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1.发明授权
公开(公告)号：US5318025A
公开(公告)日：1994-06-07
申请号：US861690
申请日：1992-04-01
IPC分类号： A61B5/055 , A61B5/06 , A61B19/00 , G01R33/28 , G01R33/32 , G01R33/561 , G01R33/563
CPC分类号： A61B5/06 , A61B5/055 , G01R33/285 , G01R33/563 , A61B2090/3958 , G01R33/5617
摘要： A tracking system employs magnetic resonance signals to monitor the position and orientation of at least one device such as a catheter within a subject. The device has a plurality of receiver coils which are sensitive to magnetic resonance signals generated in the subject. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to sequentially applied mutually orthogonal magnetic gradients to determine the device's position and orientation in several dimensions. The position and orientation of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images. One or more devices can be simultaneously tracked.
摘要翻译： 跟踪系统采用磁共振信号来监测至少一个装置（例如对象内的导管）的位置和取向。 该装置具有对受试者中产生的磁共振信号敏感的多个接收线圈。 在存在磁场梯度的情况下检测这些信号，因此具有与沿施加的梯度方向的线圈位置基本成比例的频率。 响应于顺序施加的相互正交的磁梯度来检测信号，以在几个维度中确定装置的位置和取向。 由跟踪系统确定的设备的位置和方向被叠加在独立获取的医学诊断图像上。 可以同时跟踪一个或多个设备。
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2.发明授权Apparatus and methods for magnetic resonance (MR) angiography using fluids polarized at low temperatures 失效使用在低温下极化的流体进行磁共振（MR）血管造影术的装置和方法
公开(公告)号：US5626137A
公开(公告)日：1997-05-06
申请号：US537572
申请日：1995-10-02
IPC分类号： A61B5/055
CPC分类号： A61B5/055
摘要： A magnetic resonance (MR) active invasive device system employs a small, high-field polarizing magnet, and a large, possibly 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 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 cooled and frozen, and then passed through the small high-field polarizing magnet where it becomes highly polarized. The frozen fluid is then heated and melted to physiologic temperatures and 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 than tissue which has not passed through the polarizing magnet, the fluid produces a much larger MR response signal than other tissue, resulting in vessel tree images with excellent contrast.
摘要翻译： 磁共振（MR）主动侵入性装置系统采用小型，高场极化磁体和大型可能的低场磁共振（MR）成像磁体，用于产生选定血管的MR血管造影。 受试者位于大型MR成像磁体中。 在要成像的血管树的根部处或附近将导管插入患者体内。 首先将要用作造影剂的流体冷却并冷冻，然后通过小型高场极化磁体，在其中高度极化。 然后将冷冻的流体加热并熔化成生理温度并通过导管引入受试者。 然后将射频（RF）脉冲和磁场梯度应用于患者，如在常规MR成像中。 由于流体具有比没有通过偏振磁体的组织更大的纵向磁化强度，所以流体产生比其他组织大得多的MR响应信号，导致具有优异对比度的容器树图像。
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公开(公告)号：US5577502A
公开(公告)日：1996-11-26
申请号：US415409
申请日：1995-04-03
CPC分类号： A61B5/721 , A61B34/20 , A61B5/06 , A61B5/1135 , A61B8/0833 , A61B8/5276 , A61B2017/00694 , A61B5/7289
摘要： A tracking system monitors the position of a device within a subject and superimposes a graphic symbol on a diagnostic image of the subject. Registration of the tracked location with the diagnostic image is maintained in the presence of subject motion by monitoring subject motion and adjusting the display to compensate for subject motion. Motion monitoring can be performed with ultrasonic, optical or mechanical methods. The display can be adjusted by modifying the displayed location of the device or it can be adjusted by translating, rotating or distorting the diagnostic image.
