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Handheld Total Chemical and Biological Analysis Systems: Bridging NMR, Digital Microfluidics, and Semiconductors 1st Edition Ka-Meng Lei
Handheld Total Chemical and Biological Analysis Systems: Bridging NMR, Digital Microfluidics, and Semiconductors 1st Edition Ka-Meng Lei
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Ka-Meng Lei · Pui-In Mak
Man-Kay Law · Rui Paulo Martins
Handheld
Total Chemical
and Biological
Analysis Systems
Bridging NMR, Digital Microfluidics, and
Semiconductors
Handheld Total Chemical and Biological
Analysis Systems
Ka-Meng Lei • Pui-In Mak
Man-Kay Law • Rui Paulo Martins
This book investigates the handheld total chemical and biological analysis system
implemented with complementary metal–oxide–semiconductor (CMOS) based on
nuclear magnetic resonance (NMR) technique. The global market for in vitro diag-
nosis is expanding in both developed and developing countries ascribed to the grow-
ing population and longer life expectancy. Conventional benchtop tools for disease
diagnosis such as PCR (DNA amplification) are costly, bulky, and time-consuming
and require trained technicians for operation, which confound their usages in the
centralized laboratory.
CMOS is a promising alternative solution for rapid and quantitative diagnosis at
a low cost. It overcomes the miniaturization of healthcare diagnostic tools, allowing
low-cost and rapid detection of specific targets in tiny fluid samples. Among numer-
ous possible solutions to POC sensing mechanism, NMR stands out as a trailblazing
option since it is versatile and low-cost as it requires little processing on both the
samples and interfacing hardware, i.e., the transducers. However, the reported NMR
systems in literature encounter some issues such as bulky hardware, sample man-
agements, and magnetic field shifting. So herein the materials presented in this book
are focused on optimizing CMOS NMR platform for enhancing their applicability
by bridging NMR, semiconductor chips, and microfluidic technique and promoting
the application of NMR outside standard centralized laboratory with the aid of
CMOS chips. The proposed miniaturized NMR systems in this project achieve (1)
accurate and sensitive chemical/biological detection from microliter samples by the
CMOS integrated circuits; (2) electronic-automated sample management scheme
inside the space-limiting portable magnet, which significantly reduces the labors
and turnaround time of the assay; and (3) robust operation against environmental
v
vi Preface
1 Introduction............................................................................................. 1
1.1 Overview ......................................................................................... 1
1.2 Global Necessities for In Vitro Diagnostic Tools............................ 2
1.3 Nuclear Magnetic Resonance for In Vitro Diagnosis...................... 4
1.4 Organization..................................................................................... 6
References................................................................................................. 7
2 State-of-the-Art CMOS In Vitro Diagnostic Devices........................... 11
2.1 Introduction...................................................................................... 11
2.2 Transducing Mechanisms of CMOS IVD Tools.............................. 11
2.2.1 Electrical-Based................................................................... 12
2.2.2 Optical-Based....................................................................... 18
2.2.3 Magnetic-Based................................................................... 20
2.2.4 Mechanical-Based................................................................ 21
2.2.5 NMR-Based......................................................................... 25
2.3 In Vitro Diagnostic Applications...................................................... 26
2.3.1 Immunoassay....................................................................... 26
2.3.2 DNA Hybridization Assay................................................... 28
2.3.3 Cell/Bacteria Diagnosis....................................................... 29
2.4 Discussions and Selection Guide..................................................... 32
2.4.1 Integration Level.................................................................. 32
2.4.2 Labeling ............................................................................. 32
2.4.3 Hardware Preparation.......................................................... 33
2.4.4 Operation............................................................................. 33
2.4.5 Specificity............................................................................ 34
2.4.6 Summary ............................................................................. 34
References................................................................................................. 36
vii
viii Contents
Index................................................................................................................. 101
List of Abbreviations
ix
x List of Abbreviations
Fig. 1.1 World population from 1950 to 2050, with a medium variant
estimation from 2015. Data collected from the United Nations
World Population Prospects: The 2015 Revision [14].
