Search Results (83)

Background/Objectives: In the era of treat-to-target strategies in inflammatory bowel disease (IBD), transmural healing (TH) is gaining recognition as a promising therapeutic goal. TH has been associated with significantly better long-term outcomes, including reduced rates of hospitalization, surgery, and the need for therapy escalation. Cross-sectional imaging techniques, such as intestinal ultrasound (IUS), magnetic resonance imaging (MRI), and computed tomography enterography (CTE), offer a comprehensive, non-invasive means to assess this deeper level of healing. This review explores how TH is currently defined across various imaging modalities and evaluates the feasibility and cost-effectiveness of achieving TH with available therapies. Methods: A literature search was conducted across PubMed, Scopus, and Embase using keywords, including “transmural healing”, “intestinal ultrasonography”, “magnetic resonance imaging”, “computed tomography enterography”, “Crohn’s disease”, “ulcerative colitis”, and “inflammatory bowel disease”. Only English-language studies were considered. Results: Despite growing interest, there is no standardized definition of TH across imaging platforms. Among the modalities, IUS emerges as the most feasible and cost-effective tool, owing to its accessibility, accuracy (sensitivity 62–95.2%, specificity 61.5–100%), and real-time capabilities, though it does have limitations. Current advanced therapies induce TH in roughly 20–40% of patients, with no consistent differences observed between biologics and small molecules. However, TH has only been evaluated as a formal endpoint in a single randomized controlled trial to date. Conclusions: A unified and validated definition of transmural healing is critically needed to harmonize research and guide clinical decision-making. While TH holds promise as a meaningful treatment target linked to improved outcomes, existing therapies often fall short of achieving complete transmural resolution. Further studies are essential to clarify its role and optimize strategies for deep healing in IBD. Full article

Using a digital oscilloscope, the main harmonics resulting from the application of different frequencies and power levels of ultrasonic waves during the polymer extrusion process were identified. The primary harmonics are located between 10 and 60 kHz and exhibit unique characteristics, such as shape, crest, and trough, the latter being associated with voltage and current. The crest-to-trough distance (height) observed during processing at 34 kHz and 375 W shows the highest value, which correlates with the highest melt flow index and the lowest apparent viscosity. It is well known that the application of ultrasonic waves can randomly break C-C bonds in hydrocarbon compounds, leading to a decrease in molecular weight. However, the application of ultrasonic waves at different frequencies and power levels can promote chain scission in both high- and medium-molecular-weight polymer chains, thereby increasing the molecular weight distribution. This phenomenon can lead to chain disentanglement, along with chain scission, as evidenced by a decrease in molecular weight at medium power and frequency intensities. Finally, a schematic representation of the interaction between polymer chains and ultrasonic waves is proposed. Full article

Technological advances have greatly expanded the diagnostic and therapeutic capabilities of endoscopic ultrasound (EUS). The integration of cutting-edge imaging techniques, including tissue harmonic echo, contrast-enhanced harmonic EUS, elastography, and needle-based confocal laser endomicroscopy, have significantly enhanced lesion characterization and diagnostic accuracy. Additionally, developments in stent design and the introduction of new accessories have broadened the therapeutic applications of EUS. Ongoing innovations in clinical practice have transformed procedures such as drainage, tumor ablation, EUS-directed transgastric endoscopic retrograde cholangiopancreatography (ERCP), the placement of fiducial markers, advancements in endohepatology, lesion characterization, and treatment. These developments continue to expand the role of EUS in delivering precise and effective therapeutic interventions. Full article

In this study, we designed an ultrasound transmit–receive sequence to achieve high-frame-rate vascular wall velocity estimation and high-contrast B-mode imaging. The proposed sequence extends conventional dual-transmission schemes by incorporating a third transmission with 180° phase inversion, enabling harmonic imaging via the pulse inversion (PI) method. To mitigate the frame rate reduction caused by the additional transmission, the number of simultaneously transmitted focused beams was increased from two to four, resulting in a frame rate of 231 Hz. A two-dimensional phase-sensitive motion estimator was employed for motion estimation. In vitro experiments using a chicken thigh moving in two dimensions yielded RMSE values of 3% (vertical) and 16% (horizontal). In vivo experiments on a human carotid artery demonstrated that the PI method achieved a lumen-to-tissue contrast improvement of 0.96 dB and reduced artifacts. Velocity estimation of the posterior vascular wall showed generally robust performance. These findings suggest that the proposed method has strong potential to improve atherosclerosis diagnostics by combining artifact-suppressed imaging with accurate motion analysis. Full article

