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16 pages, 2876 KB  
Article
Design and Implementation of a High-Resolution Real-Time Ultrasonic Endoscopy Imaging System Based on FPGA and Coded Excitation
by Haihang Gu, Fujia Sun, Shuhao Hou and Shuangyuan Wang
Electronics 2026, 15(7), 1526; https://doi.org/10.3390/electronics15071526 - 6 Apr 2026
Viewed by 72
Abstract
High-frequency endoscopic ultrasound is crucial for the early diagnosis of gastrointestinal tumors. However, achieving high axial resolution, deep tissue signal-to-noise ratio, and real-time data processing simultaneously remains a significant challenge in hardware implementation. This paper proposes a miniaturized real-time high-frequency imaging system based [...] Read more.
High-frequency endoscopic ultrasound is crucial for the early diagnosis of gastrointestinal tumors. However, achieving high axial resolution, deep tissue signal-to-noise ratio, and real-time data processing simultaneously remains a significant challenge in hardware implementation. This paper proposes a miniaturized real-time high-frequency imaging system based on the Xilinx Artix-7 FPGA. To overcome attenuation limitations of high-frequency signals, we employ a 4-bit Barker code-encoded excitation scheme coupled with a programmable ±100 V high-voltage transmission circuit. This effectively enhances echo energy without exceeding peak voltage safety thresholds. At the receiver end, the system utilizes a multi-channel analog front end integrated with mixed-signal time-gain compensation technology. Furthermore, to address transmission bottlenecks for massive echo data, we designed a Low-Voltage Differential Signaling (LVDS) interface logic based on dynamic phase calibration, ensuring stable, high-speed data transfer to the host computer via USB 3.0. Experimental results with a 20 MHz transducer demonstrate that the system achieves real-time B-mode imaging at 30 frames per second. Phantom testing revealed an axial resolution of 0.13 mm, enabling clear differentiation of 0.1 mm microstructures. Compared to conventional single-pulse excitation, coded excitation technology improved signal-to-noise ratio (SNR) by approximately 4.5 dB at a depth of 40 mm. These results validate the system’s capability for high-precision deep imaging suitable for clinical endoscopy applications, delivered in a compact, low-power form factor. Full article
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18 pages, 1817 KB  
Article
Determination of Finger Optical Properties Using an Integrating Sphere
by Markus Wagner, Benedikt Beutel, Peter Naglic, Oliver Fugger, Florian Foschum and Alwin Kienle
Sensors 2026, 26(7), 2173; https://doi.org/10.3390/s26072173 - 31 Mar 2026
Viewed by 185
Abstract
Integrating sphere measurements are a well-established method for determining the optical properties of planar samples. In this study, the approach was expanded from slab geometry to cylindrical geometry illuminating the cylinder barrel, thereby demonstrating its applicability for determining the optical properties of human [...] Read more.
Integrating sphere measurements are a well-established method for determining the optical properties of planar samples. In this study, the approach was expanded from slab geometry to cylindrical geometry illuminating the cylinder barrel, thereby demonstrating its applicability for determining the optical properties of human fingers. By adapting existing integrating sphere theory to cylindrical samples, the method was systematically validated using phantoms and subsequently applied to human fingers. It has been demonstrated that the absorption coefficient μa and the reduced scattering coefficient μs of cylindrical and 3D finger phantoms can be determined with a high degree of agreement to those of slab phantoms. Moreover, this approach facilitates the quantification of tissue components in human fingers, including fat, water and collagen content, total haemoglobin concentration and tissue oxygenation. Full article
(This article belongs to the Special Issue Recent Advancements in Optical Biosensors)
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19 pages, 3453 KB  
Article
Mimicking Tissues in 3D-Printed Radiology Phantoms: Brand, Product, and Color of Printing Filaments Matter!
by Thomas Hofmann, Martin Buschmann, Adrian Belarra, Maria Castillo-Garcia, Margarita Chevalier, Irene Hernandez-Giron and Peter Homolka
Polymers 2026, 18(7), 851; https://doi.org/10.3390/polym18070851 - 31 Mar 2026
Viewed by 425
Abstract
Additive manufacturing enables the rapid fabrication of radiographic phantoms for X-ray and CT imaging, supporting applications such as patient simulation, dosimetry, imaging protocol optimization, and quality assurance. Polylactic acid (PLA) and acrylonitrile butadiene styrene (ABS) are among the most widely used printing polymers [...] Read more.
