A Stable Phantom Material for Optical and Acoustic Imaging

Establishing tissue-mimicking biophotonic phantom materials that provide long-term stability are imperative to enable the comparison of biomedical imaging devices across vendors and institutions, support the development of internationally recognized standards, and assist the clinical translation of novel technologies. Here, a manufacturing process is presented that results in a stable, low-cost, tissue-mimicking copolymer-in-oil material for use in photoacoustic, optical, and ultrasound standardization efforts. The base material consists of mineral oil and a copolymer with defined Chemical Abstract Service (CAS) numbers. The protocol presented here yields a representative material with a speed of sound c(f) = 1,481 ± 0.4 m·s-1 at 5 MHz (corresponds to the speed of sound of water at 20 °C), acoustic attenuation α(f) = 6.1 ± 0.06 dB·cm-1 at 5 MHz, optical absorption µa(λ) = 0.05 ± 0.005 mm-1 at 800 nm, and optical scattering µs'(λ) = 1 ± 0.1 mm-1 at 800 nm. The material allows independent tuning of the acoustic and optical properties by respectively varying the polymer concentration or light scattering (titanium dioxide) and absorbing agents (oil-soluble dye). The fabrication of different phantom designs is displayed and the homogeneity of the resulting test objects is confirmed using photoacoustic imaging. Due to its facile, repeatable fabrication process and durability, as well as its biologically relevant properties, the material recipe has high promise in multimodal acoustic-optical standardization initiatives.

Hydrophone Measurements for Biomedical Ultrasound Applications: A Review

This article presents basic principles of hydrophone measurements, including mechanisms of action for various hydrophone designs, sensitivity and directivity calibration procedures, practical considerations for performing measurements, signal processing methods to correct for both frequency-dependent sensitivity and spatial averaging across the hydrophone sensitive element, uncertainty in hydrophone measurements, special considerations for high-intensity therapeutic ultrasound, and advice for choosing an appropriate hydrophone for a particular measurement task. Recommendations are made for information to be included in hydrophone measurement reporting.

Dissemination of the Acoustic Pascal: The Role and Experiences of a National Metrology Institute

Hydrophones are pivotal measurement devices ensuring medical ultrasound acoustic exposures comply with the relevant national and international safety criteria. These devices have enabled the spatial and temporal distribution of key safety parameters to be determined in an objective and standardized way. Generally based on piezoelectric principles of operation, to convert generated voltage waveforms to acoustic pressure, they require calibration in terms of receive sensitivity, expressed in units of [Formula: see text]Pa-1. Reliable hydrophone calibration with associated uncertainties plays a key role in underpinning a measurement framework that ensures exposure measurements are comparable and traceable to internationally agreed units, irrespective of where they are carried out globally. For well over three decades, the U.K. National Physical Laboratory (NPL) has provided calibrations to the user community covering the frequency range 0.1-60 MHz, traceable to a primary realization of the acoustic pascal through optical interferometry. Typical uncertainties for sensitivity are 6%-22% (for a coverage factor k = 2), degrading with frequency. The article specifically focuses on the dissemination of the acoustic pascal through NPL's calibration services that are based on a comparison with secondary standard hydrophones previously calibrated using the NPL primary standard. The work demonstrates the stability of the employed dissemination protocols by presenting representative calibration histories on a selection of commercially available hydrophones. Results reaffirm the guidance provided within international standards for regular calibration of a hydrophone in order to underpin measurement confidence. The process by which internationally agreed realizations of the acoustic pascal are compared and validated through key comparisons (KCs) is also described.

On the Importance of Consistent Insonation Conditions During Hydrophone Calibration and Use

Hydrophones are generally calibrated in acoustic fields with temporally localized (short pulse) or long duration (tone burst) signals. Free-field conditions are achieved by time gating any reflections from the hydrophone body, mounting structures, and surrounding water tank boundaries arriving at the active sensing element. Consequently, the sensitivity response of the hydrophone is a result of direct waves incident on its active element, free from any contaminating effects of reflections. However, when using tone bursts below 400 kHz to calibrate hydrophones, it may not be possible to isolate the direct wave from reflection artifacts. This means that the sensitivity responses derived at these frequencies using short pulse and tone burst signals might not be comparable as they can be characteristic of the acoustic field interaction with either/both the hydrophone active element alone or the hydrophone active element and body. Therefore, there is a need to consider an appropriate calibration method for a given hydrophone type, depending on whether the eventual application employs short pulse or tone burst acoustic fields. This article presents the findings from a short study comprising four needle-type hydrophones of active element diameters in the range of 1-4 mm. These hydrophones were calibrated from 30 kHz to 1.6 MHz using established calibration methodologies within the underwater acoustics (UWA) and ultrasound (US) areas employed at the National Physical Laboratory (NPL), Teddington, U.K. In UWA tone, burst acoustic fields are used, while in US, it is short pulses. The 2- and 4-mm-diameter needle hydrophones showed the largest variation at the overlapping frequencies, in which the maximum disagreement of UWA calibration was 30% relative to US calibration. For the 4-mm hydrophone, UWA calibration exhibited resonant sensitivity structure between 100 and 450 kHz, but which was absent in US calibration. This observed behavior was further investigated theoretically by using a validated acoustic wave solver to confirm the resonant sensitivity structure seen in the case of UWA calibration. The work contained within illustrates the need to ensure that the method of calibration is carefully considered in the context of the duration of the acoustic signals for which the hydrophone is intended.

In Vivo Measurements of the Bulk Ultrasonic Attenuation Coefficient of Breast Tissue Using a Novel Phase-Insensitive Receiver

This study describes the first in vivo acoustic attenuation measurements of breast tissue undertaken using a novel phase-insensitive detection technique employing a differential pyroelectric sensor. The operation of the sensor is thermal in nature, with its output signal being dictated by the acoustic power integrated over its surface. The particularly novel feature of the sensor lies in its differential principle of operation, which significantly enhances its immunity to background acoustic and vibration noise. A large area variant of the sensor was used to detect ultrasonic energy generated by an array of 14 discrete 3.2-MHz plane piston transducers, transmitted through pendent breasts in water. The transduction and reception capability represent key parts of a prototype Quantitative Ultrasound Computed Tomography Test Facility developed at the National Physical Laboratory to study the efficacy of phase-insensitive ultrasound computed tomography of breast phantoms containing a range of appropriate inclusions, in particular, the measurement uncertainties associated with quantitative reconstructions of the acoustic attenuation coefficient. For this study, attenuation coefficient measurements were made using 1-D projections on 12 nominally healthy study volunteers, whose age ranged from 19 to 65 years. Averaged or bulk attenuation coefficient values were generated in the range 1.7-4.6 dBcm ^-1 at 3.2 MHz and have been compared with existing literature, derived from in vivo and ex vivo studies. Results are encouraging and indicate that the relatively simple technique could be applied as a robust method for assessing the properties of breast tissue, particularly the balance of fatty (adipose) and fibroglandular components.