This paper presents a low-power, fully differential, programmable gain amplifier (PGA) for ultrasound receiver analog front-ends (AFE). It consists of a programmable attenuator implemented by a capacitive voltage divider and a closed-loop amplifier based on a differential difference amplifier (DDA). A suitable sizing strategy provides orthogonal control over gain and bandwidth. The PGA was designed using a standard 180 nm CMOS process. The gain value can be set between −18 dB and +20 dB in 2 dB steps; the bandwidth can be programmed independently of gain, to values from 5 MHz to 20 MHz, in 5 MHz steps; it draws 600 µA from a 1.8 V supply line. It achieves a differential output swing of 0.8 V peak-to-peak differential with no more than 1.7% total harmonic distortion (THD) and an input-referred noise density of 22 nV/√Hz at 10 MHz, measured at the gain of 20 dB. The PGA exhibits high input impedance and low output resistance for easy integration within the AFE signal chain. The digitally controlled gain and bandwidth make this PGA suitable for ultrasound imaging applications requiring precise time gain compensation and adjustable frequency response and/or additional anti-aliasing filtering. Full article

The use of multipoles, otherwise called spherical wavefunctions, has been explored for acoustic fields that can be omnidirectional, for example, in scattering theory. Less developed is the use of spherical harmonic multipoles for the construction of directed beams, such as the Gaussian unfocused beampattern, which is an important reference beam in many practical applications. We develop the straightforward construction of a Gaussian unfocused beam using the special properties of the sum of spherical harmonics; these include the use of an imaginary offset in directing the forward propagation to the desired beampattern. Examples are given for narrowband and broadband pulse propagation in the ultrasound MHz range, with comparisons against a classical acoustics formulation of the Gaussian beam. The use of spherical harmonics forms an alternative framework for devising beampatterns, with apodization and concentration issues of the beam linked to an array of a limited number of discrete multipoles at the source. Full article

In ultrasound systems, a protection circuit must be used to protect the receiver electronics from the high-voltage pulses generated by the transmitter and to minimize the signal loss and distortion of the low-voltage echoes generated by the transducer. Especially for certain ultrasound applications, such as intravascular ultrasound, particle manipulation, and cell stimulation, proper performance of the ultrasound transducers is desirable due to their low sensitivity. As the operating frequency of the ultrasound transducer increases, the size of the transducer decreases, increasing the amplitude of the transmitted signals to achieve proper acoustic performance. In such environments, a protection circuit can be used to protect the receiver electronics in ultrasound systems. To design suitable protection circuits, transistors, resistors, capacitors, and inductors are used, and the parameters of insertion loss, noise, total harmonic distortion, and recovery time of the protection circuits must be carefully considered. Various approaches have been developed to protect circuits such as transmission lines, transformers, bridge diodes, and metal-oxide-semiconductor field-effect transistor devices. Certain protection circuits are beneficial for impedance matching and area reduction. Other protection circuits have been designed to increase bandwidth, reduce insertion loss, or improve the signal-to-noise ratio for different ultrasound applications. Therefore, this review article may be useful for academic ultrasound researchers or circuit designers in selecting appropriate protection circuit types for specific ultrasound transducer applications. Full article

The anti-corrosion layer of the pipe provides corrosion resistance and extends the lifespan of the whole pipeline. Heat-shrinkable tape is primarily used as the pipeline joint coating material bonded to the pipeline weld connection position after heating. Delineating the bonding strength and assessing the quality of the bonded structure is crucial for pipeline safety. A detection technology based on nonlinear ultrasound is presented to quantitatively evaluate the bonding strength of a steel-EVA-polyethylene three-layer annulus bonding structure. Using the Floquet boundary condition, the dispersion curves of phase velocity and group velocity for a three-layer annulus bonding structure are obtained. Additionally, wave structure analysis is employed in theoretical study to choose guided wave modes that are appropriate for detection. In this paper, guided wave amplitude, frequency attenuation, and nonlinear harmonics are used to evaluate the structural bonding strength. The results reveal that the detection method based on amplitude and frequency attenuation can be used to preliminarily screen the poor bonding, while the acoustic nonlinear coefficient is sensitive to bonding strength changes. This study introduces a comprehensive and precise pipeline joint bonding strength detection system leveraging ultrasonic-guided wave technology for pipeline coating applications. The detection system determines the bonding strength of bonded structures with greater precision than conventional ultrasonic inspection methods. Full article

