Patent Application
20210153766
The disclosure describes a system for medical data acquisition, especially for medical image acquisition systems, as well as a method to control such system.
The acquisition of medical data is necessary for modern medicine. Besides “simple” acquisition like measuring temperature or blood pressure, there are more complex data measured with medical examination devices, which are often medical image acquisition devices like e.g. magnetic resonance imaging (“MRI”) devices or computer-tomography (“CT”) devices. Typically these devices are closed stand-alone devices which are an arrangement of units closely working together.
For example, a magnetic resonance imaging apparatus includes the actual magnetic resonance scanner in which a patient or test person is positioned on a driven bed. The magnetic resonance scanner is typically equipped with a basic field magnet system, a gradient system as well as an RF transmission antenna system and an RF reception antenna system. At least the basic field magnet system (and especially also the gradient system) typically comprises auxiliary units like cooling units, power units like power amplifiers and sensor units. Furthermore, the MRI apparatus has a central control device that is used to control the MRI apparatus. This central control device typically includes a sequence control unit for measurement sequence control, a radio-frequency transmission device that generates and amplifies RF pulses, a gradient system interface, a radio-frequency reception device and a reconstruction unit that receives the acquired raw data and reconstructs magnetic resonance image data therefrom for the measurements.
Up to now all MR scanners, but also all other medical examination devices are installed as independent, self-contained units. This is advantageous in the case only one device is used, e.g. in a private doctor's surgery. However, this is a financial and systematic (space, energy and infrastructure) disadvantage in the case a whole “fleet” of, especially similar, examination devices is used as in a hospital, since every single examination device is delivered with all of its components.
It is the object of the present disclosure to improve the known devices and methods to facilitate an improvement in medical data acquisition, especially in medical image acquisition.
A system according to the disclosure for medical data acquisition comprises two or more scanner units and a number of infrastructure units for the operation of the scanner units, wherein the system is designed such that it is able to use an infrastructure unit as a common infrastructure unit for the operation of at least two of the scanner units.
With “system” there is not meant a common apparatus for medical data acquisition, e.g. one single MRT-apparatus, but a plurality of such devices arranged in connection with another, e.g. as a “fleet” of devices. The disclosure is especially advantageous in the case there are individual scanner units of the same type, e.g. two or more MRT-devices or two or more CT-devices, since these could be run in a common network allowing a good distribution of resources. However, the scanner units may also be of different types. Although the disclosure is applicable for all possible data acquisition devices, it is very advantageous for image acquisition devices, since these devices are typically very complex and need a vast number of different (expensive) units to work properly.
According to the disclosure it is necessary that the system comprises two or more scanner units. As “scanner units” all units are meant that are able to examine (scan) a patient in order to acquire medical data. In the following scanner units are also designated simply as “scanners”. The disclosure is very advantageous for image-scanners, e.g. MRT-scanners or CT-scanners, since these devices need a vast number of different units to work properly, such as e.g. cooling units, auxiliary systems and power units. Regarding the system according to the disclosure, one can say that the scanners are bundled into one “multi-scanning facility”.
These different units are designated here and in the following as “infrastructure units”, since they provide the infrastructure for a scanner to scan properly. One could say that the infrastructure units deliver the “infrastructure medium” for the scanners. This infrastructure medium does not necessarily have to be a physical fluid, but can be also energy or a data stream. Some exemplary infrastructure units (with the according infrastructure medium in parentheses) are—auxiliary units, such as a cooling unit (cooling medium), a sensor unit (data stream, measurement voltage or measurement current) or a unit providing energy for auxiliary systems (energy),
In contrast to the state of the art, where every device has its own infrastructure units, the system according to the disclosure is designed such that it is able to use an infrastructure unit as a common infrastructure unit for the operation of at least two of the scanners. This means that it is not necessary in every possible case that a common infrastructure unit (the unit designed to drive two scanners at the same time) is hardwired to two or more scanners (although this also enclosed in the meaning of “able to use”), however it is necessary that the system can connect at least one single infrastructure unit to two or more scanners. Thus, the disclosure comprises systems where two or more scanners are hardwired to at least one infrastructure unit as well as systems comprising switches to connect an infrastructure unit with two or more scanners.
It should be noted that an “infrastructure unit” is an infrastructure unit typically included in a common medical examination device and not a power plant nor the power grid of a hospital nor the Ethernet of a hospital. One could preferably say that an infrastructure unit is a unit designed to directly be connected with a scanner. One could also say that an infrastructure unit is a unit designed to directly provide a scanner with a respective infrastructure medium.
