1. Ultrasound-on-chip platform for medical imaging, analysis, and collective intelligence
- Author
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Jonathan M. Rothberg, Susan A. Alie, Tyler S. Ralston, Mcmahill Daniel Rea, Karl Thiele, Jaime S. Zahorian, Rob Schneider, Christophe Meyer, David Grosjean, Gregory Corteville, Jungwook Yang, Nevada J. Sanchez, J. R. Petrus, Chao Chen, Liewei Bao, Sebastian Schaetz, Abraham R. Neben, Bob Ryan, Lawrence W. Miller, Joe Lutsky, Kailiang Chen, John D. Martin, Matthew R. Hageman, Fife Keith G, and Alex Rothberg
- Subjects
Medical Sciences ,Computer science ,ComputingMethodologies_IMAGEPROCESSINGANDCOMPUTERVISION ,global health ,02 engineering and technology ,semiconductors ,Engineering ,Imaging, Three-Dimensional ,Artificial Intelligence ,0202 electrical engineering, electronic engineering, information engineering ,Medical imaging ,Electronics ,Ultrasonography ,Microelectromechanical systems ,Digital electronics ,Multidisciplinary ,business.industry ,ultrasound ,Amplifier ,020208 electrical & electronic engineering ,Acoustics ,Converters ,Biological Sciences ,Micro-Electrical-Mechanical Systems ,021001 nanoscience & nanotechnology ,Transducer ,machine learning ,Organ Specificity ,cardiology ,Physical Sciences ,Ultrasonic sensor ,0210 nano-technology ,business ,Computer hardware - Abstract
Significance Affordable hand-held ultrasound is transforming health care as a diagnostic tool with the potential to be as ubiquitous as the stethoscope. Here, we present a platform for advancing diagnostic care consisting of an ultrasound-on-chip probe, leveraging state-of-the-art silicon-based semiconductor foundries, paired with a mobile device and artificial-intelligence–guided image interpretation and cloud interconnectivity. Demonstrations across key organs and modes illustrate the imaging capabilities. Presentations of automated guidance for untrained ultrasound users show the potential for further broadening accessibility and utility., Over the past half-century, ultrasound imaging has become a key technology for assessing an ever-widening range of medical conditions at all stages of life. Despite ultrasound’s proven value, expensive systems that require domain expertise in image acquisition and interpretation have limited its broad adoption. The proliferation of portable and low-cost ultrasound imaging can improve global health and also enable broad clinical and academic studies with great impact on the fields of medicine. Here, we describe the design of a complete ultrasound-on-chip, the first to be cleared by the Food and Drug Administration for 13 indications, comprising a two-dimensional array of silicon-based microelectromechanical systems (MEMS) ultrasonic sensors directly integrated into complementary metal–oxide–semiconductor-based control and processing electronics to enable an inexpensive whole-body imaging probe. The fabrication and design of the transducer array with on-chip analog and digital circuits, having an operating power consumption of 3 W or less, are described, in which approximately 9,000 seven-level feedback-based pulsers are individually addressable to each MEMS element and more than 11,000 amplifiers, more than 1,100 analog-to-digital converters, and more than 1 trillion operations per second are implemented. We quantify the measured performance and the ability to image areas of the body that traditionally takes three separate probes. Additionally, two applications of this platform are described—augmented reality assistance that guides the user in the acquisition of diagnostic-quality images of the heart and algorithms that automate the measurement of cardiac ejection fraction, an indicator of heart health.
- Published
- 2021