Timing techniques for magnetic resonance imaging

• US 7,660,620 B2
• Filed: 09/29/2003
• Issued: 02/09/2010
• Est. Priority Date: 09/29/2003
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Zeijlemaker, Volkert A., Goedeke, Steven D.
• Primary Examiner(s): Casler, Brian
• Assistant Examiner(s): RAMIREZ, JOHN FERNANDO
• Application Number:
  US10/673,777
• Publication Number:
  US 20050070786A1
• Time in Patent Office: 2,325 Days
• Field of Search: 600407-423, 607 2- 9, 607/60, 607/33, 607/52
• US Class Current: 600/411
• CPC Class Codes: A61N 1/3718 Monitoring of or protection against external electromagnetic fields or currents
• CPC Class Codes: G01R 33/5673 Gating or triggering based on a physiological signal other than an MR signal, e.g. ECG gating or motion monitoring using optical systems for monitoring the motion of a fiducial marker

Abstract

The invention is directed to techniques in which magnetic resonance imaging (MRI) is coordinated with the operation of an implantable medical device (IMD). By using an IMD to sense conditions, MRI can be improved because the sensed conditions can accurately define timing for application of electromagnetic radiation bursts. Moreover, by applying stimulation pulses specifically to coordinate the electromagnetic radiation bursts, the MRI may also be improved.

Claims

1. A method of performing magnetic resonance imaging (MRI) on tissue of a patient having an implantable medical device (IMD) with a telemetry unit communicating timing information as to operational conditions of the IMD, comprising:

receiving the timing information communicated from the (IMD);

applying a plurality of discrete MRI electromagnetic radiation bursts to the tissue of the patient, wherein said applied radiation bursts are synchronized with operational conditions of the IMD based upon the received timing information;

imaging the tissue upon a display, whereby the imaged tissue is displayed in a substantially common state during each of said plurality of radiation bursts, further comprising;

stimulating a patient with the IMD based upon the timing information to produce a specified cardiac rhythm;

imaging the heart tissue based on timing information during application of the stimulation applied to the patient by the IMD; and

at least one of storing and displaying at least some of said plurality of images when the heart tissue is at common points during the produced cardiac rhythm.

2. A method according to claim 1, further comprising sensing cardiac activity with the IMD and wherein the timing information includes timing of sensed cardiac activity.

3. A method according to claim 1, further comprising sensing physiologic conditions of the patient with the IMD.

4. A method according to claim 1, further comprising applying cardiac pacing pulses using the IMD and wherein the timing information defines timing of cardiac pacing stimulation pulses applied to the patient by the IMD.

5. The method of claim 1, wherein stimulation based on the timing information is intended to induce an arrhythmia.

6. The method of claim 1, wherein the IMD is a pacemaker and wherein the timing information defines a timing of a cardiac cycle.

7. The method of claim 1, wherein performing the MRI includes applying one or more electromagnetic radiation bursts based on the timing information.

8. The method of claim 1, wherein performing the MRI includes applying one or more gradient magnetic fields based on the timing information.

9. An apparatus comprising:

means for receiving timing information from an cardiac-based implantable medical device (IMD) related to timed operating conditions of the IMD;

means for performing magnetic resonance imaging (MRI) of heart tissue by applying electromagnetic radiation based upon the received timing information; and

means for synchronizing application of electromagnetic radiation with the received timing information, whereby the heart tissue being imaged is placed in a substantially common state during each application of radiation, wherein the IMD comprises means for applying cardiac stimulation pulses and wherein the timing information defines timing of cardiac stimulation pulses applied to the patient by the IMD to produce a specified cardiac rhythm and wherein the MRI comprises;

means for imaging the cardiac tissue during application of the cardiac stimulation by the IMD based upon the timing information; and

means for storing and displaying a plurality of images taken during common points during the produced cardiac rhythm.

10. An apparatus according to claim 9, wherein the IMD comprises means for sensing cardiac activity wherein the timing information includes timing of sensed cardiac activity.

11. The apparatus of claim 9, wherein cardiac stimulation based on the timing information is adapted to induce an arrhythmia.

12. The apparatus of claim 9, wherein the IMD comprises a pacemaker and wherein the timing information defines a timing of a cardiac cycle.

13. The apparatus of claim 9, wherein the MRI comprises means for applying one or more electromagnetic radiation bursts based on the timing information.

14. The apparatus of claim 9, wherein the MRI comprises means for applying one or more gradient magnetic fields based on the timing information.