The following relates to the magnetic resonance arts. It finds particular application in interventional magnetic resonance imaging in which magnetic resonance imaging is used to monitor a biopsy or other interventional medical procedure, and will be described with particular reference thereto. However, it also finds application in magnetic resonance imaging generally.
In interventional medical procedures such as biopsies, thermal ablations, brachytherapy, and so forth, it is important to have precise knowledge of the position and orientation of the biopsy needle, catheter, or other interventional instrument as the interventional procedure progresses. In non-interventional procedures, position and orientation tracking can also be useful, for example as a tool for slice selection based on anatomical landmarks. In some approaches, a magnetic resonance imaging scanner is used to image the patient during the interventional medical procedure and another, non-magnetic resonance-based, technique is used to track the position and orientation of the interventional instrument. For example, Philips Optoguide™ employs a stereoscopic camera pair that monitors optical markers to determine the position and orientation of the interventional instrument. In this approach, the optical markers must remain within the line-of-sight of the monitoring cameras during the tracking. Moreover, the optical monitoring system must be spatially calibrated with respect to the magnetic resonance imaging.
Magnetic resonance imaging has also been used to simultaneously provide both images of the patient and information for tracking the interventional instrument. In some approaches, the magnetic resonance-based tracking takes advantage of susceptibility artifacts superimposed upon the magnetic resonance image by the tip of the interventional instrument. This approach has the disadvantage of disturbing the image of the region around the instrument tip, and also typically does not provide enough information to extract both spatial and angular information.
In other approaches, a dedicated fiducial assembly is provided in a fixed, known spatial relationship respective to the interventional instrument. In these approaches, the fiducial assembly includes at least three spatially separated magnetic fiducial markers, each producing a separate magnetic resonance signal. Three magnetic resonance receive channels independently acquire and process magnetic resonance from the three magnetic markers in parallel, which requires a threefold duplication of hardware. Moreover, the 1H proton magnetic resonance signal emanating from the patient can interfere with the magnetic resonance marking and tracking.
The present invention contemplates improved apparatuses and methods that overcome the aforementioned limitations and others.
According to one aspect, a magnetic resonance position and orientation marking system is disclosed. A fiducial assembly includes at least three fiducial markers each coupled with at least one magnetic resonance receive coil. At least one of the fiducial markers has at least one of: (i) marker nuclei selectively excitable over 1H fat and water resonance, and (ii) a plurality of magnetic resonance receive coils. At least two magnetic resonance receive channels receive magnetic resonance signals from the at least three fiducial markers responsive to excitation of magnetic resonance in said at least three fiducial markers by an associated magnetic resonance imaging scanner.
According to another aspect, a method is provided for determining position and orientation of a fiducial assembly including at least three fiducial markers. Magnetic resonance is excited in the at least three fiducial markers. Each fiducial marker is coupled with at least one magnetic resonance receive coil. At least one of the fiducial markers has at least one of: (i) marker nuclei selectively excitable over 1H fat and water resonance, and (ii) a plurality of magnetic resonance receive coils. Magnetic resonance signals are received from the excited at least three fiducial markers via at least two magnetic resonance receive channels.
One advantage resides in providing a robust magnetic resonance-based marking and tracking system of reduced cost and complexity.
Another advantage resides in providing magnetic resonance-based marking and tracking employing only two magnetic resonance receive channels.
Yet another advantage resides in providing a magnetic resonance-based marking and tracking system in which interference from 1H resonance emanating from the imaging subject is substantially reduced.
Still another advantage resides in providing robust and reliable resolution of marking and tracking ambiguities arising from fiducial marker overlaps, symmetric marker configurations, and the like.
Numerous additional advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments.
The invention may take form in various components and arrangements of components, and in various process operations and arrangements of process operations. The drawings are only for the purpose of illustrating preferred embodiments and are not to be construed as limiting the invention.
With reference to
In an interventional medical procedure, an interventional instrument 20, such as a biopsy needle, a catheter, pointer, or the like, is employed to perform a biopsy, a thermal ablation treatment, brachytherapy, slice selection, or so forth. The magnetic resonance imaging scanner 10 images the area of the procedure and the interventional instrument 20 during the interventional medical procedure to provide visual guidance to the surgeon or other medical therapist. In some interventional procedures, the interventional instrument is manipulated directly by the surgeon or other medical therapist. However, for delicate or sensitive procedures which call for high precision manipulation of the interventional instrument 20, a mechanical assembly 22 supports and manipulates the interventional instrument 20, or aids in the positioning of the interventional instrument 20, under the direction of the surgeon or other medical therapist. In the illustrated embodiment, the mechanical assembly 22 is mounted to the subject support 14; however, in other contemplated embodiments the arm may be supported or mounted on the scanner 10 or on another associated structure.
