Nonlinearity in a Medical Ultrasound Probe Under High Excitation Voltage.

Tissue harmonic imaging is often the preferred ultrasound imaging modality due to its ability to suppress reverberations. The method requires good control of the transmit stage of the ultrasound scanner, as harmonics in the transmitted ultrasound pulses will interfere with the harmonics generated in the tissue during nonlinear propagation, degrading image quality. In this study, a medical ultrasound probe used in tissue harmonic imaging was experimentally characterized for transmitted second-harmonic distortion to identify and compare the sources of nonlinear distortion in the probe and transmit electronics. The system was tested up to amplitudes above what is found during conventional operation, pushing the system to the limits in order to investigate the phenomenon. Under these conditions, second-harmonic levels up to -20 dB relative to the fundamental frequency were found in the ultrasound pulses transmitted from the probe. The transmit stage consists of high-voltage transmit electronics, cable, tuning inductors, and the acoustic stack. The contribution from the different stages in the ultrasound transmit chain was quantified by separating and measuring at different positions. Nonlinearities in the acoustic transducer stack were identified as the dominating source for second harmonics in the transmitted ultrasound pulses. Contribution from other components, e.g., transmit electronics and cable and tuning circuitry, were found to be negligible compared with that from the acoustic stack. Investigation of the stack's electrical impedance at different driving voltages revealed that the impedance changes significantly as a function of excitation voltage. The second-harmonic peak in the transmitted pulses can be explained by this nonlinear electrical impedance distorting the driving voltage and current.

Prediction-based association control scheme in dense femtocell networks.

The deployment of large number of femtocell base stations allows us to extend the coverage and efficiently utilize resources in a low cost manner. However, the small cell size of femtocell networks can result in frequent handovers to the mobile user, and consequently throughput degradation. Thus, in this paper, we propose predictive association control schemes to improve the system's effective throughput. Our design focuses on reducing handover frequency without impacting on throughput. The proposed schemes determine handover decisions that contribute most to the network throughput and are proper for distributed implementations. The simulation results show significant gains compared with existing methods in terms of handover frequency and network throughput perspective.

Feasibility of laminar screw placement in the upper thoracic spine: analysis using 3-dimensional computed tomographic simulation.

STUDY DESIGN: Evaluation using 3-dimensional screw trajectory software and computed tomographic scans. OBJECTIVE: To investigate the anatomic feasibility of laminar screw placement in the upper thoracic spine compared with pedicle screw placement. SUMMARY OF BACKGROUND DATA: Although laminar screws have been suggested as an alternative to pedicle screws in the upper thoracic spine, previous anatomic feasibility studies have some limitations. METHODS: Four types of screws were simulated from T1 to T6: unilaminar screw (US), superior bilaminar screw (SBS), inferior bilaminar screw (IBS), and pedicle screw (PS). Maximum allowable screw dimensions and the success rates of 4.5-mm screw placement were compared for each level. Laminar screw dimensions with more than 90% success rate at each level were determined for reference. RESULTS: Computed tomographic scans of 132 patients were analyzed. Laminar screw diameters gradually increased from T1 (4.4-5.4 mm, for each type) to T6 (4.8-6.7 mm), whereas PS diameter steeply declined from T1 (5.9 mm) to T4 (3.4 mm) and then leveled off. At T1, PS had greater success rate of 4.5-mm screw placement than laminar screws (US > IBS > SBS); at T2, US had greater success rate than IBS, followed by PS and SBS; and at T3 to T6, laminar screws (US > IBS > SBS) had greater success rate than PS in all comparisons. Except for SBS at T1, laminar screw diameters with more than 90% success rates were between 3.5 and 5.0 mm. CONCLUSION: In view of their anatomic feasibility, laminar screws can be a viable alternative to PSs in the upper thoracic spine. Particularly at T3 to T6 where the pedicle width is inherently small, the success rates of laminar screw placement were significantly and consistently higher than those of PS placement. The comparable success rates of laminar screws using commercially available screw sizes further emphasize their potential clinical use.