Stationary target imaging

• US 20070038077A1
• Filed: 10/04/2006
• Published: 02/15/2007
• Est. Priority Date: 07/10/2003
• Status: Abandoned Application

• Current Assignee: Catalyst Medical
• Original Assignee: Epic Pharma LLC (Humanwell Healthcare (Group) Co., Ltd.), Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.), RWTH Aachen University
• Inventors: Spuentrup, Elmar, Wiethoff, Andrea, Parsons, Edward, Botnar, Rene
• Application Number:
  US11/542,882
• Publication Number:
  US 20070038077A1
• Time in Patent Office: Days
• US Class Current: 600/420
• CPC Class Codes: A61K 49/085 conjugated systems
• CPC Class Codes: A61K 49/122 dimers of complexes or complex-forming compounds
• CPC Class Codes: A61K 49/14 Peptides, e.g. proteins

Abstract

Methods for imaging stationary targets, including thrombi, are disclosed. The methods allow the imaging of stationary targets in areas of the body subject to physiologic motion.

Claims

1. A method of reducing motion artifacts in an MR image of a stationary target in a bodily location of an animal, said bodily location subject to physiologic motion, said method comprising:

a) administering an MRI contrast agent to said animal, said MRI contrast agent capable of binding to said stationary target;

b) allowing said MRI contrast agent to bind to said stationary target; and

c) acquiring one or more MR images of said bodily location by timing data acquisition to localize sampling of said data in time such that said one or more MR images reflect said bodily location in a static position.

2. The method of claim 1, wherein said physiologic motion is periodic motion.

3. The method of claim 2, wherein said periodic motion is due to respiratory motion, cardiac motion, vascular pulsation, or CSF pulsation of said animal.

4. The method of claim 3, wherein said periodic motion is due to respiratory motion or cardiac motion of said animal.

5. The method of claim 2, wherein said periodic motion is due to both respiratory motion and cardiac motion of said animal.

6. The method of claim 1, wherein said physiologic motion is non-periodic motion.

7. The method of claim 6, wherein said non-periodic motion is musculoskeletal motion, peristalsis, swallowing, coughing, and eye motion.

8. The method of claim 7, wherein said non-periodic motion is musculoskeletal motion.

9. The method of claim 1, wherein said bodily location is selected from the group consisting of the heart, lungs, kidney, great vessels, liver, and skeletal joints.

10. The method of claim 9, wherein said bodily location is the myocardium, an atrium, a ventricle, a coronary artery, or a valve of the heart.

11. The method of claim 9, wherein said bodily location is a skeletal joint.

12. The method of claim 1, wherein said reduction of motion artifacts is achieved by acquiring MR data at a predetermined time during said animal'"'"'s cardiac cycle.

13. The method of claim 1, wherein said reduction of motion artifacts is achieved by acquiring MR data during a predetermined period of said animal'"'"'s respiratory cycle.

14. The method of claim 1, wherein said reduction of motion artifacts is achieved by acquiring MR data at a predetermined time during said animal'"'"'s cardiac and respiratory cycles.

15. The method of claim 12, wherein said MR data acquisition at a predetermined time during said animal'"'"'s cardiac cycle is mid- or late-diastole.

16. The method of claim 12, wherein said MR data acquisition at a predetermined time during said animal'"'"'s cardiac cycle occurs by coordinating said MR data acquisition with a physiologic electrical or pressure signal of said animal.

17. The method of claim 16, wherein said physiologic electrical or pressure signal is selected from the group consisting of an ECG signal, a heartbeat, and a pulse of said animal.

18. The method of claim 16, where in said pressure signal of said animal is detected using an acoustic technique, an ultrasound technique, or a transducer.

19. The method of claim 17, wherein said physiologic electrical signal is an ECG signal, and wherein said MR data acquisition occurs during mid- or late-diastole of said ECG signal.

20. The method of claim 13, wherein said acquisition of MR data during a predetermined period of said animal'"'"'s respiratory cycle occurs by coordinating said MR data acquisition with a location of said animal'"'"'s diaphragm, liver, or lung.

21. The method of claim 20, wherein said location of said diaphragm, liver, or lung is determined using an MR navigator, a tracking MR navigator, high speed MR projection images, or full MR images.

22. The method of claim 13, wherein said predetermined period of said respiratory cycle is determined by using a respiratory bellows.

