Electroporation is a technique that uses short-duration (nanosecond to microsecond) high-voltage electric pulses to create temporary pores in cell membranes or irreversibly destroys target cells for cancer treatment. The versatility of electroporation makes the technique ideal for direct drug delivery and cancer treatment. Electroacoustic tomography (EAT) is a novel imaging modality for electroporation treatment monitoring, that utilizes the existing energy deposited by highvoltage electrical fields created in the electroporation process. In EAT, ultrasound waves are generated by the deposited electric potential energy and captured by different configurations of ultrasound transducers. After being captured, the ultrasound information is used to reconstruct the geometric information of the electric field distribution in the target medium. In this work, we demonstrate the feasibility of electroacoustic tomography (EAT) by creating a 2D reconstruction of an electric field in the water. A custom high-voltage electric pulse generating device was made for delivering nanosecond duration pulses in water through two electrodes. A 500Khz ultrasound transducer was placed near the electrodes and rotated to capture the acoustic information from 180 positions. The corresponding 2D reconstruction of the electric field in water was completed by using filtered back-projection algorithm. The successful reconstruction of the electrical field in water marks the important step of EAT development for in-situ electroporation monitoring.
KEYWORDS: Transducers, Acoustics, Tomography, Tissues, Ultrasonics, Electrodes, Imaging systems, Real time imaging, Signal detection, Signal processing, Acoustic emission
The new technique for the imaging guidance to real-time monitoring of electroporation-based medical interventions could be based on the electroacoustic tomography (EAT), where the electric field applied for the electroporation process leads to induced acoustic signals based on the flow of electrical current inside the target conductive tissue. A microsecond to nanosecond electric-pulse (ππ β ππ πΈπ) excitation source is an essential part of this new imaging guided to real-time monitoring electroporation process. This paper presents the design, configuration, and measurement of a compact, low-cost high voltage MOSFET-based pulsed excitation source and the simple structure of the EAT system with the single channel ultrasonic transducer to acquire acoustic signals and complemented by experimentation of its function based on agar-conductive phantom studies. The high-voltage pulsed excitation source has variable pulse widths ranging from 100 ππ π‘π 10 ππ electric pulse with a variable pulse potential magnitude of up to 1200 Volts (V). The high-voltage ππ β ππ πΈπ is powered from a variable input source of 11.3 to 16 V in direct current (DC) and a power controller using a 0 V to 5 V in DC power line so that it is able to provide 0 to full output in potential magnitude. The high-intensity, ultra-short pulsed electric field is then connected to two electrodes separated by a distance (d) where π = 1500ππ π‘π 3400 π mounted into the conductive media. An unfocused ultrasound transducer with central frequency of 500 kHz is used to acquire real-time acoustic signals. Various conductive media, including two agar-based phantoms with conductivity of 1 ππ/ππ , 34 ππ/ππ were studied using this pulsed excitation source to induce corresponding acoustic signals. Results indicate feasibility of the enhancing the EAT system that used up to 8 kV/cm, ππ π‘π ππ pulsed excitation source used in the electroporation-based clinical processes enhancing the EAT system as an imaging guidance to real-time, in-situ monitoring for the electroporation-based techniques.
The design, fabrication, and performance of pre-screening tool using bioelectrical tissue profile is described. A probe of 8 electrodes using active-probe-sensing (AP-sensing) module was linearity distortion in the frequency response bonded to the 8 sub-regions of the breast surface forming the Bioimpedance transfer measurement system. Each measurement channel acquired the data from 1/8 of breast according to each breast defined in 8 sub-regions with split current injection channel and response behavioural bioelectricity detection. For this tissue bioelectrical measurement system, the electrodes were placed on the breast surface and before the bioelectrical profile were measured, we investigated a closed loop technique to compensate for the effects and measure the channel-skin-contact impedance. The AP-sensing module and connecting pads could be placed in the measurement electrode-Bras according to different breast size, and all measurement sub-regions should be equivalent for each case, but could be different in scale of 1- 2cm in related to different breast size. Bilateral structure was applied to compare each breast tissue bioelectrical properties in related to tissue behavioural in different frequency. Bioelectrical measurement efficiency was evaluated by the use of bioelectrical plots equivalent to a theoretical plot of the pure tissue profile versus average intracellular and extracellular and admittance behavioural of breast tissue able to flow electric field using Cole-Cole structure tissue modelling as a well-known bioelectrical tissue profile. The bioelectrical tissue profile as a pre-screening tool using theoretical pure tissue profiles and experimental measurements were evaluated in related a conventional Bioimpedance spectroscopy instruments. Breast bioelectrical profile of different breast density categories and average measurement values were significant, according to exist of fibro-glandular tissues in the total breast volume. The different of the theoretical values corresponding to pure fatty and fibro-glandular breast tissue behaviour was slightly different with the experimental measurements. We demonstrated the bioelectrical profile of breast tissue and extracting bioelectrical features that comparing in a bilateral structure to apply bioelectrical features as a supplementary data in the machine learning algorithms and present correspond risk factor for susceptibility of breast cancer in future studies. The preliminary equivalent theoretical and experimental results, evaluate the possibility of this new, non-imaging and label-free quantitative technique.
