Method for Determining a Trajectory Representing an Inserting of a Patient Into an MR Scanner
20230190200 · 2023-06-22
Assignee
Inventors
Cpc classification
G01R33/543
PHYSICS
A61B5/70
HUMAN NECESSITIES
A61B5/055
HUMAN NECESSITIES
A61B5/744
HUMAN NECESSITIES
International classification
Abstract
A trajectory is determined for inserting a patient into an MR scanner. An avatar representing specific body dimensions is provided. The avatar includes location information relating to an implant. A spatial magnetic field gradient data set relating to the scanner is provided. An avatar pose at a starting point of the trajectory is defined, and a course for the trajectory is provided. For several points on the trajectory, the corresponding magnetic field value are determined by combining the spatial magnetic field gradient data set with the avatar pose. The trajectory and/or the avatar pose are determined so that the at least one implant only passes regions within the MR scanner that are below a predetermined threshold value concerning the magnetic field gradient.
Claims
1. A method for determining a trajectory for inserting a patient into a magnetic resonance (MR) scanner, comprising: providing an avatar representing body dimensions of a patient, the avatar including location information relating to an implant identified with the patient; providing a spatial magnetic field gradient data set relating to the MR scanner; defining (i) an avatar pose at a starting point of the trajectory, and (ii) a course for the trajectory for inserting the patient into the MR scanner; determining, for several points on the trajectory, a corresponding magnetic field value and/or a corresponding gradient value using the spatial magnetic field gradient data set and the avatar pose; determining the trajectory and/or the avatar pose such that the implant passes through regions within the MR scanner having a magnetic field gradient that is less than a predetermined threshold value; and generating an information signal that indicates whether the determined trajectory leads to the implant entering regions having a magnetic field gradient exceeding the predetermined threshold value.
2. The method according claim 1, wherein the implant is from among a plurality of implants, and wherein the avatar comprises location information of the plurality of implants, and further comprising: determining a set of separate trajectories, each one of the set of separate trajectories corresponding to one of the plurality of implants by applying, for each one of the set of separate trajectories, a separate predetermined threshold value.
3. The method according to claim 2, further comprising: generating a warning signal when none of the set of separate trajectories results in a passage of a corresponding implant through respective regions within the MR scanner having a magnetic field gradient below the corresponding predetermined threshold value.
4. The method according to claim 1, wherein the act of determining the trajectory comprises: applying a coordinate system with respect to the MR scanner, wherein a coordinate of the coordinate system represents an insertion depth of the patient into the MR scanner.
5. The method according to claim 1, wherein the avatar comprises information regarding the pose of the patient, and wherein the act of determining the trajectory comprises determining the trajectory considering a maximum insertion depth of the patient into the MR scanner and the pose of the patient.
6. The method according to claim 1, wherein the act of adapting the trajectory comprises adapting the trajectory by determining the pose of the avatar for a starting point of the trajectory using one or more images of the patient at the starting point.
7. The method according to claim 1, wherein the act of providing the avatar comprises providing the avatar using data acquired via (i) a camera, (ii) a first sensor configured to measure dimensions of the patient, and/or (iii) a second sensor configured to measure a weight of the patient.
8. The method according to claim 1, wherein the act of providing the avatar comprises providing a three-dimensional (3D) avatar using data acquired via (i) a 3D camera, (ii) a magnetic resonance imaging (MRI) scan, (iii) a magnetic resonance tomography (MRT) scan, and/or (iv) a computerized tomography (CT) scan.
9. The method according to claim 8, wherein the act of determining the trajectory comprises: determining a three-dimensional trajectory in which a point corresponding to the implant changes in a vertical direction along the trajectory, wherein the vertical direction is perpendicular to an insertion direction of the patient into the MR scanner.
10. The method according to claim 1, wherein the avatar is fused with data relating to the implant, and wherein the data is provided by (i) an X-ray photograph, (ii) a magnetic resonance imaging (MRI) image, and/or (iii) a computerized tomography (CT) image.
