Parallel Excitation of Nuclear Spins With Local SAR Control

Information

  • Patent Application
  • 20120197106
  • Publication Number
    20120197106
  • Date Filed
    August 19, 2010
    14 years ago
  • Date Published
    August 02, 2012
    12 years ago
Abstract
A method of exciting nuclear spins in a sample, wherein a plurality of transmit coils are driven in parallel to emit respective radio-frequency excitation pulses, the method comprising computing the phases and/or amplitudes of said excitation pulses by solving an optimization problem for minimizing the difference between the excitation distribution within said sample and a target excitation distribution, and being characterized in that: said optimization problem includes a cost function depending on the power emitted by said transmit coils through respective coil-dependent weighting coefficients; and in that the phases and/or amplitudes of the excitation pulses are computed iteratively, each iteration step comprising: solving said optimization problem based on present values of the weighting coefficient, and subsequently updating the value of at least one of said coefficients so as to control in a predetermined way the local specific absorption rate—SAR—distribution within the sample. The method of the invention allows, in particular, reducing the local SAR maximum value within the sample and/or ensuring that the local SAR takes its maximum value within a predetermined region of the sample.
Description

The invention relates to a method of exciting nuclear spins in a sample, in particular a human or animal body or a part thereof such as a human head, and to the application of such a method to magnetic nuclear resonance imaging (MRI).


The invention applies to MRI systems using parallel transmission and is particularly aimed at reducing, or otherwise control, the local specific absorption rate (SAR) of the sample.


Specific absorption rate (SAR) is defined as the power absorbed per unit mass of tissue by a body exposed to a radio frequency (RF) electromagnetic field. For safety reasons, both global (averaged over the whole exposed body) and local (averaged over a small mass of tissue, typically 1 g or 10 g) SAR limits are enforced.


The problem of high local SAR plays a particularly important role in high-magnetic field MRI. High magnetic field (B0) MRI yields an improved signal to noise ratio, and therefore a better image quality. The spin resonance frequency, or Larmor frequency is proportional to the external field strength; as a result, high field strength MRI requires high-frequency RF (B1+) fields to excite the nuclear spins. Due to the dielectric properties of the human or animal body, the wavelengths inside the body are reduced considerably compared to vacuum; as a consequence a complex pattern of wave interferences occurs inside the sample so that a highly inhomogeneous magnetic and electric field distribution can emerge. At a magnetic field strength of the order of 3T (for body MRI) or 7T (for head MRI) this can lead to the appearance of “hot spots” with high local SAR.


For known probe geometries with fixed amplitude and phase relations between coil elements, the SAR distribution in the body can be computed as a function of the local conductivity of the sample (σ({right arrow over (r)}), expressed in S/m), its local mass density (ρ({right arrow over (r)}), expressed in g/m3), the duration of the pulse (L, in s) and the local electric field strength ({right arrow over (E)}({right arrow over (r)},t) in V/m):










SAR
(

r
->

)

=



σ


(
r
)



2


ρ


(
r
)






1
L





0
L








E
->



(


r
->

,
t

)




2




t








(
1
)







Based on computer simulations, a safety factor can then be determined to guaranty patient safety. More precisely, current clinical MRI scanners are provided with a SAR monitor consisting of a device that measures the power transmitted to the transmit coil(s). Based on simulations performed by the manufacturer, a formula is derived to calculate if the maximum allowed power, based on the patients weight and length. In a normal scanner this approach allows sufficient power for clinical MRI applications.


Wave interferences inside the sample also lead to an inhomogeneous excitation fields (B1+), and therefore to an inhomogeneous excitation profile within the sample, resulting in inhomogeneous tissue contrast and signal intensity. As many MRI applications need homogeneous B1+ fields to yield high quality images, several methods have been proposed to achieve homogenous excitation profiles at high field strengths, including alternative coil designs [4, 5], shaped pulses [6, 7] and parallel transmission [8].


