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<journal-id journal-id-type="publisher-id">Front. Phys.</journal-id>
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<journal-title>Frontiers in Physics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Phys.</abbrev-journal-title>
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<issn pub-type="epub">2296-424X</issn>
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<article-id pub-id-type="publisher-id">1729565</article-id>
<article-id pub-id-type="doi">10.3389/fphy.2025.1729565</article-id>
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<subj-group subj-group-type="heading">
<subject>Original Research</subject>
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<title-group>
<article-title>A zirconia-based wideband biological tissue identification probe with enhanced penetration depth</article-title>
<alt-title alt-title-type="left-running-head">Wu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphy.2025.1729565">10.3389/fphy.2025.1729565</ext-link>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Guangmin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<aff id="aff1">
<label>1</label>
<institution>Inner Mongolia Medical University</institution>, <city>Hohhot</city>, <state>Inner Mongolia</state>, <country country="CN">China</country>
</aff>
<aff id="aff2">
<label>2</label>
<institution>Department of General Surgery, The First Medical Center of PLA General Hospital</institution>, <city>Beijing</city>, <country country="CN">China</country>
</aff>
<aff id="aff3">
<label>3</label>
<institution>The School of Electronic and Information Engineering, Beihang University</institution>, <city>Beijing</city>, <country country="CN">China</country>
</aff>
<author-notes>
<corresp id="c001">
<label>&#x2a;</label>Correspondence: Yanhua Peng, <email xlink:href="mailto:emc_pyh@buaa.edu.cn">emc_pyh@buaa.edu.cn</email>; Jiandong Wang, <email xlink:href="mailto:vicky1968@163.com">vicky1968@163.com</email>
</corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-01-07">
<day>07</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1729565</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>10</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>12</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Wu, Liu, Yang, Mu, Xu, Sun, Ou, Tian, Chen, Peng and Wang.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Wu, Liu, Yang, Mu, Xu, Sun, Ou, Tian, Chen, Peng and Wang</copyright-holder>
<license>
<ali:license_ref start_date="2026-01-07">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>The development of non-invasive probes with significant penetration depth is crucial for quickly characterizing biological tissues during surgical resection specimens, ensuring the full removal of tumors. This paper presents a novel zirconia probe designed to transmit low-power transcutaneous signals for identifying subcutaneous tumors without damaging biological tissues. The probe features a high dielectric constant and combines zirconia with surface-coated copper layers that have a low dielectric constant. This design achieves ultra-wideband matching from 2.8 GHz to 15.1 GHz for biological tissues. Simulations and experimental measurements on <italic>ex vivo</italic> porcine skin, fat tissue, and muscle tissue placed above the probe allowed us to differentiate tissues using reflection coefficient analysis. The results showed a penetration depth of 19 mm, with biological safety confirmed through specific absorption rate (SAR) simulations. Tumor phantoms embedded within biological matrices demonstrated the probe&#x2019;s ability to detect lesions larger than 5 mm in diameter. Finally, the potential of the probe for rapid clinical identification was verified through tumor detection and scanning imaging of clinical samples.</p>
</abstract>
<kwd-group>
<kwd>biological tissue</kwd>
<kwd>penetration depth</kwd>
<kwd>tumor identification</kwd>
<kwd>ultra-wideband matching</kwd>
<kwd>zirconia-based probe</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This study was supported by grants from the National Natural Science Foundation of China 62476285 and the National Key Laboratory Open Fund EMC 2024N001.</funding-statement>
</funding-group>
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</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>During surgery, the pathological evaluation of the resected tissue samples is considered the gold standard for confirming the complete removal of the tumors. Since tumor tissues can exist at various depths within samples, the classical histopathological method is microscopic frozen section analysis (FS), including processing steps such as freezing, slicing, staining, and microscopic analysis, which are essential for detection. However, the lengthy nature of these procedures often requires extended operative times [<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>], which can pose significant risks to patients. Therefore, it is crucial to develop a technology that offers deep tissue penetration and rapid characterization.</p>
<p>Conventional clinical tumor detection methods, including X-ray [<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>], ultrasound [<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>], and magnetic resonance imaging (MRI) [<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>], are used primarily for preoperative patient screening. X-ray techniques pose inherent risks due to exposure to ionizing radiation [<xref ref-type="bibr" rid="B9">9</xref>], which can lead to potential secondary carcinogenesis. MRI systems are associated with high operational costs and prolonged examination times [<xref ref-type="bibr" rid="B10">10</xref>], while ultrasound diagnostics are significantly dependent on the operator&#x2019;s skill [<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>] and often do not meet the requirements for real-time surgery monitoring.</p>
<p>Consequently, researchers leverage relative permittivity values in biological tissues for tissue differentiation, primarily employing the coaxial reflection technique [<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>] and resonance methodology [<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>].</p>
<p>In [<xref ref-type="bibr" rid="B17">17</xref>], the reflection coefficients of bovine hepatic tissues across the frequency range from 10 MHz to 3 GHz were measured utilizing a coaxial probe, obtaining complex permittivity values through multistage calibration protocols (Open-Short-Water) [<xref ref-type="bibr" rid="B18">18</xref>]. Subsequent research [<xref ref-type="bibr" rid="B19">19</xref>] employed an SMA-based coaxial probe to characterize the dielectric properties of solute-containing solutions and biological tissues over an operational bandwidth ranging from 10 MHz to 6 GHz. Reference [<xref ref-type="bibr" rid="B20">20</xref>] used a wideband electromagnetic reflection methodology for the identification of biological tissue, establishing that coaxial probes with varying diameters achieve maximum penetration depths of 0.6 mm. Moreover, the 40 GHz resonant probe presented in [<xref ref-type="bibr" rid="B21">21</xref>] achieved a measured tissue penetration depth of 0.65 mm in experimental evaluations.</p>
<p>Although the above methods address the challenge of real-time tissue identification during surgery, their limited penetration depths impede reliable detection of neoplasms within pathological specimens. Consequently, researchers have focused on novel probe designs that exploit antenna beam-focusing characteristics [<xref ref-type="bibr" rid="B22">22</xref>] to achieve enhanced tissue penetration.</p>
<p>Professor Asimina Kiourti [<xref ref-type="bibr" rid="B23">23</xref>] discusses an antenna design that utilizes a conical polylactic acid (PLA) matrix infused with distilled water, specifically engineered for low-loss communication in implants within the 1.4 GHz&#x2013;8.5 GHz frequency range. Simulation results showed a transmission loss of 19.21 dB at 2.4 GHz when the antenna was positioned 2 cm subdermally. In subsequent work described in [<xref ref-type="bibr" rid="B24">24</xref>], the conical substrate was replaced with plastic, which extended the operational bandwidth from 1.07 GHz to 11.9 GHz. Simulations indicated a transmission loss of 21.4 dB at 2.4 GHz when the antenna was placed 3 cm deep in tissue. Further developments in [<xref ref-type="bibr" rid="B25">25</xref>] further modified the conical core by incorporating zirconia filled with PLA, resulting in an operational bandwidth spanning from 1 GHz to 5 GHz. Achieving similar transmission loss performance while eliminating the challenges associated with the volatility of aqueous solutions.</p>
