Development of a Mechanical Scanning Device With High-Frequency Ultrasound Transducer for Ultrasonic Capsule Endoscopy

Wireless capsule endoscopy has opened a new era by enabling remote diagnostic assessment of the gastrointestinal tract in a painless procedure. Video capsule endoscopy is currently commercially available worldwide. However, it is limited to visualization of superficial tissue. Ultrasound (US) imaging is a complementary solution as it is capable of acquiring transmural information from the tissue wall. This paper presents a mechanical scanning device incorporating a high-frequency transducer specifically as a proof of concept for US capsule endoscopy (USCE), providing information that may usefully assist future research. A rotary solenoid-coil-based motor was employed to rotate the US transducer with sectional electronic control. A set of gears was used to convert the sectional rotation to circular rotation. A single-element focused US transducer with 39-MHz center frequency was used for high-resolution US imaging, connected to an imaging platform for pulse generation and image processing. Key parameters of US imaging for USCE applications were evaluated. Wire phantom imaging and tissue phantom imaging have been conducted to evaluate the performance of the proposed method. A porcine small intestine specimen was also used for imaging evaluation in vitro. Test results demonstrate that the proposed device and rotation mechanism are able to offer good image resolution ( $\sim 60~\mu \text{m}$ ) of the lumen wall, and they, therefore, offer a viable basis for the fabrication of a USCE device.

[1]  H. H. Hopkins,et al.  A Flexible Fibrescope, using Static Scanning , 1954, Nature.

[2]  B. Hirschowitz,et al.  Demonstration of a new gastroscope, the fiberscope. , 1958, Gastroenterology.

[3]  E. Dimagno,et al.  ULTRASONIC ENDOSCOPE , 1980, The Lancet.

[4]  G. Iddan,et al.  Wireless capsule endoscopy , 2003, Gut.

[5]  Paul Swain,et al.  Wireless capsule endoscopy of the small bowel: development, testing, and first human trials , 2001, European Conference on Biomedical Optics.

[6]  K. Shung,et al.  Design of efficient, broadband single-element (20-80 MHz) ultrasonic transducers for medical imaging applications , 2003, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[7]  K. Schulmann,et al.  Diagnosing small bowel Crohn’s disease with wireless capsule endoscopy , 2003, Gut.

[8]  Lei Wang,et al.  A programmable microsystem using system-on-chip for real-time biotelemetry , 2005, IEEE Transactions on Biomedical Engineering.

[9]  A. Hara,et al.  A Meta-Analysis of the Yield of Capsule Endoscopy Compared to Other Diagnostic Modalities in Patients with Obscure Gastrointestinal Bleeding , 2005, The American Journal of Gastroenterology.

[10]  W. Qureshi VIDEO CAPSULE ENDOSCOPY TO PROSPECTIVELY ASSESS SMALL BOWEL INJURY WITH CELECOXIB, NAPROXEN PLUS OMEPRAZOLE, AND PLACEBO , 2005 .

[11]  Johan M. Thijssen,et al.  P2D-3 Objective Performance Testing and Quality Assurance of Medical Ultrasound Equipment , 2006 .

[12]  M. Sivak,et al.  Gastrointestinal endoscopy: past and future , 2005, Gut.

[13]  Y. Kopelman,et al.  New frontiers in capsule endoscopy , 2007, Journal of gastroenterology and hepatology.

[14]  J. Gennisson,et al.  Estimation of polyvinyl alcohol cryogel mechanical properties with four ultrasound elastography methods and comparison with gold standard testings , 2007, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[15]  Kenneth J. Chang,et al.  Endoscopic ultrasound delivery of an antitumor agent to treat a case of pancreatic cancer , 2008, Nature Clinical Practice Gastroenterology &Hepatology.

[16]  P. Dario,et al.  Capsule endoscopy: progress update and challenges ahead , 2009, Nature Reviews Gastroenterology &Hepatology.

