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Imaging technologies that simultaneously provide anatomical, functional, and molecular information are emerging as an attractive choice for disease screening and management. Since the 1980s, transrectal ultrasound (TRUS) has been routinely used to visualize prostatic anatomy and guide needle biopsy, despite limited specificity. Photoacoustic imaging (PAI) provides functional and molecular information at ultrasonic resolution based on optical absorption. Combining the strengths of TRUS and PAI approaches, we report the development and bench-to-bedside translation of an integrated TRUS and photoacoustic (TRUSPA) device. TRUSPA uses a miniaturized capacitive micromachined ultrasonic transducer array for simultaneous imaging of anatomical and molecular optical contrasts [intrinsic: hemoglobin; extrinsic: intravenous indocyanine green (ICG)] of the human prostate. Hemoglobin absorption mapped vascularity of the prostate and surroundings, whereas ICG absorption enhanced the intraprostatic photoacoustic contrast. Future work using the TRUSPA device for biomarker-specific molecular imaging may enable a fundamentally new approach to prostate cancer diagnosis, prognostication, and therapeutic monitoring.

Ultrasound induced microbubble cavitation can cause enhanced permeability across natural barriers of tumors such as vessel walls or cellular membranes, allowing for enhanced therapeutic delivery into the target tissues. While enhanced delivery of small (100 nm) therapeutic carriers into cancer remains unclear and may require a higher pressure for sufficient delivery. Enhanced delivery of larger therapeutic carriers such as FDA approved pegylated poly(lactic-co-glycolic acid) nanoparticles (PLGA-PEG-NP) has significant clinical value because these nanoparticles have been shown to protect encapsulated drugs from degradation in the blood circulation and allow for slow and prolonged release of encapsulated drugs at the target location. In this study, various acoustic parameters were investigated to facilitate the successful delivery of two nanocarriers, a fluorescent semiconducting polymer model drug nanoparticle as well as PLGA-PEG-NP into human colon cancer xenografts in mice. We first measured the cavitation dose produced by various acoustic parameters (pressure, pulse length, and pulse repetition frequency) and microbubble concentration in a tissue mimicking phantom. Next, in vivo studies were performed to evaluate the penetration depth of nanocarriers using various acoustic pressures, ranging between 1.7 and 6.9 MPa. Finally, a therapeutic microRNA, miR-122, was loaded into PLGA-PEG-NP and the amount of delivered miR-122 was assessed using quantitative RT-PCR. Our results show that acoustic pressures had the strongest effect on cavitation. An increase of the pressure from 0.8 to 6.9 MPa resulted in a nearly 50-fold increase in cavitation in phantom experiments. In vivo, as the pressures increased from 1.7 to 6.9 MPa, the amount of nanoparticles deposited in cancer xenografts was increased from 4- to 14-fold, and the median penetration depth of extravasated nanoparticles was increased from 1.3-fold to 3-fold, compared to control conditions without ultrasound, as examined on 3D confocal microscopy. When delivering miR-122 loaded PLGA-PEG-NP using optimal acoustic settings with minimum tissue damage, miR-122 delivery into tumors with ultrasound and microbubbles was 7.9-fold higher compared to treatment without ultrasound. This study demonstrates that ultrasound induced microbubble cavitation can be a useful tool for delivery of therapeutic miR loaded nanocarriers into cancer in vivo.

Image-guided high intensity focused ultrasound (HIFU) is widely used not only for non-invasive therapy but also as a precise approach for cardiac tissue ablation. However, most HIFU systems use piezoelectric transducers, which are typically bulky due to active cooling, and separate imaging and HIFU transducers, and therefore impractical for catheter-based applications. Taking advantage of a single 2-D capacitive micromachined ultrasonic transducer (CMUT) array, we developed a percutaneous cardiac catheter that can switch between ultrasound imaging mode and HIFU ablation mode.