<p>The previous work significantly enhanced the ability to penetrate biological tissues. They were not applied to the identification of clinical pathological samples. Ensuring the long-term stable operation of the probe while using distilled water poses challenges. Additionally, PLA materials require precise excavation and filling of the zirconia base, resulting in high processing specifications. Relying solely on transmission losses at a single frequency makes it difficult to differentiate between biological tissues. Therefore, a new probe structure needs to be designed for effective identification of biological tissues.</p>
<p>This study introduces a broadband probe designed for deep penetration into biological tissue, with dimensions of 25.1 <inline-formula id="inf1">
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<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
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</inline-formula> 25.1 <inline-formula id="inf2">
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<mml:mo>&#xd7;</mml:mo>
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</inline-formula> 12.5 mm<sup>3</sup>. The probe is made from high-dielectric-constant zirconia, which is compatible with biological tissues, and it features a conical pyramidal shape that ensures long-term operational stability. To facilitate power delivery, it includes copper foil cladding on opposing surfaces. This design supports a broad operational frequency range from 2.8 GHz to 15.1 GHz and attains a tissue penetration depth of up to 19 mm, satisfying clinical sample thickness requirements. Both simulations and experimental validations demonstrate that the probe can effectively distinguish between normal breast tissue and detect tumors larger than 5 mm.</p>
<p>This study introduces three key innovations in surgical tumor detection technology: 1) A novel cone-shaped probe made from zirconia showing excellent biomaterial compatibility, allowing quick identification of tumor tissue during surgery. 2) By utilizing the differences in broadband reflection coefficient and harmonic shift of the probe under different biological tissues, it enables real-time discrimination of tissue types. 3) The design achieves wideband frequency matching from 2.8 GHz to 15.1 GHz, enabling a tissue penetration depth of 19 mm even with low-power signal injection (7 dBm), ensuring biological safety through controlled SAR.</p>
<p>The paper is organized as follows: <xref ref-type="sec" rid="s2">Section 2</xref> delineates the probe design methodology and the architecture of the measurement system. <xref ref-type="sec" rid="s3">Section 3</xref> characterizes the operational frequency band, evaluates biological tissue discrimination capabilities, quantifies penetration depth performance, and details SAR simulations. <xref ref-type="sec" rid="s4">Section 4</xref> obtains the resolution of the tumor probe by measuring pork tissue containing bacon. We verify the feasibility of intraoperative tumor detection using breast cancer sample tissue obtained during surgery. <xref ref-type="sec" rid="s5">Section 5</xref> provides a comprehensive overview of the findings and implications.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2-1">
<label>2.1</label>
<title>Probe design</title>
<p>To achieve broadband impedance matching with biological tissues while maintaining excellent biosafety [<xref ref-type="bibr" rid="B25">25</xref>], appropriate probe materials must be selected and engineered. Biological tissues exhibit frequency-dependent dielectric properties, where low relative permittivity minimises transmission loss at high frequencies and high relative permittivity enhances signal integrity at lower frequencies [<xref ref-type="bibr" rid="B26">26</xref>]. Accordingly, ADT-<inline-formula id="inf3">
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</inline-formula> &#x3d; 15.68) was chosen as the structural substrate owing to its high permittivity, mechanical robustness, and established biocompatibility in medical implants [<xref ref-type="bibr" rid="B27">27</xref>]. Its elevated permittivity enhances field confinement within the probe and facilitates deeper tissue penetration at lower frequencies. In contrast, copper foil (<inline-formula id="inf5">
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</inline-formula> &#x3d; 1) was employed as the signal transmission medium to optimise high-frequency performance.</p>
<p>To determine the optimal geometric configuration, three probe structures were designed and evaluated: rectangular, conical, and pyramidal. The final design features a contact area of 25.1 <inline-formula id="inf6">
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</inline-formula> 0.1 mm<sup>2</sup>. As shown in <xref ref-type="fig" rid="F1">Figure 1</xref>, a multilayer biological tissue model (skin, fat, and muscle) with planar dimensions of 40 <inline-formula id="inf8">
<mml:math id="m8">
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</inline-formula> 40 mm<sup>2</sup> was constructed in HFSS. The probe was positioned on the skin surface, and frequency-domain analysis was performed from 100 MHz to 20 GHz across 201 discrete frequency points. <xref ref-type="fig" rid="F1">Figure 1</xref> presents the resulting <inline-formula id="inf9">
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</inline-formula> parameter curves for the different geometric configurations. Comparative analysis revealed that the pyramidal structure achieved both broadband tissue&#x2013;impedance matching and a lower minimum matching frequency than the alternative designs, leading to its selection for final implementation.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Schematic diagram of the probe used for biological tissue identification. Probe 1 is a rectangular structure, probe 2 is a conical structure, and probe 3 is a square conical structure.</p>
</caption>
<graphic xlink:href="fphy-13-1729565-g001.tif">
<alt-text content-type="machine-generated">Diagram of a layered model with skin, fat, and muscle layers. It showcases three types of probes: a cube, a cone, and a pyramid. A graph displays frequency (GHz) versus S11 (dB) for each probe, with distinct lines representing the data for Probe 1 (blue), Probe 2 (yellow), and Probe 3 (red).</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2-2">
<label>2.2</label>
<title>Measurement system</title>
<p>Following structural finalization, <xref ref-type="fig" rid="F2">Figure 2a</xref> details the dimensional specifications of the probe assembly and its connector interface. The sintered zirconia fabricated in a truncated square conical shape exhibits exceptional mechanical rigidity. This substrate features 35 <inline-formula id="inf10">
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</inline-formula>m electrodeposited copper cladding on orthogonal surfaces, establishing both signal transmission pathways through a connector (a semirigid cable with an outer conductor diameter of 3.58 mm [<xref ref-type="bibr" rid="B28">28</xref>]), conductor integration, and a reference ground plane. The probe was impedance-matched to a 50 <inline-formula id="inf11">
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</inline-formula> VNA by adjusting the zirconia core cross-section and copper cladding so that, in tissue contact, reflections at the SMA interface were minimized and the measured <inline-formula id="inf12">
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</inline-formula> was primarily sensitive to tissue-dependent impedance. <xref ref-type="table" rid="T1">Table 1</xref> presents the specific parameters of the probe and biological tissue model. The operational principle involves transmitting excitation signals via the copper-zirconia and detecting subsequent electromagnetic echoes. The trapezoidal profile confers inherent broadband characteristics, enabling the acquisition of a wideband response. Through optimized impedance matching, this architecture achieves depth-specific tissue differentiation.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Biological tissue identification probe&#x2019;s structural model and measurement system. <bold>(a)</bold> Key parameters of the wideband bio-matched probe&#x2019;s structural model and simulated tissue layers. <bold>(b)</bold> Schematic diagram of the measurement system, comprising a VNA Core component for signal processing and data acquisition, a probe optimized for tissue measurements, and a 3-D Scanning Stage that ensures precise control of probe contact with the tissue.</p>
</caption>
<graphic xlink:href="fphy-13-1729565-g002.tif">