Additive manufacturing enables the rapid fabrication of radiographic phantoms for X-ray and CT imaging, supporting applications such as patient simulation, dosimetry, imaging protocol optimization, and quality assurance. Polylactic acid (PLA) and acrylonitrile butadiene styrene (ABS) are among the most widely used printing polymers in phantoms; however, their X-ray attenuation properties can vary substantially among manufacturers, product lines within manufacturers, and even between colors of the same product. Cylindrical samples of 34 PLA filaments from 11 manufacturers and 13 ABS filaments from 9 manufacturers were evaluated for X-ray attenuation and energy dependence between 70 and 140 kV using a clinical CT scanner. Measured mass densities ranged from 1.17 to 1.34 g/cm3 for PLA and 1.03–1.11 g/cm3 for ABS. At 120 kV, Hounsfield unit (HU) values spanned 109 to 424 HU for PLA and −34 to 40 HU for ABS. Energy dependence, quantified as the HU at 70 kV minus HU at 140 kV, ranged from −29 to +172 HU for PLA filaments and −52 to −4 HU for ABS filaments. Identical products differing only in color showed HU variations from <2 HU to >90 HU at 120 kV, with no consistent pattern linking specific colors to highest or lowest attenuation. These findings demonstrate that 3D printing materials require individual characterization, as base polymer designation alone does not predict X-ray behavior accurately. The observed variability, however, enables the design of phantoms with tailored attenuation and energy-dependent contrast. Referring only to base polymers when specifying 3D printing materials for radiographic phantoms or suggesting printing materials as radiographic substitutes to mimic a specified tissue or reference material without naming the actual product, including color, is, thus, insufficient. Full article
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16 pages, 3129 KB  
Article
Design and Optimization of X-Ray Collimators for Preclinical Minibeam Radiation Therapy
by Umberto Crimaldi, Nastassja Luongo, Laura Antonia Cerbone, Roberto Pacelli, Paolo Russo and Giovanni Mettivier
Appl. Sci. 2026, 16(7), 3282; https://doi.org/10.3390/app16073282 - 28 Mar 2026
Viewed by 173
Abstract
Spatially fractionated radiotherapy with X-ray minibeams (x-MBRT) aims to increase normal-tissue tolerance by delivering alternating high- and low-dose regions. We provide a Monte Carlo-based framework to design and optimize multi-slit collimators, quantifying how geometry and material govern peak–valley modulation. A validated digital twin [...] Read more.
Spatially fractionated radiotherapy with X-ray minibeams (x-MBRT) aims to increase normal-tissue tolerance by delivering alternating high- and low-dose regions. We provide a Monte Carlo-based framework to design and optimize multi-slit collimators, quantifying how geometry and material govern peak–valley modulation. A validated digital twin of the SmART X-RAD225Cx irradiator was implemented in TOPAS/Geant4. Various x-MBRT collimators were simulated with parallel or divergent slits. The parameter space covered a slit width w (0.1–0.9 mm), center-to-center spacing CTC (1–3 mm), thickness T (1–5 mm), and acceptance angle θ. Dose was scored in a 2 × 2 × 2 cm3 water phantom at a 1 cm depth. For fixed w/CTC, peak-valley dose ratio PVDR increases with larger CTC via an increase in peak dose, with the valley dose nearly constant. Peak transmission saturated at θ ≈ 3°, indicating minimal benefit from larger acceptance. Divergent slits yielded flatter lateral profiles but higher valley doses than parallel slits, reducing PVDR around the central axis. This Monte Carlo study provides insights for optimizing collimator geometries in x-MBRT using small-animal irradiators, informing the design of more effective collimation systems to enhance treatment precision and normal-tissue sparing. Full article
(This article belongs to the Special Issue Novel Technologies in Radiology: Diagnosis, Prediction and Treatment)
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20 pages, 3908 KB  
Article
A Novel Microstrip Band-Stop Filter at 5.5 GHz for Non-Invasive Blood Glucose Monitoring
by Anveshkumar Nella, Rabah W. Aldhaheri, Jagadeesh Babu Kamili and Ahmad A. Jiman
Appl. Sci. 2026, 16(7), 3197; https://doi.org/10.3390/app16073197 - 26 Mar 2026
Viewed by 230
Abstract
This work presents a novel compact size and sensitive band-stop filter, whose notch frequency is 5.5 GHz, and it is suggested to estimate the concentration of blood glucose non-invasively. The filter is made on FR-4, with the size of the entire structure being [...] Read more.
