DE102015012201A1 - Method and device for visualizing interventional instruments in magnetic resonance imaging (MRI) via discrete phase coding artifacts generated by means of sequence-triggered energization - Google Patents
Method and device for visualizing interventional instruments in magnetic resonance imaging (MRI) via discrete phase coding artifacts generated by means of sequence-triggered energization Download PDFInfo
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- DE102015012201A1 DE102015012201A1 DE102015012201.0A DE102015012201A DE102015012201A1 DE 102015012201 A1 DE102015012201 A1 DE 102015012201A1 DE 102015012201 A DE102015012201 A DE 102015012201A DE 102015012201 A1 DE102015012201 A1 DE 102015012201A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
- A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
- G01R33/00—Arrangements or instruments for measuring magnetic variables
- G01R33/20—Arrangements or instruments for measuring magnetic variables involving magnetic resonance
- G01R33/28—Details of apparatus provided for in groups G01R33/44 - G01R33/64
- G01R33/285—Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR
- G01R33/287—Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR involving active visualization of interventional instruments, e.g. using active tracking RF coils or coils for intentionally creating magnetic field inhomogeneities
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/374—NMR or MRI
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
- A61B2090/3958—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI emitting a signal
Abstract
Die Visualisierung von Instrumenten bei MRT-geführten Intervention wird üblicherweise über den Paramagnetismus des Instrumentenmaterials realisiert. Hierbei wird die Ortskodierung verfälscht; die Größe der Artefakte ist nicht sequenzunabhängig steuerbar. Im Speziellen sind bei der sogenannten Spinecho-Bildgebungsmethode suszeptibilitätsbedingte Artefakte zu gering für eine sichere Lokalisierung der Instrumente. Das angegeben Verfahren zusammen mit entsprechenden Vorrichtungen an den Instrumenten behebt diese Probleme. Instrumente aus Material mit gewebeäquivalenter magnetischer Suszeptibilität werden mit geeigneten Strompfaden versehen. Der Strom wird, getriggert durch die verwendete Bildgebungssequenz, nur für ausgewählte Phasenkodierzeilen (z. B. bei jeder zweiten) appliziert, vorzugsweise zu Zeiten, in denen keine Störung der Ortskodierung erfolgt. Dadurch, dass die Störung nicht in jeder Zeile erfolgt, tritt die Störung außerhalb des Bildes nochmals in Erscheinung. Dies ermöglicht die Separation der Artefakte aufgrund permanenter Feldstörungen vom Artefakt um das Instrument aufgrund der transienten Störung. Die Stärke des mit dem Strom verbundenen Magnetfeldes und damit die Artefaktgröße kann geregelt werden. Die Technik kann bei Sequenzen vom Gradienten- wie auch vom Spinecho-Typ eingesetzt werden. Anwendungsgebiet sind alle Techniken in der interventionellen MRT, die von regelbaren bzw. abschaltbaren Sollartefakten und unverzerrter Wiedergabe des Instruments ohne zusätzliche Messzeit profitieren. Beispiele sind Medikamentengaben bzw. Biopsien mittels Nadeln oder die Radiofrequenzablation.The visualization of instruments in MRI-guided intervention is usually realized via the paramagnetism of the instrument material. Here, the spatial encoding is corrupted; The size of the artifacts can not be controlled independently of the sequence. Specifically, in the so-called spin echo imaging method, susceptibility-based artifacts are too small for safe localization of the instruments. The stated method, along with corresponding devices on the instruments, overcomes these problems. Instruments made of material with tissue-equivalent magnetic susceptibility are provided with suitable current paths. The current, triggered by the imaging sequence used, is applied only to selected phase coding lines (eg every other second), preferably at times when there is no disturbance of the spatial coding. Due to the fact that the fault does not occur in every line, the disturbance appears again outside the picture. This allows for the separation of artifacts due to permanent field disturbances from the artifact around the instrument due to the transient disturbance. The strength of the magnetic field connected to the current and thus the artifact size can be regulated. The technique can be used with gradient-type as well as spin-echo-type sequences. Fields of application are all techniques in interventional MRI that benefit from adjustable or deactivatable nominal artifacts and undistorted reproduction of the instrument without additional measuring time. Examples are medication or biopsies using needles or radiofrequency ablation.
