The invention relates to a dispenser, a magnetic resonance imaging system, and a method for using hyperpolarized contrast agent in magnetic resonance imaging, in particular the invention relates to equipment and method of using of vaporized hyperpolarized contrast agent during a magnetic resonance imaging examination.
A static magnetic field is used by MRI scanners to align the nuclear spins of atoms as part of the procedure for producing images within the body of a patient or subject. This large static magnetic field is referred to as the B0 field. It is commonly known that increasing the strength of the Bo field used for performing an MRI scan offers the opportunity of increasing the spatial resolution and contrast resolution of the diagnostic images. This increase in resolution and contrast is beneficial for physicians using the MRI image to diagnose a patient.
Magnetic resonance imaging systems typically are used to image the concentrations of protons, or hydrogen atoms, in a subject. As a result magnetic resonance imaging systems have been very useful for imaging the soft tissues of a subject. The structure of the lungs and its vascularization is also of interest. However the lungs are mostly air, which cannot be easily imaged by magnetic resonance imaging. The use of injected magnetic resonance imaging contrast agents is known.
However, it typically takes about 15 seconds for an intravenously injected substance to reach the lung vessels. Many hyperpolarized contrasts agents very short relaxation time such that a substantial portion of the contrast agent will lose its polarization within these 15 seconds. For example, hyperpolarized 13C has a T1 relaxation time of the order of 60 seconds. The journal article Ishii et. al., Magnetic Resonance in Medicine 57: 459-463 (2007) demonstrates the use of a hyperpolarized 13C angiography for evaluating pulmonary perfusion. Hyperpolarized hydroxyethylpropionate was injected into the femoral artery of pigs in this experimental study.
The invention provides a dispenser for dispensing a hyperpolarized vapor, a magnetic resonance imaging system, and a method of acquiring a magnetic resonance image in the independent claims. Embodiments of the invention are given in the dependent claims.
Embodiments of the invention address this and other problems by vaporizing a liquid or solid hyperpolarized contrast agent. A dispenser is used to vaporize the hyperpolarized contrast agent into a mist or vapors which are then inhaled by the subject. This delivers the hyperpolarized contrast agent directly to the lungs and increases the effectiveness of the hyperpolarized contrast agent.
The invention can be applied to any MRI system that is adapted for hyperpolarized imaging. More specifically, it is applicable in lung imaging for the detection of lesions and abnormal functional processes. A couple of substances could potentially be used for polarization. Among different metabolites which undergo further digestion, enzymes, therapeutic agents or targeted agents could be hyperpolarized to study their biodistribution and fate in-vivo by means of fast spectroscopic 13C imaging
As used herein, the term coil refers to a radio frequency antenna that is used to acquire magnetic resonance imaging data. The term coil may refer to the case where a single antenna performs both the transmission and reception of radio frequency signals during the acquisition of magnetic resonance imaging data or it may refer to a transmit and an receive antenna. Moreover an array configuration for either case mentioned consisting of a multitude of single elements is considered.
As used herein, the term hyperpolarized contrast agent refers to a hyperpolarized material that is used as a contrast agent during the acquisition of magnetic resonance imaging data. The hyperpolarized contrast agent may be in liquid or solid form before it is vaporized. Before use, the hyperpolarized contrast agent may be polarized using a process such as Dynamic Nuclear Polarization (DNP) or any other suitable process. The polarized nuclei of the hyperpolarized contrast agent, with the exception of noble gases such as He and Xe, may be embedded into a biocompatible molecule. Isotopes that may be used to make hyperpolarized contrast agents include: 7Li, 13C, 14N, 15N, 17O, 19F, 23Na, 31P. Since it is beneficial to embedded the isotope into a biocompatible molecule 13C is of particular interest, due to the presence of carbon in many of the body's molecules. 14N and 17O also offer the possibility of being more easily integrated into biocompatible molecules.
Magnetic Resonance Imaging (MRI) data is defined herein as being the recorded measurements of radio frequency signals emitted by atomic spins by the antenna of a Magnetic resonance apparatus during a magnetic resonance imaging scan. A Magnetic Resonance Imaging (MRI) image is defined herein as being the reconstructed two or three dimensional visualization of anatomic data contained within the magnetic resonance imaging data. This visualization can be performed using a computer system.