This work presents a novel compact size and sensitive band-stop filter, whose notch frequency is 5.5 GHz, and it is suggested to estimate the concentration of blood glucose non-invasively. The filter is made on FR-4, with the size of the entire structure being 15 mm × 25 mm × 1.6 mm. A human finger-phantom model, comprising layers of skin, fat, blood, and bone, is built in an EM simulation environment (HFSS) to assess the sensing performance of the human finger-phantom. The glucose content in the blood layer is kept at a range of 0 to 500 mg/dL, with the ratio of the resonant frequency shift being assessed by placing the finger phantom on the proposed filter structure. The sensing principle is based on the fact that the resonant frequency of the microwave sensor changes with changes in glucose concentration in the tissue, and this is due to the changes in the dielectric properties of the tissue. The shifts obtained in the study are used for the evaluation of glucose concentration in blood as a non-invasive technique. This work explores five microstrip band-stop filters noted as Designs I, II, III, IV, and V. In these filters, better results of minimum and maximum frequency shifts of 0.1 and 1.4 MHz in Design I and 0.1 and 2 MHz in Design IV are observed. The simulated results of Design IV are verified with measured results. Good matching is also noted at the lower frequencies. The filters are compact, cost-effective, and give better sensitivity performance. Hence, the proposed design can be used for glucose monitoring in blood samples involving a non-invasive method. Full article
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18 pages, 1781 KB  
Article
Design and Characterisation of a Polyvinyl Chloride (PVC) Tissue-Mimicking Polymer Phantom for Quantitative Shear Wave Elastography Validation
by Wadhhah Aldehani, Sarah Louise Savaridas, Cheng Wei and Luigi Manfredi
Polymers 2026, 18(7), 797; https://doi.org/10.3390/polym18070797 - 26 Mar 2026
Viewed by 362
Abstract
A polyvinyl chloride (PVC)-based tissue-mimicking polymer phantom was developed and mechanically characterised to replicate stiffness ranges relevant to breast elastography and to provide a controlled platform for evaluating shear wave elastography (SWE) measurements. SWE provides quantitative stiffness information that complements B-mode ultrasound in [...] Read more.
A polyvinyl chloride (PVC)-based tissue-mimicking polymer phantom was developed and mechanically characterised to replicate stiffness ranges relevant to breast elastography and to provide a controlled platform for evaluating shear wave elastography (SWE) measurements. SWE provides quantitative stiffness information that complements B-mode ultrasound in breast imaging. However, measurement variability related to operator technique and tissue continues to limit confidence in clinical interpretation. This study evaluates the reproducibility of SWE using custom-fabricated PVC-based breast phantoms with mechanically defined stiffness properties. Two PVC-based breast phantoms with identical geometry and different background stiffnesses were scanned using a single ultrasound system under a fixed SWE protocol. Each phantom contained four embedded inclusions representing clinically relevant stiffness categories. Six breast imagers independently acquired repeated SWE measurements in transverse and longitudinal planes, blinded to lesion identity and ground truth. Inter-operator reproducibility was assessed using intraclass correlation coefficients, and was high across both phantom backgrounds, with low intra-operator variability following quality assurance exclusion of one dataset due to sampling error. Measurement variability was lowest for solid inclusions and increased for the cyst-like inclusion in the stiffer background. SWE measurements consistently preserved the relative stiffness ordering of inclusions, although absolute values differed systematically from mechanically derived ground-truth stiffness. These findings demonstrate that PVC-based polymer phantoms provide a stable and reproducible platform for evaluating SWE measurement behaviour under controlled conditions. By isolating operator and acquisition effects from biological variability, this polymer-based framework supports methodological standardisation and structured operator training in breast elastography. Full article
(This article belongs to the Special Issue Polymers for Biomedical Engineering and Clinical Innovation)
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21 pages, 9919 KB  
Article
Development and Phantom Validation of a Small-Form-Factor SWIR Emitter Probe for Hydration-Sensitive Spatial-Ratio Measurements in Gelatin–Intralipid Phantoms
by Georgei Farouq, Devang Vyas and Amir Tofghi Zavareh
Sensors 2026, 26(7), 2020; https://doi.org/10.3390/s26072020 - 24 Mar 2026
Viewed by 355
Abstract
Non-invasive assessment of tissue water content is clinically relevant for edema detection, fluid management, and monitoring of local inflammation. In the short-wave infrared (SWIR), water exhibits strong absorption near 1450 nm with a secondary band near 1650 nm, enabling hydration-sensitive reflectance measurements. However, [...] Read more.
