APPARATUS AND METHOD FOR TRACKING HEAD MOTION IN MAGNETIC RESONANCE IMAGING (MRI)
20220079526 · 2022-03-17
Inventors
Cpc classification
A61B5/70
HUMAN NECESSITIES
A61B5/055
HUMAN NECESSITIES
A61B5/721
HUMAN NECESSITIES
A61B6/04
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
A61B5/055
HUMAN NECESSITIES
Abstract
A headrest (10) for an imaging device (24) includes a base (12); a head cradle (14) having a pivot connection (16) or rolling connection (18) with the base; and a sensor (22) configured to measure a pivot angle (θ) of the head cradle about a pivot axis (A) of the pivot connection of the head cradle with the base or a roll position (P) of the rolling connection of the head cradle with the base.
Claims
1. A headrest for an imaging device, the headrest comprising: a base; a head cradle having a pivot connection or rolling connection with the base; and a sensor configured to measure a pivot angle (θ) of the head cradle about a pivot axis (A) of the pivot connection of the head cradle with the base or a roll position (P) of the rolling connection of the head cradle with the base.
2. The headrest of claim 1, wherein the head cradle has a pivot connection with the base and the sensor is configured to measure the pivot angle (θ) of the head cradle about the pivot axis of the pivot connection of the head cradle with the base.
3. The headrest of claim 2, further including: at least one electronic processor operatively connected with the sensor, the at least one electronic processor being programmed to: receive a pivot angle measurement of the pivot angle (θ) of the head cradle from the sensor; receive an image of a head resting in the head cradle from the imaging device; and compute shifts of voxels of the image of the head resting in the head cradle respective to reference positions of the voxels defined by a reference pivot angle (θ.sub.0) of the head cradle from the received pivot angle measurement.
4. The headrest of claim 3, wherein the computing comprises: determining a representative location a voxel of the head resting in the head cradle at a first preselected moment from a measured position and at a second different preselected moment of the voxel of the head resting in the head cradle, the change being computed as a function of a change in the pivot angle measured by the sensor as the voxel moves and a distance of the voxel from a pivot axis of the pivot connection.
5. The headrest of claim 4, wherein the coordinates are calculated as:
6. The headrest of claim 1, wherein the head cradle has a rolling connection with the base and the sensors is configured to measure the roll position of the rolling connection of the head cradle with the base.
7. The headrest of claim 6, further including: at least one electronic processor operatively connected with the sensor, the at least one electronic processor being programmed to: receive a roll position measurement of the roll position of the head cradle from the sensor; receive an image of a head resting in the head cradle from the imaging device; and compute shifts of voxels of the image of the head resting in the head cradle; and compensate for positions of the voxels based on a measured roll position θ(t) of the head cradle from the received roll position measurement and measured coordinates of the voxels.
8. The headrest of claim 7, wherein the computing comprises: determining a motion compensated position of a voxel in the head resting in the head cradle to a measured position of the voxel in the head resting in the head cradle, the change being computed as a function of a change in the pivot angle measured by the sensor as the voxel moves from the motion compensated position to the measured position and a distance of the voxel from the pivot axis.
9. The headrest of claim 8, wherein the coordinates are calculated as:
10. The headrest of claim 6, wherein the sensor is configured to measure roll position due to nodding motion of the head of the patient in a sagittal plane.
11. The headrest of claim 1, wherein the sensor is configured to measure the pivot angle or roll position for side-to-side rotational motion of the head of the patient in an axial plane.
12. The headrest of claim 1, wherein the head cradle includes wedge-shaped portions disposed at opposing ends of the head cradle to receive a head of a patient to be imaged.
13. The headrest of claim 1, wherein the imaging device is a magnetic resonance (MR) imaging device and the headrest further comprises: an MR head coil disposed in or on the head cradle and/or the base.
14. The headrest of claim 1, further including: at least one electronic processor operatively connected with the sensor, the at least one electronic processor being programmed to compute shifts of voxels of an image of a head resting in the head cradle respective to a reference position of the head defined by a reference pivot angle or roll position of the head cradle using the pivot angle or roll position measured by the sensor; wherein the at least one electronic processor is programmed to compute the shifts of the voxels without using information about a size or shape of the head resting in the head cradle.