A computer system is defined herein as a computer or a collection of computers. For magnetic resonance imaging, a single computer may be used to operate and perform analysis of the magnetic resonance imaging data. However, this functionality is often distributed across many different computers, and the magnetic resonance imaging data may be stored for analysis by a computer or computer system later.
The invention provides for a dispenser for dispensing a hyperpolarized vapor to a subject during a magnetic resonance imaging examination. The dispenser comprises an attachment component for a face piece adapted to receive a surface of a subject such that when the subject inhales the hyperpolarized vapor enters the respiratory system of the subject. The dispenser further comprises a reservoir adapted for receiving a hyperpolarized contrast agent. The dispenser further comprises a gas flow tube connected to the attachment component. The dispenser further comprises a vaporizer for vaporizing the hyperpolarized contrast agent in the gas flow into the hyperpolarized vapor. The dispenser further comprises a controller for controlling when the vaporizer vaporizes the hyperpolarized contrast agent. The attachment component allows a face piece or a face piece in a tube to be attached to the dispenser. This is beneficial, because more than one patient may be treated using a magnetic resonance imaging apparatus system. In this case it would be beneficial to use disposable face pieces which can be removed and cleaned.
The reservoir is adapted for receiving a hyperpolarized contrast agent, the latter is either in a solid or a liquid form. There is a gas flow tube where the hyperpolarized contrast is vaporized. The controller controls when the vaporizer vaporizes the hyperpolarized contrast agent. This is particularly beneficial, because the hyperpolarized contrast agents can be extremely expensive and only very small amounts may be available at a time. This minimizes the amount of hyperpolarized contrast agent that is used during the examination. The controller could operate in several different ways, for instance it could receive a signal from the magnetic resonance imaging system when to allow the dispensing of the hyperpolarized contrast agent. The controller could also operate by having some sort of sensor system where the breathing cycle of the subject is detected. For instance the pressure or the flow or the temperature could be measured at some point in the face piece or gas flow tube or tube connecting the attachment component to a face piece in order to detect when the subject is breathing. The controller could also by receiving a signal from the magnetic resonance imaging system and by using a sensor system.
In an embodiment of the invention, the dispenser further comprises a nuclear magnetic resonance coil adjacent to the reservoir. The nuclear magnetic resonance coil is adapted for measuring the degree of polarization of the hyperpolarized contrast agent when connected to a nuclear magnetic resonance apparatus. This is advantageous because the degree of polarization of the hyperpolarized contrast agent can be measured. A nuclear magnetic resonance apparatus is defined herein as a apparatus which uses nuclear magnetic resonance to measure the material properties of a sample.
In an embodiment of the invention, the reservoir is adapted for storing the hyperpolarized contrast agent in liquid form. This is advantageous, because the hyperpolarized contrast agent can be generated in a solid state form and then is liquefied and placed into the reservoir and then it is vaporized.
In an embodiment the reservoir is adapted for storing the hyperpolarized contrast agent in solid form. The dispenser further comprises a heater adapted for liquefying the hyperpolarized contrast agent before vaporization. This embodiment is advantageous, because the lifetime of the hyperpolarized contrast agent is longer when the hyperpolarized contrast agent remains in solid form. During the hyperpolarization process the hyperpolarized contrast agent may be enriched with chemicals that facilitate the polarization process. These chemicals may be toxic. When liquid hyperpolarized contrast agents are prepared, the solid hyperpolarized contrast agent is melted and any toxic chemicals are filtered out before administering them to a subject. If a solid contrast agent is used, it may be beneficial to incorporate a filter into either into the dispenser or into a cartridge that fits into the reservoir of the dispenser that is used for the hyperpolarized contrast agent. The solid hyperpolarized contrast agent would be melted, pass through a filter to remove any toxic chemicals and then be vaporized.
In another embodiment the heater is adapted for melting the hyperpolarized contrast agent at a rate equal to the rate at which it is vaporized. This embodiment is particularly advantageous, because the hyperpolarized contrast agent leaves the solid form at exactly the right rate. This means that the hyperpolarized contrast agent will have a longer lifetime.