Parallel transmission is a particularly promising method to produce homogeneous excitations profiles at high field strengths [9-11] due to the increased number of degrees of freedom. This technique is based on the use of a plurality of transmit coils which are driven in parallel, independently from each other, to emit respective radio-frequency excitation pulses. The possibility to control phase and amplitude of each coil element, allows excitation pulses of short duration with good homogeneity at high fields [10-12]. But these additional degrees of freedom also make the problem of controlling the local SAR values much more complex. Indeed, in the case of parallel excitation, an almost infinite number of different pulse schemes can be implemented, each resulting in a different field distribution; as a consequence, merely monitoring the RF power transmitted by each coil is no longer sufficient, and the SAR distribution has to be computed, for each pulse scheme of interest, by applying equation (1) above, where the electric field {right arrow over (E)}({right arrow over (r)},t) is given by the complex sum of the scaled (an(t)) electric fields for each coil ({right arrow over (E)}n({right arrow over (r)},t))—linearity being generally admitted:











E




(


r
->

,
t

)


=



n





a
n



(
t
)






E


n



(


r
->

,
t

)








(
2
)







In turn, the individual coil electric field contributions {right arrow over (E)}n({right arrow over (r)},t) are provided by numerical simulations in the presence of a numerical model of the sample (i.e. a human head).


Detailed analysis shows that, using parallel transmission at 7 Tesla, the worst-case scenario engenders the formation of an area with very high SAR (hot spot) [14]. It has also been shown that for tailor made excitation pulses the local SAR can be relatively large [13].


Several methods have been proposed in the last few years to reduce the SAR during parallel transmission.


Zelinski [20] showed that, if the electric field distribution is known, global SAR minimization can be encompassed in the design procedure of the excitation pulse. It has also been shown that different minimization algorithms can converge to pulses with different SAR distributions [21]. More recently, temporal averaging was proposed as a method to reduce the local SAR [22, 23]: alternating between pulses in an MRI sequence, with different SAR distributions, out of a set of excitation pulses that share the desired excitation characteristics, i.e. spin flip angle and phase, the time average maximum local SAR can be reduced. It was suggested that pulses suitable for this purpose could be found by adding a limited number of control points during pulse design [24], i.e. by imposing a quadratic SAR constraint at these particular points. It was also shown that different k-space trajectories could produce different SAR distributions [25]. However, no method has been disclosed so far describing the design of pulses with different local SAR distributions and demonstrating comparable excitation properties within the set of RF pulses.


More generally, no known method exists for designing parallel transmission excitation schemes allowing control of the local SAR distribution within the sample. The invention aims at providing such a method.


According to claim 1, an object of the present invention is a method of exciting nuclear spins in a sample, wherein a plurality of transmit coils are driven in parallel to emit respective radio-frequency excitation pulses, the method comprising computing the phases and/or amplitudes of said excitation pulses by solving an optimization problem for minimizing the difference between the excitation distribution within said sample and a target excitation distribution. The method of the invention is characterized in that:

    • said optimization problem includes a cost function depending on the power emitted by said transmit coils through respective coil-dependent (and possibly time-dependent) weighting coefficients; and in that
    • the phases and/or amplitudes of the excitation pulses are computed iteratively, each iteration step comprising: solving said optimization problem based on present values of the weighting coefficient, and subsequently updating the value of at least one of said coefficients so as to control in a predetermined way the local specific absorption rate—SAR—distribution within the sample.


The fact that excitation pulses constitute the solution of a suitable optimization problem ensures a satisfactory homogeneity of the sample excitation; the cost function allows control of the local SAR distribution.


“Control” of the local SAR distribution can comprise minimizing the local SAR maximum value within the sample. Alternatively or additionally it can comprise ensuring that the local SAR takes its maximum value within a predetermined region of the sample, which in turn allows temporal averaging.


Particular embodiments of the method of the invention constitute the object of depending claims 1-15.


According to claim 16, a further object of the present invention is a method of performing nuclear magnetic resonance imaging of a sample comprising:

    • determining a k-space trajectory for sampling the volume of said sample; and
    • exciting nuclear spins in said sample by a method according to the invention, the optimization problem being solved for said k-space trajectory.


Advantageously, the sample can be a human or animal body, or a part thereof such as a human head.





Additional features and advantages of the present invention will become apparent from the subsequent description, taken in conjunction with the accompanying drawings, which show:



FIG. 1, a multi-coil MRI probe, suitable for carrying out the invention, used to image a human head;



FIG. 2, a flow-chart of a pulse design method according to the invention;



FIG. 3, four different k-space trajectories of the “spoke” type, suitable for carrying out the invention;



FIG. 4, SAR maps illustrating the reduction of the local SAR maximum value obtained by a first embodiment of the invention;



FIG. 5, SAR maps illustrating the control of the local SAR maximum position obtained by a second embodiment of the invention; and



FIG. 6, the plots of the RF amplitudes of the excitation pulses of the embodiment of FIG. 5.