In this study, a phase-generated carrier (PGC) demodulation algorithm combined with the extended Kalman filter (EKF) algorithm based on an electro-optic modulator (EOM) is proposed, which can achieve nonlinear distortion (such as modulation depth drift and carrier phase delay) suppression for high-frequency phase carrier modulation. The improved algorithm is implemented on a field-programmable gate array (FPGA) hardware platform. The experimental results by the PGC-EKF method show that total harmonic distortion (THD) decreases from −32.61 to −54.51 dB, and SINAD increases from 32.59 to 47.86 dB, compared to the traditional PGC-Arctan method. This indicates that the PGC-EKF demodulation algorithm proposed in this paper can be widely used in many important fields such as hydrophone, transformer, and ultrasound signal detection. Full article

Quartz-Enhanced Photoacoustic Spectroscopy (QEPAS) is a technique in which the sound wave is detected by a quartz tuning fork (QTF). It enables particularly high specificity with respect to the excitation frequency and is well known for an extraordinarily sensitive analysis of gaseous samples. We have developed the first photoacoustic (PA) cell for QEPAS on solid samples. Periodic heating of the sample is excited by modulated light from an interband cascade laser (ICL) in the infrared region. The cell represents a half-open cylinder that exhibits an acoustical resonance frequency equal to that of the QTF and, therefore, additionally amplifies the PA signal. The antinode of the sound pressure of the first longitudinal overtone can be accessed by the sound detector. A 3D finite element (FE) simulation confirms the optimal dimensions of the new cylindrical cell with the given QTF resonance frequency. An experimental verification is performed with an ultrasound micro-electromechanical system (MEMS) microphone. The presented frequency-dependent QEPAS measurement exhibits a low noise signal with a high-quality factor. The QEPAS-based investigation of three different solid synthetics resulted in a linearly dependent signal with respect to the absorption. Full article

Gas-filled microbubbles are well-established contrast agents for ultrasound imaging and widely studied as delivery systems for theranostics. Herein, we have demonstrated the promising potential of the hydrophobin HFBII—a fungal amphiphilic protein—in stabilizing microbubbles with various fluorinated core gases. A thorough screening of several experimental parameters was performed to find the optimized conditions regarding the preparation technique, type of core gas, HFBII initial concentration, and protein dissolution procedure. The best results were obtained by combining perfluorobutane (C₄F₁₀) gas with 1 mg/mL of aqueous HFBII, which afforded a total bubble concentration higher than 10⁹ bubbles/mL, with long-term stability in solution (at least 3 h). Acoustic characterization of such microbubbles in the typical ultrasound frequency range used for diagnostic imaging showed the lower pressure resistance of HFBII microbubbles, if compared to conventional ones stabilized by phospholipid shells, but, at the same time, revealed strong non-linear behavior, with a significant harmonic response already at low acoustic pressures. These findings suggest the possibility of further improving the performance of HFBII-coated perfluorinated gas microbubbles, for instance by mixing the protein with other stabilizing agents, e.g., phospholipids, in order to tune the viscoelastic properties of the outer shell. Full article

Diffusion bonding technology is widely used in the connection of precision components, yet accurately and reliably detecting contact-type defects on the bond interface still remains a significant problem. Nonlinear ultrasonic methods have been proven to be sensitive to contact-type defects; however, the use of continuous wave or tone burst wave excitation limits its wider application. In this paper, dual-probe nonlinear ultrasonic testing with pulse wave excitation is proposed to detect contact-type defects in diffusion-bonded joints. A titanium alloy diffusion-bonded specimen with artificial defects was fabricated, and the corresponding detection device was designed based on the existing ultrasonic C-scan testing system. A C-scan imaging program based on nonlinear parameters was developed by extracting the fundamental and second harmonic waves of the reflection echo on the bond interface. The results demonstrated that the proposed detection scheme can obtain the nonlinear parameters of diffusion-bonded interfaces, and the nonlinear ultrasonic C-scan image of the bond interface is also obtained. The nonlinear parameter in the contact-type defects areas calculated from the bond interface echo is about 10 times (20 dB) higher than that in macro defects areas, whose gap is about 10 μm. The results indicate that the nonlinear ultrasonic methods seem to be more sensitive to contact-type defects and have a great potential to complement the insufficient detection capability of linear ultrasound for diffusion-bonded joints. Full article