Non-invasive assessment of tissue water content is clinically relevant for edema detection, fluid management, and monitoring of local inflammation. In the short-wave infrared (SWIR), water exhibits strong absorption near 1450 nm with a secondary band near 1650 nm, enabling hydration-sensitive reflectance measurements. However, many SWIR systems rely on spectrometers or high-power broadband sources, limiting translation to compact or wearable platforms. We present a compact SWIR diffuse-reflectance probe built from small-form-factor components using four discrete LEDs (1450 nm and 1650 nm) and a single photodetector to acquire spatially resolved measurements at two source–detector separations (4.5 mm and 7 mm). Probe-geometry-matched Monte Carlo simulations were used to generate lookup tables relating reduced scattering to same-wavelength spatial ratios. A diffusion-based forward model was then used to perform a calibration-anchored water-fraction consistency analysis. Eight gelatin–Intralipid phantoms spanning two scattering conditions and formulation-defined water fractions were evaluated. Spatial-ratio signatures were repeatable and monotonic with nominal water fraction, yielding a mean absolute percent error of 1.55% and a maximum absolute percent error of 3.33% under absorption-consistent conditions. These results demonstrate the feasibility of compact SWIR ratio sensing for controlled hydration changes in tissue-mimicking phantoms and provide a modeling framework for future extension to unknown or in vivo samples. Full article
(This article belongs to the Special Issue Recent Advances in Point-of-Care Sensing and Digital Health)
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29 pages, 9899 KB  
Article
SAR-Based Thermal Assessment of Dielectrophoretic Pulsed Electromagnetic Stimulation in Tibia Fractures with Metallic Implants
by Abdullah Deniz Ertugrul, Erman Kibritoglu, Sinem Anil and Heba Yuksel
Bioengineering 2026, 13(3), 364; https://doi.org/10.3390/bioengineering13030364 - 20 Mar 2026
Viewed by 589
Abstract
Electromagnetic field-based stimulation has emerged as a promising noninvasive approach for enhancing bone fracture healing. Beyond conventional pulsed electromagnetic field (PEMF) therapies employing spatially uniform fields, dielectrophoretic-force-based (DEPF) stimulation exploits electromagnetic field non-uniformities to induce localized interactions to enhance fracture healing. However, the [...] Read more.
Electromagnetic field-based stimulation has emerged as a promising noninvasive approach for enhancing bone fracture healing. Beyond conventional pulsed electromagnetic field (PEMF) therapies employing spatially uniform fields, dielectrophoretic-force-based (DEPF) stimulation exploits electromagnetic field non-uniformities to induce localized interactions to enhance fracture healing. However, the thermal behavior associated with DEPF-driven PEMF exposure in the presence of metallic orthopedic implants remains largely unexplored. In this study, the thermal response of tissue-like tibia phantoms with and without metallic implants is investigated using an integrated experimental and numerical framework. A custom-designed conical coil is employed to generate non-uniform DEPF excitation capable of affecting the fracture site. Surface temperature evolution is measured using infrared thermal imaging, while electromagnetic power absorption is quantified through specific absorption rate (SAR)-based thermal measurement coupled with a bio-heat formulation. Anatomically realistic tibia phantoms reconstructed from computed tomography data are fabricated via a 3D printer to represent clinically relevant fracture configurations. Experimental results show that the metallic implant exhibits a rapid temperature increase of approximately 0.4 °C within the first few minutes of exposure, followed by thermal stabilization, corresponding to an effective absorbed power of SAReff,implant2.2 W/kg inferred from the initial temperature slope. In contrast, the non-conductive resin phantom displays a temperature rise of only 0.05 °C over the same interval, yielding SAReff,resin0.8 W/kg. These findings demonstrate that implant-related eddy-current losses dominate localized heating under DEPF excitation, while tissue-like media remain weakly affected. This work provides SAR-based experimental evaluation of DEPF stimulation in implanted tibia fracture models, offering new insight into implant-induced electromagnetic heating and its implications for the safety and optimization of DEPF-based bone-healing therapies. Full article
(This article belongs to the Section Biomedical Engineering and Biomaterials)
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15 pages, 1663 KB  
Communication
A Simulation-Based Computational Study on the Dielectric Response of Human Hand Tissues to Radiofrequency Radiation from Mobile Devices
by Agaku Raymond Msughter, Jonathan Terseer Ikyumbur, Matthew Inalegwu Amanyi, Eghwubare Akpoguma, Ember Favour Waghbo and Patience Uneojo Amaje
NDT 2026, 4(1), 11; https://doi.org/10.3390/ndt4010011 - 13 Mar 2026
Viewed by 293
Abstract
This study presents a computational, simulation-based investigation of the dielectric response of human hand tissues, skin, fat, muscle, and bone to radiofrequency (RF) electromagnetic fields emitted by mobile devices. The widespread adoption of handheld devices and the deployment of fifth-generation (5G) networks, including [...] Read more.