It is preferred that the infrastructure medium of the common infrastructure device is no data stream, especially no data stream of acquired data, wherein it is not excluded that such data stream is running in addition to the infrastructure medium in the system. It is preferred that an infrastructure unit provides an infrastructure medium for operating a scanner. Particularly preferred common infrastructure units are units providing a cooling or heating medium and power units.
The disclosure is especially advantageous in the course of scanner setups where multiple scan volume instances are provided by design. Just as the BO field generating unit is capable of providing multiple scans simultaneously by sharing the same BO field, the other infrastructure needs can be shared across the scan places of the system.
A method according to the disclosure for controlling a system comprises the following steps:
For example, two scanners need cooling and power and the first scanner should run from 9 am to 10:30 am and the second scanner should run from 10 am to 11 am. Then the combined operation schedule could easily schedule the cooling and power for 9 to 11 with a cooling/power connection for both scanners at the scheduled operation times. In the case, the cooling is sufficient for the two scanners, but the technical properties of the power unit are not sufficient to drive both scanners at the same time (wherein a sufficient power output for at least two scanners is actually preferred), then the combined operation schedule could either shift the operation time for the second scanner from 10:30 to 11:30 or each scanner can use its own power unit or at the time from 10 to 10:30 another power unit is aiding the (first) power unit.
A (managed) performance scheduling device according to the disclosure for a system according to the disclosure, is designed to perform a method according to the disclosure.
It preferably comprises the following components:
Some units or modules of the system or the performance scheduling device mentioned above can be completely or partially realized as software modules running on a processor of a system or a performance scheduling device. A realization largely in the form of software modules can have the advantage that applications already installed on an existing system can be updated, with relatively little effort, to install and run these units of the present application. The object of the disclosure is also achieved by a computer program product with a computer program that is directly loadable into the memory of a device of a system or a performance scheduling device (e.g. of a magnetic resonance imaging apparatus), and which comprises program units to perform the steps of the inventive method when the program is executed by the performance scheduling device or the system. In addition to the computer program, such a computer program product can also comprise further parts such as documentation and/or additional components, also hardware components such as a hardware key (dongle etc.) to facilitate access to the software.
A computer readable medium such as a memory stick, a hard-disk or other transportable or permanently-installed carrier can serve to transport and/or to store the executable parts of the computer program product so that these can be read from a processor unit of a performance scheduling device or a system. A processor unit can comprise one or more microprocessors or their equivalents.
Features of different claim categories may be combined as appropriate to give further aspects not described herein.
According to a preferred system, an infrastructure unit is a unit selected form the group comprising
For example for several MRI scanners, there is especially a common RF- and gradient amplifier power supply and/or a shared cooling water system and/or a shared He-refrigerator and/or a common scan control bus and/or a user interface that can be shared across multiple scan places.
According to a preferred system, the common infrastructure unit is a computing unit designed as a cloud system, especially wherein the cloud system provides capacity for image reconstruction and/or analysis or provides control information for at least two scanner units. Especially preferred is a local cloud setup where the required performance can be allocated on demand.
In a preferred system according to the disclosure, components of the system are part of a data-network, wherein preferably the data-network and scanners (e.g. the magnetic resonance imaging scanners or CT scanners) are in data-communication with each other, wherein the data-network preferably comprises parts of the internet and/or a cloud-based computing system, wherein preferably the system according to the disclosure or a number of components of this system is realized in or controlled by this cloud-based computing system. For example, components of the system, such as a control device or a data reconstruction unit, could be part of a data-network, wherein preferably the data-network and a scanner that is controlled or which provides the image data are in communication with each other. Such a networked solution could be implemented via an internet platform and/or in a cloud-based computing system.
The method may also include elements of “cloud computing”. In the technical field of “cloud computing”, an IT infrastructure is provided over a data-network, e.g. a storage space or processing power and/or application software. The communication between the user and the “cloud” is achieved by means of data interfaces and/or data transmission protocols.
In the context of “cloud computing”, in a preferred aspect of the method according to the disclosure, provision of data via a data channel (for example a data-network) to a “cloud” takes place. This “cloud” includes a (remote) computing system, e.g. a computer cluster that typically does not include the user's local machine. This cloud can be made available in particular by the medical facility, which also provides the medical imaging systems. In particular, the image acquisition data is sent to a (remote) computer system (the “cloud”) via a RIS (Radiology Information System) or a PACS (Picture Archiving and Communication System).
