摘要:
An interactive display system superimposes images of internal structures on a semi-transparent screen through which a surgeon views a patient during a medical procedure. The superimposed image is derived from image data obtained with an imaging system. An invasive device is also tracked and displayed on the semi-transparent screen. A ray extending through the invasive device can also be displayed which shows the intended path of the invasive device. The image is registered with the surgeon's view of the patient and displayed in real-time during a medical procedure. This allows the surgeon to view internal and external structures, the relation between them, the proposed path of the invasive device, and adjust the procedure accordingly. A second embodiment employs stereoscopic viewing methods to provide three-dimensional representations of the radiological images superimposed on the semi-transparent screen through which the surgeon views the patient.
摘要:
A tracking system which measures the position and orientation of invasive devices is used to automatically control the location of the X-ray imaging system gantry and/or patient table. The position and orientation of the invasive device, such as a catheter, are measured by detection of a radiofrequency field generated by the invasive device. The invasive device has at least one transmit coil attached near its end and is driven by a low power RF source to produce a dipole electromagnetic field that can be detected by an array of receive coils distributed around a region of interest. Automatic gantry placement facilitates medical diagnostic and therapeutic X-ray procedures and in some instances can reduce the number of personnel required to perform these procedures.
摘要:
Techniques for correcting temperature measurement in MR thermometry are disclosed. In particular, phase shifts that arise from factors other than temperature changes are detected, facilitating correction of temperature measurements.
摘要:
During an X-ray fluoroscopy procedure, the position and orientation of an invasive device, such as a catheter, are measured with radiofrequency fields. The invasive device has a transient coil attached near its end and is driven by a low power RF source to produce a dipole electromagnetic field that can be detected by an array of receive coils distributed around a region of interest of the subject. Multiple views of the instantaneous position of the invasive device are displayed by superposition of graphic symbols on multiple static X-ray images obtained at multiple view angles. Each view angle is displayed upon a different display means. The X-ray images are obtained only when deemed necessary by the operator to minimize X-ray dose. A single X-ray source and detector may be implemented since it is not necessary to obtain the X-ray images simultaneously.
摘要:
A magnetic resonance (MR) active invasive device system employs a small, high-field polarizing magnet, and a large low-field magnetic resonance (MR) imaging magnet for the purpose of generating MR angiograms of selected blood vessels. A subject is positioned in a large low-field MR imaging magnet. A catheter in inserted into the patient at or near the root of a vessel tree desired to be imaged. A fluid, intended to be used as a contrast agent is first passed through the small high-field polarizing magnet, causing a great deal of net longitudinal magnetization to be produced in the fluid. The fluid is then introduced into the subject through the catheter. Radiofrequency (RF) pulses and magnetic field gradients are then applied to the patient as in conventional MR imaging. Since the fluid has a larger longitudinal magnetization, before the MR imaging sequence, the fluid produces a much larger MR response signal than other tissue resulting in the vessel tree being imaged with excellent contrast.
摘要:
An invasive imaging system employs a self-contained RF transmitter attached to an invasive device which allows tracking of the invasive device within a subject without physical connections to a tracking/display system and without the use of ionizing rays. An imaging system obtains a medical diagnostic image of the subject. The self-contained RF transmitter is comprised of a power generator, a power conversion means such as an oscillator which converts the generated power to a radiofrequency (RF) signal, and a broadcasting means such as a tuned transmit coil for radiating the RF signal. The radiated RF signal is received by receive coils of a tracking/display means which calculates the location of the RF transmitter. The tracking/display means displays the medical diagnostic image on a monitor and superimposes a symbol on the image at a position corresponding to the calculated location of the RF transmitter. Prior to operation, the power generator may be energized inductively, photo-voltaically, or by direct contact with either an external power supply. The power generator may also be a charged battery sealed inside the RF transmitter. The RF transmitter may be implanted to track the motion of internal tissues.
摘要:
A magnetic resonance (MR) active invasive device system employs a small, high-field polarizing magnet having a toroidal geometry, and a large low-field magnetic resonance (MR) imaging magnet for the purpose of generating MR angiograms of selected blood vessels. A subject is positioned in a large low-field MR imaging magnet. A catheter is inserted into the patient at or near the root of a vessel tree to be imaged. A fluid, intended to be used as a contrast agent is first passed through the small high-field polarizing magnet, causing a great deal of net longitudinal magnetization to be produced in the fluid. The fluid is then introduced into the subject through the catheter. Radiofrequency (RF) pulses and magnetic field gradients are then applied to the patient as in conventional MR imaging. Since the fluid has a larger longitudinal magnetization, before the MR imaging sequence, the fluid produces a much larger MR response signal than other tissue, resulting in the vessel tree being imaged with excellent contrast.
摘要:
A magnetic resonance system employs a sequence of radio frequency pulses and magnetic field gradients to generate a flow-compensated image of a selected portion of a sample. Flow-compensation is performed with an oscillating readout gradient waveform which is comprised of two components. The first component is a constant amplitude gradient waveform whose amplitude is determined by the desired field-of-view and the bandwidth of the imaging system. The second component is an oscillating waveform whose amplitude, frequency and phase are chosen to obtain the desired degree of flow-compensation. The frequency of the oscillating waveform is typically chosen to match the sampling frequency of the imaging system. In effect, each acquired data point is preceded by the application of a bi-polar magnetic field gradient pulse which causes a phase shift in the acquired signal which is proportional to nuclear spin velocity. The amplitude is typically chosen to cause an incremental phase shift which when repeatedly added to the acquired MR response signal at the sampling rate causes a frequency modulation. This frequency modulation, in turn, induces a spatial displacement of signal intensity in the readout dimension which corresponds to the displacement of spin magnetization during the interval between the phase-encoding and frequency-encoding.
摘要:
An invasive imaging system employs a self-contained RF transmitter attached to an invasive device which allows tracking of the invasive device within a subject without physical connections to a tracking/display system and without the use of ionizing rays. An imaging system obtains a medical diagnostic image of the subject. The self-contained RF transmitter is comprised of a power generator means, a power conversion means such as an oscillator which converts the generated power to a radiofrequency (RF) signal, and a broadcasting means such as a tuned transmit coil for radiating the RF signal. The radiated RF signal is received by receive coils of a tracing/display means which calculates the location of the RF transmitter. The tracking/display means displays the medical diagnostic image on a monitor and superimposes a symbol on the image at a position corresponding to the calculated location of the RF transmitter. Prior to operation, the power generator may be energized inductively, photo-voltaically, or by direct contact with an external power supply. The power generator means may also be a charged battery sealed inside the RF transmitter. The RF transmitter may be implanted to track the motion of internal tissues.
摘要:
RF tracking system employs a RF invasive device coupled to surgical tracking equipment for tracking the invasive device. An inductive coupling permits the device to be quickly coupled to, and decoupled from, the equipment. The coupling comprises an inducting coil which transmits a signal from the surgical tracking equipment to a communicating coil in the invasive device. The signal received by the communicating coil passes along leads to a tracked coil in a distal end of the invasive device. The tracked coil transmits the signal as RF energy which is received by the surgical tracking equipment which superimposes the position of the distal end of the invasive device on an X-ray image and displays it on a monitor A sterile shield is employed as a sterile barrier between the inducting coil and the equipment end of the invasive device to prevent contamination of the invasive device by the inducting coil. The cross-section of the invasive device at its equipment end can be made identical to the rest of the invasive device to permit other invasive devices to pass completely over the invasive device.