Ultrasonics
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In this study, the phenomenon of higher harmonic thickness resonance of a piezoelectric transducer was used to investigate potentially additional sensitivity at the third harmonic frequency for conventional medical transducers. The motivation for this research is that some applications in medical ultrasound (e.g. third harmonic transmit phasing and contrast imaging) need probes which are sensitive around both the fundamental and third harmonic frequencies, and that these higher harmonic thickness modes, although often considered as undesired, might be used beneficially. The novelty aspect in this study is the presented transmit and receive potential at both the fundamental and third harmonic of a conventional cardiac probe with modified electrical tuning. ⋯ Pulse-echo measurements showed that the two-way transfer function of a 10-MHz-tuned element resulted in 20 dB increased sensitivity around the third harmonic as compared to an untuned element. Simulated transfer functions, from both a 1D KLM and 2D finite element model of an element of the experimental array transducer, confirmed the measured sensitivity peaks at the fundamental and third harmonic. In conclusion, this study demonstrated the effect of changing the electrical tuning on a conventional array transducer which increased the sensitivity around the third harmonic resonance frequency, while maintaining good sensitivity at the fundamental frequency.
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The use of acoustic radiation forces for the manipulation and positioning of micrometer sized particles has shown to be a promising approach. Resonant excitation of a system containing a particle laden fluid filled cavity, can (depending on the mode excited) result in positioning of the particles in parallel lines (1-D) or distinct clumps in a grid formation (2-D) due to the high amplitude standing pressure fields that arise in the fluid. In a broader context, the alignment of particles using acoustic forces can be used to assist manipulation processes which utilise an external mechanical tool, for instance a microgripper. ⋯ In a volume of liquid in proximity to the interface positioning of particles by acoustic forces is therefore no longer possible. In addition, the longitudinal gradient of the field can cause a drift of particles towards the longitudinal center of the channel at some frequencies, undesirably moving them further away from the interface, and so further from the gripper. As a solution the use of microfluidic flow induced drag forces in addition to the acoustic force potential has been investigated.
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Several approaches have been described for the manipulation of particles within an ultrasonic field. Of those based on standing waves, devices in which the critical dimension of the resonant chamber is less than a wavelength are particularly well suited to microfluidic, or "lab on a chip" applications. These might include pre-processing or fractionation of samples prior to analysis, formation of monolayers for cell interaction studies, or the enhancement of biosensor detection capability. ⋯ Hence, the ability to design sub-wavelength resonators that are efficient, robust and have the appropriate acoustic energy distribution is extremely important. This paper discusses one-dimensional modelling used in the design of ultrasonic resonators for particle manipulation and gives example of their uses to predict and explain resonator behaviour. Particular difficulties in designing quarter wave systems are highlighted, and modelling is used to explain observed trends and predict performance of such resonators, including their performance with different coupling layer materials.
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In vitro and animal studies have shown that thrombolysis with intravenous tissue plasminogen activator (tPA) can be enhanced with ultrasound. Ultrasound delivers mechanical pressure waves to the clot, thus exposing more thrombus surface to circulating drug. Moreover, intravenous gaseous microspheres with ultrasound have been shown to be a potential alternative to fibrinolytic agents to recanalize discrete peripheral thrombotic arterial occlusions or acute arteriovenous graft thromboses. ⋯ Moreover, potential enhancement of intra-arterial tPA delivery is being clinically tested with 1.7-2.1 MHz pulsed wave ultrasound (EKOS catheter) in ongoing phase II-III clinical trials. Intravenous platelet-targeted microbubbles with low-frequency ultrasound are currently investigated as a rapid noninvasive technique to identify thrombosed intracranial and peripheral vessels. Multi-national dose escalation studies of microspheres and the development of an operator independent ultrasound device are underway.
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In order to guide the needle to the correct location in 3D US-guided brachytherapy, the needle is continuously tracked as it is being inserted. A pre-scan before the needle insertion and a post-scan after the needle insertion are subtracted to obtain a difference image containing the needle. The image is projected along two orthogonal directions approximately perpendicular to the needle, and the 3D needle is reconstructed from the segmented needles in the two projected images. ⋯ Experiments with agar and turkey/chicken phantoms as well as patient data demonstrated that our needle segmentation technique could segment the needle in near real-time with an accuracy of 0.6 mm in position and 1.0 degrees in orientation. The true-positive rate for seed segmentation is 100% for the agar phantom and 93% for the chicken phantom. The average distance to manual seed segmentation was 1.0mm for the agar phantom and 1.7 mm for the chicken phantom.