15. The headrest of claim 1, wherein the sensor includes an inclinometer, a laser-based optical sensor, or a rotational encoder.
16. The headrest of claim 1, further comprising, an imaging device configured to obtain one or more images of the head of the patient disposed in the cradle, the imaging device being one of a Magnetic Resonance imaging device or a Computed Tomography imaging device.
17. A method of measuring a motion shift of a head resting in a head cradle having a pivot connection or rolling connection with a base, the method comprising: using a sensor, measuring a pivot angle of the head cradle about a pivot axis (A) of the pivot connection of the head cradle with the base or a roll position of the rolling connection of the head cradle with the base; using an imaging device, acquiring an image of the head resting in the head cradle; and with at least one electronic processor, computing motion shifts of voxels of the image of the head resting in the head cradle due to motion of the head using the measured pivot angle or roll position.
18. The method of claim 17, further including, with the at least one electronic processor: receiving a pivot angle measurement of the pivot angle of the head cradle from the sensor; receiving an image of a head resting in the head cradle from the imaging device; and computing shifts of voxels of the image of the head resting in the head cradle respective to reference positions of the voxels defined by a reference pivot angle (θ.sub.0) of the head cradle from the received pivot angle measurement.
19. The method of claim 17, further including, with the at least one electronic processor: receiving a roll position measurement of the roll position (P) of the head cradle from the sensor; receiving an image of a head resting in the head cradle from the imaging device; computing shifts of voxels of the image of the head resting in the head cradle; and compensating for positions of the voxels based on a measured roll position θ(t) of the head cradle from the received roll position measurement and measured coordinates of the voxels.
20. The method of claim 17, further including, with the at least one electronic processor: computing shifts of voxels of an image of a head resting in the head cradle respective to a reference position of the head defined by a reference pivot angle or roll position of the head cradle using the pivot angle or roll position measured by the sensor, the computing including computing the shifts of the voxels without using information about a size or shape of the head resting in the head cradle.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0014] The disclosure may take form in various components and arrangements of components, and in various steps and arrangements of steps. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the disclosure.
[0015]
[0016]
[0017]
[0018]
DETAILED DESCRIPTION
[0019] Existing head imaging equipment typically uses some form of head stabilization to reduce head motion of a patient during imaging. However, it is recognized herein that restraining head motion by holding the skin of the head in place does not provide sufficient restriction to restrict head movement. This is because the restraint contacts the skin covering the skull, but the skull remains free to move by some amount within the skin covering. In brain surgical procedures, the head is held in place by ‘spikes’ that penetrate the skin and are attached to the skull. This solution is used for brain surgery due to the requirement to strictly immobilize the brain during surgery; however, it is generally impractical for brain imaging procedures. For routine MRI, PET, or other brain imaging procedures, motion tracking is typically performed so that motion can be compensated for, instead of totally restricted. It has been found that the most significant movement is the rotation of the head in the axial plane (i.e., rotating side to side).
[0020] The problem with restriction of head movement in this case is that the skin/skull contact is extremely well ‘lubricated’ (i.e., the skull moves relatively freely against the skin). The difference between rolling one's head on the surface versus rotating one's head by letting the skin on the back of the head slide on the skull is very small, yet this difference is important for motion tracking during brain imaging procedures. This problem can persist even in camera tracking based on facial feature recognition, since the camera images the skin and not the skull which may be moving within the skin.
[0021] Head motion of a patient in a supine position (e.g., lying on his/her back and facing up) can be one of two distinct types of side-to-side rotating head motions: movement of the head as a whole; and movement of the skull relative to the skin (e.g., the skin remains in place on a headrest, but the skull moves within the skin). Of these two mechanisms, it is recognized herein that it is much easier to correct for the whole-head movement.