We developed a fully-populated 2-D capacitive micromachined ultrasonic transducer (CMUT) array for high intensity focused ultrasound (HIFU) treatment. The 2-D CMUT array, which consists of 20 × 20 square CMUT elements with an element-to-element pitch of 1 mm, was designed and fabricated using the thick-buried-oxide (BOX) fabrication process. It was then assembled on a custom interface board that can provide various array configurations depending on the desired applications. In this study, the interface board groups the CMUT array elements into eight channels, based on the phase delay from the element to the targeted focal point at a 20-mm distance from the array surface, which corresponds to an F-number of 1. An 8-channel phase generating system supplies continuous waves with eight different phases to the eight channels of the CMUT array through bias-tees and amplifiers. This array aperture, grouped into eight channels, gives a focusing gain of 6.09 according to field simulation using Field II. Assuming a...

High-intensity focused ultrasound (HIFU) has been used as noninvasive treatment for various diseases. For these therapeutic applications, capacitive micromachined ultrasonic transducers (CMUTs) have advantages that make them potentially preferred transducers over traditional piezoelectric transducers. In this paper, we present the design and the fabrication process of an $8 \times 8$ -mm $^{2}~32 \times 32$ -element 2-D CMUT array for HIFU applications. To reduce the system complexity for addressing the 1024 transducer elements, we propose to group the CMUT array elements into eight HIFU channels based on the phase delay from the CMUT element to the targeted focal point. Designed to focus at an 8-mm depth with a 5-MHz exciting frequency, this grouping scheme was realized using a custom application-specific integrated circuit. With a 40-V dc bias and a 60-V peak-to-peak ac excitation, the surface pressure was measured 1.2 MPa peak-to-peak and stayed stable for a long enough time to create a lesion. With this dc and ac voltage combination, the measured peak-to-peak output pressure at the focus was 8.5 MPa, which is expected to generate a lesion in a minute according to the temperature simulation. The following ex vivo tissue experiments successfully demonstrated its capability to make lesions in both bovine muscle and liver tissue.

Real-time volumetric ultrasound imaging systems require transmit and receive circuitry to generate ultrasound beams and process received echo signals. The complexity of building such a system is high due to requirement of the front-end electronics needing to be very close to the transducer. A large number of elements also need to be interfaced to the back-end system and image processing of a large dataset could affect the imaging volume rate. In this work, we present a 3-D imaging system using capacitive micromachined ultrasonic transducer (CMUT) technology that addresses many of the challenges in building such a system. We demonstrate two approaches in integrating the transducer and the front-end electronics. The transducer is a 5-MHz CMUT array with an 8 mm × 8 mm aperture size. The aperture consists of 1024 elements (32 × 32) with an element pitch of 250 μm. An integrated circuit (IC) consists of a transmit beamformer and receive circuitry to improve the noise performance of the overall system. The assembly was interfaced with an FPGA and a back-end system (comprising of a data acquisition system and PC). The FPGA provided the digital I/O signals for the IC and the back-end system was used to process the received RF echo data (from the IC) and reconstruct the volume image using a phased array imaging approach. Imaging experiments were performed using wire and spring targets, a ventricle model and a human prostrate. Real-time volumetric images were captured at 5 volumes per second and are presented in this paper.

Synthetic phased array (SPA) beamforming with Hadamard coding and aperture weighting is an optimal option for real-time volumetric imaging with a ring array, a particularly attractive geometry in intracardiac and intravascular applications. However, the imaging frame rate of this method is limited by the immense computational load required in synthetic beamforming. For fast imaging with a ring array, we developed graphics processing unit (GPU)-based, real-time image reconstruction software that exploits massive data-level parallelism in beamforming operations. The GPU-based software reconstructs and displays three cross-sectional images at 45 frames per second (fps). This frame rate is 4.5 times higher than that for our previously-developed multi-core CPU-based software. In an alternative imaging mode, it shows one B-mode image rotating about the axis and its maximum intensity projection, processed at a rate of 104 fps . This paper describes the image reconstruction procedure on the GPU platform and presents the experimental images obtained using this software.

