The present application relates to the diagnostic arts. It finds particular application in determining specific energy absorption rates in conjunction with magnetic resonance imaging, and will be described with particular reference thereto. It is to be understood, however, that the present application is more generally applicable to mapping electrical conductivity and permittivity of a patient in an MR environment, and is not necessarily limited to the aforementioned application.
A significant problem of imaging in a high field environment is that certain areas of a patient can absorb too much energy, causing the patient pain, discomfort, or even injury. A complex system of specific energy absorption rate (SAR) limits is taken into account to assure that patient heating does not cause tissue damage. Local SAR issues also generally prohibit scanning of patients with metallic implants (e.g. cardiac pacemakers, deep brain stimulation devices, orthopedic implants, and the like). For exact determination of local SAR, the spatial distribution of the electric field of the involved RF coil throughout the patient as well as the electric conductivity distribution throughout the patient is required.
Heretofore, reliable methods to determine the electric field and electrical conductivity accurately have proved elusive. Typically, rough estimations are performed based on global models. Uncertainties associated with such models require large safety margins, frequently leading to changes in the imaging sequence, such as an increase in repetition time that potentially could be avoided, ultimately increasing total acquisition time. Uncertainties of SAR distribution eliminates some patients from even receiving high field MRI scans.
More specifically, in order to know the SAR at a point, the electric field and the electric conductivity can be reconstructed from the knowledge of the magnetic field of the involved RF coil (B1). This includes knowing the components of the B1 field, commonly known as Hx, Hy, and Hz. Hx and Hy are relatively easy to determine. As the Hz component is parallel with the main magnetic field, it typically cannot be measured directly as it is indistinguishable from the main magnetic field. Therefore, to calculate SAR, Hz is typically estimated from the corresponding component of the electrical field, Ez. The resulting calculation proceeds from Ampere's law in differential form. Conductivity and permittivity are reconstructed via the curl of the magnetic field, that is, by differentiating measured B1 maps, which is a numerically demanding task. Then the curl is divided by the Ez, which might be zero in some areas, leading to discontinuities.
More generally, imaging a subject's electrical properties could be clinically useful. Many applications for such mapping can be imagined, such as the ability to distinguish tumors from surrounding healthy tissue based on electrical conductivity and permittivity. It might be used to distinguish necrotic tissue from healthy tissue following a myocardial infarction. It could also be used to support the characterization of brain tissue in connection with stroke or cerebral hemorrhage. It also may be used to control outcomes in treatment of cardiac arrhythmias. Current treatments often involve catheter based ablations that change the local conductivity of the heart. Knowing the degree and extent of those changes would aid in treatment.
The present application provides a new and improved magnetic resonance imaging system which overcomes the above-referenced problems and others.
In accordance with one aspect, a magnetic resonance system is provided. A main magnet generates a substantially uniform main magnetic field in an examination region. A radio frequency assembly induces magnetic resonance in selected dipoles of a subject in the examination region, and receives the magnetic resonance. A specific energy absorption rate calculation processor calculates a specific energy absorption rate for a region of interest from Hx, Hy, and Hz components of a B1 field.
In accordance with another aspect, a method of determining a local specific energy absorption rate is provided. A substantially uniform main magnetic field is produced in a region of interest containing a subject. Magnetic resonance is induced in selected dipoles of the subject. An Hz component of a B1 magnetic field is determined.
In accordance with another aspect, a magnetic resonance device is provided. A main magnet generates a substantially uniform main magnetic field in an examination region. A radio frequency assembly induces magnetic resonance in selected dipoles of a subject in the examination region, and receives the magnetic resonance. A specific energy absorption rate calculation processor calculates the specific energy absorption rate for a region of interest by measuring an Hx and an Hy component of a B1 field, and measuring an Ez component of an electrical field generated by the RF assembly (16), wherein the measuring of the Ez component includes using the integral form of Ampere's Law:
One advantage lies in improved SAR calculation.
Another advantage lies in the ability to image electric conductivity in vivo.
Another advantage lies in the ability to image electric permittivity in vivo.
Another advantage is the ability to image patients with metallic implants.