A standard test phantom for the performance assessment of magnetic resonance guided high intensity focused ultrasound (MRgHIFU) thermal therapy devices

Purpose: Test objects for High Intensity Focused Ultrasound (HIFU) are required for the standardization and definition of treatment, Quality Assurance (QA), comparison of results between centers and calibration of devices. This study describes a HIFU test object which provides temperature measurement as a function of time, in a reference material compatible with Magnetic Resonance (MR) and ultrasound.Materials and methods: T-Type fine wire thermocouples were used as sensors and 5 correction methods for viscous heating artifacts were assessed. The phantom was tested in a MR-HIFU Philips Sonalleve device over a period of 12 months, demonstrating stability and validity to evaluate the performance of the device.Results: The study furnished useful information regarding the MR-HIFU sessions and highlighted potential limitations of the existing QA and monitoring methods. The importance of temperature monitoring along the whole acoustic path was demonstrated as MR Thermometry readings differed in the three MR plane views (coronal, sagittal, transverse), in particular when the focus was near a soft-tissue/bone interface, where there can be an MR signal loss with significant temperature and thermal dose underestimation (138% variation between the three plane views).Conclusions: The test object was easy to use and has potential as a valid tool for training, QA, research and development for MR guided HIFU and potentially ultrasound guided devices.

A Copolymer-in-Oil Tissue-Mimicking Material With Tuneable Acoustic and Optical Characteristics for Photoacoustic Imaging Phantoms

Photoacoustic imaging (PAI) standardisation demands a stable, highly reproducible physical phantom to enable routine quality control and robust performance evaluation. To address this need, we have optimised a low-cost copolymer-in-oil tissue-mimickingmaterial formulation. The base material consists of mineral oil, copolymer and stabiliser with defined Chemical Abstract Service numbers. Speed of sound c(f) and acoustic attenuation coefficient α (f) were characterised over 2-10 MHz; optical absorption μa ( λ ) and reduced scattering μs '( λ ) coefficients over 450-900 nm. Acoustic properties were optimised by modifying base component ratios and optical properties were adjusted using additives. The temporal, thermomechanical and photo-stabilitywere studied, alongwith intra-laboratory fabrication and field-testing. c(f) could be tuned up to (1516±0.6) [Formula: see text] and α (f) to (17.4±0.3)dB · cm -1 at 5 MHz. The base material exhibited negligible μa ( λ ) and μs '( λ ), which could be independently tuned by addition of Nigrosin or TiO2 respectively. These properties were stable over almost a year and were minimally affected by recasting. The material showed high intra-laboratory reproducibility (coefficient of variation <4% for c ( f ), α ( f ), optical transmittance and reflectance), and good photo- and mechanical-stability in the relevant working range (20-40°C). The optimised copolymer-in-oil material represents an excellent candidate for widespread application in PAI phantoms, with properties suitable for broader use in biophotonics and ultrasound imaging standardisation efforts.

Measurement of the temperature-dependent output of lead zirconate titanate transducers

The effect of temperature and electrical drive conditions on the output of lead zirconate titanate (PZT) transducers is of particular interest in ultrasound metrology and medical ultrasound applications. In this work, the temperature-dependent output of two single-element PZT transducers was measured between 22 °C and 46 °C. Two independent measurement methods were used, namely radiation force balance measurements and laser vibrometry. When driven at constant voltage using a 50 Ω matched signal generator and amplifier using continuous wave (CW) or quasi-CW excitation, the output of the two transducers increased on average by 0.6 % per degree, largely due to an increase in transducer efficiency with temperature. The two measurement methods showed close agreement. Similar trends were observed when using single cycle excitation with the same signal chain. However, when driven using a pulser (which is not electrically matched), the two transducers exhibited different behaviour depending on their electrical impedance. Accounting for the temperature-dependent output of PZT transducers could have implications for many areas of ultrasound metrology, for example, in therapeutic ultrasound where a coupling fluid at an increased or decreased temperature is often used.

A Polyvinyl Alcohol-Based Thermochromic Material for Ultrasound Therapy Phantoms

Temperature estimation is a fundamental step in assessment of the efficacy of thermal therapy. A thermochromic material sensitive within the temperature range 52.5°C-75°C has been developed. The material is based on polyvinyl alcohol cryogel with the addition of a commercial thermochromic ink. It is simple to manufacture, low cost, non-toxic and versatile. The thermal response of the material was evaluated using multiple methods, including immersion in a temperature-controlled water bath, a temperature-controlled heated needle and high-intensity focused ultrasound (HIFU) sonication. Changes in colour were evaluated using both RGB (red, green, blue) maps and pixel intensities. Acoustic and thermal properties of the material were measured. Thermo-acoustic simulations were run with an open-source software, and results were compared with the HIFU experiments, showing good agreement. The material has good potential for the development of ultrasound therapy phantoms.

Tissue mimicking materials for imaging and therapy phantoms: a review

Tissue mimicking materials (TMMs), typically contained within phantoms, have been used for many decades in both imaging and therapeutic applications. This review investigates the specifications that are typically being used in development of the latest TMMs. The imaging modalities that have been investigated focus around CT, mammography, SPECT, PET, MRI and ultrasound. Therapeutic applications discussed within the review include radiotherapy, thermal therapy and surgical applications. A number of modalities were not reviewed including optical spectroscopy, optical imaging and planar x-rays. The emergence of image guided interventions and multimodality imaging have placed an increasing demand on the number of specifications on the latest TMMs. Material specification standards are available in some imaging areas such as ultrasound. It is recommended that this should be replicated for other imaging and therapeutic modalities. Materials used within phantoms have been reviewed for a series of imaging and therapeutic applications with the potential to become a testbed for cross-fertilization of materials across modalities. Deformation, texture, multimodality imaging and perfusion are common themes that are currently under development.