Ultrasound has become more prevalent as a medical tool for real-time volumetric imaging. Sparse 2D CMUT ring arrays generate high resolution volumetric images with fewer elements than a fully populated 2D array, allow for integration with electronics in an endoscope form factor, and provide a central lumen for simultaneous use of additional diagnostic and therapeutic tools, such as HIFU or photoacoustic fibers, without increasing the overall package size. We have previously fabricated QuadRing capacitive micromachined ultrasound transducers (CMUTs). Each of the four independent, concentric rings in the array contains 128 elements and operates at a different center frequency. In this work, we use one of the four concentric rings at 4MHz for a fully integrated endoscope assembly. Custom charge-amplifier ASICs were used in these assemblies rather than transimpedance amplifiers, reducing the noise figure of the system. The CMUT arrays are flip chip bonded to a custom 8-leg flexible PCB (flex) that provides electrical connections between the CMUT array, ASICs, and Verasonics imaging system. The flip chip bonded assembly is integrated with a custom 3D printed tip that encases and mechanically supports the assembly, and provides a convenient built-in reference for the passivation layer. Additionally, one flex version flips the CMUT bias, grounding the top electrode without additional circuitry by level-shifting the IC supplies. This feature is particularly desirable for clinical applications, as it shields the patient from the CMUT bias voltage. This new 128-element forward-facing CMUT endoscope has been used for real-time 3D imaging on the bench and expands the toolkit beyond previous work in several ways: high quality images are obtained using a relatively sparse array; new ASICs have shown improvements in SNR; and the array size has enabled use of new 3D-printed, highly customizable assembly tools. We have validated operation with a grounded CMUT top electrode, a critical step towards clinical use. Furthermore, a large lumen increases the breadth of tools that can be used in conjunction with the imaging array.

We are developing a capsule ultrasound (CUS) device - a pill with the capability to scan the gastrointestinal (GI) tract through ultrasound. In this paper, we discuss the design and fabrication of the main components of the CUS device including the CMUT array, front-end electronics, and the wireless transmitter. We demonstrate a successfully fabricated 128-element CMUT array with polydimethylsiloxane (PDMS)-filled trenches and show their input impedance in air. The front-end electronics, measuring 6 mm by 6 mm and the high-data rate wireless transmitter, measuring 1 mm by 1.76 mm, have been fabricated. Our preliminary power analysis indicates that our total power consumption is less than 20 mW for the CUS device. Our future work involves integrating these core components for imaging experiments.

Treatment options for patients with hepatocellular carcinoma (HCC) are limited, in particular in advanced and drug resistant HCC. MicroRNAs (miRNA) are non-coding small RNAs that are emerging as novel drugs for the treatment of cancer. The aim of this study was to assess treatment effects of two complementary miRNAs (sense miRNA-122, and antisense antimiR-21) encapsulated in biodegradable poly (lactic-co-glycolic acid) nanoparticles (PLGA-NP), administered by an ultrasound-guided and microbubble-enhanced delivery approach in doxorubicin-resistant and non-resistant human HCC xenografts. Proliferation and invasiveness of human HCC cells after miRNA-122/antimiR-21 and doxorubicin treatment were assessed in vitro. Confocal microscopy and qRT-PCR were used to visualize and quantitate successful intracellular miRNA-loaded PLGA-NP delivery. Up and down-regulation of miRNA downstream targets and multidrug resistance proteins and extent of apoptosis were assessed in vivo in treated human HCC xenografts in mice. Compared to single miRNA therapy, combination therapy with the two complementary miRNAs resulted in significantly (P < 0.05) stronger decrease in cell proliferation, invasion, and migration of HCC cells as well as higher resensitization to doxorubicin. Ultrasound-guided delivery significantly increased in vivo miRNA-loaded PLGA-NP delivery in human HCC xenografts compared to control conditions by 5–9 fold (P < 0.001). miRNA-loaded PLGA-NP were internalized in HCC cells and anti-apoptotic proteins were down regulated with apoptosis in ~27% of the tumor volume of doxorubicin-resistant human HCC after a single treatment with complementary miRNAs and doxorubicin. Thus, ultrasound-guided delivery of complementary miRNAs is highly efficient in the treatment of doxorubicin- resistant and non-resistant HCC. Further development of this new treatment approach could aid in better treatment of patients with HCC.