[0022] Based on the foregoing insights, the following discloses improved headrests that constrain the head motion to whole-head movement. The head is positioned in a wedge-shaped or other receiving cradle that holds the head firmly, combined with a rolling support or pivot mount of the head cradle on a head coil or other underlying support (generally referred to herein as the “base” of the headrest). This provides a well-defined geometry of side-to-side rotating head motion. Additionally, the pivot angle or roll position of the headrest is measured by a suitable sensor (e.g., an inclinometer, laser-based optical sensor, or a rotational encoder in the case of a pivot mount, or so forth) and this measurement serves as an additional input for performing motion correction of the imaging data of the head.
[0023] With this additional pivot angle or roll position input, and a priori knowledge of the location of the surface of the base on which the cradle rolls, or of the pivot axis in the case of a pivot connection, in the MRI frame of reference (this a priori knowledge is known from the position of the headrest on the patient support whose position is known in the MM frame of reference), a purely geometric formula can be used to compute the shift of each voxel of the head in the MRI frame of reference due to the head motion. Advantageously, the same geometric formula applies regardless of the size or detailed shape of the head, as the per-voxel shift depends only upon its geometric position respective to the pivot axis or rolling surface.
[0024] While disclosed in the illustrative examples for magnetic resonance (MR), the approach could be applied in computed tomography (CT) imaging, positron emission tomography (PET) imaging, or any other medical imaging technique in which head motion is permitted but should be accurately tracked. The illustrative examples are directed to side-to-side rotational motion in the axial plane, but analogous approach could be used for nodding rotational motion in the sagittal plane.
[0025] With reference to
[0026] A sensor 22 is disposed in or on or with the base 12 (e.g., embedded within the base, attached to the pivot connection 16, attached to a surface of the base, and so forth) or positioned proximate to the base (e.g. on the patient couch or patient support platen or plate. The sensor 22 can include an inclinometer, a laser-based optical sensor, or a rotational encoder (or any other suitable sensor). The sensor 22 is configured to measure a pivot angle θ of the head cradle 14 about a pivot axis A of the pivot connection 16. The pivot angle θ is suitably measured respective to a reference angle θ.sub.0.
[0027] The headrest 10 is configured for use with an imaging device 24 configured to obtain one or more images of the patient's head disposed in the head cradle 14.
[0028] The sensor 22 is in communication (e.g., operatively connected) with a workstation 28 comprising a computer or other electronic data processing device with at least one electronic processor 30, and optionally including other typical components such as at least one user input device (e.g., a mouse, a keyboard, a trackball, and/or the like) 32, and a display device 34. It should be noted that these components can be variously distributed. In another contemplated approach, the electronic processor 30 is embodied at least partly as a cloud computing resource or other remote server computer(s). The sensor 22 may have a wired connection or may communicate via a wireless link 36, such as a Bluetooth link, Wi-Fi link, and/or the like. The electronic processor 30 also optionally includes or has access to one or more databases or non-transitory storage media 38. The non-transitory storage media 34 may, by way of non-limiting illustrative example, include one or more of a magnetic disk, RAID, or other magnetic storage medium; a solid-state drive, flash drive, electronically erasable read-only memory (EEROM) or other electronic memory; an optical disk or other optical storage; various combinations thereof; or so forth. The display device 34 is configured to display MRI images, and optionally may provide a graphical user interface (GUI) including one or more fields to receive a user input from the user input device 32, e.g. to configure an MRI scan performed by the MM imaging device 24 under control of the computer 28.
[0029] The processor 30 is programmed to reconstruct an MRI image of the head H from magnetic resonance data acquired by the MRI scanner 24 (or, in other embodiments, to reconstruct a PET image reconstructed from PET data acquired by a PET scanner, or so forth for other imaging modalities). The processor 30 is further configured to compute shifts of voxels of a reconstructed image of the head H resting in the head cradle 14 respective to the reference position of the head defined by a reference pivot angle θ.sub.0 (or roll position, in the case of the embodiment of
[0030] Advantageously, as will be shown elsewhere herein, the electronic processor 30 is programmed to compute the shifts of the voxels without using information about a size or shape of the head resting in the head cradle 14. In other words, the geometric formula for computing the shift of a given voxel from the measured angle θ is independent of the size of the head H, and is independent of the shape of the head H.