The invention will be described on the basis of a specific example, wherein a human head (FIG. 1, H) is imaged in vivo using a MRI probe P constituted by eight stripline magnetic dipoles (individual transmit-receive coils) C1-C8 distributed in 40-degrees increments on a cylindrical surface of 27.6 cm diameter leaving an open space in front of the eyes of the patient (see FIG. 1). Finite element simulations ([28]) provides the B1+ maps of the individual coils of probe P, i.e. the maps of the RF excitation field emitted by each of the magnetic dipoles C1-C8. As known in the prior art, B1+ maps can also be measured using special pulse sequences [26, 27].


Imaging is performed in the k-space using spokes trajectories, a method that has been demonstrated in vivo to produce homogeneous flip angles for slice selective excitation [10, 11, 25].


The RF pulses to be transmitted by each individual coil can be designed, for a given k-space trajectory, using the spatial domain method described by document [1]. The small-tip-angle approximation allows the transverse plane magnetization m({right arrow over (r)}), indicative of sample excitation, to be approximated by the Fourier integral of an excitation k-space trajectory ({right arrow over (k)})(t)=[kx(t),ky(t),kz(t)]) weighted by a complex RF pulse (b(t)) and spatially weighted by the coil's complex transmit sensitivity (B1+({right arrow over (r)})).






m({right arrow over (r)})=iγm0B1+({right arrow over (r)})∫0Tb(t)eiγΔB0({right arrow over (r)})(t−T)ei{right arrow over (r)}·{right arrow over (k)}(t)dt  (3)


where γ is the gyromagnetic ratio, m0 is the equilibrium magnetization magnitude, T is the pulse length, and eiγΔB0({right arrow over (r)})(t−T) represents the phase acquired due to main field inhomogeneity ΔB0({right arrow over (r)}). The k-space trajectory {right arrow over (k)}(t) is described by the time-reversed integration over a predefined set of gradient (Gi(u)) waveforms to be played during excitation i.e. for example for its x component kx(t)=−γ∫TGx(u) du.


Exploiting linearity, in the small-tip-angle regime, Equation 3 can be generalized (Equation 4) by summation over the coil elements available for parallel transmission:










m


(

r
->

)


=

γ






m
0





n
N





B

1
,
n

+



(

r
->

)






0
T





b
n



(
t
)






γΔ







B
0

(

r
->

)



(

t
-
T

)











r
->

·


k
->



(
t
)








t










(
4
)







where N represents the total number of coils, B1,n+({right arrow over (r)}) represents the complex transmit sensitivity map of, and bn(t) RF waveform played on, coil number n. Discretizing space and time, with Ns and Nt samples respectively, and writing the transverse magnetization {right arrow over (m)} as a column vector, equation 4 can be approximated by:










m


=



[



D
1


A

,





,


D
N


A


]



[




b
1











b
N




]


=


A
tot



b
tot







(
5
)







where Dn=diag{B1,n+({right arrow over (r)})} is a diagonal matrix containing samples of the sensitivity map for each of the N coil elements, and the elements ai,j of matrix A are defined ai,j=iγm0B1+({right arrow over (r)})ΔteiγΔB0({right arrow over (ri)})(tj−T)ei{right arrow over (ri)}·{right arrow over (k)}(tj).


One wants to find a set of N RF waveforms bn(t) leading to a (discretized) magnetization profile which is as close as possible to a target profile {right arrow over (d)}. This is an inverse problem, and more precisely an optimization problem. According to the prior art, a single scalar Tikhonov parameter (λ) is introduced [1] in order to ensure that this optimization problem is well-conditioned. Effectively, the Tikhonov parameter introduces a cost function proportional to the integrated RF power, thereby suppressing solutions with large RF amplitudes. Accordingly, the optimization problem used for pulse design can be written:










min

b
tot




{





d
-


A
tot



b
tot





2
2

+

λ





b
tot



2
2



}





(
6
)







where ∥•∥2 designates the ubiquitous L2 norm, i.e. the square root of the sum of squares of the elements.