A Radiation Force Balance Target Material for Applications below 0.5 MHz

Acoustic output power is an important safety-related parameter whose standardised measurement method involves use of a radiation force balance in conjunction with a special target that is typically designed to be totally absorbing to ultrasound. International Standard International Electrotechnical Commission (IEC) 61161 specifies important performance criteria for such an absorber, such as transmission loss and reflection loss. Currently, there is a lack of acoustic absorbers meeting these requirements at low frequencies (<0.5 MHz). This is unsatisfactory given emerging clinical applications, particularly therapeutic. Described here is an acoustic absorber appropriate for application below 0.5 MHz. Through use of two National Physical Laboratory measurement facilities, the absorber transmission loss and reflection loss have been derived over the frequency range 50-500 kHz. Results are presented and compared with performance requirements specified in IEC 61161, revealing the efficacy of the new material as an absorbing radiation force balance target down to a frequency of approximately 120 kHz.

The Effect of Curing Temperature and Time on the Acoustic and Optical Properties of PVCP

Polyvinyl chloride plastisol (PVCP) has been increasingly used as a phantom material for photoacoustic and ultrasound imaging. As one of the most useful polymeric materials for industrial applications, its mechanical properties and behavior are well-known. Although the acoustic and optical properties of several formulations have previously been investigated, it is still unknown how these are affected by varying the fabrication method. Here, an improved and straightforward fabrication method is presented, and the effect of curing temperature and curing time on the PVCP acoustic and optical properties, as well as their stability over time, is investigated. The speed of sound and attenuation were determined over a frequency range from 2 to 15 MHz, while the optical attenuation spectra of samples were measured over a wavelength range from 500 to 2200 nm. The results indicate that the optimum properties are achieved at curing temperatures between 160 °C and 180 °C, while the required curing time decreases with increasing temperature. The properties of the fabricated phantoms were highly repeatable, meaning that the phantoms are not sensitive to the manufacturing conditions provided that the curing temperature and time are within the range of complete gelation-fusion (samples are optically clear) and below the limit of thermal degradation (indicated by the yellowish appearance of the sample). The samples' long-term stability was assessed over 16 weeks, and no significant change was observed in the measured acoustic and optical properties.

Ring Artifact Correction for Phase-Insensitive Ultrasound Computed Tomography

An algorithm was developed for the correction of ring artifacts in phase-insensitive ultrasound computed tomography attenuation images. Differences in the measurement sensitivity between the ultrasound transducer array elements cause discontinuities in the sinogram which manifest as rings and arcs in the reconstructed image. The magnitudes of the discontinuities are potentially time-varying and dependent on the attenuation being measured. The algorithm dynamically determines the measurement sensitivity of each transducer in the array during the scan by comparison with both the elements to its left and the elements to its right. Elements at either end of the array are corrected, assuming a zero-attenuation path. The two estimates of sensitivity are combined using a weighted mean similar to a Kalman filter. The algorithm was tested on simulated and experimentally acquired data. It was demonstrated to reduce the root-mean-square error (RMSE) of simulated images against ground-truth images by up to a factor of 50 compared with uncorrected images and to visibly reduce artifacts on images reconstructed from the experimentally acquired data.

Acoustofluidic Measurements on Polymer-Coated Microbubbles: Primary and Secondary Bjerknes Forces

The acoustically-driven dynamics of isolated particle-like objects in microfluidic environments is a well-characterised phenomenon, which has been the subject of many studies. Conversely, very few acoustofluidic researchers looked at coated microbubbles, despite their widespread use in diagnostic imaging and the need for a precise characterisation of their acoustically-driven behaviour, underpinning therapeutic applications. The main reason is that microbubbles behave differently, due to their larger compressibility, exhibiting much stronger interactions with the unperturbed acoustic field (primary Bjerknes forces) or with other bubbles (secondary Bjerknes forces). In this paper, we study the translational dynamics of commercially-available polymer-coated microbubbles in a standing-wave acoustofluidic device. At increasing acoustic driving pressures, we measure acoustic forces on isolated bubbles, quantify bubble-bubble interaction forces during doublet formation and study the occurrence of sub-wavelength structures during aggregation. We present a dynamic characterisation of microbubble compressibility with acoustic pressure, highlighting a threshold pressure below which bubbles can be treated as uncoated. Thanks to benchmarking measurements under a scanning electron microscope, we interpret this threshold as the onset of buckling, providing a quantitative measurement of this parameter at the single-bubble level. For acoustofluidic applications, our results highlight the limitations of treating microbubbles as a special case of solid particles. Our findings will impact applications where knowing the buckling pressure of coated microbubbles has a key role, like diagnostics and drug delivery.

An objective comparison of commercially-available cavitation meters

With a number of cavitation meters on the market which claim to characterise fields in ultrasonic cleaning baths, this paper provides an objective comparison of a selection of these devices and establishes the extent to which their claims are met. The National Physical Laboratory's multi-frequency ultrasonic reference vessel provided the stable 21.06kHz field, above and below the inertial cavitation threshold, as a test bed for the sensor comparison. Measurements from these devices were evaluated in relation to the known acoustic pressure distribution in the cavitating vessel as a means of identifying the mode of operation of the sensors and to examine the particular indicator of cavitation activity which they deliver. Through the comparison with megahertz filtered acoustic signals generated by inertial cavitation, it was determined that the majority of the cavitation meters used in this study responded to acoustic pressure generated by the direct applied acoustic field and therefore tended to overestimate the occurrence of cavitation within the vessel, giving non-zero responses under conditions when there was known to be no inertial cavitation occurring with the reference vessel. This has implications for interpreting the data they provide in user applications.

