Intracavity probe and interface device for MRI imaging and spectroscopy

• US 5,476,095 A
• Filed: 03/01/1994
• Issued: 12/19/1995
• Est. Priority Date: 02/24/1989
• Status: Expired due to Term

• Current Assignee: Medrad Incorporated (Bayer AG), University of Pennsylvania
• Original Assignee: Medrad Incorporated (Bayer AG), University of Pennsylvania
• Inventors: Schnall, Mitchell D., Pollack, Howard M., Lenkinski, Robert E., Kressel, Herbert Y.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/203,245
• Time in Patent Office: 658 Days
• Field of Search: 128/653.2, 128/653.5, 128/656-658, 128/772, 604/96-101, 604/104, 604/117
• US Class Current: 600/423
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/4381 Prostate evaluation or disorder diagnosis
• CPC Class Codes: A61M 2025/1013 with concentrically mounted balloons, e.g. being independently inflatable
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters
• CPC Class Codes: G01R 33/34007 Manufacture of RF coils, e.g. using printed circuit board technology; additional hardware for providing mechanical support to the RF coil assembly or to part thereof, e.g. a support for moving the coil assembly relative to the remainder of the MR system
• CPC Class Codes: G01R 33/34084 implantable coils or coils being geometrically adaptable to the sample, e.g. flexible coils or coils comprising mutually movable parts
• CPC Class Codes: G01R 33/341 comprising surface coils
• CPC Class Codes: G01R 33/3657 Decoupling of multiple RF coils wherein the multiple RF coils do not have the same function in MR, e.g. decoupling of a transmission coil from a receive coil

Abstract

An insertable pickup probe and interface network for magnetic resonance imaging and spectroscopy. The pickup probe in the preferred embodiment is for use in imaging the male prostate and comprises an elongated shaft supporting a patient interface balloon at its distal end which contains a RF receiving coil. The interface balloon comprises an inflatable inner balloon enclosed by a flexible outer balloon. The receiving coil is positioned between the inner and outer balloons and placed intimately adjacent the region of interest by inflating the inner balloon to expand outwardly against the outer balloon. In addition, a non-stretchable planar material is provided on the surface on the inner balloon adjacent the receiving coil for ensuring that the receiving coil is placed adjacent the region of interest. The inner balloon is inflated by an inflator cuff connected to the shaft and communicated to the inner balloon by a first lumen in the shaft. The receiving coil is electrically connected to an interconnecting cable which is connected to the proximal end of the shaft and communicated to the receiving coil by a second lumen in the shaft. The interface network receives the interconnecting cable of the pickup probe and includes impedance matching means, tuning means, and decoupling means for interfacing the probe with a magnetic resonance imaging scanner. In addition, the interface includes an electronic circuit for automatically adjusting the control voltage of a varactor diode in a Pi network which comprises the tuning means.

Claims

1. An insertable intracavity probe for use in a magnetic resonance system for obtaining images or spectra of a region of interest within a cavity of a patient, the probe comprising:

a flexible support member having a distal tip and a shaft, said tip being substantially more flexible than said shaft;

an inflatable inner balloon connected to the flexible support member;

a flexible outer balloon completely enclosing said distal tip of the flexible support member and the inner balloon and for use in positioning the inner balloon within the cavity of the patient; and

means for receiving RF signals from the region of interest substantially contained between the inner balloon and the outer balloon.

2. The probe of claim 1 further comprising a surface on the outer balloon having an anterior saddle shape for conformably fitting to the rectal prostatic bulge of the patient.

3. The probe of claim 2 further comprising folds on a further surface of the outer balloon opposite to the surface having the anterior saddle shape.

4. The probe of claim 3 further comprising a means for control of the inflation of the inner balloon and for positioning the means for receiving RF signals for optimal reception of the RF signals from the region of interest.

5. The probe of claim 4 wherein the means for control is a non-stretchable substantially planar member covering a surface on the inner balloon.

6. The probe of claim 2 further comprising

inflating means connected to the flexible support member for inflating the inflatable inner balloon.

7. The probe of claim 6, wherein the inflating means comprises a compressible inflator cuff and a tube connected to the flexible support member to deliver air upon compression of the cuff to the inner balloon.

8. The probe of claim 1, wherein the flexible support member includes a positioning scale printed on the outer surface thereof.

9. The probe of claim 1, wherein the inner balloon and the outer balloon comprise a non-paramagnetic, flame retardant, biocompatible medical grade material having low dielectric loss characteristics.

10. The probe of claim 1, further comprising an anti-migration means for preventing unwanted movement of the probe relative to the cavity of the patient.

11. The probe of claim 10, wherein the anti-migration means is a disc having a semi-spherical shape and a slot which snaps into the flexible support member.

12. The probe of claim 1, further comprising a dilator element slidably mounted on the flexible support member for dilating an orifice leading to the cavity to allow easy positioning of the probe within the cavity.

