Method to Determine Distribution of a Material by an Infused Magnetic Resonance Image Contrast Agent

• US 20140171781A1
• Filed: 12/14/2012
• Published: 06/19/2014
• Est. Priority Date: 12/14/2012
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: STILES, David
• Granted Patent: US 9,008,752 B2
• Time in Patent Office: Days
• US Class Current: 600/411
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A contrast agent can be infused into a subject and a determination can be made of a VOD and/or a concentration gradient of the contrast agent in the VOD. The contrast agent can be infused in the subject using selected parameters. A correlation to a selected material can be made to determine parameters for infusion the selected material.

Claims

1. A method of determining a selected set of parameters for a therapy on a subject, comprising:

selecting a material to provide to the subject for the therapy;

accessing a database of predetermined parameters related to a proxy material;

executing instructions with a processor to determine infusion parameters to achieve a selected volume of efficacy in the subject of the selected material; and

outputting the determined infusion parameters for performing the therapy on the subject.

2. The method of claim 1, wherein the database is based on analyzing image data of a subject model after having infused in the subject model the proxy material.

3. The method of claim 2, wherein the proxy material includes a magnetic resonance contrast agent.

4. The method of claim 2, further comprising:

infusing the proxy material into the subject to a steady state distribution with a proxy set of parameters.

5. The method of claim 4, further comprising:

imaging the model subject with the proxy material at the steady state distribution in the subject;

determining a proxy volume of distribution of the proxy material at the steady state; and

determining a concentration gradient of the proxy material within the proxy volume of distribution.

6. The method of claim 5, further comprising:

correlating the proxy volume of distribution of the proxy material to a selected material volume of distribution of the selected material.

7. The method of claim 6, wherein correlating the proxy volume of distribution of the proxy material to the selected material volume of distribution of the selected material includes infusing the proxy material and the selected material into the model subject and comparing the proxy volume of distribution of and a related proxy material concentration gradient to the selected material volume of distribution and a related selected material concentration gradient within the subject model.

8. The method of claim 7, further comprising:

infusing the proxy material into the subject with a first set of infusion parameters to achieve a steady state proxy material volume of distribution in the subject;

wherein executing instructions with a processor to determine infusion parameters to achieve a selected volume of efficacy in the subject of the selected material includes evaluating the steady state proxy material volume of distribution in the subject to determine a related selected material volume of distribution at a steady state within the subject.

9. The method of claim 8, wherein executing instructions with a processor to determine infusion parameters to achieve a selected volume of efficacy in the subject of the selected material further includes relating the first set of infusion parameters to a second set of infusion parameters for the selected material to achieve the selected volume of efficacy of the selected material within the subject.

10. The method of claim 9, further comprising:

displaying the volume of efficacy as an icon superimposed on an image of the subject.

11. A method of determining a selected set of parameters for a therapy on a subject, comprising:

selecting a material to provide to the subject for the therapy;

accessing a database of predetermined correlations of parameters relating a proxy material to the selected material;

analyzing proxy material image data of the subject after having infused in the subject the proxy material to determine a proxy volume of distribution and a proxy concentration gradient within the proxy volume of distribution;

executing instructions with a processor to determine a therapy infusion parameter for infusion of the selected material to achieve a volume of efficacy in the subject of the selected material based on a proxy infusion parameter; and

outputting the determined therapy infusion parameter.

12. The method of claim 11, further comprising:

generating the database by;

infusing the proxy material and the selected material into a subject model with test infusion parameters;

comparing a test selected material volume of distribution and concentration gradient with a test proxy material volume of distribution and concentration gradient;

determining a correlation of the test selected material volume of distribution and concentration gradient and the test proxy material volume of distribution and concentration gradient; and

saving the correlation in a memory device as the database.

13. The method of claim 12, further comprising:

infusing substantially only the proxy material into the subject with the proxy infusion parameter prior to analyzing proxy material image data of the subject.

14. The method of claim 13, wherein executing instructions with a processor to determine a therapy infusion parameter for infusion of the selected material includes calculating the therapy infusion parameters based on the determined correlation.

15. The method of claim 11, wherein the proxy infusion parameter and the therapy infusion parameter are identical.

16. The method of claim 15, wherein the proxy infusion parameter and the therapy infusion parameter each include a plurality of parameters.

17. The method of claim 15, wherein the proxy infusion parameter and the therapy infusion parameter each include at least one of a catheter location, a high flow rate, a low flow rate, a time at high flow rate, a time at low flow rate, a proxy material concentration, or a selected material concentration.

18. A system for determining a selected set of parameters for a therapy on a subject, comprising:

a memory system that stores a database of predetermined correlations of parameters relating a proxy material to a selected material to provide to the subject for the therapy;

a processor configured to execute instructions to;

analyze proxy material image data of the subject after having infused in the subject the proxy material to determine a proxy volume of distribution and a proxy concentration gradient within the proxy volume of distribution,

access the memory system to recall a correlation between the proxy material and the selected material, and

determine a therapy infusion parameter for infusion of the selected material to achieve a volume of efficacy in the subject of the selected material based on a proxy infusion parameter; and

a display device configured to display the determined therapy infusion parameter.

19. The system of claim 18, further comprising:

a catheter configured to infuse the proxy material;

a surgical navigation system configured to determine a location of the catheter during the infusion of the proxy material,

wherein the proxy infusion parameter includes the location of the catheter during the infusion of the proxy material.

20. The system of claim 18, further comprising:

a catheter configured to infuse the selected material;

a surgical navigation system configured to determine when the catheter is at a determined infusion location of the catheter for infusion of the selected material;

wherein the therapy infusion parameter includes the determined infusion location.