<alt-text content-type="machine-generated">Diagram of a setup for measuring pressure and signal response, featuring two panels. Panel (a) on the left shows a layered model with copper, muscle, fat, and skin. Dimensions and labels indicate various components like the connector, skin, fat, and muscle layers. Inset shows a copper setup on a pressure scale. Panel (b) on the right shows a measuring platform connected to a vector network analyzer (VNA). Inset images display a probe and a graphical representation of the setup. The overall depiction illustrates the arrangement and equipment used in signal measurement experiments.</alt-text>
</graphic>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Key parameters of the probe matching model and tissue simulation model in <xref ref-type="fig" rid="F2">Figure 2a</xref>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Parameter</th>
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<td align="left">Dimensions (mm)</td>
<td align="center">25.1</td>
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<td align="center">0.05</td>
<td align="center">80</td>
<td align="center">40</td>
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<td align="center">0.1</td>
<td align="center">80</td>
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<td align="center">2</td>
<td align="center">20</td>
<td align="center">20</td>
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<p>As shown in <xref ref-type="fig" rid="F2">Figure 2b</xref>, the complete measurement system consists of the following core components. The vector network analyzer (VNA) generates broadband signals that propagate through a coaxial RF cable to the probe, which electromagnetically couples the energy to the biological tissue surface. Reflected signals from tissue interfaces are subsequently captured by the probe and routed back to the VNA for derivation of the reflection coefficient <inline-formula id="inf26">
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<p>Before conducting experimental measurements, it is essential to rigorously calibrate the VNA. The calibration process involves several sequential steps. First, an RF line is used to connect the SMA interface to the VNA. Next, a calibration kit, which includes short, open, load, and through standards, is employed. During this phase, the configuration is systematically set, defining the measurement format and frequency range from 10 MHz to 20 GHz. A total of 2,001 discrete frequency points are designated. The output power is optimized to 7 dBm. All acquired data are archived in CSV format to ensure compatibility across different platforms. Finally, a comprehensive Short-Open-Load-Through (SOLT) calibration procedure is performed to eliminate systematic measurement errors.</p>
<p>To ensure system stability, the probe is rigidly affixed to a high-precision 3D platform, suppressing mechanical vibration artifacts and eliminating measurement errors from positional variations. Throughout the experiments, a precisely calibrated contact pressure of 5.0 <inline-formula id="inf28">
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</inline-formula> 0.2 g was systematically maintained. This contact pressure was chosen based on pilot experiments in which increasing loads were applied until visible macroscopic deformation or fluid extrusion from the tissue occurred. Loads above 6 g produced appreciable indentation and changed the local tissue thickness, whereas loads below 4 g resulted in unstable Radio Frequency contact and higher variance in <inline-formula id="inf29">
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</inline-formula>. A target of 5 g, therefore, represented a compromise between stable electrical contact and minimal mechanical distortion of the specimen. Triplicate measurements were performed at each sampling point to derive statistically robust averaged data. Before each tissue penetration, the zirconia-based probe underwent comprehensive sterilization with medical-grade ethanol, effectively preventing cross-contamination from residual biomaterials. All experimental protocols were executed under controlled laboratory environmental conditions, satisfying stringent requirements for electromagnetic characterization of biological tissues.</p>
</sec>
<sec id="s2-3">
<label>2.3</label>
<title>Ethics statement</title>
<p>This study was approved by the Institutional Review Board of Chinese PLA General Hosptial approved the study protocol (Approval No. S2024-023-02). All participants were adults and provided written informed consent prior to participation. No minors were included in this study. The consent process included a detailed explanation of study objectives, potential risks, and data usage. Participants signed consent forms, which are securely archived by the research team. The ethics committee did not waive the requirement for informed consent.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Performance of the probe</title>
<sec id="s3-1">
<label>3.1</label>
<title>Operating frequency band</title>
<p>To establish the probe&#x2019;s effective operational bandwidth, fresh porcine abdominal tissue was procured commercially and dissected into skin, fat, and muscle tissue sections. Each specimen was precision sectioned to 40 <inline-formula id="inf30">
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</inline-formula> 40 mm<sup>2</sup> surface dimensions conforming to simulation parameters, with validated thicknesses maintained at 2 mm for the skin layer and 20 mm for both the fat and muscle layers.</p>
<p>
<xref ref-type="fig" rid="F3">Figure 3</xref> presents the simulated and measured <inline-formula id="inf31">
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</inline-formula> consistently remained below &#x2212;10 dB throughout the entire operational frequency range spanning from 2.8 GHz to 15.1 GHz. Due to differences in actual biological tissues and the connection between the connector and probe compared to the simulation model, the data is different, but the probe still exhibits wideband performance.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Frequency response characteristics of the probe, comparing simulation result with measurement result.</p>
</caption>
<graphic xlink:href="fphy-13-1729565-g003.tif">
<alt-text content-type="machine-generated">Graph depicting \( S_{11} \) in decibels versus frequency in gigahertz. The solid red line represents measurement results, while the dashed blue line shows simulation results. Both lines show fluctuations across the 0 to 20 GHz range.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-2">
<label>3.2</label>
<title>Identification of biological tissues</title>
<p>To evaluate the feasibility of tissue discrimination via characterization, we first characterized the simulated <inline-formula id="inf34">
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</inline-formula> parameter responses of skin, fat, and muscle tissues. <xref ref-type="fig" rid="F4">Figure 4a</xref> revealed distinct resonance signatures across tissue types, indicating strong energy absorption and impedance matching at specific frequencies. Muscle tissue exhibited the lowest resonance frequency at 8.0 GHz, corresponding to its <inline-formula id="inf35">
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<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Identification results of skin, fat, and muscle biological tissue characteristics. <bold>(a)</bold> Frequency response characteristics of <inline-formula id="inf36">
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</caption>
<graphic xlink:href="fphy-13-1729565-g004.tif">
<alt-text content-type="machine-generated">Illustrations and photographs at the top show probes on skin, fat, and muscle layers. Graph (a) presents S11 versus frequency for these tissues, with lines indicating resonance behavior; graph (b) mirrors this with experimental results. Chart (c) compares resonance points and simulation results across the layers, using colored bars to indicate patterns.</alt-text>
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<p>Experimental validation of simulated resonance behavior was subsequently performed. <xref ref-type="fig" rid="F4">Figure 4b</xref> confirms that measured <inline-formula id="inf38">
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<xref ref-type="fig" rid="F4">Figure 4c</xref> presents a comparative analysis of three distinct resonance points derived from both simulation and experimental datasets across tissue types. Results consistently demonstrate muscle exhibiting the lowest resonant frequencies, fat maintaining the highest, and skin occupying intermediate values across all measurement points. This consistent hierarchical pattern manifests in both datasets, confirming the reproducibility of tissue-specific electromagnetic responses. Precise alignment of multiple resonant peaks between simulated and experimental results establishes that these spectral features originate from intrinsic tissue dielectric properties rather than measurement artifacts. Collectively, these findings verify that biological tissues&#x2019; electromagnetic resonance behavior can be reliably characterized through both simulation and measurement, with fundamental resonances providing a robust discriminatory signature for tissue classification.</p>