摘要翻译： 跟踪系统监视对象内的设备的位置并将图形符号叠加在被摄体的诊断图像上。 通过监视对象运动并调整显示以补偿被摄体运动，通过诊断图像对被跟踪位置的注册保持在受试者运动的存在下。 运动监测可以用超声波，光学或机械方法进行。 可以通过修改显示的设备位置来调整显示，也可以通过翻译，旋转或扭曲诊断图像进行调整。
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4.发明授权Tracking system to monitor the position and orientation of a device using magnetic resonance detection of a sample contained within the device 失效跟踪系统用于使用包含在该装置内的样本的磁共振检测来监测装置的位置和方位
公开(公告)号：US5271400A
公开(公告)日：1993-12-21
申请号：US861662
申请日：1992-04-01
IPC分类号： A61B5/055 , A61B5/06 , A61B5/07 , G01R33/28 , G01R33/561 , G01R33/563
CPC分类号： G01R33/563 , A61B5/055 , A61B5/06 , G01R33/285 , G01R33/5617
摘要： A tracking system employs magnetic resonance signals to monitor the position and orientation of a device, such as a catheter, within a subject. The device has an MR active sample and a receiver coil which is sensitive to magnetic resonance signals generated by the MR active sample. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to sequentially applied mutually orthogonal magnetic gradients to determine the device's position in several dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images. One or more devices can be simultaneously tracked.
摘要翻译： 跟踪系统采用磁共振信号来监测被检体内的装置（例如导管）的位置和方位。 该器件具有对MR活性样品产生的磁共振信号敏感的MR活性样品和接收器线圈。 在存在磁场梯度的情况下检测这些信号，因此具有与沿施加的梯度方向的线圈位置基本成比例的频率。 响应于顺序施加的相互正交的磁梯度来检测信号以确定器件在几个维度中的位置。 由跟踪系统确定的设备的位置叠加在独立获取的医学诊断图像上。 可以同时跟踪一个或多个设备。
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5.发明授权Apparatus and methods for magnetic resonance (MR) imaging of cavities using fluids polarized at low temperatures 失效使用在低温下极化的流体对空腔进行磁共振（MR）成像的装置和方法
公开(公告)号：US5617859A
公开(公告)日：1997-04-08
申请号：US537574
申请日：1995-10-02
IPC分类号： A61B5/055
CPC分类号： A61B5/055
摘要： A magnetic resonance (MR) active invasive device system employs a small, high-field polarizing magnet, and a large magnetic resonance (MR) imaging magnet for the purpose of generating MR images of selected body cavities. A subject is positioned in a large low-field MR imaging magnet. A substance, intended to be used as a contrast agent is first cooled, and then passed through the small high-field polarizing magnet where it becomes highly polarized. The substance is then heated to physiologic temperatures, vaporized, and introduced into the subject through a transfer conduit as a vapor. Radiofrequency (RF) pulses and magnetic field gradients are then applied to the patient as in conventional MR imaging. Since the vapor is highly polarized, it can be imaged even though it has a much lower density than the surrounding tissue.
摘要翻译： 磁共振（MR）有源侵入性装置系统采用小型高场极化磁体和大型磁共振（MR）成像磁体，用于产生选定体腔的MR图像。 受试者位于大型低场MR成像磁体中。 首先将要用作造影剂的物质冷却，然后通过小型高场极化磁体，在其中高度极化。 然后将物质加热至生理温度，蒸发，并通过作为蒸气的转移导管引入受试者。 然后将射频（RF）脉冲和磁场梯度应用于患者，如在常规MR成像中。 由于蒸气是高度极化的，所以即使其具有比周围组织低得多的密度，也可以成像。
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6.发明授权Tracking system to monitor the position of a device using multiplexed magnetic resonance detection 失效跟踪系统监视使用复用磁共振检测的设备的位置
公开(公告)号：US5353795A
公开(公告)日：1994-10-11
申请号：US989283
申请日：1992-12-10
IPC分类号： A61B5/06 , G01R33/28 , G01R33/561 , G01R33/563 , A61B5/055
CPC分类号： G01R33/285 , A61B5/06 , G01R33/563 , G01R33/5617
摘要： A tracking system employs magnetic resonance signals to monitor the position of a device such as a catheter within a subject. The device has a receiver coil which is sensitive to magnetic resonance signals generated in the subject. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to applied magnetic gradients to determine the position of the device in several dimensions. Sensitivity of the measured position to resonance offset conditions such as transmitter frequency misadjustment, chemical shift and the like is minimized by repeating the process a plurality of times with selected amplitudes and polarities for the applied magnetic field gradient. Linear combinations of the data acquired responsive to the different applied magnetic field gradients are computed to determine the position of the device in three orthogonal dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images.