23. The method of claim 13, wherein said predetermined period of said animal'"'"'s respiratory cycle is the end of expiration.

24. The method of claim 13, wherein said predetermined period of said animal'"'"'s respiratory cycle is a breath-hold of said animal.

25. The method of claim 13, wherein said predetermined period of said animal'"'"'s respiratory cycle can be monitored using electrophysiological measurements, pressure measurements, MR monitoring, or by MRI navigation.

26. The method of claim 1, wherein said one or more MR images are acquired using a contrast-enhancing imaging pulse sequence.

27. The method of claim 26, wherein said contrast-enhancing imaging pulse sequence is capable of suppressing the MR signal of in-flowing blood and is further capable of enhancing the MR signal of said stationary target.

28. The method of claim 26, wherein said contrast-enhancing imaging pulse sequence comprises a turbo field echo sequence, a spoiled gradient echo sequence, or a high speed 3D acquisition sequence.

29. The method of claim 26, wherein said contrast-enhancing imaging pulse sequence comprises a black blood MR angiography sequence.

30. The method of claim 29, wherein said black blood MR angiography sequence comprises a fast spin echo sequence, a flow-spoiled gradient echo sequence, an inversion recovery sequence, a double inversion recovery sequence, a fast gradient echo sequence, or an out-of-volume in-flow suppression sequence.

31. The method of claim 26, wherein said contrast-enhancing imaging pulse sequence comprises an in-flow-independent technique, said in-flow-independent technique capable of enhancing the contrast ratio of a magnetic resonance signal of said stationary target having said MRI contrast agent bound thereto relative to a magnetic resonance signal of background blood or tissue.

32. The method of claim 31, wherein said in-flow-independent technique comprises an inversion-recovery preparation sequence, a saturation-recovery preparation sequence, a T2 preparation sequence, or a magnetization transfer (MT) preparation sequence.

33. The method of claim 32, wherein said inversion-recovery preparation sequences, T2 preparation sequences, or MT preparation sequences are capable of enhancing one or more of T1, T2, or MT contrast.

34. The method of claim 31, wherein said background blood is in-flowing blood.

35. The method of claim 31, wherein said background tissue is fat, muscle, or tissue.

36. The method of claim 31, wherein said background blood is circuitous or multi-directional blood flow.

37. The method of claim 1, wherein said stationary target comprises a protein.

38. The method of claim 1, wherein said stationary target comprises an extracellular matrix component.

39. The method of claim 37, wherein said protein is fibrin.

40. The method of claim 38, wherein said extracellular matrix component is selected from the group consisting of a soluble protein, insoluble protein, polysaccharide, collagen, elastin, decorin, glycosoaminoglycan, proteoglycan, biglycan, and versican.

41. The method of claim 40, wherein said collagen comprises Type I, III, IV, V, or VI.

42. The method of claim 40, wherein said glycosoaminoglycan is selected from the group consisting of hyaluronan, dermatan sulfate, chondroitin sulfate, heparin, heparin sulfate, and keratin sulfate.

43. The method of claim 1, wherein said stationary target is selected from the group consisting of oxidized LDL, matrix metalloproteinases, leukotrienes, LTB4, and Toll-like receptors.

44. The method of claim 1, wherein said stationary target is selected from the group consisting of a thromboembolism, an aneurism, an embolism, a thrombus, a tumor, a region of fibrosis, a region of infarcted tissue, a region of ischemic tissue, an atherosclerotic plaque, and a vulnerable plaque.

45. The method of claim 1, wherein said stationary target is in a region of heart, liver, kidney, or lung tissue.

46. The method of claim 45, wherein said region of said heart, liver, kidney, or lung tissue is ischemic or infarcted.

47. The method of claim 1, wherein said contrast agent is selected from the group consisting of:

48. The method of claim 47, wherein said contrast agent is capable of binding to said stationary target.

49. The method of claim 48, wherein at least 10% of said contrast agent administered is bound to said stationary target.

50. The method of claim 49, wherein at least 50% of said contrast agent administered is bound to said stationary target.

51. The method of claim 50, wherein at least 80% of said contrast agent administered is bound to said stationary target.

52. The method of claim 51, wherein at least 96% of said contrast agent is bound to said stationary target.

53. The method of claim 1, wherein said animal is a human.