Multipositional MRI for kinematic studies of movable joints

• US 5,899,859 A
• Filed: 06/06/1995
• Issued: 05/04/1999
• Est. Priority Date: 04/06/1993
• Status: Expired due to Term

• Current Assignee: Fonar Corporation
• Original Assignee: Fonar Corporation
• Inventors: Votruba, Jan, Shenoy, Rajendra, Damadian, Raymond V.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/468,241
• Time in Patent Office: 1,428 Days
• Field of Search: 128/653.2, 128/653.5, 128/774, 128/781, 128/782, 5/601, 5/621-624, 600/410, 600/415, 600/422, 600/587, 600/594, 600/595
• US Class Current: 600/415
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/70 Means for positioning the patient in relation to the detecting, measuring or recording means
• CPC Class Codes: A61B 5/702 Posture restraints
• CPC Class Codes: A61B 6/0485 Inflatable rests for lifting of patients
• CPC Class Codes: G01D 7/002 giving both analog and numerical indication
• CPC Class Codes: G01R 33/56391 involving motion of a part of the sample with respect to another part of the sample, e.g. MRI of active joint motion

Abstract

Methods and apparatus for kinematic studies of the movable joints of the body using magnetic resonance imaging. The apparatus controls the position of movable joints at a multiplicity of predetermined positions, enabling the controlled movement of the joints to each of the predetermined positions. It also includes a device which automatically sequences the movement of a movable joint to each position among the multiplicity of predetermined positions, and the acquisition of magnetic resonance imaging data at each of these positions. These features enhance the clinical utility of kinematic studies of movable joint functionality by magnetic resonance imaging.

Claims

1. A method of generating a multiplicity of magnetic resonance images of a movable joint of a patient comprising:

determining a plurality of stationary positions of a movable joint, where each position corresponds to a place where at least one of the magnetic resonance images is to be made;

securing a portion of the patient to a rotatable surface lying in a plane, the surface being rotatable about an axis perpendicular to the plane, wherein rotation of the portion of the patient causes movement of the movable joint;

performing a magnetic resonance imaging study at an initial one of the predetermined stationary positions;

rotating the portion of the patient by rotating the surface about the axis to cause movement of the movable joint to a second one of the stationary predetermined positions; and

operating automatically under programmable control the sequence of performing a magnetic resonance imaging study at one of the stationary predetermined positions followed by rotation of the portion of the patient to cause movement of the movable joint to the next one of the stationary predetermined positions until the movable joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary predetermined positions.

2. The method of claim 1, further comprising preparing a cine presentation of the multipositional magnetic resonance images obtained for the movable joint.

3. The method of claim 1, further comprising passing a portion of the patient through a radio frequency coil such that the movable joint is proximate the coil, prior to performing the initial magnetic resonance imaging study.

4. The method of claim 3, further comprising transmitting radio frequency energy from the radio frequency coil during the magnetic resonance imaging study.

5. The method of claim 3, further comprising receiving radio frequency energy emitted from the movable joint by the radio frequency coil during the magnetic resonance imaging study.

6. The method of claim 3, further comprising transmitting and receiving radio frequency energy by the radio frequency coil during the magnetic resonance imaging study.

7. The method of claim 3, further comprising securing a second portion of the patient to a stationary surface, wherein the second portion is on an opposite side of the movable joint as the first portion.

8. The method of claim 1, wherein the first portion of the patient is a first leg and rotation of the first leg causes rotation of the corresponding first hip joint, the method further comprising:

securing a second leg of the patient to a second rotatable surface, wherein rotation of the second leg causes rotation of the corresponding second hip joint;

determining a number of stationary positions of the second hip joint, where each position corresponds to a place where at least one of the magnetic resonance images is to be made;

performing a magnetic resonance imaging study of an initial one of the predetermined stationary positions of the second hip joint;

rotating the second leg to cause rotation of the second hip joint to a second one of the stationary predetermined positions; and

operating automatically under programmable control the sequence of performing magnetic resonance imaging studies followed by rotation of the second hip joint to the next one of the predetermined portions until the second hip joint has been subjected to one of the magnetic resonance imaging studies at each of the number of stationary positions.

9. The method of claim 8, wherein the performing, rotating and operating steps are each conducted simultaneously on the first and second leg such that the first and second legs are rotated simultaneously andmagnetic resonance imaging studies of the first and second hip joints are conducted simultaneously.

