Ultrasound Energy Research Articles

Microfocused Ultrasound in Regenerative Aesthetics: A Narrative Review on Mechanisms of Action and Clinical Outcomes.

Microfocused ultrasound with visualization (MFU-V) is widely used in aesthetic medicine for skin tightening and rejuvenation. However, its role in regenerative aesthetics and its precise mechanism of action are not fully understood. This narrative review aims to contextualize and articulate the mechanism of action of MFU-V, evaluate its role in regenerative aesthetics, and assess its effectiveness based on existing clinical, histological, and skin-mechanical studies. A comprehensive literature search was performed to collect and analyze studies on MFU's biological mechanisms, clinical outcomes, and impact on extracellular matrix (ECM) regeneration. The review integrates findings from clinical trials, histological analyses, and biomechanical assessments to provide a cohesive understanding of MFU-V's role in aesthetic medicine. MFU-V emits focused ultrasound energy that penetrates multiple skin layers and the superficial musculoaponeurotic system, creating localized thermal coagulation points. These points initiate biological responses that recruit fibroblasts and stimulate the production of new collagen and elastin fibers. Enhanced ECM protein synthesis leads to significant improvements in skin biomechanics and quality, reducing skin laxity and enhancing appearance. Clinical studies support these findings, showing improvements in skin firmness and texture following MFU-V treatment. Through analyzing the underlying biological mechanisms and the observable clinical outcomes, this narrative review sets the stage for a comprehensive understanding of the mechanism of action and role of MFU-V in regenerative aesthetics.

A Wearable, Steerable, Transcranial Low-Intensity Focused Ultrasound System.

Transcranial low-intensity focused ultrasound (LIFU) offers unique opportunities for precisely neuromodulating small and/or deep targets within the human brain, which may be useful for treating psychiatric and neurological disorders. This article presents a novel ultrasound system that delivers focused ultrasound through the forehead to anterior brain targets and evaluates its safety and usability in a volunteer study. The ultrasound system and workflow are described, including neuronavigation, LIFU planning, and ultrasound delivery components. Its capabilities are analyzed through simulations and experiments in water to establish its safe steering range. A cohort of 20 healthy volunteers received a LIFU protocol aimed at the anterior medial prefrontal cortex (amPFC), using imaging and questionnaires to screen for adverse effects. Additional development after the study also analyzes the effect of the skull and sinus cavities on delivered ultrasound energy. Simulations and hydrophone readings agreed with <5% error, and the safe steering range was found to encompass a 1.8 cm × 2.5 cm × 2 cm volume centered at a depth 5 cm from the surface of the skin. There were no adverse effects evident on qualitative assessments, nor any signs of damage in susceptibility-weighted imaging scans. All participants tolerated the treatment well. The interface effectively enabled the users to complete the workflow with all participants. In particular, the amPFC of every participant was within the steering limits of the system. A post hoc analysis showed that "virtual fitting" could aid in steering the beams around subjects' sinuses. The presented system safely delivered LIFU through the forehead while targeting the amPFC in all volunteers, and was well-tolerated. With the capabilities validated here and positive results of the study, this technology appears well-suited to explore LIFU's efficacy in clinical neuromodulation contexts.

Enhancement of processed cheese quality using ultrasound: energy density optimization and industrial applications

This study examined the impact of varying ultrasound energy densities on the functional properties of processed cheese with different levels of emulsifying salt (0%, 0.5%, 1%, 2%, or 3% disodium phosphate). The mixtures were ultrasonicated at 65 watts and 160 watts for either 3 min or 9 min, producing energy densities of 58.5 J/g, 175.5 J/g, 144 J/g, and 432 J/g. The rheological and textural properties of the processed cheese were evaluated at these energy densities and compared to a control sample. At 432 J/g, cheese with 1% emulsifying salt was cooked whereas cheese at 58.5 J/g, 175.5 J/g, and 144 J/g did not cook with the emulsifying salt levels of 1% or lower. There was no significant difference (p &gt; 0.05) in hardness and melting temperature between cheese having the energy density of 432 J/g and processed with 1% and 2% emulsifying salt. Additionally, no significant difference (p &gt; 0.05) was observed in the functional properties of cheese across different energy density treatments. The functional properties of the processed cheese improved significantly with increased emulsifying salt levels. This study suggests that using 432 J/g of ultrasound energy can effectively reduce the requirement of emulsifying salts in the cheese industry.