This study presents a computational, simulation-based investigation of the dielectric response of human hand tissues, skin, fat, muscle, and bone to radiofrequency (RF) electromagnetic fields emitted by mobile devices. The widespread adoption of handheld devices and the deployment of fifth-generation (5G) networks, including millimetre-wave (mmWave) bands, have intensified concerns regarding localized human exposure to RF radiation, particularly in the hand, which serves as the primary interface during device operation. Using validated dielectric property datasets, numerical simulations were performed across the frequency range of 0.5–40 GHz, employing the Finite-Difference Time-Domain (FDTD) method to solve Maxwell’s equations, with analytical evaluations conducted in Maple-18. A heterogeneous multilayer hand phantom was developed, and simulations were conducted under controlled exposure conditions, including a transmitted power of 1 W, antenna gain of 2 dBi, and incident power density of 5 W/m2, consistent with ICNIRP and NCC safety guidelines. Tissue responses were assessed over a temperature range of 10–40 °C to account for thermal variability. The results demonstrate strong frequency- and temperature-dependent behaviour of dielectric properties, intrinsic impedance, reflection coefficient, attenuation, and specific absorption rate (SAR). At lower frequencies (<1 GHz), RF energy penetrated more deeply with distributed absorption and relatively low SAR values, whereas higher frequencies (3–40 GHz) produced highly localized absorption in superficial tissues, particularly skin and muscle. Increasing temperature led to significant increases in permittivity, conductivity, and SAR, with up to a twofold enhancement observed between 10 °C and 40 °C. These findings confirm that 5G and mmWave exposures result in predominantly surface-confined energy deposition in hand tissues. The study provides a robust computational framework for evaluating hand device electromagnetic interactions and offers quantitative insights relevant to antenna design, exposure compliance assessment, and the development of evidence-based safety guidelines. Full article
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30 pages, 6821 KB  
Article
Electromagnetic Performance Characterization and Circuit-Level Modeling of a Miniaturized Meander-Line Antenna for Implantable and Wearable RFID Applications
by Waqas Ali, N. Nizam-Uddin, Ubaid Ullah, Muhammad Zahid and Sultan Shoaib
Sensors 2026, 26(6), 1744; https://doi.org/10.3390/s26061744 - 10 Mar 2026
Viewed by 374
Abstract
This paper proposes a small size meander-line patch antenna which is designed to have biomedical telemetry applications using the Industrial, Scientific and Medical (ISM) band from 2.40 to 2.48 GHz supported by the equivalent circuit model (ECM). Antenna miniaturization is realized by the [...] Read more.
This paper proposes a small size meander-line patch antenna which is designed to have biomedical telemetry applications using the Industrial, Scientific and Medical (ISM) band from 2.40 to 2.48 GHz supported by the equivalent circuit model (ECM). Antenna miniaturization is realized by the effective use of several slot structures placed in the rectangular microstrip patch structure, in order to realize electrical length extension and reduce the physical size. The antenna has overall dimensions of 12 × 22 × 0.787 mm3 and is made on a low-loss Arlon AD 450 (εr = 4.50 and tanδ = 0.0035) dielectric substrate, which has the desired stable electrical behavior and, importantly, can be used in implantable environments. Experimental validation is done by implanting the fabricated prototype into a laboratory-manufactured tissue-mimicking phantom, and it showed good agreement with simulated results. The designed antenna has a peak gain of 1.29 dBi in free space and −24.99 dBi at a frequency of 2.45 GHz and a fractional impedance bandwidth of about 250 MHz, which will guarantee reliable operation in the face of diversity and fluctuation in the surrounding environment (biological tissues). Furthermore, specific absorption rate (SAR) analysis is carried out in order to comply with international safety standards with peak SAR values kept within the permissible level of 2 W/kg for 10 g averaging tissue. The results show that the proposed antenna provides a good trade-off between the reduction in size, radiation performance and safety to the patient, making it a good candidate for short-range in-body wireless communication, implantable medical devices, and biomedical monitoring systems. Full article
(This article belongs to the Section Electronic Sensors)
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15 pages, 2753 KB  
Article
X-Ray Attenuation Properties of Additive Manufacturing and 3D Printing Materials for Mimicking Tissues in Radiographic Phantoms Measured by CT from 70 to 140 kV: 2025 Update
by Thomas Hofmann, Martin Buschmann and Peter Homolka
Biomimetics 2026, 11(3), 202; https://doi.org/10.3390/biomimetics11030202 - 10 Mar 2026
Cited by 1 | Viewed by 637
Abstract
Background: Phantoms are essential in medical imaging, providing reproducible and quantitative means for system and protocol evaluation, image quality assessment, and dosimetry without patient exposure. Additive manufacturing enables rapid, accurate fabrication of phantoms ranging from simple geometries to complex anthropomorphic models. Ongoing developments [...] Read more.
