Class-DE Ultrasound Transducer Driver for HIFU Therapy

Power Amplifier Design for Ultrasound Applications

A design analysis of the power amplifiers developed for ultrasound applications was conducted because ultrasound applications require different types of power amplifiers, which are one of the most critical electronic components in ultrasound systems. To generate acoustic signals using transducers, which are among the most important mechanical devices in ultrasound systems, an appropriate output voltage, current, or power signal must be produced by a power amplifier. Therefore, an appropriate design analysis of the power amplifier must be conducted to obtain the optimal performance from a transducer. In addition, because of new ultrasound research trends, such as ultrasound systems with other imaging modalities and wireless ultrasound systems, the selection of an appropriate power amplifier could improve the performance of an ultrasound system with other imaging and therapy modalities. This paper describes the design parameters of a power amplifier, including the gain, bandwidth, harmonic distortion, and efficiency. Each power amplifier has specific applications and limitations. Therefore, this review will assist design engineers and ultrasound researchers who need to develop or use power amplifiers in ultrasound applications.

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 mV_p-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.

A Doherty Power Amplifier for Ultrasound Instrumentation

The ultrasound instrumentation uses linear power amplifiers with low power efficiency, generating unwanted heat and resulting in the deterioration of the echo signal quality of measured targets. Therefore, this study aims to develop a power amplifier scheme to increase power efficiency while maintaining appropriate echo signal quality. In communication systems, the Doherty power amplifier has shown relatively good power efficiency while producing high signal distortion. The same design scheme cannot be directly applied to ultrasound instrumentation. Therefore, the Doherty power amplifier needs to be re-designed. To verify the feasibility of the instrumentation, a Doherty power amplifier was designed to obtain high power efficiency. The measured gain, output 1-dB compression point, and power-added efficiency of the designed Doherty power amplifier were 33.71 dB, 35.71 dB_m, and 57.24% at 25 MHz, respectively. In addition, the performance of the developed amplifier was measured and tested using the ultrasound transducer through the pulse-echo responses. The output power with 25 MHz, 5-cycle, and 43.06 dB_m generated from the Doherty power amplifier was sent through the expander to the focused ultrasound transducer with 25 MHz and 0.5″ diameter. The detected signal was sent via a limiter. Afterwards, the signal was amplified by a 36.8 dB gain preamplifier, and then displayed in the oscilloscope. The measured peak-to-peak amplitude in the pulse-echo response with an ultrasound transducer was 0.9698 V. The data showed a comparable echo signal amplitude. Therefore, the designed Doherty power amplifier can improve the power efficiency used for medical ultrasound instrumentation.

An automated system for nucleic acid extraction from formalin-fixed paraffin-embedded samples using high intensity focused ultrasound technology

Formalin-fixed paraffin-embedded (FFPE) tissue samples are routinely used in prospective and retrospective studies. It is crucial to obtain high-quality nucleic acid (NA) from FFPE samples for downstream molecular analysis, such as quantitative polymerase chain reaction (PCR), Sanger sequencing, next-generation sequencing, and microarray, in both clinical diagnosis and basic research. The current NA extraction methods from FFPE samples using chemical solvent are tedious, environmentally unfriendly, and unamenable to automation or field deployment. We present a tool for NA extraction from FFPE samples using a high-intensity focused ultrasound (HIFU) technology. A cartridge strip containing reagents for FFPE sample deparaffinization and NA extraction and purification is operated by an automation tool consisting of a HIFU module, a liquid handling robot unit, and accessories including a thermal block and magnets. The HIFU module is a single concaved piezoelectric ceramic plate driven by a current-mode class-D power amplifier. Based on the ultrasonic cavitation effects, the HIFU module provides highly concentrated energy introducing paraffin emulsification and disintegration. The high quantity and quality of NA extracted using the reported system are evaluated by PCR and compared with the quantity and quality of NA extracted using the current standard methods.