Impact of Advanced High-Power Pain Threshold Static Ultrasound and Muscle Energy Technique on Pain Thresholds and Functional Improvement in Myofascial Trigger Points

bands and hypersensitive Trigger Points (TrPs), contributing to musculoskeletal pain. The objective of this study is to investigate and assess the effectiveness of Advanced High-Power Pain Threshold Static Ultrasound (AHPPTSU) and Muscle Energy Technique (MET) in altering pain thresholds and enhancing functional outcomes in individuals with myofascial trigger points. Methods: In this randomized clinical trial involving 86 individuals with TrPs in the upper trapezius muscle, the participants were divided into experimental and control groups. 33 males and 53 females, underwent six sessions of treatment over two weeks. A repeated measure Analysis of variance was used to compare baseline values and altered values at 1 and 2 weeks. Results: The study demonstrated that the Pressure Pain Threshold (PPT) and the Neck Pain Disability Index (NPDI) score, showed a significant improvements in participants receiving AHPPTUS in experimental group compared to the other group. Experimental group showed a significantly greater improvement in PPT (p=0.001) and both groups experienced a significant enhancement in function. However, when comparing the two groups, experimental group showed a significantly greater improvement (p=0.001). Importantly, no adverse effects were reported in either group. Conclusion: In the treatment of myofascial trigger point, AHPPTSU can be considered as an alternative therapy method, which is more effective than previously used High-Power Pain Threshold Static Ultrasound (HPPTSU) therapy and it also shortens the total treatment protocol to 2 weeks.

Evaluation of alternative joining methods in softshell fabric types

Parameters such as high performance, durability and comfort are very important in protective and sports clothing produced to increase the technical or functional properties of clothing products, as well as aesthetic and decorative features. Fabrics that provide comfort to the user by regulating body temperature, protect against harsh weather conditions, and are waterproof and windproof, as well as breathable, are used for these purposes. One of the most important fabrics with these features is the fabric called ‘softshell’. Softshell is a fabric specially created to release moisture and regulate body temperature. Therefore, the outer layer of the softshell is not waterproof, but water-repellent, ensuring that it remains dry and protective while a person is wearing it. Creating a three-dimensional product from a two-dimensional fabric with these features is achieved through the sewing process. As traditional methods are used in the sewing process, an alternative joining method called ‘ultrasonic joining’ can also be used. While alternative joining methods provide joining without sewing thread, these methods do not create holes in the fabric surfaces since there is no sewing needle. Joining processes with thermal, laser and ultrasound energy are based on the principle of melting, fusing and cooling the joined surfaces. In this study, it was aimed to analyze the change in the physical properties of different softshell fabrics as a result of joining them with classical and innovative sewing/joining methods. In this context, lockstitch, lockstitch &amp; tape welding, ultrasonic welding, and ultrasonic welding &amp; tape welding are applied to the softshell, ripstop softshell and Lycra softshell fabrics used in the market. The thickness, air permeability, seam strength and elongation at break properties of the bonded fabrics were examined. Within the scope of this study, obtaining successful results in softshell fabric types, which is one of the bulky fabrics, contributes to the idea that the usage area of ultrasonic welding will expand day by day.

High-Intensity focused ultrasound linear array and system for dermatology treatment