Background: Phantoms are essential in medical imaging, providing reproducible and quantitative means for system and protocol evaluation, image quality assessment, and dosimetry without patient exposure. Additive manufacturing enables rapid, accurate fabrication of phantoms ranging from simple geometries to complex anthropomorphic models. Ongoing developments in 3D printing technologies and polymer formulations have enhanced mechanical properties and printability, but also affect X-ray attenuation behaviour, necessitating an update with current materials to facilitate the choice of appropriate materials mimicking body tissues in radiographic phantoms. Methods: Attenuation properties of 27 photopolymer resins and 22 thermoplastic filaments (based on PLA, ABS, HIPS, PETG/PCTG, and PVB) were quantified using a clinical CT scanner at 70–140 kV to establish reference data for material selection. Results: At 120 kV, resins exhibited attenuation values between 124 and 384 Hounsfield Units (HU), and filaments ranged from −69 to 308 HU (PLA-based filaments: 160 to 241 HU, ABS: −32 to 43 HU, PETG/PCTG: 151 to 308 HU, and HIPS: −69 to −22 HU). Energy dependence of HU values is presented from 70 to 140 kV tube potential. Compared to the 2021 study, a wider selection of X-ray opacities is available. Regarding SLA/DLP printing, resins with higher attenuation were identified, and flexible resins that had provided a choice of low attenuation printing materials in the range of 60 to 90 HU at 120 kV tended to replicate attenuation properties closer to rigid photopolymers; i.e., HU values were slightly higher. In FDM filaments, a wide variation in different PLA-, ABS-, and HIPS-based filaments is found. In copolymers from the PET/PCTG/PETG family, very inhomogeneous X-ray attenuations are still found, as anticipated. Conclusions: The range of X-ray attenuation observed demonstrates that commercially available 3D printing materials can replicate clinically relevant tissues and tissue-equivalent contrasts. Furthermore, the available range of attenuations has increased, as has the finer gradation of these materials. These findings support the design of patient- and task-specific imaging phantoms for optimization of acquisition protocols, image quality evaluation, and radiation dose studies, as well as facilitate the selection of appropriate phantom materials. Full article
(This article belongs to the Special Issue Biomimetic 3D Printing Materials)
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37 pages, 5507 KB  
Article
Target Tissue Identification Based on Image Processing for Regulating Automatic Robotic Lung Biopsy Sampler: Onsite Phantom Validation
by Maria Monserrat Diaz-Hernandez, Gerardo Ramirez-Nava and Isaac Chairez
Sensors 2026, 26(5), 1723; https://doi.org/10.3390/s26051723 - 9 Mar 2026
Viewed by 405
Abstract
Cancer is one of the global health problems that affects millions of people every year. Biopsies are among the standard methods for detecting and confirming a cancer diagnosis. Performing this study manually poses several challenges due to tissue movement and the difficulty of [...] Read more.
