The Design and Application of Wearable Ultrasound Devices for Detection and Imaging

The convergence of flexible electronics and miniaturized ultrasound transducers has accelerated the development of wearable ultrasound devices, offering innovative solutions for continuous, non-invasive physiological monitoring and disease diagnosis. This review systematically examines the recent progress in the field, focusing on three key aspects: physical principles, device design, and clinical applications. From the perspective of physical principles, we provide an in-depth analysis of the fundamental theories underlying ultrasound imaging, including acoustic wave propagation in biological tissues, interface reflection mechanisms, and Doppler effects. In terms of device design, we compare technical approaches for rigid and flexible ultrasound transducers, with particular emphasis on innovative designs for flexible transducers. The key developments discussed include optimization of piezoelectric materials, the fabrication of stretchable electrodes, and advances in flexible encapsulation materials. Regarding clinical applications, we categorize the use cases by anatomical region and illustrate their diagnostic value through representative examples, demonstrating their utility in disease detection, health monitoring, and sports medicine. Finally, we identify critical challenges such as signal stability, coupling material compatibility, and long-term wearability, while outlining future directions including AI-assisted diagnosis and multifunctional integration. This review aims to provide a comprehensive reference for both fundamental research and clinical translation of wearable ultrasound technologies.