Still further advantages of the present invention will be appreciated to those of ordinary skill in the art upon reading and understand the following detailed description.
The invention may take form in various components and arrangements of components, and in various steps and arrangements of steps. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the invention.
With reference to
A gradient coil assembly 14 produces magnetic field gradients in the imaging region for spatially encoding the main magnetic field. Preferably, the magnetic field gradient coil assembly 14 includes coil segments configured to produce magnetic field gradient pulses in three orthogonal directions, typically longitudinal or z, trans verse or x, and vertical or y directions.
A radio frequency coil assembly 16 generates radio frequency pulses for exciting resonance in dipoles of the subject. The signals that the radio frequency coil assembly 16 transmits are commonly known as the B1 field. The radio frequency coil assembly 16 depicted in
Gradient pulse amplifiers 18 deliver controlled electrical currents to the magnetic field gradient assembly 14 to produce selected magnetic field gradients. A radio frequency transmitter 20, preferably digital, applies radio frequency pulses or pulse packets to the radio frequency coil assembly 16 to excite selected resonance. A radio frequency receiver 22 is coupled to the coil assembly 16 or separate receive coils to receive and demodulate the induced resonance signals.
To acquire resonance imaging data of a subject, the subject is placed inside the imaging region. A sequence controller 24 communicates with the gradient amplifiers 18 and the radio frequency transmitter 20 to supplement the manipulation of spins in the region of interest. The sequence controller 24, for example, produces selected repeated echo steady-state, or other resonance sequences, spatially encodes such resonances, selectively manipulates or spoils resonances, or otherwise generates selected magnetic resonance signals characteristic of the subject. The generated resonance signals are detected by the RF coil assembly 16 or local coil (not shown), communicated to the radio frequency receiver 22, demodulated, and stored in a k-space memory 26. The imaging data is reconstructed by a reconstruction processor 28 to produce one or more image representations that are stored in an image memory 30. In one suitable embodiment, the reconstruction processor 28 performs an inverse Fourier transform reconstruction.
The resultant image representation(s) is processed by a video processor 32 and displayed on a user interface 34 equipped with a human readable display. The interface 34 is preferably a personal computer or workstation. Rather than producing a video image, the image representation can be processed by a printer driver and printed, transmitted over a computer network or the Internet, or the like. Preferably, the user interface 34 also allows a technician or other operator to communicate with the sequence controller 24 to select magnetic resonance imaging sequences, modify imaging sequences, execute imaging sequences, and so forth.
A specific energy absorption rate (SAR) processor 36 calculates SAR for portions of the subject within the imaging region. An electrical permittivity sub-processor 38 calculates the electrical permittivity e for all regions of interest, as the SAR is calculated from e. Previously, e has been found using the differential form of Ampere's law using Hx, Hy, and Ez. As mentioned previously, the differential form of Ampere's law has some drawbacks, such as local zeros in Ez leading to holes in the permittivity calculation. By using the integral form of Ampere's law, these holes can be avoided and a more robust calculation of e can be obtained, leading ultimately to a better calculation of SAR. The underlines denote a complex permittivity as explained below.
The integral form of Ampere's law is
where {right arrow over (H)} is the magnetic field, {right arrow over (j)} is the current density, {right arrow over (D)} is the displacement field, and F is the surface over which the current density is integrated. The current density {right arrow over (j)} can be replaced by
{right arrow over (j)}=σ{right arrow over (E)},
where s is the electrical conductivity and E is the electric field.
The displacement field can be replaced by
{right arrow over (D)}=ε{right arrow over (E)}.
This yields
Now, an area Axy lying in the x-y plane is chosen. Thus,
depends only on the components Hx and Hy, which can be easily measured for all points within the imaging region. The selection of A removes the dependence on Ex and Ey yielding
To solve for the unknown e, it is assumed that e is a constant within the area Axy, yielding
Since Ez depends on the unknown e, the iteration
could be applied starting with, for example, literature values of e. Thus, by using Hx, Hy, and Ez, the permittivity sub-processor 38 finds e. Once e is known, the SAR calculation processor 36 can calculate SAR for the region.
