.19 dB, -73.49 dB, -70.97 dB, and -73.61 dB) at 25 MHz, 50 MHz, 75 MHz, and 100 MHz, respectively. To further validate the proposed idea, the pulse-echo measurements were compared using the bias circuits. The peak-to-peak echo amplitude and bandwidth of the piezoelectric transducer, measured when using a harmonic-reduced bias circuit (27.07 mV and 37.19%), were higher than those achieved with a voltage divider circuit (18.55 mV and 22.71%). Therefore, the proposed scheme may be useful for ultrasound instruments with low sensitivity.

An Inverse Class-E Power Amplifier for Ultrasound Transducer

An inverse Class-E power amplifier was designed for an ultrasound transducer. The proposed inverse Class-E power amplifier can be useful because of the low series inductance values used in the output matching network that helps to reduce signal distortions. Therefore, a newly designed Class-E power amplifier can obtain a proper echo signal quality. The measured output voltage, voltage gain, voltage gain difference, and power efficiency were 50.1 V, 22.871 dB, 0.932 dB, and 55.342%, respectively. This low voltage difference and relatively high efficiency could verify the capability of the ultrasound transducer. The pulse-echo response experiment using an ultrasound transducer was performed to verify the capability of the proposed inverse Class-E power amplifier. The obtained echo signal amplitude and pulse width were 6.01 mVp-p and 0.81 μs, respectively. The -6 dB bandwidth and center frequencies of the echo signal were 27.25 and 9.82 MHz, respectively. Consequently, the designed Class-E power amplifier did not significantly alter the performance of the center frequency of the ultrasound transducer; therefore, it could be employed particularly in certain ultrasound applications that require high linearity and reasonable power efficiency.

Novel dual-resistor-diode limtier circuit structures for high-voltage reliable ultrasound receiver systems

BACKGROUND:

The limiters have been used to protect the ultrasound receivers because of the inherent characteristic of the transducers which are required to use the high voltage excitation to obtain the reasonable echo signal amplitudes.

OBJECTIVE:

Among the variety of the limiters, the performances of discharge voltage degradation from the limiters gradually deteriorate the whole ultrasound systems according to the applied voltages of the ultrasonic transducers. This could cause the ultrasound systems to be unreliable for the long-term operations, resulting in possibly breaking the receiver systems.

METHODS:

Designed limiters were evaluated with insertion loss, total harmonic distortion, and pulse-echo responses with the ultrasound transducer devices.

RESULTS:

Designed new dual-resistor-diode limiters exhibited greater and faster suppression of the pulse width (1.15 V and 6.1 μs) for high-voltage signals.

CONCLUSIONS:

Our proposed dual-resistor-diode limiter could be one of the potential candidates for reliable ultrasound receiver system.

Fisheye lens design for solar-powered mobile ultrasound devices

BACKGROUND: Compared to benchtop ultrasound machines, mobile ultrasound machines require portable batteries when acquiring information regarding human tissues during outdoor activities. OBJECTIVE: A novel fisheye lens type was designed to address the charging issue where it is difficult to constantly track the sun. This method does not require the use of a mechanical motor that constantly tracks the sun to charge the portable batteries. METHODS: To obtain an optical solar power system, the numerical aperture (NA) and field angle must be increased. Therefore, we use the fisheye lens with the largest field angle. RESULTS: The NA of the designed fisheye lens system reaches 0.75, allowing light collection of approximately ± 48∘. Additionally, the efficiency ratio of the central and surrounding areas also satisfies more than 80% at a field angle of 85∘ and more than 70% at field angles of 85∘ to 90∘, respectively. CONCLUSIONS: We designed a novel fisheye lens for solar-powered mobile ultrasound machines used outdoors.

Analysis of Dielectric Waveguide Grating and Fabry-Perot Modes in Elastic Grating in Optical Detection of Ultrasound

In our previous work, we have demonstrated that dielectric elastic grating can support Fabry-Perot modes and provide embedded optical interferometry to measure ultrasonic pressure. The Fabry-Perot modes inside the grating provide an enhancement in sensitivity and figure of merit compared to thin film-based Fabry-Perot structures. Here, in this paper, we propose a theoretical framework to explain that the elastic grating also supports dielectric waveguide grating mode, in which optical grating parameters control the excitation of the two modes. The optical properties of the two modes, including coupling conditions and loss mechanisms, are discussed. The proposed grating has the grating period in micron scale, which is shorter than the wavelength of the incident ultrasound leading to an ultrasonic scattering. The gap regions in the grating allow the elastic grating thickness to be compressed by the incident ultrasound and coupled to a surface acoustic wave mode. The thickness compression can be measured using an embedded interferometer through one of the optical guided modes. The dielectric waveguide grating is a narrow bandpass optical filter enabling an ultrasensitive mode to sense changes in optical displacement. This enhancement in mechanical and optical properties gives rise to a broader detectable pressure range and figure of merit in ultrasonic detection; the detectable pressure range and figure of merit can be enhanced by 2.7 times and 23 times, respectively, compared to conventional Fabry-Perot structures.