Characterisation of a phantom for multiwavelength quantitative photoacoustic imaging

Quantitative photoacoustic imaging (qPAI) has the potential to provide high- resolution in vivo images of chromophore concentration, which may be indicative of tissue function and pathology. Many strategies have been proposed recently for extracting quantitative information, but many have not been experimentally verified. Experimental phantom-based validation studies can be used to test the robustness and accuracy of such algorithms in order to ensure reliable in vivo application is possible. The phantoms used in such studies must have well-characterised optical and acoustic properties similar to tissue, and be versatile and stable. Polyvinyl chloride plastisol (PVCP) has been suggested as a phantom for quality control and system evaluation. By characterising its multiwavelength optical properties, broadband acoustic properties and thermoelastic behaviour, this paper examines its potential as a phantom for qPAI studies too. PVCP's acoustic properties were assessed for various formulations, as well as its intrinsic optical absorption, and scattering with added TiO2, over a range of wavelengths from 400-2000 nm. To change the absorption coefficient, pigment-based chromophores that are stable during the phantom fabrication process, were used. These yielded unique spectra analogous to tissue chromophores and linear with concentration. At the high peak powers typically used in photoacoustic imaging, nonlinear optical absorption was observed. The Grüneisen parameter was measured to be [Formula: see text]  =  1.01  ±  0.05, larger than typically found in tissue, though useful for increased PA signal. Single and multiwavelength 3D PA imaging of various fabricated PVCP phantoms were demonstrated.

Reference characterisation of sound speed and attenuation of the IEC agar-based tissue-mimicking material up to a frequency of 60 MHz

To support the development of clinical applications of high-frequency ultrasound, appropriate tissue-mimicking materials (TMMs) are required whose acoustic properties have been measured using validated techniques. This paper describes the characterisation of the sound speed (phase velocity) and attenuation coefficient of the International Electrotechnical Commission (IEC) agar-based TMM over the frequency range 1 to 60 MHz. Measurements implemented a broadband through-transmission substitution immersion technique over two overlapping frequency ranges, with co-axially aligned 50 MHz centre-frequency transducers employed for characterisation above 15 MHz. In keeping with usual practice employed within the technical literature, thin acoustic windows (membranes) made of 12-μm-thick Mylar protected the TMM from water damage. Various important sources of uncertainty that could compromise measurement accuracy have been identified and evaluated through a combination of experimental studies and modelling. These include TMM sample thickness, measured both manually and acoustically, and the influence of interfacial losses that, even for thin protective membranes, are significant at the frequencies of interest. In agreement with previous reports, the attenuation coefficient of the IEC TMM exhibited non-linear frequency dependence, particularly above 20 MHz, yielding a value of 0.93 ± 0.04 dB cm(-1) MHz(-1) at 60 MHz, derived at 21 ± 0.5°C. For the first time, phase velocity, measured with an estimated uncertainty of ±3.1 m s(-1), has been found to be dispersive over this extended frequency range, increasing from 1541 m s(-1) at 1 MHz to 1547 m s(-1) at 60 MHz. This work will help standardise acoustic property measurements, and establishes a reference measurement capability for TMMs underpinning clinical applications at elevated frequencies.

acoustic assessment of a konjac–carrageenan tissue-mimicking material aT 5–60 MHZ

The acoustic properties of a robust tissue-mimicking material based on konjac–carrageenan at ultrasound frequencies in the range 5–60 MHz are described. Acoustic properties were characterized using two methods: a broadband reflection substitution technique using a commercially available preclinical ultrasound scanner (Vevo 770, FUJIFILM VisualSonics, Toronto, ON, Canada), and a dedicated high-frequency ultrasound facility developed at the National Physical Laboratory (NPL, Teddington, UK), which employed a broadband through-transmission substitution technique. The mean speed of sound across the measured frequencies was found to be 1551.7 ± 12.7 and 1547.7 ± 3.3 m s21, respectively. The attenuation exhibited a non-linear dependence on frequency, f (MHz), in the form of a polynomial function: 0.009787f2 1 0.2671f and 0.01024f2 1 0.3639f, respectively. The characterization of this tissue-mimicking material will provide reference data for designing phantoms for preclinical systems, which may, in certain applications such as flow phantoms, require a physically more robust tissuemimicking material than is currently available.

Twins and the paradox of dental-age estimations: a caution for researchers and clinicians

The biological age difference among twins is frequently an issue in studies of genetic influence on various dental features, particularly dental development. The timing of dental development is a crucial issue also for many clinicians and researchers. The aim of this study was therefore to verify within groups of twins how dental development differs, by applying Demirjian's method, Mincer's charts of development of third molars and two of Cameriere's methods for dental age estimation, which are among the most popular methods both in the clinical and the forensic scenario. The sample consisted of 64 twin pairs: 21 monozygotic, 30 dizygotic same-sex and 13 dizygotic opposite-sex with an age range between 5.8 and 22.6 years. Dental age was determined from radiographs using the mentioned methods. Results showed that dental age of monozygotic twins is not identical even if they share all their genes. The mean intra-pair difference of monozygotic pairs was low and similar to the difference in dizygotic same-sex twins; the maximum difference between monozygotic twins, however, was surprisingly large (nearly two years). This should lead to some circumspection in the interpretation of systematic estimations of dental age both in the clinical and forensic scenario.

Calibration of miniature medical ultrasonic hydrophones for frequencies in the range 100 to 500 kHz using an ultrasonically absorbing waveguide

Enhancements to the existing primary standard optical interferometer and narrowband tone-burst comparison calibration methods for miniature medical ultrasonic hydrophones of the membrane type over the frequency range 100 to 500 kHz are described. Improvements were realized through application of an ultrasonically absorbing waveguide made of a low-frequency-absorbing tile used in sonar applications which narrows the spatial extent of the broad acoustic field. The waveguide was employed in conjunction with a sonar multilayered polyvinylidene difluoride (PVDF) hydrophone used as a transmitting transducer covering a frequency range of 100 kHz to 1 MHz. The acoustic field emanating from the ultrasonically absorbing waveguide reduced the significance of diffracted acoustic waves from the membrane hydrophone ring and the consequent interference of this wave with the direct acoustic wave received by the active element of the hydrophone during calibration. Four membrane hydrophone make/ models with ring sizes (defined as the inner diameter of the annular mounting ring of the hydrophone) in the range 50 to 100 mm were employed along with a needle hydrophone. A reference membrane hydrophone, calibrated using the NPL primary standard optical interferometer in combination with the ultrasonically absorbing waveguide, was subsequently used to calibrate the other four hydrophones by comparison, again using the ultrasonically absorbing waveguide. In comparison to existing methods, the use of the ultrasonically absorbing waveguide enabled the low-frequency calibration limit of a membrane hydrophone with a ring diameter of 50 mm to be reduced from 400 kHz to 200 kHz.