More developed countries: countries in Europe and Northern America,
plus Australia/New Zealand and Japan. Less developed countries:
countries in Africa, Asia (except Japan), Latin America, and the
Caribbean plus Melanesia, Micronesia, and Polynesia................. 2
Fig. 1.2 The old age dependency ratio (solid line), which is defined
as the ratio of population of 65+ years old to the population
of 15–64 years old with medium variant estimation from 2015.
The children dependency ratio (dotted line), which is defined as the
ratio of population of 0–14 years old to the population of 15–64 years
old, is also shown on the graph as reference. Data collected from the
United Nations World Population Prospects: The 2015 Revision [14].
More developed countries: countries in Europe and Northern America
plus Australia/New Zealand and Japan. Less developed countries:
countries in Africa, Asia (except Japan), Latin America, and the
Caribbean plus Melanesia, Micronesia, and Polynesia................. 3
Fig. 1.3 (a) Macroscopic view of the non-zero spin nuclei. With an external
magnetic field B0 applied to the nuclei, part of them will align
with this magnetic field. (b) The effect of RF excitation
on the nucleus under external magnetization. When excited
by the RF magnetic field at fL, the nuclei precess around the
magnetization. After this excitation, the nuclei still resonate
and return to the equilibrium, with this relaxation recorded
and analyzed.................................................................................. 4
Fig. 1.4 The state of the probe-functionalized MNPs. (a) Without the target,
the MNPs stay monodisperse in the solution without
any aggregation. (b) When the targets exist in the sample,
the targets bind with the probe, and the MNPs aggregate
to form micro-clusters.................................................................... 6
xi
xii List of Figures
Fig. 2.10 The one-chip CMOS NMR-based biosensor. (a) The prototype
of the platform. The system consists of a portable permanent
magnet for magnetizing the 1H nuclei and the CMOS chip to excite
the nuclei and receive the NMR signal from them. The samples
are put directly on top of the CMOS chip without further
post-processing. (b) The experimental results from the biological
samples. Without the target the functionalized MNPs stay
monodispersed, and the sample has a higher T2. With the target
hCG cancer marker inside the samples, the hCG antibody binds
with the hCG cancer marker, and they together form the
micro-cluster. Thus the T2 of the sample decreased, and the
concentration of the target can be identified from the NMR
signal (Reproduced with permission from [28].
Copyright 2011 IEEE)................................................................... 27
Fig. 2.11 Smart CMOS system-on-chip platform for rapid blood screening
test of risk prediction. (a) The experimental procedure of the platform.
Firstly, the blood under analysis is put atop the anodic aluminum
oxide membrane. The biomarkers will be diffused to the mixing
reservoir and separated from other blood cells (>1 μm). After the
filtration, the filtered sample in the mixing reservoir together with
the bio-functionalized magnetic bead will be pumped to the sensing
site by the force from the electrolytic pumping. Upon capturing
by the coated antibody at the surface of the CMOS chips, the target
and the magnetic bead will be seized, while the unbound magnetic
bead will be flushed away by the magnetic force from the on-chip
coil. Thus the Hall sensor can sense the magnetic bead and identify
the concentration of the targeted biomarker. (b) The photograph
showing the electrolytic pumping and magnetic flushing. At first,
the sample is on the right of the sensing reservoir. Then, voltage
is applied to the electrolytic electrodes, and bubbles are formed
consequently. The bubbles here induce gas force and pump the
sample to the sensing reservoir. After the sample arrived at the
sensing site, the immobilized antibodies capture the targets
and the magnetic beads. Then the unbound magnetic beads
will be flushed away by the on-chip coil. (c) The experimental
result (TNF-alpha) of the immunoassay. The Hall sensor detects
the target analyte from the magnetic beads on the sensing site.