We are developing a capsule ultrasound (CUS) device to serve as a wireless, portable, and ultrasonic pill for investigating the multiple layers of the complete gastrointestinal (GI) tract, in particular, the small intestine. This capsule will acquire ultrasound images with 360 degrees field-of-view (FOV) and a penetration depth of 5 cm using a 128-element and cylindrically-shaped capacitive micromachined ultrasonic transducer (CMUT) array, wrapped around the center of its body. Simulation results indicate that linear array imaging with a fixed focus of F#4 and 16 active elements produces valuable images. We have designed a CMUT for this application and the fabrication process to create cylindrical CMUT arrays has been established. We report our fabrication progress and show test devices that we successfully made and bent around a glass tube. In addition, the design of the application-specific integrated circuit (ASIC) and the wireless transmitter, responsible for the acquisition and wireless transmission of ultrasonic data respectively, is described.

Successful high intensity focused ultrasound (HIFU) operation requires a reliable guidance and monitoring method such as magnetic resonance imaging (MRI) or ultrasound imaging. However, both widely used modalities are typically separate from the HIFU system, which makes co-registration of HIFU with cross-sectional imaging difficult. In this paper, we present a dual-mode integrated circuit (IC) that can perform both ultrasound imaging and HIFU with a single 2D capacitive micromachined ultrasonic transducer (CMUT) array, combining these two systems for ease of use. The dual-mode IC consists of pulsers, transmit beamforming circuitry, and low-noise amplifiers for imaging mode and switches for HIFU mode. By turning this switching network on and off, the system can alternately operate the imaging mode and HIFU mode on demand. The dual-mode IC was designed and fabricated in the 0.18-µm HV 4LM process provided by Maxim Inc. We fabricated a 32×32-element CMUT array that has a center frequency of 5 MHz using a sacrificial release process and flip-chip bonded this CMUT array to the IC. With the back-end system, real-time volumetric imaging on the wire phantom and HIFU ablation on ex-vivo tissue were performed respectively.

Ultrasound is increasingly in demand as a medical imaging tool and can be particularly beneficial in the field of intracardiac echocardiography (ICE). However, many challenges remain in the development of a 3D ultrasound imaging system. We have designed and fabricated a quad-ring capacitive micromachined ultrasound transducer (CMUT) for real-time, volumetric medical imaging. Each CMUT array is composed of four concentric, independent ring arrays, each operating at a different frequency, with 128 elements per ring. In this project, one ring will be used for imaging. A large (5mm diameter) lumen is available for delivering other devices, including high intensity focused ultrasound transducers for therapeutic applications or optical fibers for photoacoustic imaging. We address several challenges in developing a 3D imaging system. Through wafer vias are incorporated in the fabrication process for producing 2D CMUT arrays. Device integration with electronics is achieved through solder bumping the arrays, designing a flexible PCB, and flip chip bonding CMUT and ASICs to the flexible substrate. Finally, we describe a method for integrating the flex assembly into a catheter shaft. The package, once assembled, will be used for in-vivo open chest experiments.

Contemporary sonography is performed by digitally beamforming signals sampled by several transducer elements placed upon an array. High-resolution digital beamforming introduces the demand for a sampling rate significantly higher than the signal's Nyquist rate, which greatly increases the volume of data that must be processed. In 3D ultrasound imaging, 2D transducer arrays rather than 1D arrays are used, and more scan-lines are needed for volumetric imaging. This implies that the amount of sampled data is vastly increased with respect to 2D imaging. In this work we show that a considerable reduction both in sampling rate and processing time can be achieved by applying the ideas of Xampling and frequency domain beamforming, leading to a sub-Nyquist sampling rate. We extend previous work on frequency domain beamforming for 2D ultrasound imaging to the geometry imposed by 3D tissues and a grid of transducer elements. This method uses only a portion of the bandwidth of the ultrasound signals to reconstruct the image. We demonstrate our results by imaging a phantom comprised of fishing wires, and show that by performing 3D beamforming in the frequency domain, a sub-Nyquist sampling rate and a low processing rate are obtained, while keeping adequate image quality.