Quantitative ultrasonic computed tomography using phase-insensitive pyroelectric detectors

The principle of using ultrasonic computed tomography (UCT) clinically for mapping tissue acoustic properties was suggested almost 40 years ago. Despite strong research activity, UCT been unable to rival its x-ray counterpart in terms of the ability to distinguish tissue pathologies. Conventional piezoelectric detectors deployed in UCT are termed phase-sensitive (PS) and it is well established that this property can lead to artefacts related to refraction and phase-cancellation that mask true tissue structure, particularly for reconstructions involving attenuation. Equally, it has long been known that phase-insensitive (PI) detectors are more immune to this effect, although sufficiently sensitive devices for clinical use have not been available. This paper explores the application of novel PI detectors to UCT. Their operating principle is based on exploiting the pyroelectric properties of the piezoelectric polymer polyvinylidene difluoride. An important detector performance characteristic which makes it particularly suited to UCT, is the lack of directionality of the PI response, relative to the PS detector mode of operation. The performance of the detectors is compared to conventional PS detection methods, for quantitatively assessing the attenuation distribution within various test objects, including a two-phase polyurethane phantom. UCT images are presented for a range of single detector apertures; tomographic reconstruction images being compared with the known structure of phantoms containing inserts as small as 3 mm, which were readily imaged. For larger diameter inserts (>10 mm), the transmitter-detector combination was able to establish the attenuation coefficient of the insert to within ±10% of values determined separately from plane-wave measurements on representative material plaques. The research has demonstrated that the new PI detectors are significantly less susceptible to refraction and phase-cancellation artefacts, generating realistic images in situations where conventionally-employed through-transmission PS detection techniques were unable to do so. The implications of the study to the potential screening of breast disease are discussed.

Characterisation and improvement of a reference cylindrical sonoreactor

This paper describes theoretical and experimental methods for characterising the performance of a 25 kHz sonochemical reactor (RV-25), which is being developed as a reference facility for studying acoustic cavitation at the National Physical Laboratory (NPL). Field measurements, acquired in different locations inside the sonoreactor, are compared with finite element models at different temperatures, showing that relatively small temperature variations can result in significant changes in the acoustic pressure distribution (and consequent cavitation activity). To improve stability, a deeper insight into the way energy is transferred from the power supply to the acoustic field is presented, leading to criteria - based on modal analysis - to dimension and verify an effective temperature control loop. The simultaneous use of measurements and modelling in this work produced guidelines for the design of multi-frequency cylindrical sonoreactors, also described.

Exploiting thermochromic materials for the rapid quality assurance of physiotherapy ultrasound treatment heads

Significant nonuniformities in the acoustic intensity distribution generated by physiotherapy ultrasound treatment heads are not uncommon, potentially leading to significant localised temperature rises and tissue damage. An acoustic absorber tile containing a thermochromic pigment has been developed to provide rapid quality assurance of physiotherapy ultrasound treatment heads by virtue of a thermochromic colour change, indicating the time-averaged intensity distributions generated by these devices. As a bench-top device, the use of the tile is designed to mimic the nature of the physiotherapeutic application, requiring minimal training. Two designs where thermochromic pigments are added to the various polymeric layers of the tile are presented. Testing has been conducted with two physiotherapy treatment heads of differing performance, one of them notably exhibiting a strong "hot-spot" in localised acoustic time-averaged intensity. Findings show good qualitative agreement with classical hydrophone scans. Techniques are explored for the correction of nonlinearities in the thermochromic relationship, to enhance the accuracy of quantitative assessment.

Progress in developing a thermal method for measuring the output power of medical ultrasound transducers that exploits the pyroelectric effect

Progress in developing a new measurement method for ultrasound output power is described. It is a thermal-based technique with the acoustic power generated by a transducer being absorbed within a specially developed polyurethane rubber material, whose high absorption coefficient ensures energy deposition within a few mm of the ultrasonic wave entering the material. The rate of change of temperature at the absorber surface is monitored using the pyroelectric voltage generated from electrodes disposed either side of a 60 mm diameter, 0.061 mm thick membrane of the piezoelectric polymer polyvinylidene fluoride (pvdf) bonded to the absorber. The change in the pyroelectric output voltage generated by the sensor when the transducer is switched ON and OFF is proportional to the delivered ultrasound power. The sensitivity of the device is defined as the magnitude of these switch voltages to a unit input stimulus of power (watt). Three important aspects of the performance of the pyroelectric sensor have been studied. Firstly, measurements have revealed that the temperature dependent sensitivity increases over the range from approximately 20°C to 30°C at a rate of +1.6% °C(-1). Studies point to the key role that the properties of both the absorbing backing layer and pvdf membrane play in controlling the sensor response. Secondly, the high sensitivity of the technique has been demonstrated using an NPL Pulsed Checksource, a 3.5 MHz focused transducer delivering a nominal acoustic power level of 4 mW. Finally, proof-of-concept of a new type of acoustic sensor responding to time-averaged intensity has been demonstrated, through fabrication of an absorber-backed hydrophone of nominal active element diameter 0.4 mm. A preliminary study using such a device to resolve the spatial distribution of acoustic intensity within plane-piston and focused 3.5 MHz acoustic fields has been completed. Derived beam profiles are compared to conventional techniques that depend on deriving intensity from acoustic pressure measurements made using the sensor as a calibrated hydrophone.

Measurements, phantoms, and standardization

The last 25 years has seen a number of significant developments in the establishment of a measurement infrastructure supporting medical applications of ultrasound. This has allowed manufacturers and users of medical ultrasonic equipment to undertake and compare measurements of key parameters describing the magnitude or strength of the applied ultrasonic field in a meaningful and traceable way: for equipment development, standards compliance, and quality assurance purposes. This paper describes the current state of the art for measurement techniques used to determine the key properties of an ultrasonic field, principally acoustic pressure and acoustic power. Measurement tools and methodologies are described in detail, alongside considerations of how these are likely to develop, shaped by user need. The way that these measurement methods underpin a range of international and national specification standards enabling equipment manufacturers to demonstrate that their equipment is safe and fit for purpose is covered.