</sec>
<sec id="s3-3">
<label>3.3</label>
<title>Penetration depth</title>
<p>The penetration depth simulation for the probe was systematically investigated using a stratified tissue thickness reduction methodology, as presented in <xref ref-type="fig" rid="F5">Figures 5a,b</xref>. Initial evaluations employed a 42 mm muscle layer, incrementally reduced in 5 mm steps to characterize <inline-formula id="inf40">
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<p>The simulation and experimental results of the <inline-formula id="inf41">
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</caption>
<graphic xlink:href="fphy-13-1729565-g005.tif">
<alt-text content-type="machine-generated">Diagram of tissue layers with varying thicknesses from 42 mm to 16 mm, showing skin, fat, and muscle reduction. Below are four graphs (a-d) plotting S11 (dB) against Frequency (GHz) for different thicknesses, indicating variations in response across frequencies.</alt-text>
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<p>Results demonstrate that penetration depth is quantifiable through <inline-formula id="inf44">
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<xref ref-type="fig" rid="F5">Figure 5a</xref> confirms negligible penetration effects during the 42mm to 22 mm thickness reduction phase, evidenced by invariant <inline-formula id="inf47">
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<p>Characterized by a 200 MHz downward resonance shift. Progressive reduction experiments conclusively established 19 mm as the maximum effective penetration depth.</p>
<p>Experimental assessment of the probe&#x2019;s penetration depth characteristics is presented in <xref ref-type="fig" rid="F5">Figures 5c,d</xref>, employing a two-phase protocol. Initial evaluation progressively reduced a 42 mm muscle layer in 5 mm increments to identify penetration-induced curve variations. To delineate the maximum penetration depth with high precision, a subsequent analysis was performed using 1 mm decrements across a range of 22 mm&#x2013;16 mm.</p>
<p>Analysis of measured <inline-formula id="inf48">
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<p>The probe demonstrated significant performance advantages: excellent signal stability (<inline-formula id="inf51">
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<p>Through systematic simulation and experimental validation, this study demonstrates the reliability of the probe in characterizing the dielectric properties of biological tissues within its effective penetration depth of 19 mm. The measured maximum depth shows excellent agreement with simulation results. Minor deviations attributable to unavoidable experimental interference factors fully validate the simulation model&#x2019;s accuracy.</p>
</sec>
<sec id="s3-4">
<label>3.4</label>
<title>Biosafety of the probe</title>
<p>Biological safety assessment is paramount for intraoperative tissue identification applications. Electric field distribution analysis elucidates signal attenuation and transmission dynamics during probe operation. We quantified tissue exposure using Specific Absorption Rate (SAR), defined as electromagnetic power absorbed per unit tissue mass, through simulation models with 7 dBm input power at the probe&#x2019;s operational frequency of 10 GHz.</p>
<p>As shown in <xref ref-type="fig" rid="F6">Figures 6a,b</xref>, a peak SAR of <inline-formula id="inf52">
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<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Biosafety simulation results of the probe. <bold>(a)</bold> Electric field distribution. <bold>(b)</bold> SAR distribution.</p>
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<graphic xlink:href="fphy-13-1729565-g006.tif">
<alt-text content-type="machine-generated">Graphic with two panels. Panel (a) shows a heatmap of dB(E Field) with a color scale ranging from deep red to blue, illustrating varying field strengths. Panel (b) depicts a SAR Field [W/kg] distribution with a similar color scale. Both panels include color bars indicating maximum and minimum values for reference.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="results" id="s4">
<label>4</label>
<title>Results</title>
<sec id="s4-1">
<label>4.1</label>
<title>Detection accuracy of tumor model</title>
<p>To systematically evaluate the detection sensitivity and lateral spatial resolution of the proposed probe, we constructed the tumor phantom model shown in <xref ref-type="fig" rid="F7">Figure 7a</xref>. Previous studies have demonstrated that the dielectric properties of bacon closely resemble those of solid tumors and that its electromagnetic response can adequately represent real tumor tissue; bacon has therefore been widely used in tumor-related experimental studies [<xref ref-type="bibr" rid="B29">29</xref>]. Accordingly, bacon was selected in this work as a surrogate tumor lesion. Specifically, the bacon sample was embedded between a 2 mm skin layer and a 20 mm fat layer to mimic a superficial tumor located within subcutaneous adipose tissue, and the vertical distance between the bacon and the probe contact surface was fixed at 18 mm. As shown in <xref ref-type="fig" rid="F7">Figure 7c</xref>, seven tumor phantoms with lateral dimensions ranging from 25 mm <inline-formula id="inf53">
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<fig id="F7" position="float">
<label>FIGURE 7</label>
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<p>Electromagnetic characterization results of embedded structures in layered biological tissues. <bold>(a)</bold> Schematic diagram of the experimental model. <bold>(b)</bold> <inline-formula id="inf56">
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<graphic xlink:href="fphy-13-1729565-g007.tif">
<alt-text content-type="machine-generated">Diagram showing a method that uses bacon to mimic tumor properties due to its high reflectivity. Subfigures include: (a) Schematic showing bacon as a tumor within skin and fat layers. (b) Graph of \( S_{11} \) in decibels against frequency in gigahertz for different tumor sizes. (c) Image of bacon slices on a ruler displaying various thicknesses. (d) Graph showing differences in decibels plotted against tumor size in millimeters, indicating increasing reflectivity with size.</alt-text>
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<p>The experimental results were quantified by monitoring the resonance frequency shift and magnitude variation of the <inline-formula id="inf57">
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</mml:mrow>
</mml:math>
</inline-formula> increased to about 7.7 dB, producing a markedly stronger perturbation of the resonance. Taken together, these results demonstrate that the proposed probe is highly sensitive to changes in tumor lateral size and can reliably detect lesions with lateral dimensions of at least 5 mm.</p>
</sec>
<sec id="s4-2">
<label>4.2</label>
<title>Tumor detection of clinical sample</title>
<p>To verify the rapid response and accuracy of the proposed probe in clinical detection, fresh breast cancer specimens were obtained from patients undergoing surgery at the Chinese PLA General Hospital, in accordance with approval by the institutional ethics committee and with written informed consent. As shown in <xref ref-type="fig" rid="F8">Figure 8</xref>, the specimens were placed on a three-dimensional positioning stage, and the probe was connected to a vector network analyzer (VNA) via an RF cable. Based on the tumor-responsive frequency band established in the phantom experiments, the system was configured to scan from 100 MHz to 8 GHz with 1,001 sampling points and a transmit power of 7 dBm. The contact force between the probe and the tissue surface was precisely controlled at 5 <inline-formula id="inf78">
<mml:math id="m78">
<mml:mrow>
<mml:mo>&#xb1;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 0.2 g using the integrated pressure sensor of the positioning stage, and each tissue site was measured three times to ensure repeatability under controlled conditions.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Actual measurement configuration diagram of a clinical sample.</p>
</caption>
<graphic xlink:href="fphy-13-1729565-g008.tif">
<alt-text content-type="machine-generated">A laboratory setup featuring a 3D control platform with a clinical sample on a pressure scale. A probe is placed on the sample. A controller with a touch interface is connected to the setup. A vector network analyzer (VNA) is situated nearby. Various components are labeled, highlighting the arrangement of the equipment.</alt-text>