Gallbladder (GB) disease is classified into two broad categories: GB wall-thickening and protuberant lesions, which include various lesions, such as adenomyomatosis, cholecystitis, GB polyps, and GB carcinoma. This review summarizes recent advances in the differential diagnosis of GB lesions, focusing primarily on endoscopic ultrasound (EUS) and related technologies. Fundamental B-mode EUS and contrast-enhanced harmonic EUS (CH-EUS) have been reported to be useful for the diagnosis of GB diseases because they can evaluate the thickening of the GB wall and protuberant lesions in detail. We also outline the current status of EUS-guided fine-needle aspiration (EUS-FNA) for GB lesions, as there have been scattered reports on EUS-FNA in recent years. Furthermore, artificial intelligence (AI) technologies, ranging from machine learning to deep learning, have become popular in healthcare for disease diagnosis, drug discovery, drug development, and patient risk identification. In this review, we outline the current status of AI in the diagnosis of GB. Full article

Pancreatic ductal adenocarcinoma (PDAC) is a cancer with one of the highest mortality rates in the world. Several studies have been conductedusing preclinical experiments in mice to find new therapeutic strategies. Experimental ultrasound, in expert hands, is a safe, multifaceted, and relatively not-expensive device that helps researchers in several ways. In this systematic review, we propose a summary of the applications of ultrasonography in a preclinical mouse model of PDAC. Eighty-eight studies met our inclusion criteria. The included studies could be divided into seven main topics: ultrasound in pancreatic cancer diagnosis and progression (n: 21); dynamic contrast-enhanced ultrasound (DCE-US) (n: 5); microbubble ultra-sound-mediated drug delivery; focused ultrasound (n: 23); sonodynamic therapy (SDT) (n: 7); harmonic motion elastography (HME) and shear wave elastography (SWE) (n: 6); ultrasound-guided procedures (n: 9). In six cases, the articles fit into two or more sections. In conclusion, ultrasound can be a really useful, eclectic, and ductile tool in different diagnostic areas, not only regarding diagnosis but also in therapy, pharmacological and interventional treatment, and follow-up. All these multiple possibilities of use certainly represent a good starting point for the effective and wide use of murine ultrasonography in the study and comprehensive evaluation of pancreatic cancer. Full article

Drug-loaded perfluorocarbon nanodroplets (NDs) can be activated non-invasively by focused ultrasound (FUS) and allow for precise drug-delivery. Anesthetic-loaded NDs and transcranial FUS have previously achieved targeted neuromodulation. To assess the clinical potential of anesthetic-loaded NDs, in depth physical characterization and investigation of storage strategies and triggered-activation is necessary. Pentobarbital-loaded decafluorobutane nanodroplets (PBNDs) with a Definity-derived lipid shell (237 nm; 4.08 × 10⁹ particles/mL) were fabricated and assessed. Change in droplet stability, concentration, and drug-release efficacy were tested for PBNDs frozen at −80 °C over 4 weeks. PBND diameter and the polydispersity index of thawed droplets remained consistent up to 14 days frozen. Cryo-TEM images revealed NDs begin to lose circularity at 7 days, and by 14 days, perfluorocarbon dissolution and lipid fragmentation occurred. The level of acoustic response and drug release decreases through prolonged storage. PBNDs showed no hemolytic activity at clinically relevant concentrations and conditions. At increasing sonication pressures, liquid PBNDs vaporized into gas microbubbles, and acoustic activity at the second harmonic frequency (2 f₀) peaked at lower pressures than the subharmonic frequency (1/2 f₀). Definity-based PBNDs have been thoroughly characterized, cryo-TEM has been shown to be suitable to image the internal structure of volatile NDs, and PBNDs can be reliably stored at −80 °C for future use up to 7 days without significant degradation, loss of acoustic response, or reduction in ultrasound-triggered drug release. Full article