The system can detect 0.8 pg/mL–80 ng/mL of TNF-alpha
and NT-proBNP from whole bloods (Reproduced with
permission from [34]. Copyright 2015 IEEE)............................... 28
Fig. 2.12 Integrated qPCR system on CMOS chip. (a) The CMOS chip
and illustration of its functions. The chip has three main modules
to enable on-chip qPCR. An electrowetting-on-dielectric device
serves as an electronic-automated droplet management module
to extract the target, PCR reagents, buffer, and intercalator dye
xvi List of Figures
Fig. 3.2 Timing diagram of the pulses, including the excitation CPMG
pulse sequence delivered to the TX to excite the nuclei and the
response from the nuclei, which is picked up by the coil.............. 43
Fig. 3.3 (a) Geometry and limitation from the opening gap of the portable
magnet. (b, c) The EM simulation of the magnetic field direction
and strength from a spiral coil (with 14 turns) and a Butterfly-coil
(with 7 turns on each spiral), respectively, with a flowing
current of 1 A................................................................................. 45
Fig. 3.4 Ratio of EC loss generated by the seven-turn (each loop)
Butterfly-coil to coil magnetic energy against the thickness
of the ITO. The figure was plotted based on (3.2) with f = 20 MHz,
ρ = 1 × 10−6 Ωm, and A = 40 mm × 24 mm. The dotted line shows
0.5% level and corresponds to the ITO thickness of 80 nm.......... 47
Fig. 3.5 Nutation curve of the seven-turn (each loop) Butterfly-coil. The
normalized amplitude from different durations of RF excitation
signals was recorded and fitted to the sinusoidal wave.
The estimated π/2-pulse width for the coil is 144 μs..................... 49
Fig. 3.6 (a) Received NMR signal from water. Inset shows the received
NMR signal. The echoes were bounded by the gray-dotted trend line.
(b) T2 of the samples versus concentration of CuSO4 solution, and
results were shown on the graph (■). The trend lines were drawn
together with their equation and 1/T2 value, together with error
percentages (defined as half of 95% confidence level/true value)
marked on the graph with dot lines where the values
were displayed on the right axis.................................................... 50
Fig. 3.7 (a) Fabricated DMF device. For illustration, the electrodes
are numbered 1–8; (b, c) operation of the DMF platform.
The droplet was originally placed at electrode no. 1
(highlighted by the circle). By applying a signal on electrode
no. 2 and then turning off electrode no. 1, the droplet moved
to electrode no. 2. As such, the droplet can be transported
to electrode no. 8, which is the NMR sensing site......................... 51
Fig. 3.8 (a) Illustration of droplets mixing. The droplets at electrode no. 1
(samples) and no. 8 (probe) were driven to electrode no. 7
and mixed together. (b) The NMR assay results
from the mixed droplets................................................................. 52
Fig. 3.9 Portable electronic-automated micro-NMR system. It features
a CMOS TRX and a PCB-based Butterfly-coil inside the magnet
to transduce between magnetic and voltage signals. The analyte
is placed inside a glass substrate DMF device atop the
Butterfly-coil for sample management (only one electrode
is shown for simplicity)................................................................. 52
Fig. 3.10 Three-phase operation of the micro-NMR system: setup,
sample preparation, and analysis................................................... 53
xviii List of Figures
xxi
Chapter 1
Introduction
1.1 Overview
An essential part to evaluate the success of global health is the access to appropriate
diagnostic tools [1]. A commendable diagnostic tool should be able to identify the
disease occurred from the individuals rapidly. Especially for the infectious diseases,
the turnaround time (TAT) for the diagnosis strongly affects their exacerbation level
to the community. In vitro diagnostic (IVD) tool is aimed to offer a comfortable
diagnosis for the patients, by taking only small specimens from the human body,
e.g., blood, urine, or sputum, for analysis. Consequently, technologies enabling
effective in vitro diagnosis become highly attractive for both developed and devel-
oping countries [2]. Tremendous efforts have been geared toward developing
clinical-level IVD tools. Despite achieving high accuracy, the resulting TAT can be
too long for diagnoses of contagious diseases like Ebola and SARS in the rural area,
and the requisite of skillful operators and sophisticated equipment to perform the
assays can dramatically raise the cost of the assay.