</graphic>
</fig>
<p>This study selected three representative regions from clinical samples (primarily consisting of adipose&#x2013;glandular tissues) for measurement: the skin&#x2013;adipose&#x2013;glandular composite region, the adipose&#x2013;glandular region, and the adipose&#x2013;glandular&#x2013;tumor composite region. All experiments were conducted in collaboration with clinical and pathological teams, and the results are summarized in <xref ref-type="fig" rid="F9">Figure 9a</xref>. Due to the excellent broadband impedance matching of the probe and its effective coupling with the tissues, each region exhibited significantly distinct resonant characteristics in the frequency spectrum: the skin&#x2013;adipose&#x2013;glandular composite region showed a resonant peak at 2.18 GHz (<inline-formula id="inf79">
<mml:math id="m79">
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>18.87 dB); the adipose&#x2013;glandular region displayed a resonant response at 2.77 GHz (<inline-formula id="inf80">
<mml:math id="m80">
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>16.67 dB); while the tumor-containing region presented a specific resonant peak at 2.95 GHz (<inline-formula id="inf81">
<mml:math id="m81">
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>21.47 dB). Compared with the tumor-free adipose&#x2013;glandular region, the resonant frequency of the tumor region shifted downward, with an amplitude difference of approximately 4.8 dB. These results indicate that tumor tissue possesses clearly identifiable electromagnetic spectral characteristics, thereby validating the effectiveness and reliability of the probe for clinical tissue classification and tumor detection.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Clinical sample measurement results. <bold>(a)</bold> <inline-formula id="inf82">
<mml:math id="m82">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mi>S</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mn>11</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> curves at different biological tissue sites. <bold>(b)</bold> Schematic diagram of the distribution area of tumor tissue obtained by scanning.</p>
</caption>
<graphic xlink:href="fphy-13-1729565-g009.tif">
<alt-text content-type="machine-generated">Graph (a) shows S11 parameter vs. frequency in GHz for three tissue combinations: Fat-Gland, Fat-Gland-Tumor, and Skin-Fat-Gland, represented by yellow, blue, and red lines respectively. Image (b) displays a tissue sample with a colored overlay indicating measurement zones, featuring a yellow and purple scale on the right.</alt-text>
</graphic>
</fig>
<p>Utilizing a 2.5 cm step resolution. The 3D control system executed raster scans across the surfaces of the clinical sample through a 4<inline-formula id="inf83">
<mml:math id="m83">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 4 measurement. Acquired <inline-formula id="inf84">
<mml:math id="m84">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mi>S</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mn>11</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> signatures underwent quantitative comparison against tumor-characteristic reference profiles illustrated in <xref ref-type="fig" rid="F9">Figure 9a</xref>. Normalized similarity indices computed via Euclidean distance metrics between interrogation points and confirmed tumor loci enabled malignancy classification, with grid positions exceeding the 0.9 similarity threshold designated as tumor-positive regions. This algorithmic processing yielded the diagnostic spatial mapping presented in <xref ref-type="fig" rid="F9">Figure 9b</xref>. By comparing the probe detection results with the tumor locations annotated by professional physicians, the accuracy of the probe detection results was validated.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s5">
<label>5</label>
<title>Conclusion</title>
<p>
<xref ref-type="table" rid="T2">Table 2</xref> provides a systematic performance comparison between the proposed zirconia-based broadband probe and representative tumor-penetrating probes from prior studies. In comparison to conventional open-ended coaxial probes (e.g., Agilent Technologies 85070E) and resonant designs, our device exhibits significant advantages in terms of penetration depth, operational bandwidth, and spatial resolution. Specifically, whereas commercial open-ended coaxial probes are constrained to submillimeter penetration (&#x3c;1 mm) within narrow frequency bands, the proposed design achieves a consistent penetration depth of 19 mm across a broad frequency range from 2.8 GHz to 15.1 GHz, a 38-fold enhancement over Agilent 85070E [<xref ref-type="bibr" rid="B30">30</xref>].</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Comparison of the proposed probe with other probes.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Ref.</th>
<th align="center">Type of probe</th>
<th align="center">Frequency (GHz)</th>
<th align="center">Penetration depth (mm)</th>
<th align="center">Tip size <inline-formula id="inf86">
<mml:math id="m86">
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mi mathvariant="normal">m</mml:mi>
<mml:mi mathvariant="normal">m</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">Resolution (mm)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">[<xref ref-type="bibr" rid="B21">21</xref>]</td>
<td align="left">Waveguide</td>
<td align="left">0.3&#x2013;6</td>
<td align="left">0.5</td>
<td align="left">3.<inline-formula id="inf87">
<mml:math id="m87">
<mml:mrow>
<mml:mn>7</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>10.9</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">0.<inline-formula id="inf88">
<mml:math id="m88">
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>0.2</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
</tr>
<tr>
<td align="left">[<xref ref-type="bibr" rid="B30">30</xref>]</td>
<td align="left">Opening coaxial</td>
<td align="left">0.2&#x2013;50</td>
<td align="left">0.5</td>
<td align="left">
<inline-formula id="inf89">
<mml:math id="m89">
<mml:mrow>
<mml:mi>&#x3c0;</mml:mi>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>1</mml:mn>
<mml:mo>.</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">[<xref ref-type="bibr" rid="B16">16</xref>]</td>
<td align="left">Resonator</td>
<td align="left">0.915</td>
<td align="left">-</td>
<td align="left">
<inline-formula id="inf90">
<mml:math id="m90">
<mml:mrow>
<mml:mn>10</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>12</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">10</td>
</tr>
<tr>
<td align="left">[<xref ref-type="bibr" rid="B15">15</xref>]</td>
<td align="left">Resonant</td>
<td align="left">2.465</td>
<td align="left">4</td>
<td align="left">
<inline-formula id="inf91">
<mml:math id="m91">
<mml:mrow>
<mml:mi>&#x3c0;</mml:mi>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>5</mml:mn>
<mml:mo>.</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mn>4</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">4</td>
</tr>
<tr>
<td align="left">[<xref ref-type="bibr" rid="B31">31</xref>]</td>
<td align="left">Opening coaxial</td>
<td align="left">0.5&#x2013;10</td>
<td align="left">1.84</td>
<td align="left">
<inline-formula id="inf92">
<mml:math id="m92">
<mml:mrow>
<mml:mi>&#x3c0;</mml:mi>
<mml:mo>&#xd7;</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mn>9</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">[<xref ref-type="bibr" rid="B32">32</xref>]</td>
<td align="left">Resonant</td>
<td align="left">0.45&#x2013;1.25</td>
<td align="left">-</td>
<td align="left">
<inline-formula id="inf93">
<mml:math id="m93">
<mml:mrow>
<mml:mn>100</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">-</td>
</tr>
<tr>
<td align="left">Proposed</td>
<td align="left">Waveguide</td>
<td align="left">2.8&#x2013;15.1</td>
<td align="left">19</td>
<td align="left">25.<inline-formula id="inf94">
<mml:math id="m94">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>25.1</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td align="left">
<inline-formula id="inf95">
<mml:math id="m95">
<mml:mrow>
<mml:mn>5</mml:mn>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>5</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The probe&#x2019;s ability to perform biotissue identification and its excellent resolution were verified through the identification of different pork tissues and the detection of bacon tissue. Finally, tumor detection in clinical samples verified the potential of the designed probe in rapid clinical testing.</p>
