Clinical electromagnetic brain scanner.

Stroke is a leading cause of death and disability worldwide, and early diagnosis and prompt medical intervention are thus crucial. Frequent monitoring of stroke patients is also essential to assess treatment efficacy and detect complications earlier. While computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used for stroke diagnosis, they cannot be easily used onsite, nor for frequent monitoring purposes. To meet those requirements, an electromagnetic imaging (EMI) device, which is portable, non-invasive, and non-ionizing, has been developed. It uses a headset with an antenna array that irradiates the head with a safe low-frequency EM field and captures scattered fields to map the brain using a complementary set of physics-based and data-driven algorithms, enabling quasi-real-time detection, two-dimensional localization, and classification of strokes. This study reports clinical findings from the first time the device was used on stroke patients. The clinical results on 50 patients indicate achieving an overall accuracy of 98% in classification and 80% in two-dimensional quadrant localization. With its lightweight design and potential for use by a single para-medical staff at the point of care, the device can be used in intensive care units, emergency departments, and by paramedics for onsite diagnosis.

Case Report: Preliminary Images From an Electromagnetic Portable Brain Scanner for Diagnosis and Monitoring of Acute Stroke.

Introduction: Electromagnetic imaging is an emerging technology which promises to provide a mobile, and rapid neuroimaging modality for pre-hospital and bedside evaluation of stroke patients based on the dielectric properties of the tissue. It is now possible due to technological advancements in materials, antennae design and manufacture, rapid portable computing power and network analyses and development of processing algorithms for image reconstruction. The purpose of this report is to introduce images from a novel, portable electromagnetic scanner being trialed for bedside and mobile imaging of ischaemic and haemorrhagic stroke. Methods: A prospective convenience study enrolled patients (January 2020 to August 2020) with known stroke to have brain electromagnetic imaging, in addition to usual imaging and medical care. The images are obtained by processing signals from encircling transceiver antennae which emit and detect low energy signals in the microwave frequency spectrum between 0.5 and 2.0 GHz. The purpose of the study was to refine the imaging algorithms. Results: Examples are presented of haemorrhagic and ischaemic stroke and comparison is made with CT, perfusion and MRI T2 FAIR sequence images. Conclusion: Due to speed of imaging, size and mobility of the device and negligible environmental risks, development of electromagnetic scanning scanner provides a promising additional modality for mobile and bedside neuroimaging.

Flexible Electromagnetic Cap for Three-Dimensional Electromagnetic Head Imaging.

The timely treatment is the crucial element for the survival of patients with brain stroke. Thus, a fast, cost-effective, and portable device is needed for the early and on-the-spot diagnosis of stroke patients. A 3D electromagnetic head imaging system for rapid brain stroke diagnosis with a wearable and lightweight platform is presented. The platform comprises a custom-built flexible cap with a 24-element planar antenna array, and a flexible matching medium layer. The custom-built cap is made out of an engineered polymer-ceramic composite substrate of RTV silicone rubber and aluminum oxide (Al2O3) for enhanced dielectric properties and mechanical flexibility and robustness. The array is arranged into two elliptical rings that are entirely incorporated into the flexible cap. The employed antenna elements within the system are compact with low SAR values over the utilized frequency range of 0.9-2.5 GHz. Moreover, a flexible matching medium layer is introduced on the front of the apertures of the antenna array to enhance the impedance matching with the skin. The detection capability of the system is experimentally verified on 3D realistic head phantoms at multiple imaging scenarios and different types of strokes. The reconstructed 3D and 2D multi-slice images using the beamforming and polar sensitivity encoding (PSE) image processing algorithms indicate the applicability and potential of the system for onsite brain imaging.

Flexible Electromagnetic Cap for Head Imaging.

A wideband wearable electromagnetic (EM) head imaging system for brain stroke detection is presented. The proposed system aims at overcoming the challenges of size, rigidity, and complex structures of existing systems. The proposed system is built into a light-weight and compact imaging platform, which integrates a 16-element antenna array into a highly flexible custom-made wearable cap made of a cost-effective and robust room-temperature-vulcanizing (RTV) silicone. The system mitigates the mismatch between the skin and antenna array by introducing a flexible high-permittivity matching layer. The utilized compact antenna demonstrates wideband operational frequency over 0.6-2.5 GHz with a low signal distortion, safe values of SAR, and unidirectional radiations. The system is experimentally validated on realistic head phantoms. The polar sensitivity encoding (PSE) image processing algorithm is utilized to generate 2D images of different testing scenarios. The obtained images of a stroke-like target inside the head phantoms demonstrate the merits and feasibility of the system for preclinical trials.

In vivo sensitivity estimation and imaging acceleration with rotating RF coil arrays at 7 Tesla.