High-Power Gallium Nitride HIFU Transmitter With Integrated Real-Time Current and Voltage Measurement

High-Intensity Focused Ultrasound (HIFU) therapy provides a non-invasive technique with which to destroy cancerous tissue without using ionizing radiation. To drive large single-element High-Intensity Focused Ultrasound (HIFU) transducers, ultrasound transmitters capable of delivering high powers at relevant frequencies are required. The acoustic power delivered to a transducers focal region will determine the treated area, and due to safety concerns and intervening layers of attenuation, control of this output power is critical. A typical setup involves large inefficient linear power amplifiers to drive the transducer. Switched mode transmitters allow for a more compact drive system with higher efficiencies, with multi-level transmitters allowing control over the output power. Real-time monitoring of power delivered can avoid damage to the transducer and injury to patients due to over treatment, and allow for precise control over the output power. This study demonstrates a transformer-less, high power, switched mode transmit transmitter based on Gallium-Nitride (GaN) transistors that is capable of delivering peak powers up to 1.8 kW at up to 600 Vpp, while operating at frequencies from DC to 5 MHz. The design includes a 12 b 16 MHz floating Current/Voltage (IV) measurement circuit to allow real-time high-side monitoring of the power delivered to the transducer allowing use with multi-element transducers.

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.

A Class-J Power Amplifier Implementation for Ultrasound Device Applications

In ultrasonic systems, power amplifiers are one of the most important electronic components used to supply output voltages to ultrasonic devices. If ultrasonic devices have low sensitivity and limited maximum allowable voltages, it can be quite challenging to detect the echo signal in the ultrasonic system itself. Therefore, the class-J power amplifier, which can generate high output power with high efficiency, is proposed for such ultrasonic device applications. The class-J power amplifier developed has a power efficiency of 63.91% and a gain of 28.16 dB at 25 MHz and 13.52 dB_m input. The pulse-echo measurement method was used to verify the performance of the electronic components used in the ultrasonic system. The echo signal appearing with the discharged high voltage signal was measured. The amplitude of the first echo signal in the measured echo signal spectrum was 4.4 V and the total-harmonic-distortion (THD), including the fundamental signal and the second harmonic, was 22.35%. The amplitude of the second echo signal was 1.08 V, and the THD, including the fundamental signal and the second harmonic, was 12.45%. These results confirm that a class-J power amplifier can supply a very high output echo signal to an ultrasonic device.

HIFU Power Monitoring Using Combined Instantaneous Current and Voltage Measurement

During high-intensity focused ultrasound (HIFU) therapy, it is important that the electrical power delivered to the transducer is monitored to avoid underexposure or overexposure, ensure patient safety, and to protect the transducer itself. Due to ease of measurement, the transducer's potential difference may be as an indicator of power delivery. However, even when a transducer's complex impedance is well characterized at small amplitudes and matching networks are used, voltage-only (VO) monitoring cannot account for the presence of drive waveform distortion, changes to the acoustic path, or damage to the transducer. In this study, combined current and voltage (CCV) is proposed as a magnetic resonance imaging (MRI)-compatible, miniature alternative to bidirectional power couplers, which is compatible with switched amplifiers. For CCV power measurement, current probe data were multiplied by the voltage waveform and integrated in the frequency domain. Transducer efficiency was taken into account to predict acoustic power. The technique was validated with a radiation force balance (RFB). When using a typical HIFU transducer and amplifier, VO predictions and acoustic power had a maximum difference of 20%. However, under the same conditions, CCV only had a maximum difference of 5%. The technique was applied to several lesioning experiments and it was shown that when VO was used as a control between two amplifiers, there was up to a 38% difference in lesion area. This greatly reduced to a maximum of 5% once CCV was used instead. These results demonstrate that CCV can accurately predict real-time electrical power delivery, leading to safer HIFU treatments.

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.