Within the scope of a preferred aspect of the system according to the disclosure, the abovementioned units (e.g. the control device, the reconstruction unit, the performance scheduling device) Are present on the “cloud” side. A preferred system further comprises, a local computing unit connected to the system via a data channel (e.g. a data-network, particularly configured as RIS or PACS). The local computing unit includes at least one data receiving interface to receive data. Moreover, it is preferred if the local computer additionally has a transmission interface in order to send data to the system.
A preferred system comprises interlinkage means, preferably power conductors, pipes or data lines, connecting a common infrastructure unit with the scanner units in order to provide the infrastructure medium. A possible infrastructure medium could be energy, cooling medium or data depending on the respective infrastructure unit. Preferably, the system comprises a switch unit designed to connect and disconnect a number of scanner units to/from the common infrastructure unit by connecting or disconnecting interlinkage means. A suitable switch unit could be a controllable electrical switch for power or a controllable valve for a cooling medium. It could also be a router for data.
A preferred system comprises a scheduling unit designed for managing a dynamic connection of the scanner units to a common infrastructure unit in dependence of the maximum and/or optimum performance of said common infrastructure unit. For example, in the case two scanners demand peak performance simultaneously, the temporal alignment may be adopted in an intelligent way in order to avoid high overall peak demands. For example, each measurement may specify the tolerance in the timing for the requested resource, i.e. if in one scan place the RF pulses can be played out interleaved with the RF pulses in another scan place, they can basically share the RF power amplifier.
The temporal alignment may be performed at various timescales. For example, complete scan protocols could be played out in an interleaved manner, because between the scan protocols there may be time needed for breathing commands, playing out adjustments or calibration scans etc., so the interleaving may happen on a seconds timescale. As the atomic elements of MR sequences are played out on a micro-seconds raster, the adaptations may also happen on this timescale, e.g. a gradient pulse is delayed by 100 us in order not start after a gradient pulse is finished in a different unit.
The RF signals could be divided to the scanners via above mentioned switch unit. Preferably, the common infrastructure unit is designed such that it is able to provide a predefined maximum capacity of the respective infrastructure medium (energy, cooling medium, data) required by at least two scanner units.
According to a preferred system, it is designed such that two or more common infrastructure units can be connected to and disconnected from the same scanner units independently,
Preferably wherein the system is designed such that a new or additional common infrastructure unit can be additionally connected with scanner units, wherein preferably a common infrastructure unit connected to the scanner units can be disconnected afterwards. This concept enables a continuous renewal of the infrastructure units without any downtimes. For example, first a new unit is added and then the old unit is disconnected.
According to a preferred method, in order to determine the combined operation schedule, the system is initially provided (in a first iteration, in course of the installation) with a proportional scale of infrastructure units to the number of scanner units and then after a time period, the number of infrastructure units in respect to an infrastructure medium is reduced subsequently if the maximum need of the respective infrastructure medium during the time period is covered by a smaller number of respective infrastructure units. Thus, the system can be equipped with a maximum expected resources overshoot and then determined, if infrastructure units can be withdrawn.
Assuming an asynchronous demand for resources, the overall system performance may need to cover a peak demand where the effect of averaging out peak demands is subsequently used to reduce the overall resource requirements. After an analyzing phase the resources may be reduced with this preferred method to a level covering all or a defined cut-off of the observed peak demand.
According to a preferred method, the combined operation schedule is determined based on smart multiplexing and/or interleaving of the usage of infrastructure units for the scanner units. Preferably it is determined, based on the operation schedule of the scanner units, whether the combined performance of the scanner units exceeds the technical properties of the common infrastructure unit at a certain period of time, and in the case of a determined exceedance one of the at least two scanner units are disconnected from the common infrastructure unit and/or another infrastructure unit for the respective infrastructure medium is connected to the scanner units.
Thus, the schedule of combined operation is preferably designed such that the temporal alignment of common infrastructure units and scanners is adopted in an intelligent way in order to avoid high overall peak demands. For example, each measurement may specify the tolerance in the timing for the requested infrastructure medium, e.g. if in one scan place the RF pulses can be played out interleaved with the RF pulses in another scan place, they can basically share the RF power amplifier.
According to a preferred method, the scanner units are driven in a synchronized measurement procedure by a number of common infrastructure units, preferably wherein measurement protocols are scheduled that are similar in regard to the respective infrastructure medium or the time course of the change of the infrastructure medium.