11. The method according to claim 1, wherein the avatar is fused with data relating to the implant, and wherein the avatar is approximated by a rectangular model.
12. The method according to claim 1, further comprising: fusing the spatial magnetic field gradient data set and the trajectory to provide a magnetic path data set.
13. The method according to claim 1, further comprising: approximating the location information of the implant as one or more planar areas or volumes which completely contain the implant.
14. The method according to claim 1, further comprising: determining positioning instructions for adapting the trajectory based upon the act of determining the trajectory and/or determining the avatar pose.
15. The method according to claim 1, wherein the implant is from among a plurality of implants, and further comprising: determining a set of separate trajectories, each one of the set of separate trajectories corresponding to one of the plurality of implants, and each one of the set of separate trajectories relating to a course of a respective implant.
16. The method according to claim 1, wherein the trajectory of the implant is determined based upon patient body dimensions represented via the avatar and gantry dimensions of the MR scanner.
17. A non-transitory computer-readable medium having instructions stored thereon that, when executed via processing circuitry, cause the processing circuitry to determine a trajectory for inserting a patient into a magnetic resonance (MR) scanner by: providing an avatar representing body dimensions of a patient, the avatar including location information relating to an implant identified with the patient; providing a spatial magnetic field gradient data set relating to the MR scanner; defining (i) an avatar pose at a starting point of the trajectory, and (ii) a course for the trajectory for inserting the patient into the MR scanner; determining, for several points on the trajectory, a corresponding magnetic field value and/or a corresponding gradient value using the spatial magnetic field gradient data set and the avatar pose; determining the trajectory and/or the avatar pose such that the implant passes through regions within the MR scanner having a magnetic field gradient that is less than a predetermined threshold value; and generating an information signal that indicates whether the determined trajectory leads to the implant entering regions having a magnetic field gradient exceeding the predetermined threshold value.
18. A data processing apparatus, comprising: a magnetic resonance (MR) scanner comprising an insertion tool configured to insert a patient into the MR scanner; an interface configured to receive data identified with an avatar that represents body dimensions of the patient, the avatar including (i) location information relating to an implant identified with the patient, and (ii) a spatial magnetic field gradient data set relating to the MR scanner; and control circuitry configured to determine a trajectory for inserting the patient into the magnetic resonance (MR) scanner by: defining (i) an avatar pose at a starting point of the trajectory, and (ii) a course for the trajectory for inserting the patient into the MR scanner; determining, for several points on the trajectory, a corresponding magnetic field value and/or a corresponding gradient value using the spatial magnetic field gradient data set and the avatar pose; determining the trajectory and/or the avatar pose such that the implant passes through regions within the MR scanner having a magnetic field gradient that is less than a predetermined threshold value; and generating an information signal that indicates whether the determined trajectory leads to the implant entering regions having a magnetic field gradient exceeding the predetermined threshold value.
19. The data processing apparatus according to claim 18, wherein the MR scanner further comprises a camera, and wherein the control circuitry is further configured to utilize a detected movement inside the MR scanner for determining and/or evaluating the trajectory.
20. The data processing apparatus according to claim 18, wherein the MR scanner further comprises a lifting device configured to lift and/or lower at least a part of the patient's body to provide vertical movement of the implant.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0048] The disclosure is further described by the following figures. The figures only exemplarily show how the disclosure can possibly be realized. All mentioned features relating to the figures can be extracted and combined with the embodiments mentioned in this implication. The following figures show:
[0049]
[0050]
[0051]
[0052]
[0053]
[0054]
DETAILED DESCRIPTION OF THE DISCLOSURE
[0055]
[0056]
[0057] In
[0058]
[0059] In
[0060] A critical region 21 is indicated in
[0061] In
[0062] Again, although many implants 25 are constructed without ferromagnetic materials, in some cases it is necessary to use such ferromagnetic materials for implants 25. In such situations, it is necessary to determine or calculate the trajectory 23 that does not enter any critical regions 21. Usually implant manufacturers try to avoid ferromagnetic materials by using alternative materials such as titanium. However, in rare cases ferromagnetic or even magnetic materials have to be used within implants 25. In this case, a maximum spatial field gradient is provided together with the implant 25 by the manufacturer. These limits shall guarantee a safe handling and scanning in the environment of an MR scanner 11.