The indicated integration is less demanding mathematically than solving the differential form of Ampere's law. Additionally, the need to divide by a zero electric field is mitigated, since no division by the electric field in limited areas is performed, rather just an integral over the electric field.
In another embodiment, the permittivity calculation sub-processor 38 uses Hx, Hy, and Hz to determine e instead of Hx, Hy, and Ez. Using Hz instead of Ez yields several advantages. One is that the computation is less mathematically intense. Another is that it allows for the accounting of anisotropic values of conductivity and permittivity. The permittivity calculation sub-processor 38 performs this calculation by performing a suitable handling of the first two Maxwell equations. Hx and Hy can be measured by well known mapping techniques of the transmit and receive sensitivity of the RF coil involved in creating the B1 field. These sensitivities are equivalent to the two circularly polarized components of H (H+ and H−) due to
H
+
=H
x
+iH
y, and
H
−
=H
x
−iH
y,
Ampere's law (first Maxwell equation in differential form)
∇×H({right arrow over (r)})=iωε({right arrow over (e)}){right arrow over (E)}({right arrow over (i)})
and Faraday's law (second Maxwell equation in integral form)
are used. Assuming a constant permeability μ throughout the patient, these equations yield satisfactory results. Electric conductivity s and permittivity e are summarized to the complex permittivity e=e−is/?. Dividing the first Maxwell equation by the second Maxwell equation yields
The obtained approximated permittivity e′ is equivalent to the actual permittivity e in regions where e is sufficiently constant, that is, where its spatial variation is significantly smaller than the spatial variation of the electric field. If this condition is not fulfilled, an iteration
can be applied starting with d=1. The preceding two equations are the same apart from multiplying the numerator by d/e′ before taking the line integral. With this iteration, the ratio between calculated permittivity and true permittivity is identified as
Iteratively converging d yields the true permittivity. Finally, the SAR calculation processor 36 can use the true permittivity value (and the electric field calculated from Faraday's law) to calculate SAR using the relation
This calculation using Hz replaces the very time consuming calculation of SAR using a simulated electric field.
If e is anisotropic, such as with muscle fibers, the Maxwell equation is re-written to
∇×{right arrow over (H)}({right arrow over (r)})=iω{circumflex over (ε)}({right arrow over (r)}){right arrow over (E)}({right arrow over (r)}),
which introduces the complex permittivity tensor
From the re-written Maxwell equation, the components parallel and transverse to the fiber orientation can be calculated, if the fiber orientation is extracted from anatomic images. If the fibers are approximately along a Cartesian direction, the off-diagonal tensor components cancel, and the Maxwell equation separates (j=x, y, z)
(∇×{right arrow over (H)})j=iωεjjEj.
In one embodiment, a three-step approach is used to determine SAR within a patient, while remaining in compliance with local SAR regulations while doing so. First, pre-scans are performed to determine the components of the B1 field (Hx, Hy, and Hz). These scans are performed at a low global SAR level to ensure compliance with SAR regulations. Secondly, the permittivity calculation sub-processor 38 calculates the permittivity map, and the SAR calculation processor 36 calculates the SAR map as described above. Lastly, diagnostic scans can be performed at elevated RF power levels using the SAR map to avoid exceeding local SAR limits.
This technique can be applied to all MR scans, and in particular scans suffering from SAR limitations. The technique can also be applied to patients with metallic implants with careful control of local SAR near these implants instead of excluding these patients from MR studies. Further, the electrical conductivity and permittivity can be imaged for medical diagnoses, such as tumor staging or stroke classification.
The above discussion is predicated on the knowledge of all three components of the B1 field, Hx, Hy, and Hz. As mentioned previously, Hx and Hy are easily measured by mapping the transmit and receive sensitivity of the RF coil. Hz can be found in several different ways, discussed below.
One way to find Hz is to drive the RF coil with a DC current. By applying the DC current to the coil, it is possible to determine the spatial distribution of Hz per unit current of the coil B1z(x)/I by encoding it into the phase of an MR image. This phase arises from the locally altered Larmor frequency due to the superposition of the coil's Hz with the main field. By reconstructing several images, one with no DC current applied to the RF coil, and at least one with a DC current applied, Hz can be determined. In one embodiment, several (e.g. 5-10) different DC values are applied to the RF coil, producing several different phase shifts. The more images with different DC values applied to the coil that are taken, the better the effect can be visualized.