Cancer is one of the global health problems that affects millions of people every year. Biopsies are among the standard methods for detecting and confirming a cancer diagnosis. Performing this study manually poses several challenges due to tissue movement and the difficulty of precisely locating the target, as is often the case in lung biopsies. This study presents the design and implementation of an autonomous image processing algorithm included in a closed-loop controller that drives the activity of a multi-degree-of-freedom (six) robotic manipulator that performs emulated tissue biopsies. A realistic lung motion emulator, based on a two-degree-of-freedom robotic device with a photon emitter (to simulate radiopharmaceutical identification of cancerous tissue), was used to test the proposed automatic biopsy collector. Applying image processing to detect cancer tissue enables the identification of the centroid and tumor boundaries. Using the detected centroid coordinates, the reference trajectory of the end effector (biopsy needle) was automatically determined. A finite-time convergent controller was implemented to guide the robotic manipulator’s motion towards the tumor position within a specified time window. The controller was evaluated using a digital twin representation of the entire robotic system and using an experimental device working on the simulated mobile tumor emulator. Evaluation of simulated tumor detection and reference trajectory tracking effectiveness was used to validate the operation of the proposed automatic robotic lung biopsy sampler. The application of the controller allows one to track the position of the emulated tumor with a deviation of 0.52 mm and a settling time of less than 1 s. Full article
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24 pages, 23823 KB  
Article
Multiphysical Characterization of a Tissue-Mimicking Phantom: Composition, Thermal Behavior, and Broadband Electromagnetic Properties from Visible to Terahertz and Microwave Frequencies
by Erick Reyes-Vera, Carlos Furnieles, Camilo Zapata Hernandez, Jorge Montoya-Cardona, Paula Ortiz-Santana, Juan Botero-Valencia and Javier Araque
Materials 2026, 19(5), 931; https://doi.org/10.3390/ma19050931 - 28 Feb 2026
Viewed by 267
Abstract
A water-rich muscle-equivalent tissue-mimicking phantom within a polymeric matrix was experimentally evaluated through a multimodal characterization methodology to determine whether it reproduces the coupled dielectric–thermal behavior of hydrated biological tissue under exposure to electromagnetic waves. The material was analyzed using thermogravimetric analysis, microwave [...] Read more.
A water-rich muscle-equivalent tissue-mimicking phantom within a polymeric matrix was experimentally evaluated through a multimodal characterization methodology to determine whether it reproduces the coupled dielectric–thermal behavior of hydrated biological tissue under exposure to electromagnetic waves. The material was analyzed using thermogravimetric analysis, microwave dielectric spectroscopy from 1.5 to 4.0 GHz, VIS–NIR spectroscopy between 350 and 1200 nm, and terahertz time-domain reflection. The thermogravimetric results confirmed dominant water content, with primary mass loss below 200 °C, establishing hydration as the governing factor of its thermal response. Next, the microwave dielectric measurements show that the phantom exhibits a relative permittivity of 37.4 and an electrical conductivity of 2.4 S/m. On the other hand, the VIS–NIR spectra show smooth broadband absorption with limited spatial variability, and principal component analysis reveals macroscopic optical homogeneity without structural spectral distortion. In the THz regime, strong broadband attenuation characteristic of water-rich matrices is observed, and reflection-mode measurements enable robust assessment of temporal stability through time- and frequency-domain signatures. Finally, a microwave thermal validation demonstrates stable behavior under low-power excitation, whereas under hyperthermia-level irradiation, a significant thermal drift of −3.985 °C/h was reached under non-adiabatic conditions, identifying hydration-mediated moisture redistribution as the principal limitation during prolonged high-power exposure. Collectively, these results demonstrate cross-regime dielectric–thermal consistency while explicitly defining the hydration-driven constraints governing long-term stability, providing a validated reference material for broadband electromagnetic and thermal biomedical experimentation. Full article
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16 pages, 1446 KB  
Review
Ultrasound Attenuation Coefficient as a Biomarker of Hepatic Steatosis: State of the Art and Software Evaluation
by Giorgio Esposto, Jacopo Iaccarino, Sara Camilli, Linda Galasso, Rosy Terranova, Manuela Pietramale, Raffaele Borriello, Irene Mignini, Maria Elena Ainora, Antonio Gasbarrini and Maria Assunta Zocco
J. Clin. Med. 2026, 15(5), 1816; https://doi.org/10.3390/jcm15051816 - 27 Feb 2026
Viewed by 454
Abstract
Background/Objectives: The attenuation coefficient (AC) is a quantitative ultrasound parameter that describes the frequency-dependent reduction of acoustic energy as ultrasound waves propagate through biological tissues. Recently, AC has gained increasing relevance in abdominal ultrasound as an objective and reproducible biomarker for tissue characterization, [...] Read more.