The present inventors have discovered that using several independent Tikhonov parameters, associated to respective individual transmit coils—or to respective subsets of said coils—allow the control of the local SAR distribution in parallel excitation MRI. In the past, use of more than one Tikhonov parameter was considered of purely theoretical interest, and for practical pulse design a single parameter was generally used (see document [1]).


According to the invention—or, more precisely, a particular embodiment thereof—the optimization problem used for pulse design becomes:










min

b
tot




{





d
-


A
tot



b
tot





2
2

+





λ
M



b
tot




2
2


}





(
7
)







where λM=diag{√{square root over (λ1)}, . . . , √{square root over (λ1)}, √{square root over (λ2)}, . . . , √{square root over (λ2)}, . . . , √{square root over (λN)}}, where N is the number of coils (eight, in the specific embodiment considered here). The diagonal of the λM matrix contains N times Nt elements, where Nt is as above the number of time points defining the waveform to be played on each coil.


In a generalization of the method, the weighting factor can also vary over time, e.g. by taking Nt different values during each group of pulses. In this case, equation (7) is changed by replacing λi (i=1−N) by λi,1−λi,N1 and becomes





λM=diag{,√{square root over (λ1,1)}, . . . ,√{square root over (λ1,N)},√{square root over (λ2,1)}, . . . ,√{square root over (λ2,N)}, . . . ,√{square root over (λN,N)}}diag{√{square root over (λ1)}, . . . ,√{square root over (λN×N1)}}(7bis)


According to the invention, coil-dependent Tikhonov parameters are set by means of iterative optimization. First, an excitation RF pulse is designed based on a set of identical Tikhonov parameters. Subsequently, the 10-gram average local SAR-maps is calculated using the returned RF pulse, the previously mentioned E field maps and the anatomical model of the head, providing σ(r) and ρ(r) as required by Equation 1. The 10-gram average is a quantity specified by the governmental institutions and it is equal to the SAR averaged over 10-gram of biological tissue (alternatively, the 1-gram average, or any other average, could also be used). Each iteration of the design algorithm consists in an update of at least one Tikhonov parameter, introduced according to a predetermined criterion, as it will be discussed later. Depending on the application, the procedure can then be stopped if desired local SAR criteria have been satisfied, a maximum number of iterations is reached, or the maximum local SAR drops below a given threshold. A flow-chart of the procedure is illustrated in FIG. 2.


The method of the invention can be used to reduce the local SAR maximum value within the sample. To achieve such a goal, coil-dependent Tikhonov parameters are updated by increasing the weight of the coil(s) which is (are) considered as contributing the most to said SAR maximum, therefore introducing a higher penalty on the RF power emitted by said coil(s). For example, at each iteration, the Tikhonov parameter of the coil element which is closest to the spatial location of the 10-gram maximum local SAR value can be incremented by a predetermined amount, which can be constant or function of said maximum local SAR value. It is also possible to increment the Tikhonov parameters of more than one coil, the increment value depending on the distance between the spatial location of the maximum local SAR value and each coil. Alternatively, the Tikhonov parameter of the coil transmitting the highest RF power, or of all the coils whose RF power exceeds a predetermined standard, can be increased.


Alternatively, the method of the invention can be used to ensure that the local SAR takes its maximum value within a predetermined region of the sample. This can be obtained by incrementing the Tikhonov coefficient of the transmit coil which is closest to the local SAR maximum within the sample, excluding a predetermined region thereof: this way, after a few iterations, the “true” local SAR maximum will almost certainly be located within said predetermined region. Alternatively, a similar result can be obtained by incrementing the Tikhonov coefficient of the coil transmitting the highest RF-power, but excluding the coil (or a set of coils) which is (are) nearest to said predetermined region of the sample. Controlling the location of the local SAR maximum is useful as it allows moving the “hot spots” within the sample, providing temporal averaging of the local SAR.


Other control strategies of the local SAR distribution can be implemented, depending on the specific aim to be reached.


Some embodiments of the invention require the determination of the local SAR spatial distribution. This can be obtained by numerical simulations based on equation 2 (see [18, 19]), or by direct (references [2], [15-17]) or indirect (temperature, see reference [31]) measurements. Other embodiments only require the knowledge of the power emitted by each individual coil; this information is provided by conventional “SAR monitors”. The invention has been described on the basis of conventional spatial domain optimization. However, this limitation is not essential: other design strategies exist, operating e.g. in the k-space [8]. All the design strategies which lead to an optimization problem can be modified according to the present invention. For example, document [29] describes a modified spatial domain method, wherein the phase of transverse magnetization m({right arrow over (r)}) is neglected.