A New Approach to Power Efficiency Improvement of Ultrasonic Transmitters via a Dynamic Bias Technique

To obtain a high-quality signal from an ultrasound system through the transmitter, it is necessary to achieve an appropriate operating point of the power amplifier in the ultrasonic transmitter by applying high static bias voltage. However, the power amplifier needs to be operated at low bias voltage, because a power amplifier operating at high bias voltage may consume a large amount of power and increase the temperature of the active devices, worsening the signal characteristics of the ultrasound systems. Therefore, we propose a new method of increasing the bias voltage for a specific period to solve this problem by reducing the output signal distortion of the power amplifier and decreasing the load on the active device. To compare the performance of the proposed method, we measured and compared the signals of the amplifier with the proposed technique and the amplifier only. Notably, improvement was achieved with 11.1% of the power added efficiency and 3.23% of the total harmonic distortion (THD). Additionally, the echo signal generated by the ultrasonic transducer was improved by 2.73 dB of amplitude and 0.028% of THD under the conditions of an input signal of 10 mW. Therefore, the proposed method could be useful for improving ultrasonic transmitter performance using the developed technique.

High-efficiency high-voltage class F amplifier for high-frequency wireless ultrasound systems

This paper presents a novel amplifier that satisfies both low distortion and high efficiency for high-frequency wireless ultrasound systems with limited battery life and size. While increasing the amplifier efficiency helps to address the problems for wireless ultrasound systems, it can cause signal distortion owing to harmonic components. Therefore, a new type of class F amplifier is designed to achieve high efficiency and low distortion. In the amplifier, the resonant circuit at each stage controls the harmonic components to reduce distortion and improve efficiency. Transformers with a large shunt resistor are also helpful to reduce the remaining noise in the input signal. The proposed class F amplifier is tested using simulations, and the voltage and current waveforms are analyzed to achieve correct operation with adequate efficiency and distortion. The measured performance of the class F amplifier has a gain of 23.2 dB and a power added efficiency (PAE) of 88.9% at 25 MHz. The measured DC current is 121 mA with a variance of less than 1% when the PA is operating. We measured the received echo signal through the pulse-echo response using a 25-MHz transducer owing to the compatibility of the designed class F amplifier with high- frequency transducers. The measured total harmonic distortion (THD) of the echo signal was obtained as 4.5% with a slightly low ring-down. The results show that the low THD and high PAE of the new high-efficiency and high-voltage amplifier may increase battery life and reduce the cooling fan size, thus providing a suitable environment for high-frequency wireless ultrasound systems.

Novel Bandwidth Expander Supported Power Amplifier for Wideband Ultrasound Transducer Devices

Ultrasound transducer devices have their own frequency ranges, depending on the applications and specifications, due to penetration depth, sensitivity, and image resolution. For imaging applications, in particular, the transducer devices are preferable to have a wide bandwidth due to the specific information generated by the tissue or blood vessel structures. To support these ultrasound transducer devices, ultrasound power amplifier hardware with a wide bandwidth can improve the transducer performance. Therefore, we developed a new bandwidth expander circuit using specially designed switching architectures to increase the power amplifier bandwidth. The measured bandwidth of the power amplifier with the help of the bandwidth expander circuit increased by 56.9%. In addition, the measured echo bandwidths of the 15-, 20-, and 25-MHz transducer devices were increased by 8.1%, 6.0%, and 9.8%, respectively, with the help of the designed bandwidth expander circuit. Therefore, the designed architecture could help an ultrasound system hardware with a wider bandwidth, thus supporting the use of different frequency ultrasound transducer devices with a single developed ultrasound system.

Development of a low-cost six-axis alignment instrument for flexible 2D and 3D ultrasonic probes

BACKGROUND:

The pulse-echo test is used to evaluate the performance of ultrasonic probes before manufacturing ultrasonic systems. However, commercial alignment instruments are very large and use complex programs with long operation times.

OBJECTIVE:

To develop a low-cost alignment instrument used in the pulse-echo test for evaluating the performance of various 2D and 3D ultrasonic probes.

METHODS:

The developed alignment instrument can be aligned with the X, Y, Z, azimuth, elevation, and tilt axes with manual structure to support mounting fixtures that hold 2D and 3D ultrasonic probes. Each axis has a manual lever and is designed to have no movement when fixed. In particular, tilt and azimuth directions are designed to move more than 5∘ left and right.

RESULTS:

The probe mounted in the X, Y, and Z axes can move at above 50 mm. The probe mounted in the azimuth, elevation, and tilt axes can move more than 5∘ in the left and right directions. The pulse-echo test using commercial ultrasonic probes showed maximum error rate of less than 5%.