[17]  G. Costamagna,et al.  Screening for Pancreatic Cancer in High-Risk Individuals: A Call for Endoscopic Ultrasound , 2009, Clinical Cancer Research.

[18]  Kyusun Choi,et al.  CMOS Ultrasound Transceiver Chip for High-Resolution Ultrasonic Imaging Systems , 2009, IEEE Transactions on Biomedical Circuits and Systems.

[19]  J. E. Domínguez-Muñoz,et al.  Quantitative endoscopic ultrasound elastography: an accurate method for the differentiation of solid pancreatic masses. , 2010, Gastroenterology.

[20]  Thomas D. Wang,et al.  Future and advances in endoscopy , 2011, Journal of biophotonics.

[21]  Qifa Zhou,et al.  Development of integrated preamplifier for high-frequency ultrasonic transducers and low-power handheld receiver , 2011, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[22]  S. Laurberg,et al.  Gastric transit and small intestinal transit time and motility assessed by a magnet tracking system , 2011, BMC gastroenterology.

[23]  Omer Oralkan,et al.  Capacitive micromachined ultrasonic transducers for medical imaging and therapy , 2011, Journal of micromechanics and microengineering : structures, devices, and systems.

[24]  G. E. Trahey,et al.  Short-lag spatial coherence of backscattered echoes: imaging characteristics , 2011, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[25]  Y. Endo Quantitative Endoscopic Ultrasound Elastography: An Accurate Method for the Differentiation of Solid Pancreatic Masses , 2011 .

[26]  P. Dario,et al.  Capsule Endoscopy: From Current Achievements to Open Challenges , 2011, IEEE Reviews in Biomedical Engineering.

[27]  Lei Sun,et al.  An FPGA-based open platform for ultrasound biomicroscopy , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[28]  W. Qiu,et al.  A multifunctional, reconfigurable pulse generator for high-frequency ultrasound imaging , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[29]  Qifa Zhou,et al.  An open system for intravascular ultrasound imaging , 2012, 2012 IEEE International Ultrasonics Symposium.

[30]  Chih-Chung Huang,et al.  Design and implementation of a smartphone-based portable ultrasound pulsed-wave doppler device for blood flow measurement , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[31]  M. Qian,et al.  A modulated excitation imaging system for microultrasound , 2013, 2013 IEEE International Ultrasonics Symposium (IUS).

[32]  V. Konda,et al.  Wireless Capsule Endoscopy , 2020, Geriatric Gastroenterology.

[33]  Brian W. Anthony,et al.  Towards wireless capsule endoscopic ultrasound (WCEU) , 2014, 2014 IEEE International Ultrasonics Symposium.

[34]  Holly S. Lay,et al.  Design and simulation of a high-frequency ring-shaped linear array for capsule ultrasound endoscopy , 2014, 2014 IEEE International Ultrasonics Symposium.

[35]  Oscal T.-C. Chen,et al.  High-frequency and power-efficiency ultrasound beam-forming processor for handheld applications , 2014, 2014 27th IEEE International System-on-Chip Conference (SOCC).

[36]  Xiaoning Jiang,et al.  Design factors of intravascular dual frequency transducers for super-harmonic contrast imaging and acoustic angiography , 2015, Physics in medicine and biology.

[37]  A. Karargyris,et al.  Wireless endoscopy in 2020: Will it still be a capsule? , 2015, World journal of gastroenterology.

[38]  E. Olcott,et al.  Capsule ultrasound device , 2015, 2015 IEEE International Ultrasonics Symposium (IUS).

[39]  T. Ma,et al.  (100)-Textured KNN-based thick film with enhanced piezoelectric property for intravascular ultrasound imaging. , 2015, Applied physics letters.

[40]  E. Olcott,et al.  Capsule ultrasound device: Further developments , 2016, 2016 IEEE International Ultrasonics Symposium (IUS).

[41]  Hairong Zheng,et al.  Modulated Excitation Imaging System for Intravascular Ultrasound , 2017, IEEE Transactions on Biomedical Engineering.