A history of medical and biological imaging with polyvinylidene fluoride (PVDF) transducers.

Polyvinylidene fluoride (PVDF) is a ferroelectric polymer with unique properties suitable for use in a wide range of medical and biological imaging applications. Most notable among these is its low acoustic impedance, which matches that of the body reasonably well, and its flexible mechanical properties. This paper traces the exploitation of PVDF as a transducer material from its early beginnings for thyroid and breast imaging to its current well-established applications in ultrasound biomicroscopy.

Design and fabrication of ultrafine piezoelectric composites.

Making fine scale (< 20 microm) piezoelectric composites for high frequency (> 50 MHz) ultrasound transducers remains challenging. Interdigital phase bonding (IPhB), described in this paper, presents a new technique developed to make piezoelectric composites at the ultrafine scale using a conventional dicing saw. Using the IPhB technique, a composite structure with a pitch that is less than the dicing saw blade thickness can be created.

Validation of a 40 MHz B-scan ultrasound biomicroscope for the evaluation of osteoarthritis lesions in an animal model.

Objective: To evaluate high frequency (40 MHz) B-mode ultrasound for the detection of osteoarthritis (OA) lesions of varying severity in an animal model of OA.

Design: Ultrasound biomicroscopy (UBM) was performed on the femoral articular surface of adult rabbits with unilateral transection of the anterior cruciate ligament at 4, 8 and 12 weeks post-surgery and on control rabbits. The articular cartilage was examined and graded macroscopically and histologically for OA lesions.

A new ultrasound instrument for in vivo microimaging of mice.

We report here on the design and evaluation of the first high-frequency ultrasound (US) imaging system specifically designed for microimaging of the mouse. High-frequency US or US biomicroscopy (UBM) has the advantage of low cost, rapid imaging speed, portability and high resolution. In combination with the ability to provide functional information on blood flow, UBM provides a powerful method for the investigation of development and disease models.

Applications for multifrequency ultrasound biomicroscopy in mice from implantation to adulthood.

A new multifrequency (19-55 MHz) ultrasound biomicroscope with two-dimensional imaging and integrated Doppler ultrasound was evaluated using phantoms and isoflurane-anesthetized mice. Phantoms revealed the biomicroscope's lateral resolution was between 50 and 100 microm, whereas that of a conventional 13 MHz ultrasound system was 200-500 microm. This difference was apparent in the markedly higher resolution images achieved using the biomicroscope in vivo.

Interdigital pair bonding for high frequency (20-50 MHz) ultrasonic composite transducers.

Interdigital pair bonding is a novel methodology that enables the fabrication of high frequency piezoelectric composites with high volume fractions of the ceramic phase. This enhancement in ceramic volume fraction significantly reduces the dimensional scale of the epoxy phase and increases the related effective physical parameters of the composite, such as dielectric constant and the longitudinal sound velocity, which are major concerns in the development of high frequency piezoelectric composites. In this paper, a method called interdigital pair bonding (IPB) is used to prepare 1-3 piezoelectric composite with a pitch of 40 microns, a kerf of 4 microns, and a ceramic volume fraction of 81%.

Advances in ultrasound biomicroscopy.

The visualisation of living tissues at microscopic resolution is attracting attention in several fields. In medicine, the goals are to image healthy and diseased tissue with the aim of providing information previously only available from biopsy samples. In basic biology, the goal may be to image biological models of human disease or to conduct longitudinal studies of small-animal development.

The use of high-frequency ultrasound as a method of assessing the severity of a plaque of psoriasis.

Background And Design: Ultrasound imaging, while initially developed to visualize internal organs, is now being applied to image the skin. In this preliminary study, we used a high-frequency, 40-MHz ultrasound imaging system to provide high-resolution images in psoriasis and examined the relationship between clinical and ultrasound ratings in plaque-type psoriasis. The ultrasound image of a psoriatic plaque demonstrates a superficial echogenic band (band A), followed by a nonchogenic band (band B), and a deeper echogenic band (band C).

Accommodation and iridotomy in the pigment dispersion syndrome.

Background And Objective: Iris concavity has been noted in pigment dispersion syndrome, and could have a role in producing iris-zonule contact. Iris concavity is most likely caused by a relative increase in anterior chamber pressure. The method by which this occurs remains speculative.

High frequency 40-MHz ultrasound. A possible noninvasive method for the assessment of the boundary of basal cell carcinomas.

Background: Ultrasound imaging systems operating close to 20 MHz in frequency have been used to image skin tumors. Ultrasound imaging at 20 MHz has been used to determine the boundaries of basal cell carcinomas (BCCs). An inherent shortcoming of imaging systems operating at these frequencies is their limited resolution.

Imaging of immature articular cartilage using ultrasound backscatter microscopy at 50 MHz.

A high frequency sonographic technique-ultrasound backscatter microscopy-was used to visualize the subsurface structure of immature porcine articular cartilage from the knee joint. In 20-week-old pigs, all parts that were scanned, except the weight-bearing regions of the femoral condyles, demonstrated heterogeneous ultrasound backscatter characteristics within the articular cartilage. A trilaminar pattern consisting of hypoechoic, hyperechoic, and anechoic layers ranging from superficial to deep generally was observed, except in the weight-bearing regions of the femoral condyles, where a homogeneous anechoic pattern was seen.