Background/Objectives: The attenuation coefficient (AC) is a quantitative ultrasound parameter that describes the frequency-dependent reduction of acoustic energy as ultrasound waves propagate through biological tissues. Recently, AC has gained increasing relevance in abdominal ultrasound as an objective and reproducible biomarker for tissue characterization, particularly in the assessment of diffuse parenchymal diseases. Unlike conventional qualitative B-mode imaging, AC provides standardized numerical measurements that improve interobserver reproducibility and facilitate longitudinal monitoring. Methods: This review provides a comprehensive and critical overview of the current clinical applications of AC measurements in abdominal ultrasound, mainly focusing on liver steatosis quantification. Emphasis is placed on the comparative evaluation of commercially available AC-based technologies, highlighting their methodological differences, validation evidence, and diagnostic performance to support future efforts toward harmonization and standardization across ultrasound platforms. Results: Several studies have demonstrated a strong correlation between AC values and established reference standards, including magnetic resonance imaging–proton density fat fraction (MRI-PDFF) and histopathological grading, supporting its role in the noninvasive evaluation of liver steatosis. The growing clinical adoption of AC has been accompanied by the development of multiple vendor-specific software implementations integrated into modern ultrasound systems. Although these platforms share a common physical basis, they differ substantially in algorithmic design, signal processing strategies and region-of-interest selection. These differences may influence absolute AC values and diagnostic cutoff thresholds, therefore limiting direct comparability across systems. Another factor that further contributes to the heterogeneity of reported cutoff values is the variability in validation approaches, with some technologies validated against liver biopsy and others against MRI-PDFF. Conclusions: AC is a promising quantitative ultrasound biomarker for noninvasive liver steatosis assessment, showing strong correlation with histology and MRI-PDFF. However, inter-vendor variability currently limits cross-platform comparability. Standardized acquisition protocols, unified quality-control criteria, phantom-based cross-calibration, and consistent vendor-specific reporting are essential to ensure reliable longitudinal monitoring and broader clinical implementation. Full article
(This article belongs to the Section Nuclear Medicine & Radiology)
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13 pages, 1887 KB  
Article
Quantitative Shear Wave Elastography: A Phantom—Based Comparison of Two Ultrasound Systems
by Wadhhah Aldehani, Sarah Louise Savaridas and Luigi Manfredi
Bioengineering 2026, 13(2), 214; https://doi.org/10.3390/bioengineering13020214 - 13 Feb 2026
Cited by 1 | Viewed by 608
Abstract
To evaluate cross-platform measurement consistency and diagnostic threshold requirements in shear wave elastography (SWE), this study presents a robotically controlled, phantom-based validation framework to quantify and interpret inter-vendor variability that limits clinical standardisation. A custom-fabricated polyvinyl chloride-graphite phantom containing eight spherical inclusions (15–25 [...] Read more.
To evaluate cross-platform measurement consistency and diagnostic threshold requirements in shear wave elastography (SWE), this study presents a robotically controlled, phantom-based validation framework to quantify and interpret inter-vendor variability that limits clinical standardisation. A custom-fabricated polyvinyl chloride-graphite phantom containing eight spherical inclusions (15–25 mm diameter, 25–95 mm depth, 23.53–259.58 kPa stiffness), representing breast tissue mechanical properties, was evaluated using Samsung HS50 and Aixplorer ultrasound systems. Robotic automation standardised probe positioning and contact, eliminating operator-dependent variability and enabling direct, system-level comparison. Cross-platform reproducibility, accuracy against mechanically validated ground truth, and diagnostic threshold performance were assessed across 80 measurements. Both systems demonstrated excellent intra-machine reproducibility (coefficient of variation: Samsung 0.42%, Aixplorer 0.46%) with strong inter-machine correlation (r = 0.9951, p < 0.0001). However, systematic bias of 7.05 kPa and 95% limits of agreement spanning 38.7 kPa revealed substantial cross-platform measurement differences. All phantom inclusions (8/8) measured below their assigned ground truth stiffness on both systems, with systematic underestimation ranging from 0.33 kPa to 109.57 kPa, indicating parameter-dependent measurement distortion linked to inclusion size, depth, and stiffness. Dynamic range compression was observed (Samsung: 68.7%, Aixplorer: 59.1% of true phantom range), providing a mechanistic explanation for diagnostic threshold instability. This study contributes an interpretable validation methodology that links SWE measurement bias to physical lesion properties and imaging system characteristics, rather than relying on correlation alone. Despite strong reproducibility, the observed system-dependent bias demonstrates that SWE measurements are not directly transferable across ultrasound platforms, and system-specific collaboration is required to ensure reliable clinical interpretation. Full article
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