Dermatological lesions are typically located just a few millimeters below the surface of the skin, which constrains the efficacy of optical-based therapeutic methods such as photothermal and photodynamic therapy due to limited therapeutic depth caused by optical scattering. As an alternative, high-intensity focused ultrasound (HIFU) has been explored for its potential to treat a variety of dermatological conditions because it offers greater flexibility in terms of treatment depth. Since dermatological lesions have a small thickness ranging from 1.5 to 2.0 mm, high-frequency ultrasound (3–10 MHz or higher) is preferred as the focal area is proportional to the operating frequency. However, due to the difficulty in fabricating HIFU array transducers at this frequency range, the majority of HIFU treatments for dermatology rely on single element transducers. Despite the advantages of HIFU, single-element-based HIFU systems are limited in prevalent use for dermatology treatment due to their fixed focal length and mechanical movement for treatment, which can be time-consuming and unsuitable for treating multiple lesions. To address this, we present a newly developed HIFU linear array and 128-channel driving electronics specifically designed for dermatology treatment. This array consists of 128 elements, has a center frequency of 3.7 MHz, an elevation focal length of 28 mm, and an F-number of 1.27 in the elevation direction. The array has a footprint of 71.6 mm by 22 mm. Experiments using a tissue-mimicking phantom have demonstrated that the HIFU linear array and system are capable of transmitting sufficient ultrasound energy to create coagulation inside the phantom.

How safe is high-intensity focused ultrasound? An intriguing solution for obstetric and gynecological diseases: A systematic review.

High-intensity focused ultrasound (HIFU) is a non-surgical and noninvasive treatment modality that depends on external ultrasound energy sources that induce focused mass ablation and protein degeneration in the treatment area via thermal energy penetration under the intact skin. We aim in our study to collectively evaluate the safety of HIFU for the treatment of different obstetric and gynecological diseases in the literature. We searched PubMed, Scopus, and Science Direct databases, without restriction on date or language, from the inception of these databases until January 20, 2024. We also examined the references of the included studies in the Mendeley archive for eligible articles. We found a total of 706 studies. After the screening and selection process, 56 participants were included. Our dichotomous outcomes were pooled in our single-arm meta-analysis as risk ratio (RR) and with 95% confidence interval (CI) while our continuous outcomes were pooled as mean change and 95% CIs. Fixed- or random-effects models were applied depending on the heterogeneity detected. Our systematic review and meta-analysis included 56 studies including 11.740 patients. Depending on the Society of Interventional Radiology (SIR) classification for adverse effects. The results of this meta-analysis for the type A category that did not require clinical intervention found that pain in the treatment site estimated RR with 95% CI: 0.61 (0.33, 0.89), abnormal vaginal discharge 0.16 (0.073, 0.24), low-grade fever (<38 °C) 0.005 (0.002, 0.009). Sensory abnormalities of the lower limbs were examined in 3390 individuals and observed in only 19 patients who experienced gradual relief of symptoms within one month after treatment. Regarding SIR type B, 99 of a total of 6.437 patients had small vesicles and superficial burns with pooled RR and 95% CI: 0.012 (0.007, 0.018). In terms of groin or perianal and lower abdominal pain, our RRs with 95% CIs were 0.1 (0.067, 0.13) and 0.38 (0.25, 0.51). However, vaginal bleeding was detected in only 32 out of a total of 3.017. Major adverse events like lumber disc herniation, thrombocytopenia, and renal failure, were unmentionable. Additionally, our included studies did not record any deaths. HIFU, either alone or in combination with oxytocin or any other enhancing agent, is safe for patients with different gynecological and obstetric diseases. In terms of efficacy, it showed promising results compared with traditional treatment lines. To our knowledge, we are the first and most comprehensive meta-analysis in the literature that has studied the different safety outcomes related to HIFU as a treatment modality for different obstetric and gynecological diseases with a very large sample size, making our evidence strong and less attributed to errors.

Eye injuries caused by high intensity macro and micro focused ultrasound treatment: a case report

BackgroundHigh Intensity Macro and Micro Focused Ultrasound ( HIFU) is a safe and effective method for the treatment of skin laxity. However, the application of high-intensity focused ultrasound energy on eyelids has been associated with potential ocular complications including traumatic cataract, iridocyclitis, and conjunctival hemorrhage, among others.Case presentationA 40-year-old female developed blurred vision in her left eye after receiving HIFU treatment on binocular eyelids, and her left far vision was 20/66. The examination revealed left eye iris depigmentation and conjunctival hemorrhage. Both eyes exhibited multiple white streaking or tadpole-shaped opacities in the lenses.ConclusionExcessive ultrasonic energy generated by HIFU can cause protein denaturation, leading to conditions such as traumatic cataract, visual impairment, injuries to the iris and conjunctiva when applied to the eyes. We recommend that individuals undergoing cosmetic treatment in the periorbital region should be highly aware of the possible ocular side effects.