Description
Verfahren und Vorrichtung zur Visualisierung interventioneller Instrumente in der Magnetresonanzbildgebung über sequenz-getriggerte Bestromung mit Erzeugung spezieller Phasenkodierartefakte.Method and device for visualizing interventional instruments in magnetic resonance imaging via sequence-triggered energization with generation of special phase-coding artifacts.
Die Visualisierung von Instrumenten bei MRT-geführten Intervention wird üblicherweise über den Paramagnetismus des Instrumentenmaterials realisiert. Das magnetische Grundfeld des Tomographen wird in der Nähe des Instruments verzerrt, das Instrument lässt sich über Artefakte visualisieren (zum Beispiel
In der Literatur sind neben der passiven Visualisierung auch aktive Techniken beschrieben, bei welchen über am Instrument angebrachte elektrische Leiter gezielt magnetische Störfelder in dessen Nähe erzeugt werden (
Der in den Patentansprüchen präzisierten Erfindung liegt dasselbe Problem wie in Druckschrift
Druckschrift
Die Lösung erfolgt durch das Verfahren gemäß dem Patentanspruch 1 sowie durch die Vorrichtungen gemäß der Druckschrift
Die Verzerrung des Grundfeldes bei magnetisch neutralem Instrumentenmaterial über elektrischen Strom ermöglicht die Steuerung der Artefaktgröße über die Stromstärke. Messungen bei verschiedenen Stromstärken verbessern die Bestimmung der realen Instrumentenposition im Artefakt; eine Bestromung nur in ausgewählten Phasenkodierzeilen, z. B. jede Zweite -vorzugsweise zu Zeiten in welchen keine Spinanregung und kein Auslesen des Signals erfolgt, um eine fehlerhafte Ortskodierung in der Nähe des Instruments zu vermeiden- erlaubt die Generierung definierter Artefakte vom Instrumentenbereich in Phasenkodierrichtung. Lage und Anzahl ist darüber bestimmt, welche Phasenkodierzeilen für die Bestromung ausgewählt wurden. Die Artefaktgröße ist unabhängig von der Grundfeldstärke des Tomographen.Distortion of the fundamental field of magnetically neutral instrument material via electrical current allows the artifact size to be controlled by current intensity. Measurements at different current intensities improve the determination of the real instrument position in the artifact; an energization only in selected phase coding lines, z. For example, every second-preferably at times when there is no spin excitation and no readout of the signal to avoid erroneous location coding near the instrument-allows the generation of defined artifacts from the instrument domain in the phase encode direction. Location and number determines which phase coding lines have been selected for the current supply. The artifact size is independent of the basic field strength of the scanner.
Das Prinzip arbeitet für alle Sequenzen mit kartesischer Datenaufnahme. Insbesondere sind moderne Techniken, die die Darstellung eines Teilbereichs im Körperinneren ermöglichen, für die Anwendung der Technik geeignet, da hier sehr einfach ein signalfreier Bereich für den Phasenkodierartefakt erzeugt werden kann.The principle works for all sequences with Cartesian data acquisition. In particular, modern techniques that allow the representation of a partial area in the interior of the body are suitable for the application of the technique, since it is very easy to generate a signal-free area for the phase-encoding artifact.
Ein Ausführungsbeispiel für die zeilenweise selektive Bestromung gemäß Patentanspruch 1 ist in
ZITATE ENTHALTEN IN DER BESCHREIBUNG QUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.