10. The method of claim 1, further comprising determining a range of motion of the movable joint prior to determining the plurality of stationary positions of the joint, wherein the predetermined stationary positions are within the range of motion of the joint.

11. A method of generating a multiplicity of magnetic resonance images of a movable joint of a patient comprising:

determining a plurality of stationary positions of a movable joint, where each position corresponds to a place where at least one of the magnetic resonance images is to be made;

securing a portion of the patient to a rotatable surface lying in a plane, the surface being rotatable about an axis perpendicular to the plane, wherein rotation of the portion of the patient causes movement of the movable joint;

performing a magnetic resonance imaging study at an initial one of the predetermined stationary positions;

rotating the portion of the patient by rotating the surface about the axis to cause movement of the movable joint to a second one of the stationary predetermined positions; and

sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the portion of the patient to cause movement of the movable joint to the next one of the stationary predetermined positions until the movable joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

12. The method of claim 11, further comprising supporting the patient on a surface in a supine position, prior to the securing step.

13. The method of claim 12, further comprising securing a second portion of the patient on an opposite side of the movable joint as the first portion, to a stationary surface.

14. The method of claim 12, wherein the movable joint is the cervical spine and the portion of the patient is the head, and:

the determining step comprises determining a plurality of stationary positions of the cervical spine;

the securing step comprises securing the head to the rotatable surface;

the rotating step comprises rotating the head about the axis by rotating the surface about the axis to cause movement of the cervical spine to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the head to cause movement of the cervical spine to the next one of the stationary predetermined positions until the cervical spine has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

15. The method of claim 12, wherein the movable joint is at least one of the hip joints and the portion of the patient includes at least the one leg depending from the at least one hip joint, and:

the determining step comprises determining a plurality of stationary positions of the at least one hip joint;

the securing step comprises securing the at least one leg to the rotatable surface;

the rotating step comprises rotating the at least one leg by rotating the surface about the axis to cause movement of the at least one hip joint to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the at least one leg to cause movement of the at least one hip joint to the next one of the stationary predetermined positions until the at least one hip joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

16. The method of claim 12, wherein the movable joint is a shoulder joint and the portion of the patient is the arm depending from the shoulder joint, wherein:

the determining step comprises determining a plurality of stationary positions of the shoulder joint;

the securing step comprises securing the arm to the rotatable surface;

the rotating step comprises rotating the arm by rotating the surface about the axis to cause movement of the shoulder joint to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the arm to cause movement of the shoulder joint to the next one of the stationary predetermined positions until the shoulder joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

17. The method of claim 11, wherein the movable joint is a knee joint and the portion of the patient is a part of the leg depending from the knee joint, and:

the determining step comprises determining a plurality of stationary positions of the knee joint;

the securing step comprises securing the part of the leg to the rotatable surface;

the rotating step comprises rotating the part of the leg by rotating the surface about the axis to cause movement of the knee joint to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the part of the leg to cause movement of the knee joint to the next one of the stationary predetermined positions until the knee joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

18. The method of claim 11, further comprising supporting the patient on a surface with the patient lying on their side, prior to the securing step.

19. The method of claim 18, wherein the movable joint is a knee joint and the portion of the patient is a part of the leg depending from the knee joint, and:

the determining step comprises determining a plurality of stationary positions of the knee joint;

the securing step comprises securing the part of the leg to the rotatable surface;

the rotating step comprises rotating the part of the leg by rotating the surface about the axis to cause movement of the knee joint to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the part of the leg to cause movement of the knee joint to the next one of the stationary predetermined positions until the knee joint has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.

20. The method of claim 11, wherein the movable joint is a wrist and the portion of the patient is the hand depending from the wrist, and:

the determining step comprises determining a plurality of stationary positions of the wrist;

the securing step comprises securing the hand to the rotatable surface;

the rotating step comprises rotating the hand by rotating the surface about the axis to cause movement of the wrist to a second one of the stationary predetermined positions; and

the sequencing step comprises sequencing performance of a magnetic resonance imaging study at one of the stationary predetermined positions with rotation of the hand to cause movement of the wrist to the next one of the stationary predetermined positions until the wrist has been subjected to magnetic resonance imaging studies at each of the plurality of stationary positions.