Evaluation of a novel solid-state method for determining the acoustic power generated by physiotherapy ultrasound transducers

A new secondary method of determining ultrasound power is presented based on the pyroelectricity of a thin membrane of the piezoelectric polymer, polyvinylidene fluoride (PVDF). In operation, the membrane is backed by a polyurethane-based rubber material that is extremely attenuating to ultrasound, resulting in the majority of the acoustic power applied to the PVDF being absorbed within a short distance of the membrane-backing interface. The resulting rapid heating leads to a pyroelectric voltage being generated across the electrodes of the sensor that, under appropriate conditions, is related to the rate of change of temperature with respect to time. For times immediately after changes in transducer excitation (switching either ON or OFF), the change in the pyroelectric voltage is proportional to the delivered ultrasound power level. This paper describes a systematic evaluation of the measurement concept applied at physiotherapy frequencies and power levels, investigating key aspects such as repeatability, linearity and sensitivity. The research demonstrates the way that heating of the backing material affects the sensor performance, but outlines the potential of the method as a reproducible, rapid, solid-state method of determining power, requiring calibration using a known ultrasound power source.

Toward a reference ultrasonic cavitation vessel: Part 2--investigating the spatial variation and acoustic pressure threshold of inertial cavitation in a 25 kHz ultrasound field

As part of an ongoing project to establish a reference facility for acoustic cavitation at the National Physical Laboratory (NPL), carefully controlled studies on a 25 kHz, 1.8 kW cylindrical vessel are described. Using a patented high-frequency acoustic emission detection method and a sonar hydrophone, results are presented of the spatial variation of inertial acoustic cavitation with increasing peak-negative pressure. Results show that at low operating levels, inertial acoustic cavitation is restricted to, and is strongly localized on, the vessel axis. At intermediate power settings, inertial acoustic cavitation also occurs close to the vessel walls, and at higher settings, a complex spatial variation is seen that is not apparent in measurements of the 25 kHz driving field alone. At selected vessel locations, a systematic investigation of the inertial cavitation threshold is described. This was carried out by making simultaneous measurements of the peak-negative pressures leading to inertial cavitation and the resultant MHz-frequency emissions, and indicates an inertial cavitation threshold of 101 kPa +/- 14% (estimated expanded uncertainty). However, an intermediate threshold at 84 kPa +/- 14% (estimated expanded uncertainty) is also seen. The results are discussed alongside theoretical predictions and recent experimental findings.

Utilization of carbon nanofibers for airborne ultrasonic acoustic field detection using heterodyne interferometry

Carbon nanofibers and nanotubes are currently being utilized as active elements in acoustic sensors for emerging microelectromechanical systems and nanoelectromechanical systems technologies. A methodology for measuring the displacement of carbon nanofibers in combination with heterodyne interferometry is reported here. Experimental results show that ultrasonic field detection is possible using this technique, and results are presented for measurements in the ultrasonic frequency range. This approach could potentially lead to new calibration methods for ultrasonic sensors. A different approach to that of interferometry is also reported for future investigation.

A novel pyroelectric method of determining ultrasonic transducer output power: device concept, modeling, and preliminary studies

This paper describes a new thermally based method of monitoring acoustic output power generated by ultrasonic transducers. Its novelty lies in the exploitation of the pyroelectric properties of a thin membrane of polyvinylidene fluoride (PVDF). The membrane is backed by a thick layer of polyurethane rubber that is extremely attenuating to ultrasound, with the result that the majority of the applied acoustic power is absorbed within a few millimeters of the membrane-backing interface. Through the resultant rapid increase in temperature of the membrane, a voltage is generated across its electrodes whose magnitude is proportional to the rate of change of temperature with respect to time. Changes in the pyroelectric voltage generated by switching the transducer ON and OFF are related to the acoustic power delivered by the transducer. Features of the technique are explored through the development of a simple one-dimensional model. An experimental evaluation of the potential secondary measurement technique is also presented, covering the frequency range 1 to 5 MHz, for delivered powers up to a watt. Predictions of the sensor output signals, as well as the frequency dependent sensitivity, are in good agreement with observation. The potential of the new method as a simple, rapid means of providing traceable ultrasonic power measurements is outlined.

Acoustic Emission Spectra from 515 kHz Cavitation in Aqueous Solutions Containing Surface-Active Solutes

The effect of adding surface-active solutes to water being insonated at 515 kHz has been investigated by monitoring the acoustic emission from the solutions. At low concentrations (<3 mM), sodium dodecyl sulfate causes marked changes to the acoustic emission spectrum which can be interpreted in terms of preventing bubble coalescence and declustering of bubbles within a cavitating bubble cloud. By conducting experiments in the presence of background electrolytes and also using non-ionic surfactants, the importance of electrostatic effects has been revealed. The results provide further mechanistic evidence for the interpretation of the effect of surface-active solutes on acoustic cavitation and hence on the mechanism of sonochemistry. The work will be valuable to many researchers in allowing them to optimize reaction and process conditions in sonochemical systems.

Towards a reference ultrasonic cavitation vessel. Part 1: preliminary investigation of the acoustic field distribution in a 25 kHz cylindrical cell

The acoustic field produced by a 25 kHz, 25 l cylindrical sonochemical processing cell has been characterised systematically using a sonar hydrophone, with the aim of establishing it as a reference test bed on which future investigations into acoustic cavitation activity may be based. Data acquired at sonication levels up to 500 W have shown that though significant cavitation activity is generated throughout the vessel, the acoustic field generated is reproducible, typically to +/- 12%. The increases in acoustic pressure are shown to be nonlinear with applied power, suggesting an intermediate optimum level for future study.

Metrology for ultrasonic applications

This paper provides a review of current metrological capability applied to the characterisation of the acoustic output of equipment used within medical ultrasonic applications. Key measurement devices, developed to underpin metrology in this area, are the radiation force balance, used to determine total output power, and the piezo-electric hydrophone, used to resolve the spatial and temporal distribution of acoustic pressure. The measurement infrastructure in place within the United Kingdom ensuring users are able to carry out traceable measurements of these quantities in a meaningful way, is described. This includes the relevant primary standards, the way international equivalence of national standards is demonstrated and the routes by which the standards are disseminated to the user community. Emerging measurement techniques that may in future lead to improved measurement capability, are also briefly discussed.