[0031]
[0032] In some embodiments (not shown), the sensor 22 is also configured to measure roll position due to nodding motion of the head of the patient in a sagittal plane. To achieve this, the rolling surface S.sub.C of the cradle 14 has the constant radius R.sub.C with respect to the origin O which is now a voxel. In this case, the rolling surface S.sub.C is in the form of a spherical surface centered on the origin voxel O, and a second sensor (not shown) measures the roll position due to nodding motion of the head.
[0033] As will be described elsewhere in more detail with reference to
[0034] As with the embodiment of
[0035] With reference to
[0036] In the following, some examples of the voxel motion shift computation at 106 of
Example 1 Calculation of Coordinates for the Headrest 10 with the Pivot Connection 16
[0037] Referring back to the headrest 10 of
[0038]
R.sub.tlxy=√{square root over (X.sub.t1.sup.2+Y.sub.t1.sup.2)}=R.sub.t0xy (1)
Where R.sub.t0xy is a Polar Coordinate R at the initial time to and R.sub.t1xy is the Polar coordinate R at the time t1. Using Equation 1, R can be determined for all voxels independent of the time t.
[0039] The second Polar coordinate θ(t) can be continuously measured. An initial reference value θ.sub.t0 is measured at the initial time t0. Another reference angle measurement θ.sub.t1 is measured at the time t1. A change in the angle Δθ(t) can be determined by
Δθ(t)=θ.sub.t1−θ.sub.t0.
For an arbitrary Po the Polar coordinate θ(t) in described coordinate system can be determined according to Equation 2:
where θ.sub.t1xy is the angle of the R.sub.t1xy relative Y-axis. From this, θ.sub.t0xy for any voxel can be calculated at the initial time t.sub.0 according to Equation (3):
θ.sub.t0xy=θ.sub.t1xy−Δθ(t.sub.1) (3)
[0040] Using these Polar coordinates (R, θ(t)), every image voxel can be compensated to its anatomical representative P.sub.t0 position at t=0 from a rotated P.sub.t1 location at (t=t.sub.1) according to Equation 4:
P.sub.t1.fwdarw.P.sub.t0=(R,θ.sub.t1xy−Δθ(t.sub.1)) (4)
Example 2 Calculation of Coordinates for the Headrest 10′ with the Rolling Connection
[0041] Referring back to the headrest 10′ of
[0042]
[0043] Similar to EXAMPLE 1, a change in the angle Δθ(t.sub.1) can be determined according to Δθ(t.sub.1)=θ.sub.t1−θ.sub.t0. From this, a distance traveled by the origin (O.fwdarw.O′) in the X-direction (ΔO.sub.t1X) can be determined by Equation 5:
ΔO.sub.t1X=Δθ(t.sub.1)*R.sub.C (5)
[0044] Using ΔO.sub.t1X, the linear motion compensated coordinates at time t.sub.1 (X.sub.t1, Y.sub.t1) can be determined according to Equations (6) and (7):
X.sub.t1=X′.sub.t1−ΔO.sub.t1X (6)
Y.sub.t1=Y′.sub.t1 (7)
where X′.sub.t1 and Y′.sub.t1 are Cartesian coordinates acquired at the time t.sub.1; and X.sub.t1 and Y.sub.t1 are linear motion compensated coordinates to be used in the rotational compensation at time t.sub.1. Using the Cartesian coordinates X′.sub.t1 and Y′.sub.t1, every image voxel can be compensated for linear portion of rolling motion to position P.sub.t1 from a linearly shifted position P′.sub.t1 according to Equation (8):
P′.sub.t1.fwdarw.P.sub.t1=(X′.sub.t1−ΔO.sub.t1X,Y′.sub.t1), (8)
Now by using calculated X.sub.t1 and Y.sub.t1 and equations 2, 3 and 4 from EXAMPLE 1, the motion compensation can be completed.
[0045] The disclosure has been described with reference to the preferred embodiments. Modifications and alterations may occur to others upon reading and understanding the preceding detailed description. It is intended that the disclosure be construed as including all such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.