Stacked Transistor Bias Circuit of Class-B Amplifier for Portable Ultrasound Systems

The performance of portable ultrasound systems is affected by the excessive heat generated by amplifiers, thereby reducing the sensitivity and resolution of the transducer devices used in ultrasound systems. Therefore, the amplifier needs to generate low amounts of heat to stabilize portable ultrasound systems. To properly control the amplifier, the related bias circuit must provide proper DC bias voltages for long time periods in ultrasound systems. To this end, a stacked transistor bias circuit was proposed to achieve a relatively constant amplifier performance irrespective of temperature variance without any cooling systems as the portable ultrasound system structure is limited. To prove the proposed concept, the performance of the gain and DC current consumption at different experimental times was measured and compared to a developed class-B amplifier with different bias circuits. The amplifier with the stacked transistor bias circuit outperformed with regard to the gain and DC current variance versus time (−0.72 dB and 0.065 A, respectively) compared to the amplifier with a typical resistor divider bias circuit (−5.27 dB and 0.237 A, respectively) after a certain time (5 min). Consequently, the proposed stacked transistor bias circuit is a useful electronic device for portable ultrasound systems with limited structure sizes because of its relatively low gain and DC current variance with respect to time.

Quasi Class-DE Driving of HIFU Transducer Arrays

Recently, a method was proposed to determine the parameters for each Class DE driver in high-intensity focused ultrasound arrays for efficient operation and to compensate for variations in the impedance of each array element. This work extends that method to consider the effect of switch resistance and to provide limited control on the power delivered to the transducers with a constant supply voltage while keeping a good efficiency. The method is experimentally validated using an integrated driver developed by the authors. This paper also shows that the frequency range for efficient electrical operation is close to the frequency where the transducer array presents a peak in the conversion efficiency.

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

Portable ultrasound systems typically suffer from unwanted heat and limited battery life, resulting in reduced system performance or the applicable number of piezoelectric transducer elements. This can be a bottleneck in widely used portable ultrasound systems. Class-A power amplifiers are typically used in portable ultrasound systems. However, unwanted heat dissipation needs to be reduced by using large cooling fans and heat pipe structures. To reduce unwanted heat, class-B power amplifiers may be a possible solution. However, the non-linearity of class-B power amplifiers could limit their integration with piezoelectric transducers because non-linearity in the high-voltage output of the power amplifiers deteriorates the sensitivity of portable ultrasound systems. To improve the linearity of the power amplifier, we developed prelinearized class-B power amplifiers for piezoelectric transducers and portable ultrasound systems. To verify our proposed method, we compared the performances of class-B and prelinearized class-B power amplifiers in their pulse-echo responses. Therefore, prelinearized class-B power amplifiers are a possible solution to produce better echo signal performance in piezoelectric transducers and portable ultrasound systems.

HIFU Drive System Miniaturization Using Harmonic Reduced Pulsewidth Modulation

Switched excitation has the potential to improve on the cost, efficiency, and size of the linear amplifier circuitry currently used in high-intensity focused ultrasound (HIFU) systems. Existing switching schemes are impaired by high harmonic distortion or lack array apodisation capability, so require adjustable supplies and/or large power filters to be useful. A multilevel pulsewidth modulation (PWM) topology could address both of these issues but the switching-speed limitations of transistors mean that there are a limited number of pulses available in each waveform cycle. In this study, harmonic reduction PWM (HRPWM) is proposed as an algorithmic solution to the design of switched waveforms. Its appropriateness for HIFU was assessed by design of a high power five-level unfiltered amplifier and subsequent thermal-only lesioning of ex vivo chicken breast. Three switched waveforms of different electrical powers (16, 26, 35 W) were generated using the HRPWM algorithm. Lesion sizes were measured and compared with those made at the same electrical power using a linear amplifier and bi-level excitation. HRPWM produced symmetric, thermal-only lesions that were the same size as their linear amplifier equivalents ( ). At 16 W, bi-level excitation produced smaller lesions but at higher power levels large transients in the acoustic waveform nucleated undesired cavitation. These results demonstrate that HRPWM can minimize HIFU drive circuity size without the need for filters to remove harmonics or adjustable power supplies to achieve array apodisation.