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4, APRIL 2020
Abstract — Intravascular ultrasound (IVUS) is one of the single-element transducer or an array transducer, with their
most useful tools available today to assist intravascular center frequency (FC) ranging from 20 to 40 MHz. Their
stenting procedures. Having higher resolution is very impor- spatial resolution is usually 70–200 μm in the axial direction
tant for helping doctors to evaluate the nature of atheroscle-
rotic plaques. The current commercial IVUS systems have and 200–400 μm in the lateral direction [5]–[7]. In order
a spatial resolution of 70–200 µm in the axial direction and to improve the accuracy of clinical diagnosis with higher
200–400 µm in the lateral direction, which are insufficient for spatial resolution, many trial designs have been explored,
accurate diagnosis. We report here a three-matching-layer such as single-crystal, composite transducers referred to as
IVUS transducer design using a 0.72Pb(Mg1/3Nb2/3 )O3 − pc-MUT [8], ultrahigh-frequency IVUS [9], optical coher-
0.28PbTiO3 single crystal, which can improve the axial
resolution to 40 µm without sacrificing the penetration ence tomography (OCT)-integrated IVUS [10], and the newly
depth. Wire phantom imaging and in vitro porcine coronary released 60-MHz composite transducer-based IVUS catheter
artery imaging show noticeably better axial resolution and (OPTICROSS HD, Boston Scientific). However, the pc-MUT
similar penetration depth compared with a commercial IVUS and ultrahigh-frequency transducer technologies introduce sig-
transducer. nificant difficulties in the fabrication process that lower the
Index Terms — Broad bandwidth, high-frequency
manufacturing yield. For example, the kerf edge straightness
transducer, intravascular ultrasound (IVUS),
three-matching-layer. of pc-MUT composite is difficult to be ensured during the deep
dry etching process. For ultrahigh-frequency (over 80 MHz)
I. I NTRODUCTION IVUS transducers, the piezocrystal needs to be lapped down
to a thickness of less than 30 μm, which is difficult to achieve
C ARDIOVASCULAR diseases are the leading cause of
human death globally. According to WHO’s report, more
than 17.9 million deaths per year occurred in 2015 due to
[11]. For IVUS-OCT dual-modality catheters, several designs
have demonstrated the feasibility of this technology, which
cardiovascular diseases alone, and the death toll is expected allows more accurate plaque characterization than using IVUS
to increase to more than 23.6 million by 2030. In the United or OCT alone [12]–[14]. However, some technical and cost
States, coronary heart disease is the leading cause (43.8%) issues still remain to be solved for this complex hybrid system,
of death among cardiovascular diseases, followed by stroke such as increasing the imaging speed and the coregistration
(16.8%), heart failure (9%), high blood pressure (9.4%), dis- accuracy between IVUS and OCT [15]. The new commercial
eases of the arteries (3.1%), and other cardiovascular diseases 60-MHz IVUS catheter is made of 1–3 piezocomposites; it
(17.9%) [1]. Atherosclerosis is the main cause of coronary is very difficult to use the low-cost dice-and-fill technology
heart disease. Effective diagnosis of atherosclerotic coronary due to the strict kerf width requirement (less than 4 μm)
disease by identifying and quantifying atherosclerotic lesions [16] at such high frequencies. Moreover, the penetration depth
has been one of the main clinical issues [2]. The most of the 60-MHz transducer is inferior to the low-frequency
effective method is intravascular ultrasound (IVUS), which has (40 MHz) transducer, so the increased spatial resolution is at
been used for many years in clinical applications to visualize the cost of shallower penetration depth. Besides the technolo-
the inner structure of coronary arteries and detect high-risk gies mentioned above, dual-frequency [17] or multi-frequency
coronary plaque characteristics [3], [4]. [18] IVUS transducers were also designed for enhancing
The currently available commercial IVUS catheters include the spatial resolution while retaining satisfactory penetration
a high-frequency ultrasound transducer, either a rotating depth. However, the accurate alignment of dual/multiple trans-
ducers is very critical for image co-registration. Ma et al.
Manuscript received July 29, 2019; accepted November 21, 2019. Date [18] tried back-to-back configuration for dual-frequency trans-
of publication November 28, 2019; date of current version March 25,
2020. This work was supported by the Shanghai Science and Tech- ducers to avoid the dimension limit issue and the image co-
nology Committee through the Shanghai Sailing Program under Grant registration problem during the catheter pulling back process,
17YF1405300. (Corresponding author: Wenwu Cao.) but greater effort is needed to ensure the parallelism of two
X. Ma is with the School of Life Science and Technology, Harbin Institute
of Technology, Harbin 150080, China. transducers.