<p>In summary, this work establishes a novel electromagnetic approach for non-invasive tumor screening with sub-centimeter resolution in deep subcutaneous tissue. The probe architecture integrating a zirconia ceramic substrate with lithographically defined copper feeding networks overcomes the fundamental compromise between penetration depth and operational bandwidth. Demonstrated performance metrics include: 19 mm penetration at ultralow 7 dBm injection power, broadband impedance-stable operation from 2.8 GHz to 15.1 GHz, and well-controlled discrimination of embedded inclusions. These capabilities advance microwave diagnostic techniques for detecting deep-tissue malignancies.</p>
<sec id="s5-1">
<label>5.1</label>
<title>Limitations</title>
<p>While the proposed broadband bio-matching probe demonstrates promising potential, several limitations merit consideration. Firstly, the current validation relies on a limited sample size. Expanded clinical trials are required to verify the probes&#x2019; rapid identification accuracy across diverse clinical samples. Secondly, although the probes exhibit favorable penetration depth and spatial resolution, evaluations have been confined to specific tissue types and geometries, without accounting for pathological alterations such as fibrosis or necrosis. Finally, the existing single-channel measurement configuration necessitates future development of multi-channel probe arrays to enable spatial mapping and imaging capabilities.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec sec-type="ethics-statement" id="s7">
<title>Ethics statement</title>
<p>The studies involving humans were approved by Ethics Committee of Chinese PLA General Hospital. The studies were conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study. Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article.</p>
</sec>
<sec sec-type="author-contributions" id="s8">
<title>Author contributions</title>
<p>GW: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Writing &#x2013; original draft. ZL: Data curation, Formal Analysis, Methodology, Software, Writing &#x2013; original draft, Writing &#x2013; review and editing. ZY: Data curation, Formal Analysis, Writing &#x2013; review and editing. DM: Data curation, Formal Analysis, Writing &#x2013; review and editing. HX: Data curation, Formal Analysis, Writing &#x2013; review and editing. JS: Data curation, Formal Analysis, Writing &#x2013; review and editing. ZO: Data curation, Formal Analysis, Writing &#x2013; review and editing. YT: Data curation, Formal Analysis, Writing &#x2013; review and editing. XC: Conceptualization, Data curation, Formal Analysis, Writing &#x2013; review and editing. YP: Data curation, Formal Analysis, Project administration, Supervision, Writing &#x2013; review and editing. JW: Conceptualization, Funding acquisition, Methodology, Project administration, Resources, Supervision, Writing &#x2013; review and editing.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to express their sincere gratitude to the team of Academician Donglin Su from Beihang University for their invaluable support in experimental design and probe development. Special thanks are extended to Professor Jiandong Wang, Professor Xingye Chen, and Dr. Yanhua Peng for their insightful guidance and assistance throughout this project. The authors also acknowledge the contributions of all participating students for their dedication and hard work.</p>
</ack>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s11">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<fn fn-type="custom" custom-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2941508/overview">Imran Khan</ext-link>, COMSATS Institute of Information Technology, Pakistan</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3169140/overview">Yuening Zhang</ext-link>, University of Oklahoma University College, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3301536/overview">Sharmila B.</ext-link>, Sri Ramakrishna Engineering College, India</p>
</fn>
</fn-group>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mackey</surname>
<given-names>JR</given-names>
</name>
<name>
<surname>Ecclestone</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Dinakaran</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Bigras</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Haji Reza</surname>
<given-names>P</given-names>
</name>
</person-group>. <article-title>H&#x26;e-like histology of unstained fresh and formalin fixed breast tissue with photo acoustic remote sensing (pars) microscopy</article-title>. <source>J Clin Oncol</source> (<year>2021</year>) <volume>39</volume>:<fpage>e12590</fpage>. <pub-id pub-id-type="doi">10.1200/jco.2021.39.15_suppl.e12590</pub-id>
</mixed-citation>
</ref>
<ref id="B2">
<label>2.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nowikiewicz</surname>
<given-names>T</given-names>
</name>
<name>
<surname>&#x15a;rutek</surname>
<given-names>E</given-names>
</name>
<name>
<surname>G&#x142;owacka-Mrotek</surname>
<given-names>I</given-names>
</name>
<name>
<surname>Tarkowska</surname>
<given-names>M</given-names>
</name>
<name>
<surname>&#x17b;yromska</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Zegarski</surname>
<given-names>W</given-names>
</name>
</person-group>. <article-title>Clinical outcomes of an intraoperative surgical margin assessment using the fresh frozen section method in patients with invasive breast cancer undergoing breast-conserving surgery &#x2013; a single center analysis</article-title>. <source>Sci Rep</source> (<year>2019</year>) <volume>9</volume>:<fpage>1</fpage>&#x2013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1038/s41598-019-49951-y</pub-id>
<pub-id pub-id-type="pmid">31530867</pub-id>
</mixed-citation>
</ref>
<ref id="B3">
<label>3.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nakamura</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Ishizuka</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Horimoto</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Shiraishi</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Arakawa</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Yanagisawa</surname>
<given-names>N</given-names>
</name>
<etal/>
</person-group> <article-title>Clinicopathological features of breast cancer without mammographic findings suggesting malignancy</article-title>. <source>The Breast</source> (<year>2020</year>) <volume>54</volume>:<fpage>335</fpage>&#x2013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1016/j.breast.2020.11.010</pub-id>
<pub-id pub-id-type="pmid">33285381</pub-id>
</mixed-citation>
</ref>
<ref id="B4">
<label>4.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gierach</surname>
<given-names>GL</given-names>
</name>
<name>
<surname>Choudhury</surname>
<given-names>PP</given-names>
</name>
<name>
<surname>Garc&#xed;a-Closas</surname>
<given-names>M</given-names>
</name>
</person-group>. <article-title>Toward risk-stratified breast cancer screening: considerations for changes in screening guidelines</article-title>. <source>JAMA Oncol</source> (<year>2020</year>) <volume>6</volume>:<fpage>31</fpage>&#x2013;<lpage>3</lpage>. <pub-id pub-id-type="doi">10.1001/jamaoncol.2019.3820</pub-id>
<pub-id pub-id-type="pmid">31725821</pub-id>
</mixed-citation>
</ref>
<ref id="B5">
<label>5.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname>
<given-names>WH</given-names>
</name>
<name>
<surname>Hsu</surname>
<given-names>HC</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>YY</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>CH</given-names>
</name>
</person-group>. <article-title>Supplemental breast cancer-screening ultrasonography in women with dense breasts: a systematic review and meta-analysis</article-title>. <source>Br J Cancer</source> (<year>2020</year>) <volume>123</volume>:<fpage>673</fpage>&#x2013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.1038/s41416-020-0928-1</pub-id>
<pub-id pub-id-type="pmid">32528118</pub-id>
</mixed-citation>
</ref>
<ref id="B6">
<label>6.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>D</given-names>
</name>
</person-group>. <article-title>A survey on deep learning in medical ultrasound imaging</article-title>. <source>Front Phys</source> (<year>2024</year>) <volume>12</volume>:<fpage>1398393</fpage>. <pub-id pub-id-type="doi">10.3389/fphy.2024.1398393</pub-id>
</mixed-citation>
</ref>
<ref id="B7">
<label>7.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bakker</surname>
<given-names>MF</given-names>
</name>
<name>
<surname>de Lange</surname>
<given-names>SV</given-names>
</name>
<name>
<surname>Pijnappel</surname>
<given-names>RM</given-names>
</name>
<name>
<surname>Mann</surname>
<given-names>RM</given-names>
</name>
<name>
<surname>Peeters</surname>
<given-names>PHM</given-names>
</name>
<name>
<surname>Monninkhof</surname>
<given-names>EM</given-names>
</name>
<etal/>
</person-group> <article-title>Supplemental mri screening for women with extremely dense breast tissue</article-title>. <source>N Engl J Med</source> (<year>2019</year>) <volume>381</volume>:<fpage>2091</fpage>&#x2013;<lpage>102</lpage>. <pub-id pub-id-type="doi">10.1056/nejmoa1903986</pub-id>