CONCLUSIONS:

Our developed alignment instrument can reduce costs by eliminating the need for shortening inspection times for probe manufacturers.

Inter-Stage Output Voltage Amplitude Improvement Circuit Integrated with Class-B Transmit Voltage Amplifier for Mobile Ultrasound Machines

Piezoelectric transducers are triggered by the output voltage signal of a transmit voltage amplifier (TVA). In mobile ultrasound instruments, the sensitivity of piezoelectric transducers is a critical parameter under limited power supply from portable batteries. Therefore, the enhancement of the output voltage amplitude of the amplifier under limited power supply could increase the sensitivity of the piezoelectric transducer. Several-stage TVAs are used to increase the voltage amplitude. However, inter-stage design issues between each TVA block may reduce the voltage amplitude and bandwidth because the electronic components of the amplifier are nonlinearly operated at the desired frequency ranges. To compensate for this effect, we propose a novel inter-stage output voltage amplitude improvement (OVAI) circuit integrated with a class-B TVA circuit. We performed fundamental A-mode pulse-echo tests using a 15-MHz immersion-type piezoelectric transducer to verify the design. The echo amplitude and bandwidth when using an inter-stage OVAI circuit integrated with a class-B TVA circuit (696 mV_PP and 29.91%, respectively) were higher than those obtained when using only the class-B TVA circuit (576 mV_PP and 24.21%, respectively). Therefore, the proposed OVAI circuit could be beneficial for increasing the output amplitude of the class-B TVA circuit for mobile ultrasound machines.

Post-Voltage-Boost Circuit-Supported Single-Ended Class-B Amplifier for Piezoelectric Transducer Applications

Piezoelectric transducers are important devices that are triggered by amplifier circuits in mobile ultrasound systems. Therefore, amplifier performance is vital because it determines the acoustic piezoelectric transducer performances. Particularly, mobile ultrasound applications have strict battery performance and current consumption requirements; hence, amplifier devices should exhibit good efficiency because the direct current (DC) voltage in the battery are provided to the supply voltages of the amplifier, thus limiting the maximum DC drain voltages of the main transistors in the amplifier. The maximum DC drain voltages are related with maximum output power if the choke inductor in the amplifier is used. Therefore, a need to improve the amplifier performance of piezoelectric transducers exists for mobile ultrasound applications. In this study, a post-voltage-boost circuit-supported class-B amplifier used for mobile ultrasound applications was developed to increase the acoustic performance of piezoelectric transducers. The measured voltage of the post-voltage-boost circuit-supported class-B amplifier (62 V_P-P) is higher than that of only a class-B amplifier (50 V_P-P) at 15 MHz and 100 mV_P-P input. By performing the pulse-echo measurement test, the echo signal with the post-voltage-boost circuit-supported class-B amplifier (10.39 mV_P-P) was also noted to be higher than that with only a class-B amplifier (6.15 mV_P-P). Therefore, this designed post-voltage-boost circuit can help improve the acoustic amplitude of piezoelectric transducers used for mobile ultrasound applications.

Wireless Ultrasound Surgical System with Enhanced Power and Amplitude Performances

A wireless ultrasound surgical system (WUSS) with battery modules requires efficient power consumption with appropriate cutting effects during surgical operations. Effective cutting performances of the ultrasound transducer (UT) should be produced for ultrasound surgical knives for effective hemostasis performance and efficient dissection time. Therefore, we implemented a custom-made UT with piezoelectric material and re-poling process, which is applied to enhance the battery power consumption and output amplitude performances of the WUSS. After the re-poling process of the UT, the quality factor increased from 1231.1 to 2418 to minimize the unwanted heat generation. To support this UT, we also developed a custom-made generator with a transformer and developed 2nd harmonic termination circuit, control microcontroller with an advanced reduced instruction set computer machine (ARM) controller, and battery management system modules to produce effective WUSS performances. The generator with a matching circuit in the WUSS showed a peak-to-peak output voltage and current amplitude of 166 V and 1.12 A, respectively, at the resonant frequency. The performance with non-contact optical vibrators was also measured. In the experimental data, the developed WUSS reduced power consumption by 3.6% and increased the amplitude by 20% compared to those of the commercial WUSS. Therefore, the improved WUSS performances could be beneficial for hemostatic performance and dissection time during surgical operation because of the developed UT with a piezoelectric material and re-poling process.