Synergy between solvents and acoustic energy destabilizes SAGD emulsions

Steam-assisted gravity drainage (SAGD) bitumen production generates highly stable emulsions that are difficult to break due to their high viscosity and unique bitumen properties, typically requiring both demulsifiers and heat. This study introduces a novel approach to the demulsification of a SAGD emulsion from a Canadian oil field by demonstrating the synergistic effects of combining solvents with ultrasound energy at room temperature. Fourteen solvents were tested, both alone and in combination with ultrasound. Individually, the solvents and short-duration ultrasound achieved minimal demulsification (<10%). However, all fourteen solvents tested in combination with ultrasound demonstrated significant demulsification of the SAGD emulsion sample. The most successful solvents (80–100% demulsification) were mutually soluble solvents, followed by solvents with limited solubility in both phases. Conversely, solvents highly soluble in one phase but not in the other performed poorly, emphasizing the importance of balanced solubility. The findings highlight the significant synergy between ultrasound energy and all tested solvents —particularly mutually soluble solvents used for the first time for demulsification. The synergistic effect between two independent strategies, i.e., ultrasound and solvent addition without using heat, in demulsification processes paves the way for innovative, energy-efficient demulsification techniques in the oil industry, promoting the use of readily available solvents and ultrasound.

Four-port bimanual phaco-chop fragmentation for dropped nucleus using standard phaco chopper and assistant handheld 23G endoilluminator

Abstract: PURPOSE: To describe a bimanual method for management of posteriorly dislocated large nucleus fragment using standard chopper. METHODS: A 23G assistant handheld endoilluminator was used as light source through inferonasal self-sealing port, while the large nuclear fragment was broken into smaller fragments using phacofragmatome and standard phaco chopper. RESULTS: A case of posteriorly dislocated large nuclear fragment was operated using this technique. The time taken for phacofragmentation was significantly reduced, as well as the ultrasound energy required for the same. There was no port site complication. CONCLUSION: This technique allows greater maneuverability and reduces amount of ultrasound energy used by dividing nucleus into small fragments in vitreous cavity.

Adsorption Study of Uremic Toxins (Urea, Creatinine, and Uric Acid) Using Modified Clinoptilolite

The development of materials for uremic toxin removal is under continuous research. In this work, a natural zeolite (clinoptilolite) was modified using tartaric acid through two different methods: conventional reflux heating and ultrasound energy. The resulting materials were used as an adsorbent material for the removal of uremic toxins such as urea, creatinine, and uric acid. In the uremic toxin removal study, it was observed that the material modified using ultrasound for 100 min had the highest removal values (74.49%, 40.31%, and 51.50% for urea, creatinine, and uric acid, respectively), while unmodified zeolite removed 30.57%, 18.07%, and 22.84% of the same toxins. The best results for conventional heating modification were 67.08%, 31.97%, and 32.39%, respectively. Therefore, acid group incorporation considerably improved the adsorption properties of the clinoptilolite. Regarding adsorption kinetics, it was found that the pseudo-second-order model better described the behavior of all the modified materials. Equilibrium adsorption data were adjusted to the Langmuir and Freundlich models. The Freundlich model (multilayer adsorption) described urea adsorption, while the Langmuir model (monolayer adsorption) described creatinine and uric acid.

Dynamic behaviors of interfacial oxides and elements during the ultrasonic-assisted diffusion bonding of 6063Al alloys