Recently, decentralized diagnostic solutions, namely, point-of-care (PoC)
devices, have gained notable interests attributed to their fastness, small footprint,
and tiny sample usage. Wide varieties of diagnostic platforms have been invented,
such as the lateral flow assays [3–6] and pathbreaking lab-on-a-disc immunoassay
[7–10] for PoC applications. Beyond them, PoC devices on complementary metal–
oxide–semiconductor (CMOS) chips are particularly promising, as they can enjoy
the maturity of microelectronics in manufacturing and its outstanding performances
in both physical sensing and signal processing. While the mainstream lateral flow
assay is confounded to provide merely qualitative or semiquantitative results [11],
the CMOS biosensors can attain a quantitative result and are beneficial to rapid and
low-cost assays. Especially for low-cost IVD applications, CMOS chips in a centi-
meter scale can significantly miniaturize the diagnostic tools.
10
Population (Billion)
0
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050
Year
Fig. 1.1 World population from 1950 to 2050, with a medium variant estimation from 2015. Data
collected from the United Nations World Population Prospects: The 2015 Revision [14]. More
developed countries: countries in Europe and Northern America, plus Australia/New Zealand and
Japan. Less developed countries: countries in Africa, Asia (except Japan), Latin America, and the
Caribbean plus Melanesia, Micronesia, and Polynesia
1.2 Global Necessities for In Vitro Diagnostic Tools 3
0.8
0.7
0.6
0.5
Ratio
0.4
0.3
0.2
0.1
0
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050
Year
Fig. 1.2 The old age dependency ratio (solid line), which is defined as the ratio of population of
65+ years old to the population of 15–64 years old with medium variant estimation from 2015. The
children dependency ratio (dotted line), which is defined as the ratio of population of 0–14 years
old to the population of 15–64 years old, is also shown on the graph as reference. Data collected
from the United Nations World Population Prospects: The 2015 Revision [14]. More developed
countries: countries in Europe and Northern America plus Australia/New Zealand and Japan. Less
developed countries: countries in Africa, Asia (except Japan), Latin America, and the Caribbean
plus Melanesia, Micronesia, and Polynesia
The aging problem of the developed countries also creates an enormous chal-
lenge. A healthcare solution that can deal with the continuous increment of life
longevity is of demand. As revealed in Fig. 1.2, the old age dependency ratio, which
gives insight to the population of elderly (65+ years) as a share of those in working
age (age 15–64 years), will be rising in the coming decades. The old age depen-
dency ratio of more developed countries will reach 0.4 in 2034 and eventually 0.46
by the end of 2050 (i.e., increase by 72% from 2015). Thus, the burdens on the clini-
cal resources in those areas will become tighter, especially for the patients in prox-
imity to death [15]. An efficacious healthcare solution will benefit this situation and
drive the growth of the market for IVD tools. To this end, the market for IVD tools
should not be merely aimed at less developing countries but also toward efficient
and convenient diagnosis in developed countries. In fact, according to the report
from Forbes/Investing, the IVD market, valued at ~$50 billion in 2012, will expand
to $70 billion by 2017 [16].