摘要翻译： 跟踪系统采用磁共振信号来监测被检体内诸如导管之类的装置的位置。 该装置具有对受试者中产生的磁共振信号敏感的接收器线圈。 在存在磁场梯度的情况下检测这些信号，因此具有与沿施加的梯度方向的线圈位置基本成比例的频率。 响应于所施加的磁梯度检测信号以确定装置在几个维度中的位置。 通过用所施加的磁场梯度的选定幅度和极性重复该过程多次来最小化测量位置对谐振偏移条件（例如发射机频率误调整，化学位移等）的灵敏度。 计算响应于不同施加的磁场梯度采集的数据的线性组合，以确定装置在三个正交尺寸中的位置。 由跟踪系统确定的设备的位置叠加在独立获取的医学诊断图像上。
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7.发明授权Tracking system and pulse sequences to monitor the position of a device using magnetic resonance 失效跟踪系统和脉冲序列来监控使用磁共振的设备的位置
公开(公告)号：US5307808A
公开(公告)日：1994-05-03
申请号：US861718
申请日：1992-04-01
IPC分类号： A61B5/055 , A61B5/06 , G01R33/28 , G01R33/32 , G01R33/561 , G01R33/563
CPC分类号： G01R33/285 , G01R33/563 , G01R33/5617
摘要： A tracking system employs magnetic resonance signals to monitor the position of a device such as a catheter within a subject. The device has a receiver coil which is sensitive to magnetic resonance signals generated in the subject. These signals are detected in the presence of magnetic field gradients and thus have frequencies which are substantially proportional to the location of the coil along the direction of the applied gradient. Signals are detected responsive to sequentially applied mutually orthogonal magnetic gradients to determine the position of the device in several dimensions. The position of the device as determined by the tracking system is superimposed upon independently acquired medical diagnostic images.
摘要翻译： 跟踪系统采用磁共振信号来监测被检体内诸如导管之类的装置的位置。 该装置具有对受试者中产生的磁共振信号敏感的接收器线圈。 在存在磁场梯度的情况下检测这些信号，因此具有与沿施加的梯度方向的线圈位置基本成比例的频率。 响应于顺序施加的相互正交的磁梯度来检测信号，以确定器件在几个维度中的位置。 由跟踪系统确定的设备的位置叠加在独立获取的医学诊断图像上。
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8.发明授权Tracking system to follow the position and orientation of a device with radiofrequency field gradients 失效跟踪系统遵循具有射频场梯度的设备的位置和方向
公开(公告)号：US5211165A
公开(公告)日：1993-05-18
申请号：US753565
申请日：1991-09-03
CPC分类号： A61B5/06 , A61B6/12 , G01V3/104 , A61B2034/2051
摘要： A tracking system in which radiofrequency signals emitted by an invasive device such as a catheter are detected and used to measure the position and orientation of the invasive device within a subject. Detection of the radiofrequency signals is accomplished with coils having sensitivity profiles which vary approximately linearly with position. The invasive device has a 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 of the subject. The position and orientation of the device as determined by the tracking system are superimposed upon independently acquired Medical Diagnostic images, thereby minimizing the diagnostic exposure times. One or more invasive devices can be simultaneously tracked.