Transfer standard device to improve the traceable calibration of physiotherapy ultrasound machines

Ultrasound (US) physiotherapy as a clinical treatment is extremely common in the Western world. Internationally, regulation to ensure safe application of US physiotherapy by regular calibration ranges from nil to mandatory. The need for a portable power standard (PPS) has been addressed within a European Community (EC)-funded project. This PPS consists of an electrical driver, a set of US transducers and a cavitation detector (CD). Each component has been extensively tested for stability and travel robustness. Transducer output power has been determined with an uncertainty of <3.3% and with a long-term (2-y) output stability of better than 3%. The CD can detect bubble activity for powers above 3 W for a 1-MHz transducer. Travel trials demonstrated the utility of the PPS in practical measurement environments. Deviations in power measurements observed during these trials were mostly acceptable (<10%), although there were also examples of gross differences (>100%). The PPS is now ready to be used to underpin traceable calibration of physiotherapy devices.

Studies of a novel sensor for assessing the spatial distribution of cavitation activity within ultrasonic cleaning vessels

This paper describes investigations of the spatial distribution of cavitation activity generated within an ultrasonic cleaning vessel, undertaken using a novel cavitation sensor concept. The new sensor monitors high frequency acoustic emissions (>1 MHz) generated by micron-sized bubbles driven into acoustic cavitation by the applied acoustic field. Novel design features of the sensor, including its hollow, cylindrical shape, provide the sensor with spatial resolution, enabling it to associate the megahertz acoustic emissions produced by the cavitating bubbles with specific regions of space within the vessel. The performance of the new sensor has been tested using a 40 kHz ultrasonic cleaner employing four transducers and operating at a nominal electrical power of 140 W under controlled conditions. The results demonstrate the ability of the sensors to identify 'hot-spots' and 'cold-spots' in cavitation activity within the vessel, and show good qualitative agreement with an assessment of the spatial distribution of cavitation determined through erosion monitoring of thin sheets of aluminium foil. The implications of the studies for the development of reliable methods of quantifying the performance of cleaning vessels are discussed in detail.

A finite-element model of the aperture method for determining the effective radiating area of physiotherapy treatment heads

This paper describes a theoretical study of the way in which a circular aperture placed in front of a plane-piston modifies the ultrasonic field it generates. Specifically, the radiated acoustic power transmitted by the aperture and the radiation force experienced by an absorbing target placed in the transmitted beam, are evaluated at a distance from the exit-side of the aperture. The calculations used a finite element (FE) method, in conjunction with a surface Helmholtz integral formulation to solve the fluid/structure interaction problem. The PAFEC (Program for Automatic Finite Element Computation) vibroacoustics software was used for the FE calculations and the implementation of the surface Helmholtz integral formulation method. Acoustic pressures and particle velocities were computed at required points, whilst accounting for the presence of the aperture in the medium, together with its dynamic properties when subjected to an incident sound field. This enabled the calculation of the radiation force on the absorber and its variation with the applied aperture diameter was investigated. As part of the validation process for the new FE aperture model, the ratio of radiation force to radiated acoustic power obtained using the FE method in the unapertured case, through the use of the Rayleigh integral, yielded good agreement with results obtained through an analytical solution. The study has been carried out to provide a better understanding of the factors affecting the measurement uncertainty for the aperture method of determining the effective radiating area (A(ER)) of physiotherapy ultrasound treatment heads.

High-frequency acoustic emissions generated by a 20 kHz sonochemical horn processor detected using a novel broadband acoustic sensor: a preliminary study

This paper describes the application of a novel broadband acoustic sensor to evaluating the acoustic emissions from cavitation produced by a typical commercial 20 kHz sonochemical horn processor. Investigations of the reproducibility of the processor, and of the variation in cavitation emissions as a function of output setting and sensor location are described, and resulting trends discussed in terms of the broadband integrated power in the megahertz frequency range. Companion studies with a conventional membrane hydrophone have illustrated for the first time that cavitation emissions produced by a sonochemical horn processor can extend to frequencies beyond 20 MHz, and the sensor shows that significant nonlinearity can be seen in measured cavitation activity with increasing nominal output power.

Measurement of ultrasonic power using an acoustically absorbing well

This paper describes a quick and cost-effective method for constructing a radiation force balance for measuring ultrasonic output power. It utilises a target manufactured from a high-quality acoustical absorber material. The target geometry is in the form of a cup or well that is water-filled and placed directly on the pan of a top-loading chemical balance, thus overcoming the need for the traditional gantry arrangement found in the majority of commercially available balances. The face of the transducer is placed directly in the water contained within the well. This simplification reduces time spent in setting up a balance for measurement, and targets can be manufactured to any required geometry and used on any suitable top-loading balance to measure output power. Within this study, the performance of the absorbing well method was evaluated over the frequency range of 1 MHz to 5 MHz, for acoustic power levels up to 1 W. Power measurements on three transducers were compared with measurements made on the National Physical Laboratory (NPL) primary standard radiation force balance and good agreement is demonstrated between the two systems. At a power of 50 mW, using a chemical balance of resolution 0.1 mg, typical type A (random) uncertainties were +/- 2.0% when expressed at the 95% confidence level.

A novel sensor for monitoring acoustic cavitation. Part II: Prototype performance evaluation

This paper describes a series of experimental studies to evaluate the performance of newly developed sensors for monitoring broadband acoustic emissions generated by acoustic cavitation. The prototype sensors are fabricated in the form of hollow, open-ended cylinders, whose inner surface is made from a thin film of piezoelectric polymer acting as a passive acoustic receiver of bandwidth greater than 10 MHz. A 4-mm thick coating of special acoustical absorber forms the outer surface of the sensor. The layer functions as a shield to cavitation events occurring outside the hollow sensor body, allowing megahertz acoustic emissions emanating from within the liquid contained in the sensor to be monitored. Testing of the new sensor concept has been carried out within the cavitating field provided by a commercial ultrasonic cleaning vessel operating at 40 kHz whose power output is rated at 1 kW. It is demonstrated that the prototype cavitation sensors are able to record a systematic increase in the level of the high-frequency acoustic spectrum (> 1 MHz) as electrical power to the cleaning vessel is increased. Through careful control of the experimental conditions, reproducibility of the high frequency "energy" associated with the cavitation spectrum was found to be typically +25%.