Efficiently breaking the oxide layer and rapidly diffusing of elements at low-temperature has been a longstanding goal in the diffusion bonding (DB) of Al alloys. To break the interfacial oxide layers and accelerate atomic diffusion, ultrasound energy was introduced during the DB of 6063Al. A full Zn–Al eutectoid joint was manufactured via a pure Zn interlayer at 360 °C in atmospheric by an ultrasonic-assisted diffusion bonding (U-DB) at only an ultrasonic vibration of10 min. During U-DB, brittle cracks were formed in the interfacial oxide layers due to high strain rate induced by ultrasonic action. Zn diffused into Al alloy through the brittle cracks in oxide layers via “subcutaneous diffusion,” forming a Zn–Al eutectoid diffusion region between the Al alloy and oxide layer. The oxide fragments irregularly migrated to the center of the joint due to Kirkendall effect and ultrasonic action, finally dispersed in the bonded metal. The bonded metal finally transformed as a full Zn–Al eutectoid phase after consuming interlayer. The shear strength of the Zn–Al eutectoid joint reached 82.6 MPa. The Zn–Al mutual diffusion coefficient of U-DB at 360 °C was ∼0.6 μm2/s, which was about 20 times higher than the thermal diffusion coefficient under same temperature condition. Additionally, the mechanism of ultrasonic-assisted diffusion based on the strain-driven diffusion mode was discussed in detail.

Focused Ultrasound: Noninvasive Image-Guided Therapy.

Invasive open surgery used to be compulsory to access tumor mass to perform excision or resection. Development of minimally invasive laparoscopic procedures followed, as well as catheter-based approaches, such as stenting, endovascular surgery, chemoembolization, brachytherapy, which minimize side effects and reduce the risks to patients. Completely noninvasive procedures bring further benefits in terms of reducing risk, procedure time, recovery time, potential of infection, or other side effects. Focusing ultrasound waves from the outside of the body specifically at the disease site has proven to be a safe noninvasive approach to localized ablative hyperthermia, mechanical ablation, and targeted drug delivery. Focused ultrasound as a medical intervention was proposed decades ago, but it only became feasible to plan, guide, monitor, and control the treatment procedures with advanced radiological imaging capabilities. The purpose of this review is to describe the imaging capabilities and approaches to perform these tasks, with the emphasis on magnetic resonance imaging and ultrasound. Some procedures already are in clinical practice, with more at the clinical trial stage. Imaging is fully integrated in the workflow and includes the following: (1) planning, with definition of the target regions and adjacent organs at risk; (2) real-time treatment monitoring via thermometry imaging, cavitation feedback, and motion control, to assure targeting and safety to adjacent normal tissues; and (3) evaluation of treatment efficacy, via assessment of ablation and physiological parameters, such as blood supply. This review also focuses on sonosensitive microparticles and nanoparticles, such as microbubbles injected in the bloodstream. They enable ultrasound energy deposition down to the microvascular level, induce vascular inflammation and shutdown, accelerate clot dissolution, and perform targeted drug delivery interventions, including focal gene delivery. Especially exciting is the ability to perform noninvasive drug delivery via opening of the blood-brain barrier at the desired areas within the brain. Overall, focused ultrasound under image guidance is rapidly developing, to become a choice noninvasive interventional radiology tool to treat disease and cure patients.

Recent Advances in Basic Studies of Low-Intensity Pulsed Ultrasound in Periodontal Tissue Regeneration: A Systematic Review.

Approximately half of the adult population is suffering from periodontal disease, and conventional periodontal treatment strategies can only slow the progression of the disease. As a kind of tissue engineering, periodontal regeneration brings hope for the treatment of periodontal disease. Low-intensity pulsed ultrasound (LIPUS) is a form of ultrasound with a frequency of 1-3MHz and a much lower intensity (< 1W/cm2) than traditional ultrasound energy and output. LIPUS has been adopted for a variety of therapeutic purposes due to its bioeffects such as thermal, mechanical, and cavitation effects, which induce intracellular biochemical effects and lead to tissue repair and regeneration ultimately. In this systematic review, we summarize the basic research of LIPUS in the treatment of periodontal disease in periodontal disease animal models and the influence of LIPUS on the biological behavior (including promoting osteogenic differentiation of stem cells and inhibiting inflammatory response) and potential mechanism of periodontal ligament stem cells (PDLSCs), hoping to provide new ideas for the treatment of periodontal disease. We believe that LIPUS can be used as an auxiliary strategy in the treatment of periodontal disease and play an exciting and positive role in periodontal regeneration.

