System for in vivo magnetic resonance imaging of lungs using perfluorinated gas mixtures

• US 9,254,098 B2
• Filed: 02/16/2011
• Issued: 02/09/2016
• Est. Priority Date: 02/16/2010
• Status: Active Grant

• Current Assignee: Duke University
• Original Assignee: Duke University
• Inventors: Soher, Brian J., Charles, Hal Cecil
• Primary Examiner(s): Smith, Ruth S
• Application Number:
  US13/577,926
• Publication Number:
  US 20130006094A1
• Time in Patent Office: 1,819 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2576/02 specially adapted for a particular organ or body part
• CPC Class Codes: A61B 5/0033 Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room image data processing or generation G06T
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0813 Measurement of pulmonary parameters by tracers, e.g. radioactive tracers
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61M 16/0054 Liquid ventilation
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2202/0476 Oxygenated solutions
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)
• CPC Class Codes: G01R 33/50 based on the determination of relaxation times , e.g. T1 measurement by IR sequences; T2 measurement by multiple-echo sequences
• CPC Class Codes: G01R 33/5601 involving use of a contrast agent for contrast manipulation, e.g. a paramagnetic, super-paramagnetic, ferromagnetic or hyperpolarised contrast agent
• CPC Class Codes: G01R 33/56325 : Cine imaging
• CPC Class Codes: G01R 33/56366 : Perfusion imaging
• 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

Systems and methods for generating MRI images of the lungs and/or airways of a subject using a medical grade gas mixture comprises between about 20-79% inert perfluorinated gas and oxygen gas. The images are generated using acquired ¹⁹F magnetic resonance image (MRI) signal data associated with the perfluorinated gas and oxygen mixture.

Claims

1. An MRI system, comprising:

an MRI scanner comprising a magnet with a magnetic field and an RF coil configured to obtain ¹H MRI signal data;

an RF coil configured to obtain ¹⁹F MRI signal data and sized and configured to reside proximate a patient, wherein the RF coil configured to obtain the ¹⁹F MRI signal data can be the same as the RF coil configured to obtain the ¹H MRI signal data or can be a different RF coil;

an MRI scanner interface in communication with the MRI scanner and in communication with the RF coil configured to obtain the ¹H MRI signal data and the RF coil configured to obtain the ¹⁹F MRI signal data, the interface comprising a proton blocking circuit; and

a gas delivery system comprising;

a pressurized canister of a medical grade gas mixture comprising perfluourinated gas in a level that is between about 20-79% and oxygen gas in a level that is at least about 20.5%, wherein the pressurized canister holds the gas mixture in a gaseous state at room temperature;

a gas flow path in communication with the gas mixture source comprising at least one conduit extending from the gas mixture source to a free-breathing dispensing member adapted to reside over, on or in a respective patient while the patient resides inside the magnetic field to deliver the gas mixture; and

at least one oxygen sensor in communication with the gas mixture;

wherein, in operation, the MRI scanner is configured to obtain ¹H and ¹⁹F MRI signal data of lung regions of the patient and generate images showing a temporal and spatial distribution of the perfluorinated gas, wherein the MRI scanner is configured to acquire the ¹⁹F MRI signal data while the patient carries out at least one of the following;

(a) free-breathing of the gas mixture during equilibrium and wash in and/or wash out for a plurality of respiratory cycles;

(b) a single or a plurality of breath holds of the gas mixture;

or (c) a forced ejection volume (FEV) of the gas mixture,

wherein the MRI scanner and/or an image analysis circuit comprising at least one processor in communication with the MRI scanner is configured to (i) generate a visual output of a graphic analysis fit to a lung model of ventilation wash-in and/or wash-out with a plurality of MRI images depicting functional information and (ii) register ¹⁹F MRI lung images to a set of ¹H MRI lung images of the patient, create lung masks from the ¹H MRI images, apply the created masks to the registered ¹⁹F MRI images, then extract summary parameters from the ¹⁹F MRI signal data to assess ventilation defects.

2. The system of claim 1, wherein the system comprises a gas control system that is in communication with the gas mixture and/or gas flow path and is configured to electronically terminate the gas delivery and allow the patient to breathe room air for a plurality of respiratory cycles while the MRI scanner continues image acquisition, wherein the gas flow path includes an enclosed inspiratory flow path and a separate enclosed expiratory flow path, the inspiratory flow path comprising the at least one conduit in fluid communication with the gas mixtures source, and wherein the inspiratory flow path and the expiratory flow path each include at least one Douglas bag, an MRI compatible pneumotachometer and a valve.

3. The system of claim 1, further comprising:

a display in communication with the MRI scanner; and

a respiratory cycle gating circuit in communication with the MRI scanner, wherein the MRI system is configured to generate gated free-breathing cine images with image data registered to a respiratory cycle using ¹⁹F MRI signal data acquired over a plurality of patient respiratory cycles, and wherein the display is configured to present the gated cine images in near real-time showing the lungs of the patient with temporal and spatially distributed ventilation data associated with the ¹⁹F MRI signal data.

4. The system of claim 1, wherein the gas flow path includes an inspire gas flow path and an expire gas flow path, the system further comprising a first pneumotachometer and a Douglas bag residing in the inspire gas flow path and a second pneumotachometer residing in the expire gas flow path, and wherein the system further comprises a respiratory gating circuit with at least one processor that is configured to use pneumotachometer data for respiratory gating input.

5. The MRI system of claim 1, wherein the MRI scanner and/or the at least one processor is configured to extract a plurality of the following as summary parameters:

pixel intensity, pixel count, histogram, summary statistics and 2-D shape factors, wherein the summary parameters are extracted by volume and slice, and wherein the summary parameters include one or both of wash-in times and wash-out times.

6. The MRI system of claim 1, further comprising a Douglas bag and a gas chamber in fluid communication with an expire portion of the gas flow path, the gas chamber positioned upstream of the Douglas bag for gas capture, wherein the gas chamber is in communication with a chemical analyzer configured to analyze oxygen and carbon dioxide content in substantially real time, and wherein the chemical analyzer is configured to determine composition of exhaled and inhaled gases.

7. The MRI system of claim 1, further comprising a display in communication with the MM scanner, wherein the MRI scanner and/or the at least one processor is configured to generate and provide to the display an overlay presentation of patient airflow data over time aligned with a plurality of MM images taken at different points in time including inspire and expire breath-hold images of air, wash-in and wash out images of the perfluorinated gas mixture and free-breathing ¹⁹F MRI images as cine MRI images.