In the description above, small flip angles have been assumed in order to obtain a linear equation for m({right arrow over (r)}). This is by no means essential, at least in principle, but use of a nonlinear equation for m({right arrow over (r)}) would make the numerical solution of the optimization problem extremely heavy. It should be noted that “additive” methods exist to generalize the linear approach to large flip angles [30, 32].


Tikhonov parameters are a particular class of weighting coefficients used to introduce cost functions in optimization problems. Other kind of cost functions, linear or nonlinear, can also be used to carry out the invention.


The technical results of the invention will be now discussed in detail with reference to two specific examples, illustrated by FIGS. 3 to 6.


In the first example slice selective excitation pulses with a homogeneous excitation profile were designed using a “spokes” shaped k-space trajectory. Results obtained using four exemplary k-space trajectories, comprising 2, 3, 4, and 5-spokes respectively are compared. On FIG. 3, panels a to d illustrate said spokes trajectories in the (kr, ky) plane. Such trajectories can be generated by appropriate magnetic field gradient waveforms, as it is well known in the art of MRI.


Simulated B1+ maps were used for pulse design, and the {right arrow over (E)}({right arrow over (r)},t) fields provided by simulations were used to calculate the local SAR distributions. The initial pulses were calculated by solving the optimization problem of equation (7), all the Tikhonov parameters being identically set to 10−5. The top row in FIG. 4 shows (in gray scale, where darker gray indicates higher SAR) the 10-gram local SAR distribution in the transverse slice containing the maximum 10-gram SAR over the head. Excitation pulses were optimized over 200 iterations of the coil dependent Tikhonov parameters. At each iteration the Tikhonov parameter associated with the coil element closest to the maximum 10-gram local SAR was increased by 5×10−7. Optimized coil element dependent Tikhonov parameters (in 10−5 units), and 10-gram local SAR distributions are shown in the bottom row FIG. 4. Using the presented method, for 200 iterations, the maximum 10-gram local SAR was reduced by more than a factor of 2 at the cost of a roughly 1-2% increase in flip angle error defined as the root mean square error of the flip angle, divided by the target flip angle (see table 1 here below).












TABLE 1









Initial excitation pulse
Optimized excitation pulse
















Flip


Flip



Maximum
Global
angle
Maximum
Global
angle



local SAR
SAR
error
local SAR
SAR
error

















2 Spokes
23.03
2.78
6.8%
9.62
2.30
10.2%


3 Spokes
7.84
1.14
4.7%
3.69
1.06
6.7%


4 Spokes
5.14
0.75
3.4%
2.60
0.64
5.2%


5 Spokes
3.64
0.49
3.1%
1.60
0.41
4.5%









In the second example, slice selective excitation pulses with a homogeneous excitation profile were designed using the 5 “spokes” k-space trajectory of FIG. 3, panel d. The optimisation procedure was used to position the maximum local SAR at four different positions by systematically neglecting the SAR in one of the four axial quadrants of the human head during the optimization procedure. The results are illustrated on FIG. 5, which shows how the maximum local SAR, forming a well-defined “hot spot” (dark spot on the figure) is moved from the left side of the back of the head (“pulse 1”) to the left side of the front of the head (“pulse 2”), then to the right side of the front of the head (“pulse 3”) and finally to the right side of the back of the head (“pulse 4”). A correlation between the location of the hot spot and the values of the Tikhonov parameters is clearly visible. The flip angle and excitation phases obtained with the four “pulses” are comparable, as indicated by the respective complex correlation coefficients (Table 2).














TABLE 2







Pulse 1
Pulse 2
Pulse 3
Pulse 4




















Pulse 1
1
0.94 + 0.00i
0.96 + 0.01i
0.95 + 0.01i


Pulse 2

1
0.90 + 0.01i
0.94 + 0.00i


Pulse 3


1
0.95 + 0.00i


Pulse 4



1










FIG. 6 illustrates plots of the magnitude of the excitation pulses played at the different coils elements. As expected, the SAR hot spot location corresponds to where the highest peak RF amplitude is played. A coil dependent Tikhonov parameter therefore allows moving that hot spot around by reducing the integrated RF power over the corresponding coils.