Real-time 3D volumetric ultrasound imaging systems require transmit and receive circuitry to generate the ultrasound beam and process the received echo signals. Since a 2D array is required for 3D imaging, the complexity of building such a system is significantly higher, e.g., front-end electronics need to be interfaced to the transducer, a large number of elements need to be interfaced to the backend system and a large dataset needs to be processed. In this work, we present a 3D imaging system using capacitive micromachined ultrasonic transducer (CMUT) technology that addresses many of the challenges in building such a system. The transducer is a 5-MHz CMUT array with an 8 mm × 8 mm aperture size. The aperture consists of 1024 elements (32×32) with an element pitch of 250 μm. An integrated circuit (IC) is integrated very close to the CMUT array. It consists of a transmit beamformer and receive circuitry to improve the noise performance of the overall system. Simultaneous multi-beam transmit is also incorporated in the IC to improve the imaging frame rate. The CMUT is flip-chip bonded to the IC and the final assembly measured 9.2 mm × 9.2 mm. The assembly was then interfaced with an FPGA and a backend system (comprising of a data acquisition system and PC). The FPGA provided the digital I/O signals for the IC and the backend system was used to process the received RF echo data (from the IC) and reconstruct the volume image using a phased array imaging approach. Imaging experiments were performed using wire phantoms. Real-time volumetric images were captured at 5 volumes per second and are presented in this paper.

This work presents our preliminary results on developing an integrated quad-ring CMUT array for endoscopic ultrasound and photoacoustic imaging. We have designed and fabricated a ring capacitive micromachined ultrasonic transducer (CMUT) array composed of 512 elements distributed among four concentric rings each having 128 elements. The operational frequency of each ring was chosen to achieve a similar pressure beam profile for all the rings. The device's inner and outer diameters measure 5.0 and 10.1 mm, respectively. The CMUT array was integrated with custom front-end ICs using a quartz fan-out board. This bench-top assembly allowed connection to a single ring (i.e., 128 elements) at a time. Thus far, we have built assemblies with connections to the two outer rings. We have successfully demonstrated real-time volumetric imaging with these assemblies using nylon wire phantom and metal spring phantom.

We developed a GPU-based real-time imaging software suite for medical ultrasound imaging to provide a fast real-time imaging platform for various probe geometries and imaging schemes. The imaging software receives raw RF data from a data acquisition system, and processes them on GPU to reconstruct real-time images. The most general-purpose imaging program in the suite displays three cross-sectional images for arbitrary probe geometry and various imaging schemes including conventional beamforming, synthetic beamforming, and plane-wave compounding. The other imaging programs in the software suite, derived from the general-purpose imaging program, are optimized for their own purposes, such as displaying a rotating B-mode plane and its maximum intensity projection (MIP), photoacoustic imaging, and real-time volume-rendering. Real-time imaging was successfully demonstrated using each of the imaging programs in the software suite.

This work presents our preliminary results on developing a multi-modality imaging catheter enabling combined ultrasound and photoacoustic imaging. We have developed an optical fiber ring catheter for use with our previously demonstrated 9F, real-time, forward-looking intracardiac ultrasound imaging catheter. Our custom software provides realtime ultrasound and photoacoustic imaging on a PC-based imaging platform. The promising phantom and in vivo imaging results presented here demonstrate the utility of a fully integrated catheter that provides both anatomical and functional information through co-registered ultrasound and photoacoustic imaging capabilities.