Wide Bandwidth Class-S Power Amplifiers for Ultrasonic Devices

Wide bandwidth ultrasonic devices are a necessity in high-resolution ultrasonic systems. Therefore, constant output voltages need to be produced across the wide bandwidths of a power amplifier. We present the first design of a wide bandwidth class-S power amplifier for ultrasonic devices. The −6 dB bandwidth of the developed class-S power amplifier was measured at 125.07% at 20 MHz, thus, offering a wide bandwidth for ultrasonic devices. Pulse-echo measurement is a performance measurement method used to evaluate the performance of ultrasonic transducers, components, or systems. The pulse-echo signals were obtained using an ultrasonic transducer with designed power amplifiers. In the pulse-echo measurements, time and frequency analyses were conducted to evaluate the bandwidth flatness of the power amplifiers. The frequency range of the ultrasonic transducer was measured and compared when using the developed class-S and commercial class-A power amplifiers with the same output voltages. The class-S power amplifiers had a relatively flat bandwidth (109.7 mV at 17 MHz, 112.0 mV at 20 MHz, and 109.5 mV at 23 MHz). When the commercial class-A power amplifier was evaluated under the same conditions, an uneven bandwidth was recorded (110.6 mV at 17 MHz, 111.5 mV at 20 MHz, and 85.0 mV at 23 MHz). Thus, we demonstrated that the designed class-S power amplifiers could prove useful for ultrasonic devices with a wide frequency range.

A Macro Lens-Based Optical System Design for Phototherapeutic Instrumentation

Light emitting diode (LED) and ultrasound have been powerful treatment stimuli for tumor cell growth due to non-radiation effects. This research is the first preliminary study of tumor cell suppression using a macro-lens-supported 460-nm LED combined with high-frequency ultrasound. The cell density, when exposed to the LED combined with ultrasound, was gradually reduced after 30 min of induction for up to three consecutive days when 48-W DC, 20-cycle, and 50 V_p-p sinusoidal pulses were applied to the LEDs through a designed macro lens and to the ultrasound transducer, respectively. Using a developed macro lens, the non-directional light beam emitted from the LED could be localized to a certain spot, likewise with ultrasound, to avoid additional undesirable thermal effects on the small sized tumor cells. In the experimental results, compared to LED-only induction (14.49 ± 2.73%) and ultrasound-only induction (13.27 ± 2.33%), LED combined with ultrasound induction exhibited the lowest cell density (6.25 ± 1.25%). Therefore, our measurement data demonstrated that a macro-lens-supported 460-nm LED combined with an ultrasound transducer could possibly suppress early stage tumor cells effectively.

Development of a Class-C Power Amplifier with Diode Expander Architecture for Point-of-Care Ultrasound Systems

Point-of-care ultrasound systems are widely used in ambulances and emergency rooms. However, the excessive heat generated from ultrasound transmitters has an impact on the implementation of piezoelectric transducer elements and on battery consumption, thereby affecting the system’s sensitivity and resolution. Non-linear power amplifiers, such as class-C amplifiers, could substitute linear power amplifiers, such as class-A amplifiers, which are currently used in point-of-care ultrasound systems. However, class-C power amplifiers generate less output power, resulting in a reduction of system sensitivity. To overcome this issue, we propose a new diode expander architecture dedicated to power amplifiers to reduce the effects of sinusoidal pulses toward the power supply. Thus, the proposed architecture could increase the input pulse amplitudes applied to the main transistors in the power amplifiers, hence increasing the output voltage of such amplifiers. To verify the proposed concept, pulse-echo responses from an ultrasonic transducer were tested with the developed class-C power amplifier using a resistor divider and the designed diode expander architecture. The peak-to-peak amplitude of the echo signals of the ultrasonic transducers when using a class-C power amplifier with a diode expander architecture (2.98 V_p–p) was higher than that for the class-C power amplifier with a resistor divider architecture (2.51 V_p–p). Therefore, the proposed class-C power amplifier with diode expander architecture is a potential candidate for improving the sensitivity performance of piezoelectric transducers for point-of-care ultrasound systems.

Development of Public Key Cryptographic Algorithm Using Matrix Pattern for Tele-Ultrasound Applications

A novel public key cryptographic algorithm using a matrix pattern is developed to improve encrypting strength. Compared to the Rivest–Sharmir–Adleman (RSA) and Elliptic Curve Cryptography (ECC) algorithms, our proposed algorithm has superior encrypting strength due to several unknown quantities and one additional sub-equation during the encrypting process. Our proposed algorithm also provides a faster encoding/decoding speed when the patient’s images for tele-ultrasound applications are transmitted/received, compared to the RSA and ECC encrypting algorithms, because it encodes/decodes the plain memory block by simple addition and multiplication operations of n terms. However, the RSA and ECC algorithms encode/decode each memory block using complex mathematical exponentiation and congruence. To implement encrypting algorithms for tele-ultrasound applications, a streaming server was constructed to transmit the images to the systems using ultrasound machines. Using the obtained ultrasound images from a breast phantom, we compared our developed algorithm, utilizing a matrix pattern, with the RSA and ECC algorithms. The elapsed average time for our proposed algorithm is much faster than that for the RSA and ECC algorithms.