Regardless of how the interventional instrument 20 is manipulated, it is advantageous to provide automated marking and tracking of the instrument 20 during the interventional procedure. Toward this end, a fiducial assembly 30 is disposed on the interventional instrument 20 within the field of view of the magnetic resonance imaging scanner 10. The fiducial assembly 30 includes, in the illustrated embodiment, three fiducial markers 31, 32, 33 that produce magnetic resonance signals responsive to a radio frequency excitation generated by the magnetic resonance imaging scanner 10. Three markers is generally sufficient to determine the spatial position and orientation of the interventional instrument 20; however, additional markers can be included to provide redundancy and improved tracking robustness. In the illustrated embodiment, the three fiducial markers 31, 32, 33 are monitored by two radio frequency channel receivers 40, 42 that produce two quadrature magnetic resonance receive signals designated herein as “Ch0” and “Ch1”, respectively. These two magnetic resonance receive signals are processed by a position/orientation processor 44 to determine the position and orientation of the fiducial assembly 30, and thus the position and orientation of the interventional instrument 20 that is rigidly connected with the fiducial assembly 30. Alternatively, each fiducial marker 31, 32, 33 can be monitored by a separate magnetic receiver channel (that is, three receiver channels in all) and the three channels received and suitably processed to determine position and orientation.
In the illustrated embodiment, the two radio frequency channel receivers 40, 42 and the position/orientation processor 44 are mounted in an electronics rack 50, and a computer 52 with a display 54 and a graphical user interface 56 serves as a user interface for the surgeon or other medical therapist to receive position and orientation information pertaining to the interventional instrument 20. In the illustrated embodiment, the computer 52 also provides a user interface for control of the magnetic resonance imaging scanner 10 and for receiving images therefrom. It is to be appreciated that this hardware configuration is an illustrative example only, which those skilled in the art can readily modify. For example, the position/orientation processor 44 can be embodied by computational software executed by the computer 52, rather than as a separate electronics component. The two radio frequency channel receivers 40, 42 can similarly be integrated into the computer 52, for example as optional electronics cards with edge connectors that mate with the computer motherboard. In other example modifications, the computer for controlling the scanner 10 and for displaying images therefrom can be separate and distinct from the hardware used for marking and tracking the interventional instrument 20.
With continuing reference to
With reference to
With continuing reference to
With continuing reference to
The third fiducial marker 33 includes a coil 80 oriented in the same plane as the coil 70 of the first fiducial marker 31; however, the coil 80 has a coil normal 82 oriented opposite the coil normal 72 of the coil 70. That is, the coil 80 of the third fiducial marker 33 has the same spatial orientation as the coil 70 of the first fiducial marker 31, but is wound and connected with an opposite polarity. Similarly, the first fiducial marker 31 includes a second coil 84 oriented in the same plane as the coil 74 of the second fiducial marker 32; however, the coil 84 has a coil normal 86 oriented opposite the coil normal 76 of the coil 74. That is, the second coil 84 of the first fiducial marker 31 has the same spatial orientation as the coil 74 of the second fiducial marker 32, but is wound with an opposite polarity. As shown in
With reference to
With reference to
In some preferred embodiments in which the magnetic marker material 62 contains fluorine nuclei, the magnetic resonance channel receivers 40, 42 monitor the 19F fluorine magnetic resonance. The 19F magnetic resonance peak is about 6% lower in frequency than the 1H hydrogen magnetic resonance peak. Since the human patient or other imaging subject is generally imaged using the 1H resonance, the scanner 10 is typically tuned to the 1H magnetic resonance frequency. However, even when tuned to the 1H frequency, the radio frequency transmit components of the magnetic resonance scanner 10 may generate enough strength at the 19F resonance frequency to enable fluorine-based magnetic resonance marking. For example, in one commercial magnetic resonance imaging scanner, excitation at the 1H magnetic resonance frequency generates about 11% of the maximum (that is, 1H frequency) B, field at the 19F fluorine resonance frequency. This excitation strength at the 19F frequency is generally adequate to enable the coils 70, 74, 80, 84, which are closely placed relative to the magnetic marker material 62 contained in the vials 60, to detect the 19F magnetic resonances excited in the fiducial markers 31, 32, 33. In the illustrated embodiment, the receive chain of the example Panorama 0.23T scanner 10 is wideband beyond the pre-amplifier 90, and the mixer IF's are adjustable for detection and sampling purposes. Hence, the output of the preamplifier circuit 90 is advantageously processed using the same scanner receive chain as is used for proton imaging.