A ring array provides a very suitable geometry for forward-looking volumetric intracardiac and intravascular ultrasound imaging. We fabricated an annular 64-element capacitive micromachined ultrasonic transducer (CMUT) array featuring a 10-MHz operating frequency and a 1.27-mm outer radius. A custom software suite was developed to run on a PC-based imaging system for real-time imaging using this device. This paper presents simulated and experimental imaging results for the described CMUT ring array. Three different imaging methods--flash, classic phased array (CPA), and synthetic phased array (SPA)--were used in the study. For SPA imaging, two techniques to improve the image quality--Hadamard coding and aperture weighting--were also applied. The results show that SPA with Hadamard coding and aperture weighting is a good option for ring-array imaging. Compared with CPA, it achieves better image resolution and comparable signal-to-noise ratio at a much faster image acquisition rate. Using this method, a fast frame rate of up to 463 volumes per second is achievable if limited only by the ultrasound time of flight; with the described system we reconstructed three cross-sectional images in real-time at 10 frames per second, which was limited by the computation time in synthetic beamforming.

Atrial fibrillation, the most common type of cardiac arrhythmia, now affects more than 2.2 million adults in the US alone. Currently, electrophysiological interventions are performed under fluoroscopy guidance, a procedure that introduces harmful ionizing radiation without providing adequate soft-tissue resolution. Intracardiac echocardiography (ICE) provides real-time, high-resolution anatomical information, reduces fluoroscopy time, and enhances procedural success. We have previously developed a forward-looking, volumetric ICE catheter using a ring-shaped, 64-element capacitive micromachined ultrasonic transducer (CMUT) array with a 10MHz center frequency. The Ring array was flip-chip bonded to a flexible PCB along with 8 identical custom ASICs providing a total of 64 dedicated preamplifiers. The flex was then reshaped for integration with the catheter shaft. In the second-generation catheter, 72 micro-coaxial cables (reduced from 100) are terminated on a newly designed flex to provide the connection between the array electronics and the imaging system. The reduced number of cables enhances the catheter’s steerability. Furthermore, the new flex allows grounding of the top CMUT electrode through proper level-shifting of the ASIC supplies without additional circuitry. This feature enables complete ground shielding of the catheter, which improves its noise susceptibility and is an important safety measure for its clinical use. Beyond real-time, forward-looking imaging capability, the Ring catheter provides a continuous central lumen, enabling convenient delivery of other devices such as HIFU transducers, RF ablation catheters, etc. Using a PC-based imaging platform from Verasonics and a commercial Vivid7 imaging system from GE, we have demonstrated the in vivo, volumetric, real-time imaging capability of the finalized Ring catheter in a pig heart.

We designed and implemented a flexible real-time volumetric ultrasound imaging system for capacitive micromachined ultrasonic transducer (CMUT) arrays, consisting of an ultrasound data acquisition system, an FPGA board, and a host PC. The system works with arbitrary-shaped CMUT arrays and non-standard beamforming methods, as well as with regularshaped CMUT arrays and conventional beamforming methods. In this paper, we present the system design and real-time imaging results obtained using this system with a ring array, a rectangular array, and a linear array. In synthetic phased array (SPA) imaging with a 64-element ring array, we could display 3 image planes with a total of about 70,000 pixels in real time, at a frame rate of 9 frames per second (fps) which was limited by the computational load on the CPU required for synthetic beamforming. On the other hand, the frame rate in classic phased array (CPA) imaging is limited by the data transfer time. In CPA imaging with a 16×16-element rectangular array, a frame rate of 5.4 fps was achieved for 1,250 acquisitions per frame and a 2.5-cm imaging depth. The frame rate can be increased by reducing the number of pixels processed in SPA, or by reducing the number of beams received in CPA, at the expense of degraded image quality or reduced field of view. KeywordsCMUT; Real-time imaging; Volumetric imaging; Ring array; 2-D array