A novel scoring system based on magnetic resonance imaging for the prediction of the difficulty of ultrasound-guided high-intensity focused ultrasound ablation for uterine fibroids

Objective To develop a novel scoring system based on magnetic resonance imaging (MRI) for predicting the difficulty of ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation for uterine fibroids. Materials and methods A total of 637 patients with uterine fibroids were enrolled. Sonication time, non-perfused volume ratio (NPVR), and ultrasound energy delivered for ablating 1 mm3 of fibroid tissue volume (E/V) were each classified as three levels and assigned scores from 0 to 2, respectively. Treatment difficulty level was then assessed by adding up the scores of sonication time, NPVR and E/V for each patient. The patients with score lower than 3 were categorized into low difficulty group, with score equal to or greater than 3 were categorized into high difficulty group. The potential predictors for treatment difficulty were compared between the two groups. Multifactorial logistic regression analysis model was created by analyzing the variables. The difficulty score system was developed using the beta coefficients of the logistic model. Results Signal intensity on T2WI, fibroid location index, largest diameter of fibroids, abdominal wall thickness, homogeneity of the signal of fibroids, and uterine position were independent influencing factors for the difficulty of USgHIFU for uterine fibroids. A prediction equation was obtained: difficulty score = 17 × uterine position (anteverted =0, retroverted =1)+71 × signal intensity (hypointense = 0, isointense/hyperintense = 1) +8 × enhancement (homogenous = 0, heterogeneous = 1)+25×(largest diameter of fibroids-20) +35 × (fibroid location index −0.2) +1×(abdominal wall thickness −5). Conclusions This scoring system established based on MRI findings can be used to reliably predict the difficulty level of USgHIFU treatment of uterine fibroids.

Leadless Ultrasound-Based Cardiac Resynchronization System in Heart Failure

Approximately 40% of patients with heart failure (HF) who are eligible for cardiac resynchronization therapy (CRT) either fail to respond or are untreatable due to anatomical constraints. To assess the safety and efficacy of a novel, leadless, left ventricular (LV) endocardial pacing system for patients at high risk for a CRT upgrade or whose coronary sinus (CS) lead placement/pacing with a conventional CRT system failed. The SOLVE-CRT study was a prospective multicenter trial enrolling January 2018 through July 2022, with follow-up at 6 months. Data were analyzed from January 17, 2018, through February 15, 2023. The trial combined data from an initial randomized, double-blind study (n = 108) and a subsequent single-arm part (n = 75). It took place at 36 centers across Australia, Europe, and the US. Participants were nonresponders, previously untreatable (PU), or high-risk upgrades (HRU). All participants contributed to the safety analysis. The primary efficacy analysis (n = 100) included 75 PU-HRU patients from the single-arm part and 25 PU-HRU patients from the randomized treatment arm. Patients were implanted with the WiSE CRT System (EBR Systems) consisting of a leadless LV endocardial pacing electrode stimulated with ultrasound energy delivered by a subcutaneously implanted transmitter and battery. The primary safety end point was freedom from type I complications. The primary efficacy end point was a reduction in mean LV end systolic volume (LVESV). The study included 183 participants; mean age was 68.1 (SD, 10.3) years and 141 were male (77%). The trial was terminated at an interim analysis for meeting prespecified stopping criteria. In the safety population, patients were either New York Heart Association Class II (34.6%) or III (65.4%). The primary efficacy end point was met with a 16.4% (95% CI, -21.0% to -11.7%) reduction in mean LVESV (P = .003). The primary safety end point was met with an 80.9% rate of freedom from type I complications (P < .001), which included 12 study device system events (6.6%), 5 vascular events (2.7%), 3 strokes (1.6%), and 7 cardiac perforations which mostly occurred early in the study (3.8%). The SOLVE-CRT study has demonstrated that leadless LV endocardial pacing with the WiSE CRT system is associated with a reduction in LVESV in patients with HF. This novel system may represent an alternative to conventional CRT implants in some HF patient populations. ClinicalTrials.gov Identifier: NCT0292203.