4 1 Introduction
fL = γ B0 (1.1)
Spin-up
Spin-down
Nuclei
Magnetic
moment
B0
Without external magnetization With external magnetization
(a)
B0
B1 (at f L)
Before RF excitation Right after RF excitation After RF excitation (relaxation)
(b)
Fig. 1.3 (a) Macroscopic view of the non-zero spin nuclei. With an external magnetic field B0
applied to the nuclei, part of them will align with this magnetic field. (b) The effect of RF excita-
tion on the nucleus under external magnetization. When excited by the RF magnetic field at fL, the
nuclei precess around the magnetization. After this excitation, the nuclei still resonate and return
to the equilibrium, with this relaxation recorded and analyzed
1.3 Nuclear Magnetic Resonance for In Vitro Diagnosis 5
with the gyromagnetic ratio of the nuclei γ. For a 0.46-T magnet, the fL of 1H is
~20 MHz. The nuclei do not precess if there is a mismatch on the excitation fre-
quency and fL. After tipping the nuclei with 90° from the direction of bulk magneti-
zation, the excitation is turned off. Then, the recovery of the magnetization in
parallel with B0 is defined as the spin-lattice relaxation time T1 whereas the recovery
of the magnetization perpendicular with B0 is defined as the spin-spin relaxation
time T2. This T2 reveals the magnetic field decoherence information across the
nuclei. Unfortunately, the unavoidable inhomogeneity of B0 from portable magnet
causes spatial variation on the precession rate of the nuclei thus the T2 decays at a
much faster rate T2*. This blemish hinders the measurement on original T2. To sur-
mount this, the spin-echo technique such as Carr–Purcell–Meiboom–Gill (CPMG)
pulse sequence can be utilized to refocus this dephasing effect on the nuclei by flip-
ping the nuclei 180° with interval τ; thus the spins are maximized again from B0
inhomogeneity [19, 20]. The envelope of the echoes responses allows the derivation
of the resulting T2 with the following mathematical expression:
nτ
−
A [ n ] = A0 e T2
(1.2)
with the echoes amplitude for nth echoes A[n] and the initial amplitude A0. More
importantly, the strength of B0 correlates to the signal-to-noise ratio (SNR) of the
NMR signal and is described as [21]:
7
fL 4
1 2π
SNR NMR ∝ KB1 (1.3)
Flξ∆ f 4 ρ
with homogeneity factor K, magnetic field strength per unit current produced by the
RF-coil orthogonal to the permanent magnetic field B1, the noise figure of the
receiver’s forefront amplifier F, length of the RF-coil conductor l, the bandwidth of
the system Δf, and the resistivity ρ of the RF coil. From (1.1) and (1.3), the SNR of
the system is proportional to the power of 7/4 of B0, thus demanding a stronger B0
to enhance the SNR. Although there seem to be numerous ways to enhance B0 and
its homogeneity (i.e., for higher resolution and stronger signal), the portability and
power consumption of the system will be penalized due to the need for a heavier and
bulkier magnet, not to mention a higher operating frequency that will be required
for the electronics.
By exploiting functionalized magnetic nanoparticles (MNPs) as the probe, the
NMR-based quasi label-free detection scheme can pinpoint a broad range of unpro-
cessed biological targets such as DNA [22], protein [23], and virus [24] for in vitro
diagnosis. These superparamagnetic MNPs have significant impacts on T2 of the
samples according to their magnetization (Ms) attributed to their capability to per-
turb the local magnetic field homogeneity. When the target is absent in the sample,
the MNPs stay monodisperse inside the solution (Fig. 1.4a). Consequently, when
6 1 Introduction
MNP
Probe
Target
(a) (b)
Fig. 1.4 The state of the probe-functionalized MNPs. (a) Without the target, the MNPs stay
monodisperse in the solution without any aggregation. (b) When the targets exist in the sample, the
targets bind with the probe, and the MNPs aggregate to form micro-clusters
the targets exist inside the samples, they will cross-link with the probe-functionalized
MNPs, assembling nanoparticles micro-clusters (Fig. 1.4b). These micro-clusters,
with a diameter dc depending on the concentration of the target biomolecules, have
a different magnetization MC [25]:
f −3
d
MC = M S c (1.4)
ds
with the fractal dimension of the micro-cluster f and the diameter of a single MNP
ds. Accordingly, T2 of the sample is commensurate with MC. In this respect, T2 is
linked with the amount of target upon nanoparticle agglomeration and attainable for
quantification. Unlike other sensing schemes, screening by NMR is rapid and low
cost as it is quasi label-free for the samples and immobilization-free for the trans-
ducers/electrodes. Such benefits render NMR-based detection as a promising solu-
tion for PoC applications. Although NMR is known for its relatively low sensitivity,
the MNP here provides inherent signal amplification to NMR since a single MNP
micro-cluster can affect billions of adjacent water molecules [26].