[0063] This situation may lead to a quite complicated workflow for an operator of the MR scanner 11. At first, the operator has to research all magnetic field value B0 limits for the implants 25 inside or at the patient 27. The operator has to make sure that the MR scanner 11 will not exceed these limits during the whole examination of the patient 27. It should be considered that the operator has to consider multiple limits. For example, the operator has to consider a SAR value. The operator further has to consider an additional magnetic field B0 that results during the scanning process while the patient 27 is still resting inside the gantry 10. With regard to the additional magnetic field that is only relevant during the scanning process, only the end position and pose of the patient 27 at the endpoint 24 is of importance. In this case, the control unit 15 may also consider or determine an avatar pose at the endpoint 24. This avatar pose at the endpoint 24 represents the pose of the patient 27 when he has reached his end position in the endpoint 24.
[0064] The trajectories 23 presented in
[0065] The magnetic field B0 inside the gantry 10 and around is mostly not constant in all regions inside the scanner 11. The name spatial field gradient already indicates that the magnetic field values B0 may vary inside the scanner 11. In some areas, the magnetic field B0 may vary spatially so much that it could harm the patient 27 with certain implants 25. Usually, the operator has to find out all volumes which may exceed a predetermined limit and then handle the patient 27 in such a way that the implant 25 never enters these volumes. This means that the implant 25 should never enter a volume around the critical regions 21.
[0066] It is important to note that the positioning of the patient 27 on the table 13 may significantly define how the implant 25 proceeds into the bore or gantry 10. This means that the pose of the patient 27 at the starting point 23s significantly influences the trajectory 23 for the implant 25. The pose of the patient 27 can be represented by the pose of the avatar 22. Since the avatar 22 represents the body dimensions of the patient 27, a pose of the avatar 22 can be regarded as a pose of the patient 27. The pose may consider the position and orientation of all extremities of the patient 27. The extremity that contains the implant 25 is of significant relevance.
[0067] For instance, in the case of a pacemaker, the focus for determining the trajectory 23 is on the torso of the patient's body. A certain pose for the avatar 22 is defined for the patient 27, and the patient table 13 moves along the x axis as indicated in
[0068] In practice, some obstacles may arise concerning the insertion of the patient 27 into the gantry 10. For example, most of the MR scanner operators do not know what the spatial field gradient is. MR-physicists usually have this knowledge, but technical and radiological people often do not have this knowledge. In many cases, the spatial field gradient is associated with the field of the gradient system. These two expressions sound similar, but in fact relate to different aspects. The field of the gradient system relates to a patient 27 without any motion during scanning in the scanner 11. The field of the gradient system is usually not relevant for determining the trajectory 23. The spatial field gradient, on the other hand, is relevant for determining the trajectory 23. If the operator mistakes these two aspects, it may be possible that the process of inserting the patient 27 into the gantry 10 relies on incorrect facts. Spatial field gradients are usually given by the MR scanner manufacturers in the form of field plots, e.g. as shown in
[0069] Therefore, this disclosure provides different embodiments for determining the trajectory 23 for the implant 25 so that the implant 25 does not enter any critical regions 21. In
[0070] Although in
[0071] In
[0072] In case of
[0073] Furthermore, the control unit 15 is configured to determine a different pose of the avatar 22 at the starting point 23s that leads to another different trajectory 23 which does not enter any critical regions 21. In case of
[0074] The control unit 15 is configured to optically enhance the determined trajectories 23. For example, the control unit 15 is configured to provide three-dimensional field plots, look up tables, a two-dimensional representation as shown in
[0075] The control unit 15 may be configured to refine its prediction by knowing how far the avatar 22 is moved into the scanner 11. For example, if the patient 27 is positioned with his feet first and receives an examination of the ankle, any implant 25 in the brain of the patient 27 will stay far away from the isocenter. In this case, it is possible that the implant 25 is exposed to smaller spatial field gradient values B0 than if it had been moved into the isocenter. In this case, the implant 25 of the brain does not even reach any critical region 21 since the end point 24 would stop before reaching the critical region 21. The control unit 15 may utilize images from other imaging techniques to provide a fused data set for determining the desired trajectory 23. Therefore, the control unit 15 can use data from CT-scans, X-ray scans, or previous MR examinations which are typically needed to screen for magnetic resonance imaging anyway.