In a MRI sequence, RF pulse and gradient/acquisition blocks are repeated a large number of times. Hence by using cyclically the 4 different and optimized pulses, with the same duty cycle, it is possible to obtain an average SAR map whose maximum can be reduced up to a factor of 4 compared to if only one pulse was used. Or, in other words, for the same maximum local SAR, it is possible to acquire data 4 times faster, a gain which is highly appreciable to obtain high resolution in vivo data in a reasonable time. This number 4 is only given as an example; it can be further increased via more optimization and calculations.


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Claims
  • 1. A method of exciting nuclear spins in a sample (H), wherein a plurality of transmit coils (Ci-C8) are driven in parallel to emit respective radio-frequency excitation pulses, the method comprising computing the phases and/or amplitudes of said excitation pulses by solving an optimization problem for minimizing the difference between the excitation distribution within said sample and a target excitation distribution, wherein said optimization problem includes a cost function depending on the power emitted by said transmit coils through respective coil-dependent weighting coefficients; the method being characterized in that: the phases and/or amplitudes of the excitation pulses are computed iteratively, each iteration step comprising: solving said optimization problem based on present values of the weighting coefficients, and subsequently updating the value of at least one of said coefficients so as to control in a predetermined way the local specific absorption rate—SAR—spatial distribution within the sample.
  • 2. A method according to claim 1, wherein the value of at least one of said weighting coefficients is updated so as to reduce the local maximum of the SAR spatial distribution within the sample.
  • 3. A method according to claim 2 comprising, at each iteration step, an increment of the value of the weighting coefficient of at least the transmit coil which is closest to the local maximum of the SAR spatial distribution within the sample.
  • 4. A method according to claim 3 comprising determining, at each iteration step, the point of the sample volume where the local SAR takes its maximum value, by a method chosen between: numerical simulation;direct SAR measurement via Bi+ mapping; andtemperature mapping.
  • 5. A method according to claim 2 comprising, at each iteration step, an increment of the value of the weighting coefficient of at least the transmit coil which transmits the greatest radio-frequency power.
  • 6. A method according to claim 2 comprising, at each iteration step, an increment of the value of the weighting coefficient of at least the transmit coil or coils whose transmitted radio-frequency power exceeds a predetermined threshold.
  • 7. A method according to claim 1 wherein the value of at least one of said weighting coefficients is updated so as to ensure that the local SAR takes its maximum value within a predetermined region of the sample.
  • 8. A method according to claim 7 wherein the value of at least one of said weighting coefficients is updated so as to reduce the local maximum of the SAR spatial distribution within the sample, excluding said predetermined region thereof.
  • 9. A method according to claim 8 wherein, at each iteration step, the value of the weighting coefficient of at least the transmit coil which is closest to the local maximum of the SAR spatial distribution within the sample, excluding said predetermined region thereof, is increased.
  • 10. A method according to claim 7 comprising, at each iteration step, an increment of the value of the weighting coefficient of at least the transmit coil which transmits the greatest radio-frequency power, excluding a set of coils which are nearest to said predetermined region of the sample.
  • 11. A method of exciting nuclear spins in a sample, wherein a method according to claim 7 is repeated at least twice by changing the predetermined region of the sample where the local SAR takes its maximum value.
  • 12. A method according to claim 1, wherein the cost function depends linearly on the power emitted by said transmit coils, and wherein said weighting coefficients are Tikhonov parameters.
  • 13. A method according to claim 1, wherein said target excitation distribution is a uniform distribution within the sample or a region thereof.
  • 14. A method according to claim 1, wherein said optimization problem is solved in the spatial domain.
  • 15. A method according to claim 1, wherein said weighting coefficients are time-dependent.
  • 16. A method of performing nuclear magnetic resonance imaging of a sample comprising: determining a k-space trajectory for sampling the volume of said sample; andexciting nuclear spins in said sample by a method according to any of the preceding claims, the optimization problem being solved for said k-space trajectory.
  • 17. A method according to claim 1 wherein the sample is a human or animal body, or a part thereof.
Priority Claims (1)
Number Date Country Kind
09290696.5 Sep 2009 EP regional
PCT Information
Filing Document Filing Date Country Kind 371c Date
PCT/IB10/02199 8/19/2010 WO 00 4/13/2012