Underwater Acoustic Camouflage by Wettability Transition on Laser Textured Superhydrophobic Metasurfaces

AbstractThe superhydrophobicity of submerged surfaces typically pertains to the trapped air film at the liquid–solid interface, subject to wettability transitions from a Cassie–Baxter state to more unstable states that gradually collapse to high retention regimes, which are energetically more favorable. In this work, the dynamic evolution of those transient metastable states is correlated to the underwater acoustic performance of laser textured superhydrophobic surfaces, resolving the dependence of the ultrasound spectral response with the immersion time to capture the genuine contribution of the hierarchical subwavelength morphology, regardless of the air layer effects. Acoustic wave attenuation of the incident ultrasound energy is extensively quantified in transmission, accounting for instantaneous broadband sound blocking (&gt;30 dB) within the spectral range 0.5–1.5 MHz. As a result of the air layer detachment with the immersion time, transmission coefficients increase accordingly, while acoustic fields in reflection unexpectedly evolve toward stealthiness and naïve acoustic camouflage, mostly ascribable to dissipative mechanisms at air layer interfaces. The intrinsic decay of the air layer effect is tentatively determined at different frequencies, since quantitative understanding of the transient lifetime governing underwater surface wettability is critical to design stable superhydrophobic character of laser induced subwavelength metastructures on the most promising acoustic materials – from eco‐friendly natural to artificial.

Impact of ultrasound process on cassava starch nanoparticles and Pickering emulsions stability

Using green techniques to convert native starches into nanoparticles is an interesting approach to producing stabilizers for Pickering emulsions, aiming at highly stable emulsions in clean label products. Nanoprecipitation was used to prepare the Pickering starch nanoparticles, while ultrasound technique has been used to modulate the size of these nanoparticles at the same time as the emulsion was developed. Thus, the main objective of this study was to evaluate the stabilizing effect of cassava starch nanoparticles (SNP) produced by the nanoprecipitation technique combined with ultrasound treatment carried out in the presence of water and oil (more hydrophobic physicochemical environment), different from previous studies that carry out the mechanical treatment only in the presence of water. The results showed that the increased ultrasound energy input could reduce particle size (117.58 to 55.75 nm) and polydispersity (0.958 to 0.547) in aqueous dispersions. Subsequently, Pickering emulsions stabilized by SNPs showed that increasing emulsification (ultrasonication) time led to smaller droplet sizes and monomodal size distribution. Despite flocculation, long-term ultrasonication (6 and 9 min) caused little variation in the droplet size after 7 days of storage. The cavitation effects favored the interaction between oil droplets through weak attraction forces and particle sharing, favoring the Pickering stabilization against droplet coalescence. Our results show the potential to use only physical modifications to obtain nanoparticles that can produce coalescence-stable emulsions that are environmentally friendly.

A stochastic approach to delays optimization for narrowband transmit beam pattern in medical ultrasound

In ultrasound imaging, state-of-the-art methods for transmit beam pattern (TBP) optimization have well-known drawbacks like non-uniform beam width over depth, significant side lobes, and quick energy drop-out beyond the focal region. To overcome these limitations, we develop a TBP optimization approach by focusing on its narrowband approximation and considering transmit delays as free variables instead of linked to specific focal depths. We formulate a non-linear Least Squares problem to minimize the difference between the TBP corresponding to a set of delays and the desired one, modeled as a 2D rectangle elongated along the beam axis. Three metrics are defined to quantitatively evaluate the results. Results obtained by synthetic simulations show that the main lobe width is considerably more intense (+31.5%\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$+31.5\\%$$\\end{document} on average) and uniform (+28.7%\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$+28.7\\%$$\\end{document} on average) over the whole depth range compared to classical focalized Beam Patterns. The application of the method to elastography shows improvements in the ultrasound energy concentration along a desired axis.

Development of a Wearable Ultrasonic Auricular Vagus Nerve Stimulator.

This article discusses the design and development of a wearable and portable ultrasound auricular nerve stimulator. The device is in the form of a headset that presses against the cymba concha depression in the ear and stimulates the auricular vagus nerve with ultrasound energy. This article reviews the development, design, and material structures for such a system, including the characterization of the working prototypes. The devices are being supplied to various organizations and universities for clinical trials, in which effectiveness will be assessed. The device is light, compact, and an effective neurostimulator to induce calm. To the best of our knowledge, the device is the first fully built ultrasonic auricular nerve stimulator in the world.