摘要翻译： 检测由诸如导管的侵入性装置发射的射频信号并用于测量受试者内的侵入性装置的位置和取向的跟踪系统。 射频信号的检测是用具有随位置近似线性变化的灵敏度分布的线圈来实现的。 侵入性装置具有靠近其端部附接的发射线圈，并且由低功率RF源驱动以产生可以通过分布在受试者的感兴趣区域周围的接收线圈阵列来检测的偶极电磁场。 由跟踪系统确定的设备的位置和方向叠加在独立获取的医学诊断图像上，从而最小化诊断曝光时间。 可以同时跟踪一个或多个入侵设备。
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9.发明授权Method for blood flow acceleration and velocity measurement using MR catheters 失效使用MR导管进行血流加速和速度测量的方法
公开(公告)号：US5445151A
公开(公告)日：1995-08-29
申请号：US264281
申请日：1994-06-23
CPC分类号： A61B5/0263 , G01F1/716 , G01P5/18 , G01R33/285 , G01R33/34084 , G01R33/56308
摘要： A method of magnetic resonance (MR) fluid flow measurement within a subject employs an invasive device with an RF transmit/receive coil and an RF transmit coil spaced a known distance apart. The subject is positioned in a static magnetic field. The invasive device is positioned in a vessel of a subject in which fluid flow is desired to be determined. A regular pattern of RF transmission pulses are radiated through the RF transmit/receive coil causing it to cause a steady-state MR response signal. Intermittently a second RF signal is transmitted from the RF coil positioned upstream which causes a change in the steady-state MR response signal sensed by the downstream transmit/receive coil. This is detected a short delay time later at the RF receive coil. The time delay and the distance between the RF coils leads directly to a fluid velocity. By exchanging the position of the RF transmit and transmit/receive coils, retrograde velocity may be measured. In another embodiment, more RF coils are employed. The changed MR response signal may be sensed at a number of locations at different times, leading to a measured change in velocity, or acceleration of the fluid.
摘要翻译： 在受试者内的磁共振（MR）流体流量测量的方法使用具有RF发射/接收线圈和间隔已知距离的RF发射线圈的侵入性装置。 被摄体位于静态磁场中。 将侵入性装置定位在需要确定流体流动的受试者的血管中。 通过RF发射/接收线圈辐射RF传输脉冲的规则图案，使其产生稳态MR响应信号。 间歇地从位于上游的RF线圈发送第二RF信号，引起下游发射/接收线圈感测到的稳态MR响应信号的变化。 在RF接收线圈之后检测到短时间延迟时间。 时间延迟和RF线圈之间的距离直接导致流体速度。 通过交换RF发射和发射/接收线圈的位置，可以测量逆行速度。 在另一个实施例中，采用更多的RF线圈。 可以在不同时间的多个位置处感测改变的MR响应信号，导致测量的流体变化或流体的加速度。
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10.发明授权Display system for enhancing visualization of body structures during medical procedures 失效用于增强医疗过程中身体结构可视化的显示系统
公开(公告)号：US5526812A
公开(公告)日：1996-06-18
申请号：US549320
申请日：1995-10-27
CPC分类号： G06F3/013 , A61B90/36 , G06F19/3406 , A61B2090/371 , A61B2090/372 , G06F19/3481
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.
摘要翻译： 交互式显示系统将内部结构的图像叠加在半透明屏幕上，外科医生通过该半透明屏幕在医疗过程期间观察患者。 叠加的图像是从用成像系统获得的图像数据导出的。 还会在半透明屏幕上跟踪并显示有创设备。 还可以显示延伸穿过侵入性装置的射线，其显示侵入性装置的预期路径。 图像被注册到外科医生对病人的看法，并在医疗过程中实时显示。 这允许外科医生查看内部和外部结构，它们之间的关系，所建议的侵入性装置的路径，并相应地调整程序。 第二实施例采用立体观看方法来提供叠加在外科医生通过该半透明屏幕观察病人的半透明屏幕上的放射学图像的三维表示。
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