<pub-id pub-id-type="pmid">31774954</pub-id>
</mixed-citation>
</ref>
<ref id="B8">
<label>8.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Heinke</surname>
<given-names>MY</given-names>
</name>
<name>
<surname>Holloway</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Rai</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Vinod</surname>
<given-names>SK</given-names>
</name>
</person-group>. <article-title>Repeatability of mri for radiotherapy planning for pelvic, brain, and head and neck malignancies</article-title>. <source>Front Phys</source> (<year>2022</year>) <volume>10</volume>:<fpage>879707</fpage>. <pub-id pub-id-type="doi">10.3389/fphy.2022.879707</pub-id>
</mixed-citation>
</ref>
<ref id="B9">
<label>9.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guerra</surname>
<given-names>MR</given-names>
</name>
<name>
<surname>Coignard</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Eon-Marchais</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Dondon</surname>
<given-names>MG</given-names>
</name>
<name>
<surname>Le Gal</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Beauvallet</surname>
<given-names>J</given-names>
</name>
<etal/>
</person-group> <article-title>Diagnostic chest x-rays and breast cancer risk among women with a hereditary predisposition to breast cancer unexplained by a brca1 or brca2 mutation</article-title>. <source>Breast Cancer Res</source> (<year>2021</year>) <volume>23</volume>:<fpage>79</fpage>. <pub-id pub-id-type="doi">10.1186/s13058-021-01456-1</pub-id>
<pub-id pub-id-type="pmid">34344426</pub-id>
</mixed-citation>
</ref>
<ref id="B10">
<label>10.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Geuzinge</surname>
<given-names>HA</given-names>
</name>
<name>
<surname>Obdeijn</surname>
<given-names>IM</given-names>
</name>
<name>
<surname>Rutgers</surname>
<given-names>EJT</given-names>
</name>
<name>
<surname>Saadatmand</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Mann</surname>
<given-names>RM</given-names>
</name>
<name>
<surname>Oosterwijk</surname>
<given-names>JC</given-names>
</name>
<etal/>
</person-group> <article-title>Cost-effectiveness of breast cancer screening with magnetic resonance imaging for women at familial risk</article-title>. <source>JAMA Oncol</source> (<year>2020</year>) <volume>6</volume>:<fpage>1381</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1001/jamaoncol.2020.2922</pub-id>
<pub-id pub-id-type="pmid">32729887</pub-id>
</mixed-citation>
</ref>
<ref id="B11">
<label>11.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Iacob</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Iacob</surname>
<given-names>ER</given-names>
</name>
<name>
<surname>Stoicescu</surname>
<given-names>ER</given-names>
</name>
<name>
<surname>Ghenciu</surname>
<given-names>DM</given-names>
</name>
<name>
<surname>Cocolea</surname>
<given-names>DM</given-names>
</name>
<name>
<surname>Constantinescu</surname>
<given-names>A</given-names>
</name>
<etal/>
</person-group> <article-title>Evaluating the role of breast ultrasound in early detection of breast cancer in low- and middle-income countries: a comprehensive narrative review</article-title>. <source>Bioengineering</source> (<year>2024</year>) <volume>11</volume>:<fpage>262</fpage>. <pub-id pub-id-type="doi">10.3390/bioengineering11030262</pub-id>
<pub-id pub-id-type="pmid">38534536</pub-id>
</mixed-citation>
</ref>
<ref id="B12">
<label>12.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Ye</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Cui</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>S</given-names>
</name>
<etal/>
</person-group> <article-title>Feasibility of using ai to auto-catch responsible frames in ultrasound screening for breast cancer diagnosis</article-title>. <source>iScience</source> (<year>2022</year>) <volume>26</volume>:<fpage>105692</fpage>. <pub-id pub-id-type="doi">10.1016/j.isci.2022.105692</pub-id>
<pub-id pub-id-type="pmid">36570770</pub-id>
</mixed-citation>
</ref>
<ref id="B13">
<label>13.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mahdavi</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Hosseinpour</surname>
<given-names>P</given-names>
</name>
<name>
<surname>Abbasvandi</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Mehrvarz</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Yousefpour</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Ataee</surname>
<given-names>H</given-names>
</name>
<etal/>
</person-group> <article-title>Bioelectrical pathology of the breast; real-time diagnosis of malignancy by clinically calibrated impedance spectroscopy of freshly dissected tissue</article-title>. <source>Biosens Bioelectron</source> (<year>2020</year>) <volume>165</volume>:<fpage>112421</fpage>. <pub-id pub-id-type="doi">10.1016/j.bios.2020.112421</pub-id>
<pub-id pub-id-type="pmid">32729539</pub-id>
</mixed-citation>
</ref>
<ref id="B14">
<label>14.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rao</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Q</given-names>
</name>
<name>
<surname>Ding</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Shahid</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Wafa</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Q</given-names>
</name>
<etal/>
</person-group> <article-title>Application of dielectric properties for identification of normal and malignant gastrointestinal tumors and lymph nodes <italic>ex vivo</italic>
</article-title>. <source>Phys Eng Sci Med</source> (<year>2024</year>) <volume>48</volume>:<fpage>75</fpage>&#x2013;<lpage>85</lpage>. <pub-id pub-id-type="doi">10.1007/s13246-024-01490-1</pub-id>
<pub-id pub-id-type="pmid">39589459</pub-id>
</mixed-citation>
</ref>
<ref id="B15">
<label>15.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bing</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Chawang</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Chiao</surname>
<given-names>J</given-names>
</name>
</person-group>. <article-title>A tuned microwave resonant sensor for skin cancerous tumor diagnosis</article-title>. <source>IEEE J Electromagn RF Microwaves Med Biol</source> (<year>2023</year>) <volume>7</volume>:<fpage>320</fpage>&#x2013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1109/jerm.2023.3281726</pub-id>
</mixed-citation>
</ref>
<ref id="B16">
<label>16.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Bai</surname>
<given-names>J</given-names>
</name>
</person-group>. <article-title>High-resolution probe design for measuring the dielectric properties of human tissues</article-title>. <source>Biomed Eng Online</source> (<year>2021</year>) <volume>20</volume>:<fpage>86</fpage>. <pub-id pub-id-type="doi">10.1186/s12938-021-00924-1</pub-id>
<pub-id pub-id-type="pmid">34454484</pub-id>
</mixed-citation>
</ref>
<ref id="B17">
<label>17.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Canicatt&#xec;</surname>
<given-names>E</given-names>
</name>
<name>
<surname>Fontana</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Barmada</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Monorchio</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>Open-ended coaxial probe for effective reconstruction of biopsy-excised tissues&#x2019; dielectric properties</article-title>. <source>Sensors</source> (<year>2024</year>) <volume>24</volume>:<fpage>2160</fpage>. <pub-id pub-id-type="doi">10.3390/s24072160</pub-id>
<pub-id pub-id-type="pmid">38610371</pub-id>
</mixed-citation>
</ref>
<ref id="B18">
<label>18.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Linha</surname>
<given-names>Z</given-names>
</name>
<name>
<surname>Vrba</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Kollar</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Fiser</surname>
<given-names>O</given-names>
</name>
<name>
<surname>Pokorny</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Novak</surname>
<given-names>M</given-names>
</name>
<etal/>
</person-group> <article-title>An inexpensive system for measuring the dielectric properties of biological tissues using an open-ended coaxial probe</article-title>. <source>IEEE Trans Instrum Meas</source> (<year>2025</year>) <volume>74</volume>:<fpage>1</fpage>&#x2013;<lpage>11</lpage>. <pub-id pub-id-type="doi">10.1109/TIM.2025.3561426</pub-id>
</mixed-citation>
</ref>
<ref id="B19">
<label>19.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Arias-Rodr&#xed;guez</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Moreno-Mer&#xed;n</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Mart&#xed;nez-Lozano</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Torregrosa-Penalva</surname>
<given-names>G</given-names>
</name>
<name>
<surname>&#xc1;vila Navarro</surname>