In another embodiment the dispenser further comprises a breathing sensor adapted for detecting inhalation and exhalation by the subject. The controller is adapted for controlling the vaporizer such that the hyperpolarized contrast agent is vaporized only during inhalation by the subject. This embodiment is advantageous, because the hyperpolarized contrast agent is not wasted. The breathing sensor could be implemented in a variety of ways for instance the gas flow through gas flow tube could be measured, a pressure sensor could be used to detect when the subject is not breathing or even a temperature sensor could be used by determining the temperature of the gas exiting the respiratory system of the subject.
The breathing sensor can be implemented using a temperature sensor, a gas flow sensor, and/or pressure sensor.
In another embodiment the controller is adapted for receiving instructions from the computer of a magnetic resonance imaging system. The computer system is adapted for instructing the controller when to allow the vaporizer to vaporize the hyperpolarized contrast agent. This embodiment is advantageous, because the hyperpolarized contrast agent is only administered when it is necessary during the imaging sequence. If the lifetime of the hyperpolarized contrast agent is extremely short unless the magnetic resonance imaging system is acquiring magnetic resonance imaging data for the purpose of imaging the concentration of the hyperpolarized contrast agent, it is not useful to dispense the hyperpolarized vapor.
In another embodiment the hyperpolarized contrast agent is vaporized using a carburetor. A carburetor is understood herein as a device which sprays a liquid into a gas flow for the purpose of evaporation or vaporization. This embodiment is advantageous, because the liquid hyperpolarized contrast agent can be sprayed into the gas flow and vaporized.
In another embodiment, the hyperpolarized contrast agent is vaporized using a piezoelectric vibrator. This could be in the form of a reservoir which is filled with the hyperpolarized contrast agent, or it could be in the form of a piezoelectric nozzle which sprays the hyperpolarized contrast agent into the gas flow tube.
In another embodiment the reservoir is adapted for storing the hyperpolarized contrast agent in solid form. The vaporizer comprises a chopper adapted for chopping the hyperpolarized contrast agent into particles small enough that the particles melt or are vaporized before being inhaled by the subject. This embodiment is advantageous, because it maximizes the lifetime of the hyperpolarized contrast agent before inhalation by the subject.
In another embodiment the reservoir is adapted for receiving a cartridge containing the hyperpolarized contrast agent. This is an advantageous embodiment, because the cartridge provides a convenient way of bringing the hyperpolarized contrast agent into the dispenser.
In another embodiment the dispenser further comprises a cartridge holder adapted for holding at least two cartridges. The cartridge holder is adapted for automatically changing which cartridge is mounted in the reservoir. This embodiment is advantageous, because the hyperpolarized contrast agent can be prepared for use over an extended period of time. During the course of an examination or during the course of several different examinations, the hyperpolarized contrast agent can be loaded into the reservoir automatically.
In another embodiment the dispenser further comprises a bypass valve adapted for selecting if gas flow through the gas flow tube is directed to the face piece or is directed to a cleaning outlet which is used for venting during a self-cleaning procedure. The control system is adapted for controlling the bypass valve in order to direct gas flow to the cleaning outlet during a self-cleaning procedure. This embodiment is advantageous, because the system can be used over an extended period of time if the system does not need to be taken apart and cleaned.
In another embodiment at least one portion of the gas flow tube has an electric heater adapted for re-vaporizing condensate of the hyperpolarized vapor. This embodiment is advantageous, because the hyperpolarized material could condense on the gas flow tube. This embodiment makes more efficient use of the hyperpolarized contrast agent and can be used in conjunction with a self-cleaning procedure.
In another embodiment, the dispenser, face piece and/or cartridges may have an RFID tag for identification.
In another embodiment, the dispenser, face piece, and/or cartridge may have a bar code.
In another embodiment, the dispenser, cartridge, and/or face piece are disposable.