KEYWORDS: Transducers, Acoustics, Tomography, Tissues, Signal detection, Real time imaging, Ultrasonics, Ultrasonography, Electrodes, Signal processing, Acoustic emission
In our experiments, a technique has been developed to simultaneously acquire Electroacoustic (EA) signal captured by a single channel ultrasonic traducer in a linear array structure. The system utilizes micro- to nano-second pulsed electric field applied by an excitation source that can be used for clinical purposes (i.e. electroporation applications), and a conventional ultrasound transducer to acquire pulse electric field-induced acoustic signals. In this research, for the first time, we present a new real-time imaging-based technique when applying different electric field distributions that disturb electrically charged particles in the media that leads to a change of temperature which increases on the order of mK per a single high intensive, μπ βππ short-pulse. We demonstrated this new technique by acquiring real-time acoustic signals induce by electric field distribution inside an agar-conductive based phantom. We used low-noise-amplifiers with a maximum gain of 60dB at 500 kHz with a linear scanning structure within less than 20sec, in 500 steps, and delay time of 500 ms to stabilize the transducer, and establish a linear scanning with a single element transducer. The corresponding EA images are reconstructed with a multi-step line back-projection algorithm. The approach can effectively reduce the artifacts associated with a conventional filter back projection algorithm used in other ultrasonic imaging by linear scanning structure because it is able to take information at multiple points to deliver the best possible image. This EAT technique provides a new and unique imaging approach for realtime, in-situ electrotherapy-based clinical practical applications.
The use of electrical energy in applying reversible or irreversible electropermobilization for biomedical therapies is growing rapidly. This technique uses an ultra-short and high-voltage electric pulse (μs-to-nsEP) to improve the permeability of cell membranes, thus allowing drug delivery to the cytosol via nanopores in the membrane. Since the treatment subject varies in size, location, shape and tissue environment, it is necessary to visualize this mechanism by monitoring electric field distributions in real-time. Previous studies suggested various techniques for monitoring electroporation, however, none of these techniques are so far capable for real-time monitoring of the electric field. In this study, we propose an innovative real-time, monitoring technique of electric field distributions based on electric field-induced acoustic emissions. For the first time, we demonstrate the capability of an electric field that used in electrotherapy to induce acoustic waves, which can be suggested for realtime monitoring. We tested this technique by generating a variety of electric field distributions (μs-to-nsEP with intensity up to 120V/cm) to energize two electrodes in a bi-polar configuration (d1=100μm and d2=200μm). The electric field transmits a short burst of ultrasonic energy. We used ultrasonic receivers for collecting acoustic signals around the subject under test. Acoustic signals were collected through different intensities of electric field distributions and repositioning the electric field from the receiver in 3D structure. An electric field utilized in electrotherapy produces high resolution images that directly can improve the efficiency of electrotherapy treatments in real-time.
The objective of this study is to develop and test a unique portable device that aims to non-invasively detect bio-electrochemical characteristics of human tissues. For this purpose, we designed and developed a new portable Bio-impedance Spectroscopy (BIS) system utilizing active probe technique as measurement technique for bioelectrical features. This BIS system includes the integrated current source and output voltage signal detection sensors. Active probes are placed on the skin surface of the targeted human organ tissues to directly detect bioimpedance signals. Bio-impedance spectrum was measured by applying electrical currents over a range of frequencies (10kHz β 3MHz). The spectrum was then quantitatively analyzed to produce new biomarkers based on bio-electrochemical characteristics of human tissues. These new bioelectrical markers aim to accurately and reproducibly predict and/or detect human diseases (including cancer). To address the feasibility of this new research technique, we conducted a comprehensive evaluation of new BIS device with its calibration techniques and phantom study. Results showed that the computed bioelectrical marker values monotonically change corresponding to tissue compositions. In this research, we demonstrated how to compute independent and dependent bioelectrical features to be implemented on machine learning (ML) models that can improve our understanding of disease or cancer risk state. The study suggested that using this new device has potential for different applications, including the noninvasive assessment of breast density and the detection of asymmetrical focal areas between two bilateral breasts, which may eventually help more accurately predict breast cancer risk.
Although whether using computer-aided detection (CAD) helps improve radiologistsβ performance in reading and interpreting mammograms is controversy due to higher false-positive detection rates, objective of this study is to investigate and test a new hypothesis that CAD-generated false-positives, in particular, the bilateral summation of false-positives, is a potential imaging marker associated with short-term breast cancer risk. An image dataset involving negative screening mammograms acquired from 1,044 women was retrospectively assembled. Each case involves 4 images of craniocaudal (CC) and mediolateral oblique (MLO) view of the left and right breasts. In the next subsequent mammography screening, 402 cases were positive for cancer detected and 642 remained negative. A CAD scheme was applied to process all βpriorβ negative mammograms. Some features from CAD scheme were extracted, which include detection seeds, the total number of false-positive regions, an average of detection scores and the sum of detection scores in CC and MLO view images. Then the features computed from two bilateral images of left and right breasts from either CC or MLO view were combined. In order to predict the likelihood of each testing case being positive in the next subsequent screening, two logistic regression models were trained and tested using a leave-one-case-out based cross-validation method. Data analysis demonstrated the maximum prediction accuracy with an area under a ROC curve of AUC=0.65±0.017 and the maximum adjusted odds ratio of 4.49 with a 95% confidence interval of [2.95, 6.83]. The results also illustrated an increasing trend in the adjusted odds ratio and risk prediction scores (p<0.01). Thus, the study showed that CAD-generated false-positives might provide a new quantitative imaging marker to help assess short-term breast cancer risk.