<given-names>E</given-names>
</name>
</person-group>. <article-title>Validation of a low-cost open-ended coaxial probe setup for broadband permittivity measurements up to 6 ghz</article-title>. <source>Sens</source> (<year>2025</year>) <volume>25</volume>:<fpage>3935</fpage>. <pub-id pub-id-type="doi">10.3390/s25133935</pub-id>
<pub-id pub-id-type="pmid">40648193</pub-id>
</mixed-citation>
</ref>
<ref id="B20">
<label>20.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Naqvi</surname>
<given-names>SAR</given-names>
</name>
<name>
<surname>Mobashsher</surname>
<given-names>AT</given-names>
</name>
<name>
<surname>Mohammed</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Foong</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Abbosh</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>Handheld microwave system for <italic>in vivo</italic> skin cancer detection: development and clinical validation</article-title>. <source>IEEE Trans Instrum Meas</source> (<year>2024</year>) <volume>73</volume>:<fpage>1</fpage>&#x2013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1109/tim.2024.3398123</pub-id>
</mixed-citation>
</ref>
<ref id="B21">
<label>21.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mansutti</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Mobashsher</surname>
<given-names>AT</given-names>
</name>
<name>
<surname>Bialkowski</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Mohammed</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Abbosh</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>Millimeter-wave substrate integrated waveguide probe for skin cancer detection</article-title>. <source>IEEE Trans Biomed Eng</source> (<year>2020</year>) <volume>67</volume>:<fpage>2462</fpage>&#x2013;<lpage>72</lpage>. <pub-id pub-id-type="doi">10.1109/TBME.2019.2963104</pub-id>
<pub-id pub-id-type="pmid">31902750</pub-id>
</mixed-citation>
</ref>
<ref id="B22">
<label>22.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>N</given-names>
</name>
</person-group>. <article-title>Multimode resonator technique in antennas: a review</article-title>. <source>Electromagn Sci</source> (<year>2023</year>) <volume>1</volume>:<fpage>1</fpage>&#x2013;<lpage>17</lpage>. <pub-id pub-id-type="doi">10.23919/emsci.2022.0004</pub-id>
</mixed-citation>
</ref>
<ref id="B23">
<label>23.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Blauert</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Kiourti</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>Bio-matched horn: a novel 1&#x2013;9 ghz on-body antenna for low-loss biomedical telemetry with implants</article-title>. <source>IEEE Trans Antennas Propag</source> (<year>2019</year>) <volume>67</volume>:<fpage>5054</fpage>&#x2013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1109/TAP.2018.2889159</pub-id>
</mixed-citation>
</ref>
<ref id="B24">
<label>24.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Blauert</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Kiourti</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>Theoretical modeling and design guidelines for a new class of wearable bio-matched antennas</article-title>. <source>IEEE Trans Antennas Propag</source> (<year>2020</year>) <volume>68</volume>:<fpage>2040</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1109/TAP.2019.2948727</pub-id>
</mixed-citation>
</ref>
<ref id="B25">
<label>25.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kongkiatkamon</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Rokaya</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Kengtanyakich</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Peampring</surname>
<given-names>C</given-names>
</name>
</person-group>. <article-title>Current classification of zirconia in dentistry: an updated review</article-title>. <source>PeerJ</source> (<year>2023</year>) <volume>11</volume>:<fpage>e15669</fpage>. <pub-id pub-id-type="doi">10.7717/peerj.15669</pub-id>
<pub-id pub-id-type="pmid">37465158</pub-id>
</mixed-citation>
</ref>
<ref id="B26">
<label>26.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rice</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Kiourti</surname>
<given-names>A</given-names>
</name>
</person-group>. <article-title>High-contrast low-loss antenna: a novel antenna for efficient into-body radiation</article-title>. <source>IEEE Trans Antennas Propag</source> (<year>2022</year>) <volume>70</volume>:<fpage>10132</fpage>&#x2013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1109/TAP.2022.3188354</pub-id>
<pub-id pub-id-type="pmid">36407055</pub-id>
</mixed-citation>
</ref>
<ref id="B27">
<label>27.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roehling</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Gahlert</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Bacevic</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Woelfler</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Laleman</surname>
<given-names>I</given-names>
</name>
</person-group>. <article-title>Clinical and radiographic outcomes of zirconia dental Implants&#x2014;a systematic review and meta-analysis</article-title>. <source>Clin Oral Implants Res</source> (<year>2023</year>) <volume>34</volume>:<fpage>112</fpage>&#x2013;<lpage>24</lpage>. <pub-id pub-id-type="doi">10.1111/clr.14133</pub-id>
<pub-id pub-id-type="pmid">37750521</pub-id>
</mixed-citation>
</ref>
<ref id="B28">
<label>28.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peng</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Cui</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Su</surname>
<given-names>D</given-names>
</name>
</person-group>. <article-title>A novel method to acquire circuit transmission characteristics by noncontact power injection and detection</article-title>. <source>Chin J Electron</source> (<year>2024</year>) <volume>34</volume>:<fpage>1078</fpage>&#x2013;<lpage>90</lpage>. <pub-id pub-id-type="doi">10.23919/cje.2024.00.148</pub-id>
</mixed-citation>
</ref>
<ref id="B29">
<label>29.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lu</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Xiao</surname>
<given-names>X</given-names>
</name>
<name>
<surname>Pang</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Lu</surname>
<given-names>H</given-names>
</name>
</person-group>. <article-title>Detection and localization of breast cancer using uwb microwave technology and cnn-lstm framework</article-title>. <source>IEEE Trans Microw Theor Techn.</source> (<year>2022</year>) <volume>70</volume>:<fpage>5085</fpage>&#x2013;<lpage>94</lpage>. <pub-id pub-id-type="doi">10.1109/tmtt.2022.3209679</pub-id>
</mixed-citation>
</ref>
<ref id="B30">
<label>30.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Meaney</surname>
<given-names>PM</given-names>
</name>
<name>
<surname>Gregory</surname>
<given-names>AP</given-names>
</name>
<name>
<surname>Epstein</surname>
<given-names>NR</given-names>
</name>
<name>
<surname>Paulsen</surname>
<given-names>KD</given-names>
</name>
</person-group>. <article-title>Microwave open-ended coaxial dielectric probe: interpretation of the sensing volume re-visited</article-title>. <source>BMC Med Phys</source> (<year>2014</year>) <volume>14</volume>:<fpage>3</fpage>. <pub-id pub-id-type="doi">10.1186/1756-6649-14-3</pub-id>
<pub-id pub-id-type="pmid">25002909</pub-id>
</mixed-citation>
</ref>
<ref id="B31">
<label>31.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Aydinalp</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Joof</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Dilman</surname>
<given-names>I</given-names>
</name>
<name>
<surname>Akduman</surname>
<given-names>I</given-names>
</name>
<name>
<surname>Yilmaz</surname>
<given-names>T</given-names>
</name>
</person-group>. <article-title>Characterization of open-ended coaxial probe sensing depth with respect to aperture size for dielectric property measurement of heterogeneous tissues</article-title>. <source>Sens.</source> (<year>2022</year>) <volume>22</volume>:<fpage>760</fpage>. <pub-id pub-id-type="doi">10.3390/s22030760</pub-id>
<pub-id pub-id-type="pmid">35161506</pub-id>
</mixed-citation>
</ref>
<ref id="B32">
<label>32.</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abdulkawi</surname>
<given-names>WM</given-names>
</name>
<name>
<surname>Elshafiey</surname>
<given-names>I</given-names>
</name>
<name>
<surname>Sheta</surname>
<given-names>AA</given-names>
</name>
<name>
<surname>Al-Bawri</surname>
<given-names>SS</given-names>
</name>
</person-group>. <article-title>A 3d wideband electromagnetic horn antenna applicator for biomedical applications</article-title>. <source>Eng Res Express</source> (<year>2024</year>) <volume>6</volume>:<fpage>045012</fpage>. <pub-id pub-id-type="doi">10.1088/2631-8695/ad81ae</pub-id>
</mixed-citation>
</ref>
</ref-list>
</back>
</article>