When using the 19F magnetic resonance, the diminished radio frequency transmit strength at the 19F frequency (as compared with the imaging 1H frequency) calls for using comparatively longer transmit pulses, such as 2.75 milliseconds for the excitation pulse 110 and 5.50 milliseconds for the 180° pulse 114. This results in a relatively long echo time (about 17 milliseconds for the illustrated embodiment) and a correspondingly narrowband excitation, which strongly confines the fiducial marker signals to the homogeneous volume of the magnet of the scanner 10.
The 19F resonance of the example fluorine-based marker material 62 has been found to work well at B0=0.23 Tesla. In some tracking sequences performed at 0.23 Tesla, the 19F fluorine resonance is selectively excited without substantial excitation of the 1H water and fat resonances of the patient, which facilitates distinguishing the marker resonances from imaging subject resonances. Moreover, the 19F resonances in the three fiducial markers 31, 32, 33 are excited in the same way and precess at the same phase, which facilitates distinguishing the markers based on phase differences produced by different coil winding directions.
The 19F resonance is an example; in other embodiments other nuclear magnetic resonances are employed in the fiducial markers. In some embodiments a marker material having a 1H resonance with a strong chemical shift of the resonance frequency is sufficient to enable selective excitation of resonance in the marker material without substantial excitation of the 1H fat and water resonances of the human body. For example, at B0=0.6 Tesla the same fluorine-containing magnetic marker material 62 (trifluoroacetic acid/water solution) suitably used for generating 19F resonance has also been found to provide a chemically shifted 1H magnetic resonance that is sufficiently chemically shifted in frequency to enable selective excitation of the chemically shifted 1H marker resonance without substantial excitation of the 1H fat/water resonances.
Hence, in some embodiments the example trifluoroacetic acid solution 62 is used as the marker material at both low fields (e.g., B0=0.23 Tesla) and high fields (e.g., B0=0.6 Tesla). For low fields, the 19F marker resonance is excited; at high fields, the chemically shifted 1H resonance is excited. The skilled artisan can select other marker materials that are suitably used at these or other magnetic fields. Moreover, in some contemplated embodiments, a 1H water or 1H fat marker resonance is excited along with the 1H patient resonance, and the close proximity of the marker coils to the marker material in the fiducial markers 31, 32, 33 provides sufficient selectivity to distinguish the marker signals from 1H patient resonance signals.
Although the peaks are labeled “#1”, “#2”, or “#3” in
Accordingly, the position/orientation processor 44 of
In a suitable processing method, the “Ch0” and “Ch1” spectra for each projection are stored in a complex floating point representation, and four projection directions are employed, each orthogonal to a different one of four faces of a tetrahedron. This selection of four projection directions advantageously creates an overdetermined system enabling self-consistency checks, detection of failures due to measurement errors, processing errors, or the like, and failure recovery for errors in a single projection direction.
Optionally, the acquired “Ch0” and “Ch1” spectra are apodized in the time domain, for example by setting the first and last 128 samples of a 512 sample projection data set to zero. Such apodization produces insubstantial loss of information as long as the peaks from the fiducial markers 31, 32, 33 in the projection spectra are at least several pixels wide. This optional apodization reduces the free induction decay tail of the 180° radio frequency pulse 114 (labeled in
With continuing reference to
bn=Re{fch0,n}·Im{fch1,n}−Re{fch1,n}·Im{fch0,n} (1),
where bn is the result of the pointwise multiplicative operation, and is shown in
The multiplicative spectrum bn is optionally processed to improve the data, for example by optional smoothing and/or Fourier interpolation. In one such optional approach, zero padding is applied symmetrically to the positive and negative frequencies of bn to produce a 5120 point data set, and a Fourier convolution smoothing is applied using a one-dimensional estimated projection shape of one of the fiducial markers in the frequency domain with appropriate zero padding. The result of such optional smoothing and interpolating is shown in
It will be appreciated that the “#1” peak in the “Ch0” spectrum due to the coil 70 and the “#1” peak in the “Ch1” spectrum due to the coil 84 should occur at the same frequency since they are spatially coincident at the first fiducial marker 31. If these peaks do not overlap due to a frequency miscalibration of one of the receiver channels 40, 42 or due to another problem in the tracking system, this will generally become apparent during processing because in that case the non-overlapping “#1” peaks of “Ch0” and “Ch1” will not multiply together to provide a “#1” peak in the bn spectrum. Thus, a data consistency check is provided. Moreover, in the example of
With reference to
It will be appreciated that rather than having the first fiducial marker 31 produce the positive peak in the bn spectrum, the coils 70, 74, 80, 84 could instead be wound such that the two coils 70, 84 of the first fiducial marker 31 produce a negative peak while the two coils 74, 80 of the second and third fiducial markers 32, 33, when spatially overlapping, produce a positive peak. This arrangement would allow identification of the first fiducial marker 31 as the negative peak of bn.