Breast density has been widely considered as an important risk factor for breast cancer. The purpose of this study is to examine the association between mammogram density results and background parenchymal enhancement (BPE) of breast MRI. A dataset involving breast MR images was acquired from 65 high-risk women. Based on mammography density (BIRADS) results, the dataset was divided into two groups of low and high breast density cases. The Low-Density group has 15 cases with mammographic density (BIRADS 1 and 2), while the High-density group includes 50 cases, which were rated by radiologists as mammographic density BIRADS 3 and 4. A computer-aided detection (CAD) scheme was applied to segment and register breast regions depicted on sequential images of breast MRI scans. CAD scheme computed 20 global BPE features from the entire two breast regions, separately from the left and right breast region, as well as from the bilateral difference between left and right breast regions. An image feature selection method namely, CFS method, was applied to remove the most redundant features and select optimal features from the initial feature pool. Then, a logistic regression classifier was built using the optimal features to predict the mammogram density from the BPE features. Using a leave-one-case-out validation method, the classifier yields the accuracy of 82% and area under ROC curve, AUC=0.81±0.09. Also, the box-plot based analysis shows a negative association between mammogram density results and BPE features in the MRI images. This study demonstrated a negative association between mammogram density and BPE of breast MRI images.
KEYWORDS: Acoustics, Signal processing, Electrodes, Transducers, Cancer, Ultrasonography, Magnetic resonance imaging, Tissues, Tumors, Real time imaging
The use of nanoporation in reversible or irreversible electroporation, e.g. cancer ablation, is rapidly growing. This technique uses an ultra-short and intense electric pulse to increase the membrane permeability, allowing non-permeant drugs and genes access to the cytosol via nanopores in the plasma membrane. It is vital to create a real-time in situ monitoring technique to characterize this process and answer the need created by the successful electroporation procedure of cancer treatment. All suggested monitoring techniques for electroporation currently are for pre-and post-stimulation exposure with no real-time monitoring during electric field exposure. This study was aimed at developing an innovative technology for real-time in situ monitoring of electroporation based on the typical cell exposure-induced acoustic emissions. The acoustic signals are the result of the electric field, which itself can be used in realtime to characterize the process of electroporation. We varied electric field distribution by varying the electric pulse from 1μ - 100ns and varying the voltage intensity from 0 β 1.2έάΈ to energize two electrodes in a bi-polar set-up. An ultrasound transducer was used for collecting acoustic signals around the subject under test. We determined the relative location of the acoustic signals by varying the position of the electrodes relative to the transducer and varying the electric field distribution between the electrodes to capture a variety of acoustic signals. Therefore, the electric field that is utilized in the nanoporation technique also produces a series of corresponding acoustic signals. This offers a novel imaging technique for the real-time in situ monitoring of electroporation that may directly improve treatment efficiency.
KEYWORDS: Capacitance, Dielectric spectroscopy, Biomedical optics, Molecular spectroscopy, Signal detection, Cancer, Resistance, Electrodes, Data acquisition, Inductance, Voltage controlled current source, Amplifiers, Resistors, Imaging systems, Breast
Electrical Impedance Spectroscopy (EIS) has emerged as a non-invasive imaging modality to detect and quantify functional or electrical properties related to the suspicious tumors in cancer screening, diagnosis and prognosis assessment. A constraint on EIS systems is that the current excitation system suffers from the effects of stray capacitance having a major impact on the hardware subsystem as the EIS is an ill-posed inverse problem which depends on the noise level in EIS measured data and regularization parameter in the reconstruction algorithm. There is high complexity in the design of stable current sources, with stray capacitance reducing the output impedance and bandwidth of the system. To confront this, we have designed an EIS current source which eliminates the effect of stray capacitance and other impacts of the capacitance via a variable inductance. In this paper, we present a combination of operational CCII based on a generalized impedance converter (OCCII-GIC) with a current source. The aim of this study is to use the EIS system as a biomedical imaging technique, which is effective in the early detection of breast cancer. This article begins with the theoretical description of the EIS structure, current source topologies and proposes a current conveyor in application of a Gyrator to eliminate the current source limitations and its development followed by simulation and experimental results. We demonstrated that the new design could achieve a high output impedance over a 3MHz frequency bandwidth when compared to other types of GIC circuits combined with an improved Howland topology.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens usersβplease
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.