According to a preferred method, the schedule for the operation of at least two scanner units corresponds to a time period longer than a day, especially longer than a month and the determining a schedule of combined operation comprises information about time intervals where the need of the at least two scanner units of the infrastructure medium would exceed the maximum performance of the used common infrastructure unit, wherein a notification for a user is sent or displayed. The notification informs the user that an installation of additional or more powerful respective infrastructure unit will be needed at these time intervals. However, the more intelligence is implemented in the resource scheduling, the less resources are needed overall. Thus, the peak performance can be determined and a suitable number of infrastructure units can be ordered and installed to increase the performance of the system.
According to a preferred method, the system comprises an additional infrastructure unit in addition to the common infrastructure unit that is similar on behalf of the infrastructure medium, wherein the additional infrastructure unit is connected or designed to be connected to an additional scanner unit of the system. Thus, the relative usage of performance can be allocated asymmetrically, i.e. if for some reason there is a need to use one system with higher performance than the other within a cluster of scan places using the same infrastructure. The distribution of resources can be implemented based on priorities, workflows (i.e. allow for more gradient performance in a diffusion scan etc.).
Other objects and features of the present disclosure will become apparent from the following detailed descriptions considered in conjunction with the accompanying drawings. It is to be understood, however, that the drawings are designed solely for the purposes of illustration and not as a definition of the limits of the disclosure.
In the diagrams, like numbers refer to like objects throughout. Objects in the diagrams are not necessarily drawn to scale.
The magnetic resonance scanner 2 is typically equipped with a basic field magnet system 4, a gradient system 6 as well as an RF transmission antenna system 5 and an RF reception antenna system 7. In the shown exemplary aspect, the RF transmission antenna system 5 is a whole-body coil permanently installed in the magnetic resonance scanner 2, in contrast to which the RF reception antenna system 7 is formed as local coils (symbolized here by only a single local coil) to be arranged on the patient or test subject. In principle, however, the whole-body coil can also be used as an RF reception antenna system, and the local coils can respectively be switched into different operating modes.
The basic field magnet system 4 is designed in a typical manner so that it generates a basic magnetic field in the longitudinal direction of the patient, i.e. along the longitudinal axis of the magnetic resonance scanner 2 that proceeds in the z-direction. The gradient system 6 typically includes individually controllable gradient coils in order to be able to switch (activate) gradients in the x-direction, y-direction or z-direction independently of one another.
The MRI apparatus 1 shown here is a whole-body apparatus with a patient tunnel into which a patient can be completely introduced. However, in principle the disclosure can also be used at other MRI apparatuses, for example with a laterally open, C-shaped housing, as well as in smaller magnetic resonance scanners in which only one body part can be positioned.
Furthermore, the MRI apparatus 1 has a central control device 13 that is used to control the MRI apparatus 1. This central control device 13 includes a sequence control unit 14 for measurement sequence control. With this sequence control unit 14, the series of radio-frequency pulses (RF pulses) and gradient pulses can be controlled depending on a selected pulse sequence.
To output the individual RF pulses of a pulse sequence, the central control device 13 has a radio-frequency transmission device 15 that generates and amplifies the RF pulses and feeds them into the RF transmission antenna system 5 via a suitable interface (not shown in detail). To control the gradient coils of the gradient system 6, the control device 13 has a gradient system interface 16. The sequence control unit 14 communicates in a suitable manner with the radio-frequency transmission device 15 and the gradient system interface 16 to emit the pulse sequence.
Moreover, the control device 13 has a radio-frequency reception device 17 (likewise communicating with the sequence control unit 14 in a suitable manner) in order to acquire magnetic resonance signals (i.e. raw data) for the individual measurements, which magnetic resonance signals are received in a coordinated manner from the RF reception antenna system 7 within the scope of the pulse sequence.
A reconstruction unit 18 receives the acquired raw data and reconstructs magnetic resonance image data therefrom for the measurements. This reconstruction is typically performed on the basis of parameters that may be specified in the respective measurement or control protocol. For example, the image data can then be stored in a memory 19.
Operation of the central control device 13 can take place via a terminal 10 with an input unit and a display unit 9, via which the entire MRI apparatus 1 can thus also be operated by an operator. MR images can also be displayed at the display unit 9, and measurements can be planned and started by means of the input unit (possibly in combination with the display unit 9), and in particular suitable control protocols can be selected (and possibly modified) with suitable series of pulse sequence PS as explained above.