Does high-frequency (40-60 MHz) ultrasound imaging play a role in the clinical management of cutaneous melanoma?

The assessment of cutaneous melanoma in the clinical setting is often difficult, and important features such as depth and width remain unknown until the pathology report is received. Access to prognostic features such as vertical height before excisional biopsy would offer a basis for guidance in defining surgical margins and early planning of treatment options. Recently developed high-frequency ultrasound imaging in the 40-to 60-MHz range is a noninvasive method that provides in vivo information about cutaneous lesions.

An ultrasound biomicroscopic dark-room provocative test.

Ultrasound biomicroscopy can image the relationship of angle structures under any lighting conditions. Eight patients with narrow angles were examined in the light and in the dark. All of the eyes showed iris thickening and shortening, increased anterior convexity of the iris, and varying degrees of angle narrowing in the dark.

Ultrasound biomicroscopic imaging of the effects of YAG laser cycloablation in postmortem eyes and living patients.

Purpose: The authors performed a series of experiments designed to determine if early effects of YAG laser cycloablation could be detected by ultrasound biomicroscopy in postmortem eyes and living patients. They also designed an apparatus that allowed simultaneous ultrasound biomicroscopic imaging of YAG laser cycloablation.

Methods: Treated and untreated regions of postmortem eyes treated with YAG cycloablation were imaged and compared.

A 40-100 MHz B-scan ultrasound backscatter microscope for skin imaging.

There is a growing interest in high resolution, subsurface imaging of cutaneous tissues using higher frequency ultrasound, and several commercial systems have been developed recently which operate at 20 MHz. Some of the possible applications of higher frequency skin imaging include tumour staging, boundary definition, and studies of the response of tumours to therapy, investigations of inflammatory skin conditions such as psoriasis and eczema, and basic studies of skin aging, sun damage and the effects of irritants. Investigation of these areas is quite new, and the role of ultrasound skin imaging is continuing to evolve.

Ultrasound biomicroscopic features of pigmentary glaucoma.

We have developed a device capable of producing subsurface images in eyes at microscopic resolution. We call this method "ultrasound biomicroscopy." We examined 19 patients with pigmentary glaucoma or pigmentary dispersion syndrome using ultrasound biomicroscopy.

Ultrasound biomicroscopic analysis of haptic position in late-onset, recurrent hyphema after posterior chamber lens implantation.

Late-onset, recurrent hyphema is an uncommon complication of posterior chamber intraocular lens implantation. Pathological studies and indirect clinical evidence, including iris transillumination defects and iris tucking, have implicated haptic-iris contact. The technique of high-resolution ultrasound biomicroscopy developed in our laboratories allows imaging of intraocular lens haptics and their relationship to surrounding structures.

Ultrasound biomicroscopic assessment of the cornea following excimer laser photokeratectomy.

Excimer laser photokeratectomy is used as a refractive tool and in the treatment of superficial corneal disease. Ultrasound biomicroscopy is a new method of ultrasound imaging developed in our laboratories that allows subsurface imaging of ocular structures at microscopic resolution. We used this imaging method to examine 12 patients following excimer laser keratoablation.

Ultrasound biomicroscopy in the assessment of anterior scleral disease.

High-frequency ultrasound biomicroscopy is a new method of examining subsurface anterior segment structures of the eye at microscopic resolution. The sclera has a high internal reflectivity and can be differentiated from the cornea, and overlying and underlying tissue. Using this modality, we examined 18 patients with various manifestations of scleral disease.

An ultrasound biomicroscopic analysis of angle-closure glaucoma secondary to ciliochoroidal effusion in IgA nephropathy.

Immunoglobulin A nephropathy is a common glomerulonephritis of unknown cause. Episcleritis, scleritis, anterior uveitis, and keratoconjunctivitis sicca have been associated with this disease. We diagnosed angle-closure glaucoma secondary to ciliochoroidal effusion in a patient with IgA nephropathy confirmed by biopsy.

Determination of haptic position of transsclerally fixated posterior chamber intraocular lenses by ultrasound biomicroscopy.

Transscleral fixation of posterior chamber intraocular lenses has become an increasingly popular procedure in eyes lacking adequate posterior capsular support. The assumption is generally made that these lenses are fixated in the ciliary sulcus. To test this assumption, 17 cases with transsclerally fixated posterior chamber intraocular lenses were examined with ultrasound biomicroscopy, a new method of producing subsurface images in living eyes at microscopic resolution.

Principles and applications of ultrasound backscatter microscopy.

The development of ultrasound backscatter microscopy (UBM) is described together with initial clinical and biological applications. UBM is essentially an extension of the powerful B-mode backscatter methods developed for clinical imaging in the 3-10-MHz frequency range. The development of new high sensitivity transducers in the 40-100-MHz range now permits visualization of tissue structures with resolution approaching 20 mum and a maximum penetration of approximately 4 mm.

Use of a high frequency ultrasound microscope to image the action of 2-nitroimidazoles in multicellular spheroids.

A system was designed to allow imaging of control and drug treated multicellular spheroids with a high frequency backscatter ultrasound microscope. It allowed imaging of individual spheroids under good growth conditions. Since little data were available on cellular toxicity of ultrasound at these high frequencies (80 MHz), studies were undertaken to evaluate effects on cell survival, using a colony forming assay.