W. Cao is with the School of Life Science and Technology, Harbin The three-matching-layer design of ultrasonic transducers is
Institute of Technology, Harbin 150080, China, and also with the Depart- beneficial for widening the bandwidth [19], which is helpful
ment of Mathematics and Materials Research Institute, The Pennsylvania
State University, University Park, PA 16802 USA ( e-mail: dzk@psu.edu).
. .
for improving the spatial resolution. However, there is usually
Digital Object Identifier 10.1109/TUFFC.2019.2956603 a significant ring-down in the pulse echo signal and notches
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. .
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MA AND CAO: SINGLE CRYSTAL HIGH-FREQUENCY IVUS TRANSDUCER 811
TABLE I
P ROPERTIES OF T RANSDUCER M ATERIALS
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812 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 67, NO. 4, APRIL 2020
TABLE II
P ULSE -E CHO S IMULATION OF THE T HREE -M ATCHING -L AYER
T RANSDUCER
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MA AND CAO: SINGLE CRYSTAL HIGH-FREQUENCY IVUS TRANSDUCER 813
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814 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 67, NO. 4, APRIL 2020
TABLE III
C OMPARISON OF M EASURED P ULSE -E CHO P ERFORMANCE
OF THE T HREE -M ATCHING -L AYER T RANSDUCER AND
THE C OMMERCIAL T RANSDUCER
(Boston Scientific SR Pro2) cannot distinguish such 40-μm target is linearly scanned to determine the axial and lateral
separation, as shown in Fig. 11. resolutions with a distance of 3 mm from the transducer
According to the Field II simulation results, the lateral reso- surface. The comparison of PSF echo signals between the
lution of the three-matching-layer transducer is about 210 μm. three-matching-layer transducer and the commercial one is
So, two tungsten wires with 220-μm spacing are positioned displayed in Fig. 14(a) and (b).
at 3 mm from the transducer for lateral resolution verification. From Table IV, the axial resolution of the
Based on the comparison between Figs. 12 and 13, one can three-matching-layer transducer is only half of that of the
see that the three-matching-layer transducer can distinguish commercial transducer, which is a noticeable improvement for
the two wires, while the commercial product cannot. IVUS application, and the lateral resolution is also improved
In order to get more accurate values, the point spread slightly, which verified the Field II simulation results.
functions (PSFs) of a wire phantom are used to calculate the Fig. 15(a) shows a tissue-mimic gelatin phantom used for
axial and lateral resolutions. A 10-μm-diameter tungsten wire the penetration depth comparison test. The experimental con-
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MA AND CAO: SINGLE CRYSTAL HIGH-FREQUENCY IVUS TRANSDUCER 815
TABLE IV
S PATIAL R ESOLUTION C OMPARISON
Fig. 15. (a) Tissue-mimic gelatin phantom. (b) B-mode image of the
three-matching-layer transducer. (c) B-mode image of the commercial
transducer. Fig. 18. Coronary artery imaging using the commercial IVUS transducer
(Boston Scientific SR Pro2).
IV. C ONCLUSION
A three-matching-layer transducer has been designed and
Fig. 16. Healthy porcine heart for the i n vitro imaging test.
successfully fabricated using the PMN-28%PT single crystal.
