Charles Lucian Dumoulin

Tracking system to monitor the position and orientation of a device using magnetic resonance detection of a sample contained within the device

A tracking system employs magnetic resonance signals to monitor the position and orientation of a device, such as a catheter, within a subject. The device has an MR active sample and a receiver coil which is sensitive to magnetic resonance signals generated by the MR active sample. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to sequentially applied mutually orthogonal magnetic gradients to determine the devices position in several dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images. One or more devices can be simultaneously tracked.

3D reconstruction of the brain from magnetic resonance images using a connectivity algorithm

We present high resolution three dimensional (3D) connectivity, surface construction and display algorithms that detect, extract, and display the surface of a brain from contiguous magnetic resonance (MR) images. The algorithms identify the external brain surface and create a 3D image, showing the fissures and surface convolutions of the cerebral hemispheres, cerebellum, and brain stem. Images produced by these algorithms also show the morphology of other soft tissue boundaries such as the cerebral ventricular system and the skin of the patient. For the purposes of 3D reconstruction, our experiments show that T1 weighted images give better contrast between the surface of the brain and the cerebral spinal fluid than T2 weighted images. 3D reconstruction of MR data provides a non-invasive procedure for examination of the brain surface and other anatomical features.

Tracking system and pulse sequences to monitor the position of a device using magnetic resonance

A tracking system employs magnetic resonance signals to monitor the position of a device such as a catheter within a subject. The device has a receiver coil which is sensitive to magnetic resonance signals generated in the subject. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to sequentially applied mutually orthogonal magnetic gradients to determine the position of the device in several dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images.

Tracking system to monitor the position of a device using multiplexed magnetic resonance detection

A tracking system employs magnetic resonance signals to monitor the position of a device such as a catheter within a subject. The device has a receiver coil which is sensitive to magnetic resonance signals generated in the subject. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to applied magnetic gradients to determine the position of the device in several dimensions. Sensitivity of the measured position to resonance offset conditions such as transmitter frequency misadjustment, chemical shift and the like is minimized by repeating the process a plurality of times with selected amplitudes and polarities for the applied magnetic field gradient. Linear combinations of the data acquired responsive to the different applied magnetic field gradients are computed to determine the position of the device in three orthogonal dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images.

Non-planar curvature and branching of arteries and non-planar-type flow

In this study, magnetic resonance imaging techniques have been used to examine the geometry of arterial curvature and branching in casts and in vivo, and to measure the distribution of axial velocity in the associated flow. It is found, contrary to a widely held view, that the geometry is commonly non-planar. Moreover, relatively small values of the parameters which render the geometry non-planar appear significantly to affect the velocity distribution. The findings suggest that non-planarity is an important factor influencing arterial flows, including wall shear. The implications are not restricted to vascular biology, pathology and surgery, but may extend to the design of general piping systems.

Highly parallel volumetric imaging with a 32-element RF coil array.

The improvement of MRI speed with parallel acquisition is ultimately an SNR‐limited process. To offset acquisition‐ and reconstruction‐related SNR losses, practical parallel imaging at high accelerations should include the use of a many‐element array with a high intrinsic signal‐to‐noise ratio (SNR) and spatial‐encoding capability, and an advantageous imaging paradigm. We present a 32‐element receive‐coil array and a volumetric paradigm that address the SNR challenge at high accelerations by maximally exploiting multidimensional acceleration in conjunction with noise averaging. Geometric details beyond an initial design concept for the array were determined with the guidance of simulations. Imaging with the support of 32‐channel data acquisition systems produced in vivo results with up to 16‐fold acceleration, including images from rapid abdominal and MRA studies. Magn Reson Med 52:869–877, 2004.