[0076] By means of the three-dimensional camera 17, a three-dimensional avatar 22 can be created. The control unit 15 may be configured to predict the trajectory 23 that is the path of the implant 25 while moving the patient 27 into the MR scanner 11. This information can be combined with information about the spatial field gradients B0 of the scanner 11. Therefore, the control unit 15 is able to predict whether the implant 25 reaches or touches critical regions 21 where a magnetic field gradient value B0 exceeds the corresponding threshold value. In such situations, the control unit 15 or the data processing apparatus 100 can warn the operator or even derive guidance for enhanced positioning. In the best case, the control unit 15 can assist the operator in avoiding any violation of the limits with regard to the spatial field gradients and in combination with the implants 25. Overall, this disclosure provides different embodiments that can help the operator to position the patient 27 and thus the implant 25 correctly. This is achieved by determining the correct trajectory 23 that does not enter any critical region 21. This correct trajectory 23 is influenced by different poses of the avatar 22 that represent the pose of the patient 27.
[0077]
[0078] In a next step b) the spatial magnetic field gradient B0 data set is provided with regards to the MR scanner 11.
[0079] In a next step c) the avatar pose is defined at the starting point 23s of the trajectory 23. Furthermore, the course of the trajectory 23 is also defined for inserting the patient 27 into the MR scanner 11. This means that steps a) to c) are preferably designed to gather all information needed for determining the trajectory 23 to insert the patient 27 into the MR scanner 11. In
[0080] In a next step d) several points on the trajectory 23 of the corresponding magnetic field value B0 and/or its gradient value are determined. This means that in step d) may be e.g. based on the input data in steps a) to c) in which any suitable type of calculating, determining, or outputting function is performed. Step d) can be regarded as fusing step, in which the trajectory 23 is fused with the magnetic field values B0. In this case, several trajectory points 23 together with their corresponding magnetic field values B0 are calculated or determined. This may e.g. be achieved by combining the spatial magnetic field gradient B0 data set with the avatar pose.
[0081] In a next step e) another trajectory 23 can be determined and/or the trajectory 23 can be adapted. This is also true concerning the avatar 22 and the pose of the avatar 22.
[0082] In
[0083] In a next step f) the information signal can be generated. The information signal may be indicated as an exclamation point or as an “OK” signal. Of course, the information signal can be more complex. For example, the information signal can be an animation with arrows that may show on a monitor how the avatar 22 shall be changed with regard to its pose. If the information signal is not “OK”, the method can be carried out again and/or the method can be turned into a regulation. In this case, it is possible that the method starts again with step a). It is also possible that the method starts at another step, for instance step b), step c) or step d). The method may be performed any suitable number of times as required until in step f) the “OK” signal is outputted.
[0084]
[0085] The various components described herein may be referred to as “units” or “apparatuses”. Such components may be implemented via any suitable combination of hardware and/or software components as applicable and/or known to achieve the intended respective functionality. This may include mechanical and/or electrical components, processors, processing circuitry, or other suitable hardware components, in addition to or instead of those discussed herein. Such components may be configured to operate independently, or configured to execute instructions or computer programs that are stored on a suitable computer readable medium. Regardless of the particular implementation, such devices, units, and facilities, as applicable and relevant, may alternatively be referred to herein as “circuitry,” “processors,” or “processing circuitry,” or alternatively as noted herein.