Zitierte PatentliteraturCited patent literature
- DE 69634035 T2 [0003] DE 69634035 T2 [0003]
- US 5951472 A [0003] US 5951472 A [0003]
- DE 19958408 A1 [0003] DE 19958408 A1 [0003]
- DE 102012023124 A1 [0004, 0005, 0005, 0006] DE 102012023124 A1 [0004, 0005, 0005, 0006]
Zitierte Nicht-PatentliteraturCited non-patent literature
- „IEEE TRANSACTIONS ON MEDICAL IMAGING”, Bd. 19, Nr. 12, Dez. 2000, S. 1248–1252 [0002] "IEEE TRANSACTIONS ON MEDICAL IMAGING", Vol. 19, No. 12, Dec. 2000, pp. 1248-1252 [0002]
Claims (2)
Priority Applications (1)
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DE102015012201.0A DE102015012201A1 (en) | 2015-09-18 | 2015-09-18 | Method and device for visualizing interventional instruments in magnetic resonance imaging (MRI) via discrete phase coding artifacts generated by means of sequence-triggered energization |
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DE102015012201.0A DE102015012201A1 (en) | 2015-09-18 | 2015-09-18 | Method and device for visualizing interventional instruments in magnetic resonance imaging (MRI) via discrete phase coding artifacts generated by means of sequence-triggered energization |
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DE102015012201A1 true DE102015012201A1 (en) | 2017-03-23 |
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DE102015012201.0A Withdrawn DE102015012201A1 (en) | 2015-09-18 | 2015-09-18 | Method and device for visualizing interventional instruments in magnetic resonance imaging (MRI) via discrete phase coding artifacts generated by means of sequence-triggered energization |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2021154186A1 (en) * | 2020-01-28 | 2021-08-05 | Bogazici Universitesi | A system which facilitates determination of the position of a biopsy needle under magnetic resonance imaging |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5951472A (en) | 1996-11-04 | 1999-09-14 | U.S. Philips Corporation | MR system and invasive device for interventional procedures |
DE19958408A1 (en) | 1999-12-02 | 2001-06-07 | Philips Corp Intellectual Pty | Magnetic resonance arrangement with devices to localize or visualize instrument inserted in patient; has magnet device controlled and positioned by control unit, to vary position in MRI datasets |
DE69634035T2 (en) | 1995-11-24 | 2005-12-08 | Koninklijke Philips Electronics N.V. | SYSTEM FOR IMAGING BY MAGNETIC RESONANCE AND CATHETER FOR PROCEDURE PROCEDURE |
DE102012023124A1 (en) | 2012-11-27 | 2014-05-28 | Hansjörg Graf | Method for visualization of MRI-guided interventional instrument e.g. biopsy needle, involves triggering direct current signal through imaging sequence that is applied only at times in which no disturbance of spatial coding occurs |
-
2015
- 2015-09-18 DE DE102015012201.0A patent/DE102015012201A1/en not_active Withdrawn
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE69634035T2 (en) | 1995-11-24 | 2005-12-08 | Koninklijke Philips Electronics N.V. | SYSTEM FOR IMAGING BY MAGNETIC RESONANCE AND CATHETER FOR PROCEDURE PROCEDURE |
US5951472A (en) | 1996-11-04 | 1999-09-14 | U.S. Philips Corporation | MR system and invasive device for interventional procedures |
DE19958408A1 (en) | 1999-12-02 | 2001-06-07 | Philips Corp Intellectual Pty | Magnetic resonance arrangement with devices to localize or visualize instrument inserted in patient; has magnet device controlled and positioned by control unit, to vary position in MRI datasets |
DE102012023124A1 (en) | 2012-11-27 | 2014-05-28 | Hansjörg Graf | Method for visualization of MRI-guided interventional instrument e.g. biopsy needle, involves triggering direct current signal through imaging sequence that is applied only at times in which no disturbance of spatial coding occurs |
Non-Patent Citations (1)
Title |
---|
„IEEE TRANSACTIONS ON MEDICAL IMAGING", Bd. 19, Nr. 12, Dez. 2000, S. 1248–1252 |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2021154186A1 (en) * | 2020-01-28 | 2021-08-05 | Bogazici Universitesi | A system which facilitates determination of the position of a biopsy needle under magnetic resonance imaging |
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