With the peak associated with the first fiducial marker 31 identified in the “Ch0” spectrum, the remaining peak in the “Ch0” spectrum is identified as being due to the coil 74 of the second fiducial marker 32. Similarly, with the peak associated with the first fiducial marker 31 identified in the “Ch1” spectrum, the remaining peak in the “Ch1” spectrum is identified as being due to the coil 80 of the third fiducial marker 33. One suitable method for identifying these “#2” and “#3” peaks unambiguously and with high precision (even when the “#1” peak partially or totally overlaps the “#2” or “#3” peak) employs least squares fitting in the time domain as follows.
With reference to
fshift=exp[i·(m−N/2)·π·ln,1] (2),
where i is the imaginary unit, N is the number of sample data points, and m indexes the sample data points in the time domain.
The time-shifted shape of
This process is illustrated in
Rather than removing the “#1” peak by subtraction, that peak could be accounted for in other ways. For example, a least squares fit of both the “#1” and “#2” peaks (for “Ch0”) could be performed simultaneously, allowing the position of the “#2” peak to be a fitted parameter. In this approach the “#1” peak is not removed, but is accounted for in the fitting process.
The locations “ln,k”, where “n” denotes the projection (having values n=1, 2, 3, 4 for the four directions in the example tetrahedral projection direction configuration) and “k” denotes the fiducial marker (having values k=1, 2, 3 for first, second, and third fiducial markers 31, 32, 33, respectively) are converted to a selected orthonormal basis (such as the coordinate system of the scanner 10, or an anatomical coordinate system associated with a human imaging subject) as follows. For each fiducial marker “k”, a location vector Ik=(ln)k is defined. For four projection directions (n=1, 2, 3, 4), each location vector Ik is a 4×1 vector, and there are three such vectors corresponding to the three fiducial markers 31, 32, 33 indexed k=1, 2, 3. To convert to the selected orthonormal basis, the overdetermined system Ack=Ik is solved for ck, where A is a 4×3 matrix containing the projection directions expressed in the desired orthonormal basis and ck is a 3×1 vector specifying the position of fiducial marker “k” in the desired orthonormal basis. This overdetermined system can be suitably solved by least squares fitting or another method. Optionally, information about the accuracy and precision of the previous processing can be incorporated into the least squares fitting by multiplying both sides of the equation Ack=Ik from the right with a diagonal weight matrix.
From the positions of fiducial markers given by ck where k=1, 2, 3 for fiducial markers 31, 32, 33, respectively, a rotation matrix can be constructed by defining, for example: a=c1c2; b=c1-c3; d=−a-b; e=a×b; and f=e×d. A fully qualified, orthonormal rotation matrix can be written as R={|e|, |f|, |d|}, where the vertical bars “|·|” denote normalization. By choosing the generally least noisy coordinate to represent the translation of the fiducial assembly 30, the augmented rotation matrix can be written as:
where for illustrative purposes the coordinate c1 is selected as the least noisy coordinate for representing the translation of the fiducial assembly 30.
The described approach advantageously enables tracking consistency checking. In one approach, the fitting residual of the equation Ack=Ik for each fiducial is examined for consistency. In another approach, the fiducial location vectors (known from calibration) of a non-rotated probe in the origin are multiplied with the calculated matrix T. Summing up distances between fiducial centers calculated this way and the ones from the coordinate transformation provides a consistency check for T that also takes into account the known shape and dimensions of the probe.
With reference to
Positional noise was investigated by selecting angle combinations, which produce differing signal-to-noise ratios for the derived channel b, representing peak “#1” of the first fiducial marker 31, and taking measurement runs with the fiducial assembly 30 kept stationary. The results showed a positional noise having a standard deviation of 0.17 millimeters (with all coils perpendicular to the static B0 magnetic field) to 0.35 millimeters (limit of algorithmic stability). These results comport with the angular noise figures, indicating that translational movement does not affect accuracy.
There is a limit to the tracking speed of the fiducial assembly 30. When one of the fiducial markers 31, 32, 33 moves in the direction of the applied gradient during echo time, phase errors result. Experiments have indicated that such phase errors are tolerable at least for speeds of up to about 40 millimeters/second. The fiducial assembly 30 should be located within the homogeneous volume of the scanner 10. For maximum accuracy, the coil normals 72, 76, 82, 86 should have angles larger than about 20° respective to the direction of the static B0 magnetic field. With brief reference back to
The invention has been described with reference to the preferred embodiments. Obviously, modifications and alterations will 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.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB05/52792 | 8/25/2005 | WO | 3/1/2007 |
Number | Date | Country | |
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60606258 | Sep 2004 | US |