figuration is the same as the two-wire spatial resolution setup. Pulse-echo waveform measurement, spatial resolution mea-
As shown in Fig. 15(b) and (c), both transducers can detect surement, and in vitro imaging were performed using this
the signals reflected at the depth of 5 mm, which is a standard transducer. Compared with the standard commercial product,
depth of penetration requirement in IVUS applications [29]. our three-matching-layer transducer has 38% broader band-
So, the three-matching-layer IVUS transducer has a compara- width, which can produce better resolution for clinical IVUS
ble penetration but much superior spatial resolutions compared applications. By connecting to a customized IVUS imaging
with the commercial transducer. platform, the axial and lateral resolutions of our transducer
have reached 41.6 and 214.7 μm, respectively. Such high res-
olution is potentially capable of detecting a thin fibrous cap of
C. In vitro Imaging Evaluation less than 60-μm thickness. It is known that the thickness of the
The transducer-embedded catheter is inserted into the coro- fibrous cap is one of the main parameters for doctors to distin-
nary artery of a healthy porcine heart (see Fig. 16) for the in guish vulnerable plaques [30]. Clinically, 60 μm is considered
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816 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 67, NO. 4, APRIL 2020
a critical thickness for doctors to determine if the patient [19] T. Manh, A.-T. T. Nguyen, F. T. Johansen, and L. Hoff, “Microfab-
should be treated by stenting without causing plaque rupture. rication of stacks of acoustic matching layers for 15 MHz ultrasonic
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[6] M. R. Elliott and A. J. Thrush, “Measurement of resolution in intravas- Xiaowen Ma received the B.S. degree in bio-
cular ultrasound images,” Physiolog. Meas., vol. 17, no. 4, pp. 259–265, medical engineering from Shanghai Jiaotong
Nov. 1996. University, Shanghai, China, in 2008, and the
[7] B. ME et al., “Assessing atherosclerotic plaque morphology: Compari- M.S. degree in electronic and communication
son of optical coherence tomography and high frequency intravascular engineering from Fudan University, Shanghai, in
ultrasound,” Heart, vol. 77, pp. 397–403, 1997. 2012. He is currently pursuing the Ph.D. degree
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[9] X. Li et al., “80-MHz Intravascular Ultrasound Transducer Using PMN- His current research interests include the
PT Free-standing Film,” IEEE Trans. Ultrason., Ferroelectr., Freq. design and fabrication of high frequency medical
Control, vol. 58, no. 11, pp. 2281–2288, Nov. 2011. ultrasonic transducers and the application of new piezoelectric materials
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focused transducer for intravascular ultrasound tissue imaging using the Wenwu Cao received the B.S. degree in physics
third harmonic,” Sensors, vol. 18, 2018, Art. no. 2290. from Jilin University, Changchun, China, in
[12] X. Li, J. Yin, C. Hu, Q. Zhou, K. K. Shung, and Z. Chen, “High- 1982, and the Ph.D. degree in condensed mat-
resolution Coregistered intravascular imaging with integrated ultrasound ter physics from Pennsylvania State University,
and optical coherence tomography probe,” Appl. Phys. Lett., vol. 97, State College, PA, USA, in 1987.
Sep. 2010, Art. no. 133702. He is currently a Professor of mathematics and
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vol. 16, 2011, Art. no. 060505. als Research Institute, Pennsylvania State Uni-
[14] C. V. Bourantas et al., “Hybrid intravascular imaging: Current applica- versity. He has published more than 630 articles.
tions and prospective potential in the study of coronary atherosclerosis,” He has coauthored five books with over 17000
J. Amer. College Cardiol., vol. 61, pp. 1369–1378, 2013. citations. He has conducted both theoretical and experimental research
[15] D. Maresca, S. Adams, B. Maresca, and A. F. van der Steen, “Map- in condensed matter physics, materials science, medical ultrasound,
ping intravascular ultrasound controversies in interventional cardiology and device engineering, including theories on proper- and improper-
practice,” PLoS ONE, vol. 9, no. 5, 2014, Art. no. e97215. ferroelastic phase transitions, static and dynamic properties of domains
[16] J. Yuan, S. Rhee, and X. Jiang, “60 MHz PMN-PT based 1-3 composite and domain walls in ferroelectric and ferroelastic materials, measure-
transducer for IVUS imaging,” in Proc. IEEE Int. Ultrason. Symp., ments on second and third order elastic constants, linear and nonlinear
Nov. 2008, pp. 682–685. dielectric constants and piezoelectric constants in single crystals and
[17] J. Ma et al., “Design factors of intravascular dual frequency transducers ceramics, static and dynamic behavior of piezoelectric ceramic-polymer
for super-harmonic contrast imaging and acoustic angiography,” Phys. composites, simulation design of piezoelectric sensors, transducers and
Med. Biol., vol. 60, no. 9, pp. 3441–3457, 2015. actuators for underwater acoustics and medical ultrasonic imaging,
[18] T. Ma, M. Yu, Z. Chen, C. Fei, K. K. Shung, and Q. Zhou, “Multi- and ultrasonic NDE. In recent years, his research has extended to
frequency intravascular ultrasound (IVUS) imaging,” IEEE Trans. Ultra- sonodynamic therapy to treat cancers, an emerging new noninvasive
son., Ferroelectr., Freq. Control, vol. 62, no. 1, pp. 97–107, Jan. 2015. cancer treatment modality.
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