The MRI apparatus 1 according to the disclosure, and in particular the control device 13, can have a number of additional components that are not shown in detail but are typically present at such apparatuses, for example a network interface in order to connect the entire apparatus with a network and be able to exchange raw data and/or image data or, respectively, parameter maps, but also additional data (for example patient-relevant data or control protocols).
All systems, devices and units described here that have a function in the MRT-apparatus (and are not the scanner) may be regarded as infrastructure units. Thus, infrastructure units are here the central control device 13, the sequence control unit 14, the radio-frequency transmission device 15, the gradient system interface 16, the radio-frequency reception device 17, the reconstruction unit 18 and the memory 19. Additional infrastructure units (not shown here) are power units, cooling units, sensor units and units driving auxiliary systems.
In contrast to the performance scheduling device 13a that is in this example hardwired to the three scanner units 2 via interlinkage means 21 (here data lines and/or power lines), the power unit is not hardwired to the magnets of the scanners. The interlinkage means 21 (power lines) from the scanners 2 are able to be connected to the power unit 20 via a switch unit 22 designed to connect and disconnect a number of scanners to/from the common infrastructure unit by connecting or disconnecting interlinkage means. In the shown example, the upper scanner 2 is connected with the power unit, while the right scanner 2 is disconnected. However, the switch unit 22 can connect the right scanner 2 (or disconnect the upper scanner 2) when a common operation schedule dictates that. For this reason the switch unit has a data connection to the performance scheduling device 13a for control.
In this example, the upper scanner 2 is designed as superconducting scanner 2, having its own cooling device 24 as (individual) infrastructure unit.
In step I, operation schedules SO for the three scanners 2 are determined (e.g. from data stored in the memory 19) or provided (e.g. from a user). This operation schedules SO are the three schedules for the operation of each of the three scanners 2 and provide information when which examination procedures are applied in the next (or at least a following) time period.
In step II, a combined operation schedule SC is determined from the operation schedules SO of the three scanners 2. the combined operation schedule SC is e.g. determined in that it is first determined based on the operation schedules SO of the scanners when the scanners are used at the same time and, whether the combined performance of the scanners exceeds the technical properties of a respective common infrastructure unit at a certain period of time. Then the combined operation schedule SC can be arranged such that during combined performance two or all three scanners are driven by one single infrastructure unit, e.g. a power unit for the basic magnetic field and/or a cooling unit or even a gradient unit during a synchronized measuring procedure of the scanners.
In a time period when the combined performance of the scanners exceeds the technical properties of a respective common infrastructure unit, one or two scanners are de-coupled from the respective infrastructure unit and coupled to another infrastructure unit. It is also possible that another common infrastructure unit is added to aid the first common infrastructure unit. Although peak performance could result in the costs for an additional infrastructure unit, these costs are not necessary in any case. The combined operation schedule can also shift the schedule of a scanner to times where the load is low so that no peaks occur that exceed the technical properties of a respective common infrastructure unit.
To achieve this, the need of a system for a specific infrastructure medium could be estimated with an iterative procedure. In a first time period, the system is provided with a proportional scale of infrastructure units to the number of scanners. Thus, in the first time period every scanner has its own infrastructure units. In the first time period, the maximum need of the infrastructure media is determined.
Then, after the first time period, the number of infrastructure units in respect to an infrastructure medium is reduced subsequently until the maximum need of the respective infrastructure medium is just assured. Thus, the supply of the respective infrastructure medium is covered by a smaller number of respective infrastructure units than in the first time period (at least depending from the maximum need).
In step III, the three scanners are driven combined with the common infrastructure unit at least temporally, according to the determined combined operation schedule SO. Regarding infrastructure units that have a direct effect on the measurement (e.g. gradient power supply in contrast to cooling), the scanners could be driven in a synchronized measurement procedure by a number of common infrastructure units, preferably wherein measurement protocols are scheduled that are similar in regard to the respective infrastructure medium or the time course of the change of the infrastructure medium.
Although the present disclosure has been disclosed in the form of preferred aspects and variations thereon, it will be understood that numerous additional modifications and variations could be made thereto without departing from the scope of the disclosure. For the sake of clarity, it is to be understood that the use of “a” or “an” throughout this application does not exclude a plurality, and “comprising” does not exclude other steps or elements. The mention of a “unit” or a “device” does not preclude the use of more than one unit or device.
| Number | Date | Country | Kind |
|---|---|---|---|
| 19211886.7 | Nov 2019 | EP | regional |