In another aspect, the invention provides for a magnetic resonance imaging system that is adapted for acquiring magnetic resonance imaging images comprising a magnet for generating a magnetic field for orientating the magnetic spins of nuclei. The magnet may be a superconducting, a resistive magnet or a combination of superconducting and resistive magnet. A toroidal magnet or a so-called open magnet may also be used. The magnetic resonance imaging system further comprises a radio frequency system comprising a first coil calibrated for acquiring magnetic resonance imaging data of protons. The radio frequency system further comprises a second coil calibrated for acquiring magnetic resonance imaging data for the hyperpolarized contrast agent. It is understood that the first coil and the second coil may be integrated into a single coil assembly or may share common parts. Essentially the first coil and the second coil can be the same coil. The magnetic resonance imaging system further comprises a magnet field gradient coil for spatially encoding and manipulating the orientation of the magnetic spins of nuclei. The magnetic resonance imaging system further comprises a magnet field gradient power supply for supplying current to the magnetic field gradient coil. The magnetic resonance imaging system further comprises a computer system for constructing images from the magnetic resonance imaging data and for controlling the operation of the magnetic resonance imaging system. It is understood herein that a computer system can refer to one or more computers embedded systems or controllers. As was mentioned before, in some cases one computer controls the magnetic resonance imaging system and another computer or a computer system reconstructs the images from the data. The magnetic resonance imaging system further comprises a dispenser according to an embodiment of the invention.
In another embodiment the reservoir of the dispenser is mounted with a location fixed relative to the magnetic field of the magnet. The location is chosen such that the magnetic field of the magnet preserves the hyperpolarization of the hyperpolarized contrast agent. This embodiment is advantageous, because the magnetic field helps to increase the lifetime of the hyperpolarized contrast agent.
In another aspect the invention provides for a method of acquiring a magnetic resonance imaging system of the subject using a magnetic resonance imaging system according to an embodiment of the invention. The method comprises the step of acquiring a first set of magnetic resonance imaging data from within a region of interest of the subject using the first coil. The first coil is calibrated for acquiring proton magnetic resonance imaging data. Proton magnetic resonance imaging data refers to the acquisition of magnetic resonance imaging data using hydrogen atoms. Within a subject, the hydrogen molecules will be incorporated into molecules such as water, fat, or body tissues.
The method further comprises calibrating a second radio frequency coil with the computer system using the first set of magnetic resonance imaging data and a model. This step is particularly advantageous, because the lifetime of the hyperpolarized contrast agent is extremely small, it would not necessarily be practical to calibrate the second coil but instead it would be more practical to use a model in conjunction with the first set of magnetic resonance imaging data to construct the calibration. The model could be constructed in several different ways; it could be conducted empirically by correlating magnetic resonance imaging data from the first coil with measurements taken making the second radio frequency coil. The calibration could also be constructed using a radio frequency model of the subject and modeling what the likely response in a frequency range would be using information obtained about the subject using the first coil. The method further comprises administering the hyperpolarized vapor to the subject using the dispenser. The method further comprises acquiring a second set of magnetic resonance imaging data in the region of interest using the second coil. The method further comprises constructing a magnetic resonance imaging image from the second set of magnetic resonance imaging data using the computer system. It is understood herein that the computer system is not necessarily in the same physical location as the magnetic resonance imaging system. For instance a collection of computers could be attached to the magnetic resonance imaging system by a network connection.
In the following preferred embodiments of the invention will be described, by way of example only, and with reference to the drawings in which:
Like numbered elements in these figures are either identical elements or perform the same function. Elements which have been discussed previously will not necessarily be discussed in later figures if the function is identical.
There is also a computer system 120 shown. The computer system has a hardware interface 122 which is adapted for controlling the magnetic resonance imaging system. The hardware interface is connected to the dispenser 132, the magnetic field gradient coil power supply 112, and the radio frequency transceiver 108. The hardware interface is also connected to a microprocessor 126. The microprocessor has a computer program product 128 which contains machine executable instructions for controlling and operating the magnetic resonance imaging system. A component of the computer program product is model module 130. The model module is a module which is able to use magnetic resonance imaging data acquired using the first coil in order to calculate a calibration for the second coil 106. The computer system 120 is also shown with a user interface 124 where information can be displayed to a user or operator and where also instructions or commands can be received from an operator. As the dispenser would be located in a region of a magnetic field great enough to perform magnetic resonance imaging, the materials and components chosen would be non magnetic in order prevent them from being attracted by the B0 field.
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Number | Date | Country | Kind |
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09163862.7 | Jun 2009 | EP | regional |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB10/52864 | 6/23/2010 | WO | 00 | 12/13/2011 |