In 3-D ultrasound imaging where 2-D transducer arrays with more than hundreds of elements are used, sparse arrays can be used to reduce the number of active ultrasound channels. Under a restriction of desired number of active channels, we can maximize the image quality by optimally choosing the positions of active elements. Here we use the method of simulated annealing to find the optimal configuration of a 2-D sparse array. This algorithm tries to minimize the value of an objective function defined as the energy ratio between the non-focal and focal regions in the point spread function (PSF). Optimal configurations were found for the cases of choosing 16, 20, 24, 28, and 32 transmit and receive elements from a 16×16-element rectangular transducer array. With only 32 transmit and 32 receive elements, we could achieve an energy ratio of 16%, compared to 6% of the full array, which is the gold standard utilizing all the 256 elements for both transmit and receive. Using Field II, we simulated imaging with the optimal sparse arrays, for off-axis targets as well as on-axis targets, and the resulting images were compared with those from some other configurations, such as full-transmit full-receive, full-transmit x-receive, x-transmit boundary-receive, and so on.

Atrial fibrillation, the most common type of cardiac arrhythmia, now affects more than 2.2 million adults in the US alone. Currently, electrophysiological interventions are performed under fluoroscopy guidance, which besides its harmful ionizing radiation does not provide adequate soft-tissue resolution. Intracardiac echocardiography (ICE) provides realtime anatomical information that has proven valuable in reducing the fluoroscopy time and enhancing procedural success. We developed two types of forward-looking ICE catheters using capacitive micromachined ultrasonic transducer (CMUT) technology: MicroLinear (ML) and ring catheters. The ML catheter enables real-time forward-looking 2-D imaging using a 24-element 1-D CMUT phased-array that is designed for a center frequency of 10 MHz. The ring catheter uses a 64-element ring CMUT array that is also designed for a center frequency of 10 MHz. However, this ring-shaped 2-D array enables real-time forward-looking volumetric imaging. In addition, this catheter provides a continuous central lumen that enables convenient delivery of other devices such as RF ablation catheter, EP diagnostic catheter, biopsy devices, etc. Both catheters are equipped with custom front-end IC's that are integrated with the CMUT arrays at the tip of the catheters. The integration of the IC's with the CMUT arrays was accomplished using custom flexible PCB's. We also developed several image reconstruction schemes for the ring catheter on a PC-based imaging platform from VeraSonics. We performed a variety of bench-top characterizations to validate the functionality and performance of our fully integrated CMUT arrays. Using both catheters, we demonstrated in vivo images of the heart in a porcine animal model. We have successfully prototyped the first CMUT-based ICE catheters and proven the capabilities of the CMUT technology for implementing high-frequency miniature transducer arrays with integrated electronics.

Capacitive micromachined ultrasonic transducer (CMUT) arrays are conveniently integrated with frontend integrated circuits either monolithically or in a hybrid multichip form. This integration helps with reducing the number of active data processing channels for 2D arrays. This approach also preserves the signal integrity for arrays with small elements. Therefore CMUT arrays integrated with electronic circuits are most suitable to implement miniaturized probes required for many intravascular, intracardiac, and endoscopic applications. This paper presents examples of miniaturized CMUT probes utilizing 1D, 2D, and ring arrays with integrated electronics.

Atrial fibrillation is the most common type of cardiac arrhythmia that now affects over 2.2 million adults in the United States alone. Currently fluoroscopy is the most common method for guiding interventional electrophysiological procedures. We are developing a 9-F forward-looking intracardiac ultrasound catheter for real-time volumetric imaging. We designed and fabricated a 64-element 10-MHz CMUT ring array with through-wafer via interconnects. We also designed custom front-end electronics to be closely integrated with the CMUT array at the tip of the catheter for improved SNR. This integrated circuit (IC) is composed of preamplifiers and protection circuitry, and can directly interface a standard imaging system. This multi-channel IC is capable of passing up to ±50-V bipolar pulses. An 8-channel front-end IC was fabricated based on this circuit topology. Additionally, a flexible PCB was designed for the integration of ring array with front-end electronics. We have acquired a PC-based real-time imaging platform and demonstrated real-time imaging with the ring array. We have also shown volume images using off-line full synthetic aperture image reconstruction method. The presented experimental results demonstrate the performance of our forward-looking volumetric intracardiac imaging approach. We are currently working on the final catheter integration and further development of our real-time imaging methods.