Conventionally NMR equipment are bulky and have limited applicability for
PoC diagnosis. Recently, researchers have been focusing on miniaturizing the mag-
net for NMR and migrating the modular and complex electronics into CMOS chips
[27–29]. With advanced circuit techniques to lessen the penalty of signal attenua-
tion induced by the compact magnet (<7.3 kg) as stated in (1.3), these micro-NMR
systems offer a trailblazing sensing method befitting more the PoC diagnosis.
1.4 Organization
References
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The maydens cry: the widowes wayle, and aged
mourne,
With wringing hands vplift, and wish them selues
vnborne.
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Iohn Higins.[1881]
[“This knight, my maisters,” quoth one, “came somwhat to late in
order.” “That is maruaile,” quoth maister Ferrers, “it seemes that hee
was forwarde enoughe in seruice.” “Yea,” quoth another, “hee came
the later home for that, and therefore wee must accept his cause.”
“How ere hee came,” quoth M. H.[1882] “hee sayes well, and like a
noble gentleman, as no doubt hee was.” “Hee should haue beene
placed,” quoth one, “after king Iames the first, king of Scots, of
whome wee spake in the yeare 1437.” “Now,” quoth I, “that you talke
of king Iames, I haue king Iames the fourth here, which was slayne
at the batayle of Brampton, or Floddon fielde, but hee is very
rude”[1883] “I like him,” quoth one, “the better: for if hee should bee
otherwise, it would not well beseeme his person, nor the place
whence he comes.” “Reade it,” quoth they, “as it is.” “Thinke then,”
quoth I, “that you see him standing all wounded, with a shafte in his
body, and, emongst other woundes, one geuen by a byll, both
deadly, to say in his rude and faithlesse maner as followeth.”]
[The lamentation of King James the
fourth, King of Scots, slayne at
Brampton, in the fiuthe yeare of King
Henry the eight, Anno Christi, 1513.
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[“King Iames,” quoth one, “wil bee misliked for his Miserere.”
“No,” quod another, “hee cryes Peccaui.” “It is to late,” quoth he,
“there is no man that will like or beleeue him.” “Than,” quod M. H. “he
is still one and the same man: for in life he was neither well liked,
beleeued, nor trusted.” “Why than,” quoth one, “if hee speake as hee
was, let him passe as hee is, and if not, let him bee mended.”
“Mended,” quoth hee, “nay, hee is paste mending, hee is to olde: for
it seemes by the copy, that it was pende aboue fifty yeares agone, or
euen shortly after the death of the sayd king: for I found therewith, in
an olde hand, the copyes of the sayd king Iames’ letters sent unto
king Henry at Turwin, and the king’s aunsweres and letters sent to
him againe, with this lamentation ensuing them: and lastly the sayd
batayle of Floddon fielde, in such verse described, with the order of
the same, and the names of the noble men, knights, and gentlemen,
which serued at the same fielde.” “That would I faine heare,” quoth
one, “it were pity that such particulers should bee lost.” “They would,”
quoth another, “pleasure not only such as write our historyes, but
also encourage our countreymen well, to the like loyall seruice of
their prince, and especially those who should finde therein of their
parents or auncestours to haue bene praysed for valure.” “I pray
you,” quoth hee, “let us haue them.” “There they are,” quoth I, “but I
haue altered the verse, which wee call Intercalaris, because the rest
else would not haue beene well liked; but of the history I haue not
chaunged one word.”]
[The Bataile of Brampton, or Floddon
fielde, faught in the yeare of our
Redeemer 1513, and in the fiuth yeare
of the raygne of that victorious prince,
King Henry the eyght.
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Sir Edward Stanley in the rear warde was hee,
A noble knight both wise and hardy,
With many a noble man of the west countrey,
And the whole powre of the earle of Darby,
With a right[1935] retinue of the bishop Elye,
And of Lankeshyre men manly[1936] did fight,
By the helpe of God, and in theyr prince’s right.
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