Integration of a dual-mode catheter for ultrasound image guidance and HIFU ablation using a 2-D CMUT array

Image-guided high-intensity focused ultrasound (HIFU) is widely used not only for non-invasive therapy but also for a precise approach for tissue ablation. Most HIFU systems use piezoelectric transducers, which are typically bulky due to active cooling, and separate imaging and HIFU transducers, and are therefore impractical for catheter-based applications. Taking advantage of a single 2-D capacitive micromachined ultrasonic transducer (CMUT) array, we developed a dual-mode catheter that can switch between ultrasound imaging mode and HIFU ablation mode. The catheter is equipped with an application-specific integrated circuit (ASIC) and a 32 × 32-element 2-D CMUT array. Both ASIC and CMUT are flip-chip bonded to a custom-designed flexible printed circuit board (flex PCB) via 100-μm and 80-μm solder balls. Then, the flex legs are folded and terminated with pads for a micro zero insertion force (μZIF) connector, allowing easy assembly replacement without the extra cost of coaxial cable assembly. Next, the micro-coaxial cables are assembled at the end of the μZIF connectors. After integration with a 3-D printed tip and encapsulating with polydimethylsiloxane (PDMS), the catheter is finalized in a 22-mm diameter shaft. We successfully validated the functionality of both modes of the dual-mode catheter in oil. We are currently preparing the test for an animal study.

[1]  Richard Bihrle,et al.  Noninvasive surgery of prostate tissue by high-intensity focused ultrasound , 1996 .

[2]  D. Cranston,et al.  High intensity focused ultrasound: surgery of the future? , 2003, The British journal of radiology.

[3]  Ping Li,et al.  Loss mechanisms in piezoelectric transducers and its response to stress , 2004, International Conference on Information Acquisition, 2004. Proceedings..

[4]  O. Oralkan,et al.  Capacitive micromachined ultrasonic transducers: fabrication technology , 2005, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[5]  A.S. Ergun,et al.  5F-5 An Assessment of the Thermal Efficiency of Capacitive Micromachined Ultrasonic Transducers , 2007, 2007 IEEE Ultrasonics Symposium Proceedings.

[6]  T. Dubinsky,et al.  High-intensity focused ultrasound: current potential and oncologic applications. , 2008, AJR. American journal of roentgenology.

[7]  O. Oralkan,et al.  Integration of 2D CMUT arrays with front-end electronics for volumetric ultrasound imaging , 2008, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[8]  Chi Hyung Seo,et al.  Forward-looking intracardiac imaging catheters using fully integrated CMUT arrays , 2010, 2010 IEEE International Ultrasonics Symposium.

[9]  Pei-Hong Wu,et al.  Magnetic resonance image-guided versus ultrasound-guided high-intensity focused ultrasound in the treatment of breast cancer , 2013, Chinese journal of cancer.

[10]  Morten Fischer Rasmussen,et al.  Dual-mode integrated circuit for imaging and HIFU with 2-D CMUT arrays , 2015, 2015 IEEE International Ultrasonics Symposium (IUS).

[11]  Chienliu Chang,et al.  Fabrication, Packaging, and Catheter Assembly of 2D CMUT Arrays for Endoscopic Ultrasound and Cardiac Imaging , 2015 .

[12]  R. Watkins,et al.  Ex Vivo HIFU Experiments Using a $32 \times 32$ -Element CMUT Array , 2016, IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control.