A flexible optoacoustic blood 'stethoscope' for noninvasive multiparametric cardiovascular monitoring.

Quantitative and multiparametric blood analysis is of great clinical importance in cardiovascular disease diagnosis. Although there are various methods to extract blood information, they often require invasive procedures, lack continuity, involve bulky instruments, or have complicated testing procedures. Flexible sensors can realize on-skin assessment of several vital signals, but generally exhibit limited function to monitor blood characteristics. Here, we report a flexible optoacoustic blood 'stethoscope' for noninvasive, multiparametric, and continuous cardiovascular monitoring, without requiring complicated procedures. The optoacoustic blood 'stethoscope' features the light delivery elements to illuminate blood and the piezoelectric acoustic elements to capture light-induced acoustic waves. We show that the optoacoustic blood 'stethoscope' can adhere to the skin for continuous and non-invasive in-situ monitoring of multiple cardiovascular biomarkers, including hypoxia, intravascular exogenous agent concentration decay, and hemodynamics, which can be further visualized with a tailored 3D algorithm. Demonstrations on both in-vivo animal trials and human subjects highlight the optoacoustic blood 'stethoscope''s potential for cardiovascular disease diagnosis and prediction.

A Super-Sensitivity Photoacoustic Receiver System-on-Chip Based on Coherent Detection and Tracking.

Photoacoustic (PA) imaging is becoming more attractive because it can obtain high-resolution and high-contrast images through merging the merits of optical and acoustic imaging. High sensitivity receiver is required in deep in-vivo PA imaging due to detecting weak and noisy ultrasound signal. A novel photoacoustic receiver system-on-chip (SoC) with coherent detection (CD) based on the early-and-late acquisition and tracking is developed and first fabricated. In this system, a weak PA signal with negative signal-to-noise-ratio (SNR) can be clearly extracted when the tracking loop is locked to the input. Consequently, the output SNR of the receiver is significantly improved by about 29.9 dB than input one. For the system, a high dynamic range (DR) and high sensitivity analog front-end (AFE), a multiplier, a noise shaping (NS) successive-approximation (SAR) analog-to-digital convertor (ADC), a digital-to-analog convertor (DAC) and integrated digital circuits for the proposed system are implemented on-chip. Measurement results show that the receiver achieves 0.18 µVrms sensitivity at the depth of 1 cm with 1 mJ/cm2 laser output fluence. The contrast-to-noise (CNR) of the imaging is improved by about 22.2 dB. The area of the receiver is 5.71 mm2, and the power consumption of each channel is about 28.8 mW with 1.8 V and 1 V power supply on the TSMC 65 nm CMOS process.

A Mixed-Signal Chip-Based Configurable Coherent Photoacoustic-Radar Sensing Platform for In Vivo Temperature Monitoring and Vital Signs Detection.

For precise health status monitoring and accurate disease diagnostics in the current COVID-19 pandemic, it is essential to detect various kinds of target signals robustly under high noise and strong interferences. Moreover, the health monitoring system is preferred to be realized in a small form factor for convenient mass deployments. A CMOS-integrated coherent sensing platform is proposed to achieve the goal, which synergetically leverages quadrature coherent photoacoustic (PA) detection and coherent radar sensing for achieving universal healthcare. By utilizing configurable mixed-signal quadrature coherent PA detection, high sensitivity and enhanced specificity can be achieved. In-phase (I) and quadrature (Q) templates are specifically designed to accurately sense and precisely reconstruct the target PA signals in a coherent mode. By mixed-signal implementation leveraging an FPGA to generate template waveforms adaptively, accurate tracking and precise reconstruction on the target PA signal can be attained based on the early-late tracking principle. The multiplication between the received PA signal and the templates is implemented efficiently in analog-domain by the Gilbert cell on-chip. In vivo blood temperature monitoring was realized based on the integrated PA sensing platform fabricated in a 65-nm CMOS process. With an integrated radar sensor deployed in the indoor scenario, noncontact monitoring on respiration and heartbeat rates can be attained based on electromagnetic (EM) sensing. By complementary usage of PA-EM sensing mechanisms, comprehensive health status monitoring and precise remote disease diagnostics can be achieved for the currentglobal COVID-19 pandemic and the future pervasive healthcare in the Internet of Everything (IoE) era.

A Digital-Enhanced Chip-Scale Photoacoustic Sensor System for Blood Core Temperature Monitoring and In Vivo Imaging.

Monolithic integration of photoacoustic (PA) sensor with compact size, lightweight, and low power consumption is attractive to be implemented on wearable medical devices for in vivo blood metabolic sensing and imaging. This work presents a miniaturized chip-scale mixed-signal photoacoustic sensor system which can achieve coherent lock-in function to detect weak target PA signals noninvasively at in vivo scenarios of poor signal to noise ratio (SNR) and strong interferences. A low-noise amplifier (LNA), a 3rd order Butterworth low-pass filter (LPF), and a variable-gain amplifier (VGA) chain with 10 MHz cutoff frequency are implemented on-chip to attain a high-quality sensing performance with 50-dB dynamic range. A Gilbert-cell type multiplier is integrated on-chip to fulfill the coherent lock-in process on acquired PA signals in a closed-loop process with an embedded FPGA system. Fabricated in 65-nm CMOS technology, the prototype PA sensor system demonstrated 50 µV sensitivity. The functions of the chip-scale PA sensor system enhanced by coherent lock-in process were validated through the experiments on temperature monitoring and vessel imaging. The PA receiver chip occupies an area of 0.6 mm2 and consumes 20 mW at a 1.8-V supply.