Ultrasound-on-chip platform for medical imaging, analysis, and collective intelligence.

Journal: Proceedings of the National Academy of Sciences of the United States of America
Published Date:

Abstract

Over the past half-century, ultrasound imaging has become a key technology for assessing an ever-widening range of medical conditions at all stages of life. Despite ultrasound's proven value, expensive systems that require domain expertise in image acquisition and interpretation have limited its broad adoption. The proliferation of portable and low-cost ultrasound imaging can improve global health and also enable broad clinical and academic studies with great impact on the fields of medicine. Here, we describe the design of a complete ultrasound-on-chip, the first to be cleared by the Food and Drug Administration for 13 indications, comprising a two-dimensional array of silicon-based microelectromechanical systems (MEMS) ultrasonic sensors directly integrated into complementary metal-oxide-semiconductor-based control and processing electronics to enable an inexpensive whole-body imaging probe. The fabrication and design of the transducer array with on-chip analog and digital circuits, having an operating power consumption of 3 W or less, are described, in which approximately 9,000 seven-level feedback-based pulsers are individually addressable to each MEMS element and more than 11,000 amplifiers, more than 1,100 analog-to-digital converters, and more than 1 trillion operations per second are implemented. We quantify the measured performance and the ability to image areas of the body that traditionally takes three separate probes. Additionally, two applications of this platform are described-augmented reality assistance that guides the user in the acquisition of diagnostic-quality images of the heart and algorithms that automate the measurement of cardiac ejection fraction, an indicator of heart health.

Authors

  • Jonathan M Rothberg
    Butterfly Network, Inc., Guilford, CT 06437 jonathan.rothberg@gmail.com tyler.ralston@gmail.com.
  • Tyler S Ralston
    Butterfly Network, Inc., Guilford, CT 06437 jonathan.rothberg@gmail.com tyler.ralston@gmail.com.
  • Alex G Rothberg
    Butterfly Network, Inc., Guilford, CT 06437.
  • John Martin
    Butterfly Network, Inc., Guilford, CT 06437.
  • Jaime S Zahorian
    Butterfly Network, Inc., Guilford, CT 06437.
  • Susan A Alie
    Butterfly Network, Inc., Guilford, CT 06437.
  • Nevada J Sanchez
    Butterfly Network, Inc., Guilford, CT 06437.
  • Kailiang Chen
    Butterfly Network, Inc., Guilford, CT 06437.
  • Chao Chen
    Department of Neonatology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
  • Karl Thiele
    Butterfly Network, Inc., Guilford, CT 06437.
  • David Grosjean
    Butterfly Network, Inc., Guilford, CT 06437.
  • Jungwook Yang
    Butterfly Network, Inc., Guilford, CT 06437.
  • Liewei Bao
    Butterfly Network, Inc., Guilford, CT 06437.
  • Rob Schneider
    Butterfly Network, Inc., Guilford, CT 06437.
  • Sebastian Schaetz
    Butterfly Network, Inc., Guilford, CT 06437.
  • Christophe Meyer
    Butterfly Network, Inc., Guilford, CT 06437.
  • Abraham Neben
    Butterfly Network, Inc., Guilford, CT 06437.
  • Bob Ryan
    Butterfly Network, Inc., Guilford, CT 06437.
  • J R Petrus
    Butterfly Network, Inc., Guilford, CT 06437.
  • Joe Lutsky
    Butterfly Network, Inc., Guilford, CT 06437.
  • Dan McMahill
    Butterfly Network, Inc., Guilford, CT 06437.
  • Gregory Corteville
    Butterfly Network, Inc., Guilford, CT 06437.
  • Matthew R Hageman
    Butterfly Network, Inc., Guilford, CT 06437.
  • Larry Miller
    Butterfly Network, Inc., Guilford, CT 06437.
  • Keith G Fife
    Butterfly Network, Inc., Guilford, CT 06437.