Human exposure to 4.0‐Tesla magnetic fields in a whole‐body scanner

Details are given for the design, construction, properties, and performance of a large, highly homogeneous magnet designed to permit whole-body magnetic resonance imaging and spectroscopy at 4 T. The magnet has an inductance of 1289 H and a stored energy of 33.4 MJ at rated field. The health of a group of 11 volunteers who had varying degrees of exposure to this field was followed over a 12-month period and no change that could be associated with this exposure was detected. A mild level of sensory experiences, apparently associated with motion within the field of the magnet, was reported by some of the volunteers during some of their exposures. A questionnaire regarding sensory effects associated with magnetic resonance scanners and possibly caused by the static magnetic field of these instruments, was given to nine respondents who had experience within both 1.5-T scanners and this 4-T scanner and to another group of 24 respondents who had experience only within 1.5-T scanners. For the sensations of vertigo, nausea, and metallic taste there was statistically significant (p less than 0.05) evidence for a field-dependent effect that was greater at 4 T. In addition, there was evidence for motion-induced magnetophosphenes caused by motion of the eyes within the static field. These results indicate the practicality of experimental whole-body body scanners operating at 4 T and the possibility of mild sensory effects in humans associated with motion within a static magnetic field. The results also indicate the likelihood of a wide margin of safety for the exposure of noncompromised patients to the static fields of conventional magnetic resonance scanners operated at 1.5 to 2 T and below.

Quantitative flow measurement in phase contrast MR angiography.

The quantitative nature of phase contrast magnetic resonance angiography is explored, and a technique of blood flow measurement that is independent of system and patient parameters is presented. Phantom and patient studies demonstrate that quantitative flow measurements by phase contrast angiography can be routinely obtained with good accuracy despite nonuniform sensitivity profiles, blood flow pulsatility, and patient-to-patient changes in system gain. The calibration method requires the acquisition of only two flow images and thus can be performed as part of an angiographic session. Flow calibration of any flow profile can be accomplished with this technique. The solutions for plug flow and parabolic flow are presented.

SIMA: simultaneous multislice acquisition of MR images by Hadamard-encoded excitation.

We present a method of multislice magnetic resonance imaging that utilizes simultaneous binary-encoded excitation. Signals are acquired from all slices at once, and the images are separated in the reconstruction process. This simultaneous multislice acquisition method has been implemented for multislice spin-echo imaging, and the results are compared with those for a standard interleaved multislice method. Advantages include improved signal to-noise ratios and flexible slice placement. Phantom and volunteer studies are presented and evaluated in comparison with competing methods.

MR-Guided Percutaneous Angioplasty: Assessment of Tracking Safety, Catheter Handling and Functionality

AbstractPurpose: Magnetic resonance (MR)-guided percutaneous vascular interventions have evolved to a practical possibility with the advent of open-configuration MR systems and real-time tracking techniques. The purpose of this study was to assess an MR-tracking percutaneous transluminal angioplasty (PTA) catheter with regard to its safety profile and functionality. Methods: Real-time, biplanar tracking of the PTA catheter was made possible by incorporating a small radiofrequency (RF) coil in the catheter tip and connecting it to a coaxial cable embedded in the catheter wall. To evaluate potentially hazardous thermal effects due to the incorporation of the coil, temperature measurements were performed within and around the coil under various canning and tracking conditions at 1.5 Tesla (T). Catheter force transmission and balloon-burst pressure of the MR-tracking PTA catheter were compared with those of a standard PTA catheter. The dilatative capability of the angioplasty balloon was assessed in vitro as well as in vivo, in an isolated femoral artery segment in a swine. Results: The degree of heating at the RF coil was directly proportional to the power of the RF pulses. Heating was negligible with MR tracking, conventional spin-echo and low-flip gradient-echo sequences. Sequences with higher duty cycles, such as fast spin echo, produced harmful heating effects. Force transmission of the MR-tracking PTA catheter was slightly inferior to that of the standard PTA catheter, while balloon-burst pressures were similar to those of conventional catheters. The MR-tracking PTA catheter functioned well both in vitro and in vivo. Conclusion: The in vivo use of an MR-tracking PTA catheter is safe under most scanning conditions.