A novel sensor for monitoring acoustic cavitation. Part I: Concept, theory, and prototype development

This paper describes a new concept for an ultrasonic cavitation sensor designed specifically for monitoring acoustic emissions generated by small microbubbles when driven by an applied acoustic field. Its novel features include a hollow, open-ended, cylindrical shape, with the sensor being a right circular cylinder of height 32 mm and external diameter 38 mm. The internal diameter of the sensor is 30 mm; its inner surface is fabricated from a 110-microm layer of piezoelectrically active film whose measurement bandwidth is sufficient to enable acoustic emissions up to and beyond 10 MHz to be monitored. When in use, the sensor is immersed within the liquid test medium and high frequency (megahertz) acoustic emissions occurring within the hollow body of the sensor are monitored. In order to shield the sensor response from events occurring outside the cylinder, the outer surface of the sensor cylinder is encapsulated within a special 4-mm thick polyurethane-based cavitation shield with acoustic properties specifically developed to be minimally perturbing to the 40 kHz applied acoustic field but attenuating to ultrasound generated at megahertz frequencies (plane-wave transmission loss > 30 dB at 1 MHz). This paper introduces the rationale behind the new sensor, describing details of its construction and the materials formulation program undertaken to develop the cavitation shield.

Validated ultrasonic power measurements up to 20 W

A project has been completed to develop reference methods for the measurement of ultrasonic power with a validated measurement uncertainty of < 7% at power levels of 1 to 20 W over the frequency range 1 to 3 MHz of collimated beams. The project is the result of collaborative research between the Physikalisch-Technische Bundesanstalt, Germany (PTB, DE), the National Physical Laboratory, UK (NPL, UK) and the Netherlands Organisation for Applied Scientific Research, Prevention and Health (TNO-PG, NL). The work has been undertaken under the 4th Framework Programme of the European Community (EC). Primary standard designs of radiation force balances based on both absorbing and reflecting targets have been constructed. To avoid heating effects, the measurements should be done relatively quickly (10 to 20 s). The methods have been validated using ultrasound (US) transducers that demonstrated an adequate short and long-term stability; a method to detect cavitation based on monitoring the acoustic signals produced by bubble oscillation and collapse has been confirmed. It has been shown that only the detection of the subharmonic can be used in practice as cavitation detector. Different procedures for obtaining degassed water have been investigated. A method showing significant promise to be used in a clinical or manufacturer's environment involves the addition of sodium sulphite (Na2SO3). During the validation process, commercially available radiation force balances and ultrasonic physiotherapy devices have also been evaluated. Limitations of current measurement methods and practices, including power measurements made on transducers exhibiting a diverging beam, have been identified. It has been shown that a reflecting target is not appropriate to measure powers of transducers with a ka-value < 30. Based on beam shape and target distance, it has been shown also that proper power measurements using a 45 degrees convex-conical reflecting target can never be performed for transducers with a ka-value < 17.4.

A new anechoic material for medical ultrasonic applications

This paper describes a newly developed material with acoustic properties that make it ideal for applications as radiation force balance-absorbing targets. The material is now commercially available from National Physical Laboratory (NPL) and is based on a polyurethane rubber. It exhibits an echo reduction of 45 dB, and single-pass transmission loss of 30 dB, both determined at an acoustic frequency of 1 MHz. The composition and structure of the new NPL absorber are presented, along with values for the frequency and temperature variation of the echo reduction and transmission loss. Over the frequency range 1 to 10 MHz, its acoustic properties comply with the requirements for force balance-absorbing targets specified in IEC 61161.

A new method for measuring the effective radiating area of physiotherapy treatment heads

This paper describes the investigation and validation of a new method for measuring the effective radiating area (AER) of physiotherapy ultrasound treatment heads. The method is based on the use of a conventional radiation force balance, but employs special attenuating apertures that are used to selectively mask off different areas of the treatment head. The resultant reduction in the radiating surface is accompanied by a decrease in output power that is measured using the force balance. The AER of the treatment head is derived from an analysis of the measurements, which essentially involves initially evaluating the minimum area through which 75% of the acoustic power is transmitted. AER values derived using the new method are presented for 17 treatment heads representative of the range of physiotherapy systems commonly used in clinical practice. These are compared to reference values derived using hydrophone scanning, according to the recently published International Standard, IEC 1689. Typical levels of agreement between values of AER derived using the two techniques are +/- 11%. The potential of the method as a rapid, relatively low-cost, means of measuring treatment head AER, applicable in both manufacturing and hospital environments, is assessed.

A strategy for the development and standardisation of measurement methods for high power/cavitating ultrasonic fields: review of high power field measurement techniques

This review was compiled as part of a project to formulate a UK strategy for the development and standardisation of measurement methods for high power/cavitating ultrasonic fields. It reviews the scientific literature relating to various methods of measuring high power fields which have been developed for application in health care, sonochemistry and industrial ultrasonics, and compares these methods in terms of attributes such as spatial resolution, bandwidth and sensitivity.

Development of standard measurement methods for essential properties of ultrasound therapy equipment

In a European collaborative project, partly funded by the EC Community Bureau of Reference (BCR), reliable methods of measurement for characterising the output and performance of ultrasound physiotherapy equipment have been developed. Experimental investigations using miniature hydrophones to scan the distribution of pressure in therapeutic fields have been undertaken in combination with theoretical simulations of the sound fields. Important parameters such as Beam Cross Sectional Area (BCSA), Effective Radiating Area (ERA) and Beam Nonuniformity Ratio (BNR) (characterising "Hot-spots": potentially harmful to patients) have been redefined, and these new definitions have been incorporated in a revision of IEC 150:1963. The reproducibility and accuracy of measurements of ERA based on these procedures are presented in detail for a variety of therapy fields. Furthermore, it is shown that the value of the BNR for any treatment head should not exceed 8. Values of effective intensity derived using the new procedures are shown to be significantly higher than those obtained using FDA (USA) definitions, a conclusion in agreement with the theoretical expectations. Measurements on four treatment heads were used to validate the procedures of the proposed revised standard. Values of ERA derived by the two laboratories were in agreement to within 2.5%.