13. The probe of claim 1, wherein the outer balloon further comprises lateral indentations for positioning the means for receiving RF signals on the indentations when the outer balloon is uninflated.

14. The probe of claim 1, wherein the means for receiving RF signals is a flexible coil.

15. The probe of claim 1 further comprising relay means electrically coupled to the means for receiving RF signals for providing an electrical output signal from the probe.

16. The probe of claim 15 further comprising first and second lumens contained within the flexible support member, the inflating means being connected to the inflatable inner balloon via the first lumen, and the relay means being an interconnecting cable for providing electrical connection to the means for receiving RF signals via the second lumen of the flexible support member.

17. An insertable intracavity probe for use in a magnetic resonance system for obtaining images or spectra of a region of interest within a cavity of a patient, the probe comprising:

a flexible support member;

an inflatable balloon connected to the flexible support member and having an anterior saddle shaped surface for conformably fitting to the rectal prostatic bulge of the patient; and

a flexible coil adjacent to said inflatable balloon for receiving an RF signal from the region of interest.

18. The probe of claim 17, wherein the inflatable balloon comprises an inflatable inner balloon connected to the flexible support member, a flexible outer balloon enclosing the inner balloon and flexible coil for use in positioning the probe within the cavity of the patient.

19. The probe of claim 17, further comprising folds on a further surface of the balloon opposite to the anterior saddle shaped surface.

20. An insertable intracavity probe for use in a magnetic resonance system for obtaining images of a region of interest within a cavity of a patient, the probe comprising:

a flexible support member;

an inflatable planar balloon connected to the flexible support member and having undulating folds; and

a flexible coil attached to the interior perimeter of the balloon;

such that when the balloon is inflated, the undulating folds press against a wall of the cavity generally opposite the region of interest to secure the balloon adjacent the region of interest.

21. The probe of claim 20 further comprising

inflating means connected to the flexible support member for inflating the inflatable balloon.

22. The probe of claim 20, wherein the balloon comprises a non-paramagnetic, flame retardant, biocompatible medical grade material having low dielectric loss characteristics.

23. The probe of claim 20, wherein the inflatable balloon comprises an inflatable inner balloon connected to the flexible support member, and a flexible outer balloon enclosing the inner balloon and flexible coil for use in positioning the probe within the cavity of the patient.

24. The probe of claim 20 in combination with a magnetic resonance system, the system comprising:

a magnetic resonance imaging scanner; and

a separable interface network for coupling said probe with said scanner and including impedance matching means to match the output impedance of said probe with the input impedance of the scanner, tuning means to tune the resonant frequency of the probe to the Larmour frequency of the scanner, decoupling means for decoupling the probe from the scanner during a magnetic resonance imaging transmission procedure.

25. The probe of claim 20 further comprising relay means electrically coupled to the flexible coil for providing an electrical output signal from the probe.

26. A method for obtaining magnetic resonance information from a region of interest within a cavity of a patient, the method comprising the steps of:

(a) providing an insertable probe comprising a flexible support member, an inflatable planar balloon connected to the flexible support member and having posterior undulating folds, and a flexible RF receiving coil attached to the interior perimeter of the balloon;

(b) inserting the insertable probe into a position in the cavity of the patient adjacent the region of interest;

(c) inflating the insertable probe, thereby unfolding the undulating folds against a wall of the cavity generally opposite the region of interest, and securely positioning the flexible RF receiving coil proximate the region of interest;

(d) inducing RF signals in the region of interest;

(e) sensing RF signals with the RF receiving coil;

(f) producing a magnetic resonance image by processing the received RF signals.

27. The method of claim 26 further comprising the steps of:

impedance matching the output impedance of the received RF signals with an input impedance of a scanner;

tuning the resonant frequency of the RF receiving coil to the Larmour frequency of the scanner;

decoupling the RF receiving coil from the scanner when inducing RF signals in the region of interest to prevent distortion of the received RF signals.

28. A magnetic resonance imaging system comprising:

an intracavity probe insertable within a cavity of a patient proximate a region of interest, the probe comprising a flexible support member having a distal tip and a shaft, said tip being substantially more flexible than said shaft;

an inflatable inner balloon connected to the flexible support member;

a flexible outer balloon completely enclosing said distal tip of the flexible support member and the inner balloon and for use in positioning the inner balloon within the cavity of the patient; and

means for receiving RF signals from the region of interest substantially contained between the inner balloon and the outer balloon;

a magnetic resonance imaging scanner for producing data corresponding to an MRI image of the region of interest from the RF signals received by said RF receiving means; and

an interface means electrically connected to said scanner for electrically connecting the RF receiving means to the scanner, the interface means including an impedance matching means for matching an output impedance of the RF receiving means with an input impedance of the scanner, and a tuning means for tuning the resonant frequency of the RF receiving means to the Larmour frequency of the scanner.

29. The system of claim 28, wherein the interface means comprises a decoupling means for decoupling the RF receiving means from the scanner to prevent distortion of the received RF signals.