In the present embodiment, the DC current (IDC) is applied to the coil for some encoding time (tDC) during the phase encoding section of a spin echo image acquisition. With reference now to
φ(x0)=γdB0z(x0)tDC.
From the phase φ(x) of the image, the B1 field distribution per unit current can be determined:
B
1z(x)/I=φ(x)/(γtDCIDC).
This measures Hz per unit current (Hz(x)/I) of an MR coil at DC. For accurate permittivity mapping, the permittivity calculation sub processor 38 requires Hz at the Larmor frequency. In general, the spatial sensitivity of an RF coil is frequency dependent, but for a coil size and field of view up to the effective wavelength at the Larmor frequency, the near field approximation is valid, such that the deviation from the DC case is small.
With reference now to
where the z-direction is perpendicular to the loop. From the geometry of
Solving this equation for IDC yields IDC=106 mA, which is applicable in practice. Working in reverse, by knowing the DC current applied to the coil, and by observing the resulting phase shift at points with known geometry relative to the coil, the z component of the B1 field, Hz, can be calculated.
Normally, RF coils are driven with an AC signal. With reference now to
In the embodiment of
Another method of estimation models the used RF coil only. The results of this method 70 are 98.8% in correlation with true SAR 68. This method introduces a systematic error, but is easier to implement than the full model. The systematic error is negligible in the case of birdcage coils, as it can hardly be recognized by visual inspection.
Another method of estimating Hz for a birdcage coil is to assume that Hz is a constant. This is the easiest method to implement, but it increases the systematic error. Results of this method 72 are 96.8% in correlation with true SAR 68. This error is acceptable in the case of birdcage coils, as it does not lead to significant changes in the reconstructed SAR. The same holds true for the underlying conductivity.
For a birdcage coil, permittivity can be approximated using
When using an approximated Hz it is important to distinguish between transverse and non-transverse slices. For transverse slices, the integration area is in the x-y plane A=Axy, and the above equation changes to read
For a coronal slice, the integration area is in the x-z plane A=Axz, and it would then read
Sagittal slices are not considered, since the influence of an approximated Hz is the same for coronal and sagittal slices. A comparison of the previous two equations suggests that transverse planes are more affected by simplifications of Hz since Hz appears twice in the numerator and is the only input for the denominator. For non-transverse slices, Hz appears only once in the numerator, but not in the denominator at all. While conductivity and permittivity are assumed to be isotropic for the results of
In another embodiment, Gauss's law for magnetism with no magnetic monopoles is used to estimate Hz. In this embodiment, no models are needed, and it can be used in conjunction with any RF coil, that is, it is not necessarily limited to birdcage coils. Gauss's law for magnetism is given by
Solving for Hz, the equation yields
As noted earlier, Hx and Hy can be easily measured, so are known values for the purposes of this calculation. The only variable is that the integral boundaries remain free parameters, but can be adequately estimated by assuming that Hz is zero along a line through the isocenter in each slice of a 3D volume. Referring again to
In yet another embodiment, Hz can be taken from a B0 map, which is usually measured by a dual or multi-echo sequence. The B0 map shows changes in Hz due to susceptibility artifacts. This Hz can be used as an additive correction for an Hz determined via any of the above-described methods.
The described formalism yields a quantitative value of e without knowledge of the absolute scaling of the magnetic field of the RF coil involved. However, standard methods of scaling the transmitted B1 field can be used to determine absolute values for the electric field calculated via Faraday's law, and thus, absolute values for the derived local SAR.
The invention has been described with reference to the preferred embodiments. Modifications and alterations may occur to others upon reading and understanding the preceding detailed description. It is intended that the invention be construed as including all such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.
Number | Date | Country | Kind |
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08153293.9 | Mar 2008 | EP | regional |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB09/51231 | 3/25/2009 | WO | 00 | 10/15/2010 |