Method, apparatus, and system for automatically positioning a probe or sensor

• US 20060122496A1
• Filed: 11/17/2004
• Published: 06/08/2006
• Est. Priority Date: 05/17/2002
• Status: Abandoned Application

• Current Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Original Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Inventors: George, Mark, Bohning, Daryl
• Application Number:
  US10/991,129
• Publication Number:
  US 20060122496A1
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 5/0042 for the brain
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 90/14 Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
• CPC Class Codes: A61N 2/006 for magnetic stimulation of nerve tissue
• CPC Class Codes: A61N 2/02 using magnetic fields produced by coils, including single turn loops or electromagnets A61N2/12 takes precedence
• CPC Class Codes: G01R 33/28 Details of apparatus provided for in groups G01R33/44 - G01R33/64
• CPC Class Codes: G01R 33/285 Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR
• CPC Class Codes: G01R 33/4806 Functional imaging of brain activation
• CPC Class Codes: G01R 33/4808 Multimodal MR, e.g. MR combined with positron emission tomography [PET], MR combined with ultrasound or MR combined with computed tomography [CT]

Abstract

A self-contained hardware/software system has been designed to provide anatomy-referenced positioning of a probe or sensor, such as a TMS coil, with respect to a subject. The system may be used in interleaved TMS/fMRI studies of brain circuitry. The system allows the TMS coil to be positioned with millimeter accuracy based on anatomical target locations selected in an MR volume of a subject'"'"'s brain acquired at the beginning of the interleaved TMS/fMRI study. The TMS coil may then be held in that position during subsequent scans.

Claims

1. A method for positioning a probe or sensor with respect to a subject, comprising the steps of:

obtaining a magnetic resonance image of at least a portion of the subject;

determining an optimal position for the probe or sensor with respect to the subject, based on the magnetic resonance image; and

moving the probe or sensor to the optimal position.

2. The method of claim 1, wherein the steps are performed for moving a coil for applying transcranial magnetic stimulation (TMS) to an optimal position with respect to the subject'"'"'s brain.

3. The method of claim 2, wherein the transcranial magnetic stimulation is interleaved with functional magnetic resonance imaging (fMRI).

4. The method of claim 3, wherein the steps of obtaining, determining, and moving are performed at the beginning of an interleaved TMS/fMRI study.

5. The method of claim 4, wherein the TMS coil is held in place through the remainder of the TMS/fMRI study.

6. A method for determining effects of transcranial magnetic stimulation (TMS) on a subject'"'"'s brain, comprising the steps of:

computing a point on the scalp of the subject contacted by transcranial magnetic stimulation and computing a point of maximum TMS magnetic field intensity based predetermined settings of a coil position, wherein the computed points are used to determine a relation of the transcranial magnetic stimulation and effects on particular areas of the brain.

7. The method of claim 6, wherein the settings for the coil position are predetermined by moving a coil supplying transcranial magnetic stimulation with respect to a subject'"'"'s scalp until a particular motor response is observed and entering the settings for the coil position.

8. The method of claim 6, wherein the TMS is applied to the cerebral cortex, and the step of computing includes computing the point of maximum TMS coil magnetic intensity at the depth of the cerebral cortex.

9. The method of claim 6, wherein the application of the TMS is interleaved with functional magnetic resonance imaging (fMRI), and the step of determining determines a relation between the TMS coil'"'"'s field pattern to the subject'"'"'s brain anatomy and the areas of the brain showing fMRI activation.

10. A device for automatically positioning a probe or sensor with respect to a subject, comprising the steps of:

means for obtaining a magnetic resonance image of at least a portion of the subject;

means for determining an optimal position for the probe or sensor with respect to the subject, based on the magnetic resonance image; and

means for automatically moving the probe or sensor to the optimal position.

11. The device of claim 10, wherein the probe or sensor includes a coil for applying transcranial magnetic stimulation (TMS) to an optimal position with respect to a subject'"'"'s rain.

12. The device of claim 11, wherein the transcranial magnetic stimulation is interleaved with functional magnetic resonance imaging (fMRI).

13. The device of claim 12, wherein the TMS coil is moved to the optimal position at the beginning of an interleaved TMS/fMRI study.

14. The device of claim 13, wherein the TMS coil is held in place through the remainder of the TMS/fMRI study.

15. A device for determining effects of transcranial magnetic stimulation (TMS) on a subject'"'"'s brain, comprising:

means for computing a point of the scalp contacted by transcranial magnetic stimulation from a coil and means for computing a point of maximum TMS magnetic field intensity based on predetermined settings of a coil position, wherein the computed points are used for determining a relation of the transcranial magnetic stimulation and effects on particular areas of the brain.

16. The device of claim 15, wherein the settings for the coil position are predetermined by moving a coil supplying transcranial magnetic stimulation with respect to a subject'"'"'s scalp until a particular motor response is observed and entering settings for the coil position.

17. The device of claim 15, wherein the TMS is applied to the cerebral cortex, and the means for computing the point of maximum TMS coil magnetic intensity computes the intensity at the depth of the cerebral cortex.

18. The device of claim 15, wherein the application of the TMS is interleaved with functional magnetic resonance imaging (fMRI), and the step of determining determines a relation between the TMS coil'"'"'s field pattern to the subject'"'"'s brain anatomy and the areas of the brain showing fMRI activation.

19. A system for automatically positioning a probe or sensor with respect to a subject, the system comprising:

a magnetic resonance imaging device for providing a magnetic resonance image of at least a portion of the subject;

a processor for determining an optimal position for the probe or sensor with respect to the subject, based on the magnetic resonance image; and

a movable arm for automatically moving the probe or sensor to the optimal position.

20. The system of claim 19, wherein the probe or sensor includes a coil for applying transcranial magnetic stimulation (IMS) to an optimal position with respect to the subject'"'"'s brain.

21. The system of claim 20, wherein the transcranial magnetic stimulation is interleaved with functional magnetic resonance imaging (fMRI).

22. The system of claim 21, wherein the coil is moved to the optimal position at the beginning of an interleaved TMS/fMRI study.

23. The system of claim 22, wherein the TMS coil is held in place through the remainder of the TMS/fMRI study.

24. A system for determining effects of transcranial magnetic stimulation (TMS) on a subject'"'"'s brain, comprising:

a positioner for positioning a TMS coil supplying the transcranial magnetic stimulation based on predetermined settings; and

a processor for computing a point of the scalp contacted by transcranial magnetic stimulation from a coil and a point of maximum TMS magnetic field intensity based on the predetermined settings of the coil position, wherein the computed points are used to determine a relation of the transcranial magnetic stimulation and effects on particular areas of the brain.

25. The system of claim 24, wherein the settings are predetermined by the positioner moving the coil supplying transcranial magnetic stimulation with respect to a subject'"'"'s scalp until a particular motor response is observed, and entering those settings representing the coil position into the processor.

26. The system of claim 24, wherein the TMS is applied to the cerebral cortex, and the step of computing includes computing the point of maximum TMS coil magnetic intensity at the depth of the cerebral cortex.

27. The system of claim 24, wherein the application of the TMS is interleaved with functional magnetic resonance imaging (fMRI), and the step of determining determines a relation between the TMS coil'"'"'s field pattern to the subject'"'"'s brain anatomy and the areas of the brain showing fMRI activation.