Using a new rotating SENSitivity Encoding (rotating-SENSE) algorithm, we have successfully demonstrated that the rotating radiofrequency coil array (RRFCA) was capable of achieving a significant reduction in scan time and a uniform image reconstruction for a homogeneous phantom at 7 Tesla. However, at 7 Tesla the in vivo sensitivity profiles (B1(-)) become distinct at various angular positions. Therefore, sensitivity maps at other angular positions cannot be obtained by numerically rotating the acquired ones. In this work, a novel sensitivity estimation method for the RRFCA was developed and validated with human brain imaging. This method employed a library database and registration techniques to estimate coil sensitivity at an arbitrary angular position. The estimated sensitivity maps were then compared to the acquired sensitivity maps. The results indicate that the proposed method is capable of accurately estimating both magnitude and phase of sensitivity at an arbitrary angular position, which enables us to employ the rotating-SENSE algorithm to accelerate acquisition and reconstruct image. Compared to a stationary coil array with the same number of coil elements, the RRFCA was able to reconstruct images with better quality at a high reduction factor. It is hoped that the proposed rotation-dependent sensitivity estimation algorithm and the acceleration ability of the RRFCA will be particularly useful for ultra high field MRI.

Model for b1 imaging in MRI using the rotating RF field.

Conventionally, magnetic resonance imaging (MRI) is performed by pulsing gradient coils, which invariably leads to strong acoustic noise, patient safety concerns due to induced currents, and costly power/space requirements. This modeling study investigates a new silent, gradient coil-free MR imaging method, in which a radiofrequency (RF) coil and its nonuniform field (B 1 (+)) are mechanically rotated about the patient. The advantage of the rotating B 1 (+) field is that, for the first time, it provides a large number of degrees of freedom to aid a successful B 1 (+) image encoding process. The mathematical modeling was performed using flip angle modulation as part of a finite-difference-based Bloch equation solver. Preliminary results suggest that representative MR images with intensity deviations of <5% from the original image can be obtained using rotating RF field approach. This method may open up new avenues towards anatomical and functional imaging in medicine.

Fully automatic lesion segmentation in breast MRI using mean-shift and graph-cuts on a region adjacency graph.

PURPOSE: To present and evaluate a fully automatic method for segmentation (i.e., detection and delineation) of suspicious tissue in breast MRI. MATERIALS AND METHODS: The method, based on mean-shift clustering and graph-cuts on a region adjacency graph, was developed and its parameters tuned using multimodal (T1, T2, DCE-MRI) clinical breast MRI data from 35 subjects (training data). It was then tested using two data sets. Test set 1 comprises data for 85 subjects (93 lesions) acquired using the same protocol and scanner system used to acquire the training data. Test set 2 comprises data for eight subjects (nine lesions) acquired using a similar protocol but a different vendor's scanner system. Each lesion was manually delineated in three-dimensions by an experienced breast radiographer to establish segmentation ground truth. The regions of interest identified by the method were compared with the ground truth and the detection and delineation accuracies quantitatively evaluated. RESULTS: One hundred percent of the lesions were detected with a mean of 4.5 ± 1.2 false positives per subject. This false-positive rate is nearly 50% better than previously reported for a fully automatic breast lesion detection system. The median Dice coefficient for Test set 1 was 0.76 (interquartile range, 0.17), and 0.75 (interquartile range, 0.16) for Test set 2. CONCLUSION: The results demonstrate the efficacy and accuracy of the proposed method as well as its potential for direct application across different MRI systems. It is (to the authors' knowledge) the first fully automatic method for breast lesion detection and delineation in breast MRI.

An analysis of the gradient-induced electric fields and current densities in human models when situated in a hybrid MRI-LINAC system.

MRI-LINAC is a new image-guided radiotherapy treatment system that combines magnetic resonance imaging (MRI) with a linear accelerator (LINAC) in a single unit. One drawback is that the pulsing of the split gradient coils of the system induces an electric field and currents in the patient which need to be predicted and evaluated for patient safety. In this novel numerical study the in situ electric fields and associated current densities were evaluated inside tissue-accurate male and female human voxel models when a number of different split-geometry gradient coils were operated. The body models were located in the MRI-LINAC system along the axial and radial directions in three different body positions. Each model had a region of interest (ROI) suitable for image-guided radiotherapy. The simulation results show that the amplitudes and distributions of the field and current density induced by different split x-gradient coils were similar with one another in the ROI of the body model, but varied outside of the region. The fields and current densities induced by a split classic coil with the surface unconnected showed the largest deviation from those given by the conventional non-split coils. Another finding indicated that the distributions of the peak current densities varied when the body position, orientation or gender changed, while the peak electric fields mainly occurred in the skin and fat tissues.

Highly accelerated acquisition and homogeneous image reconstruction with rotating RF coil array at 7T-A phantom based study.

Parallel imaging (PI) is widely used for imaging acceleration by means of coil spatial sensitivities associated with phased array coils (PACs). By employing a time-division multiplexing technique, a single-channel rotating radiofrequency coil (RRFC) provides an alternative method to reduce scan time. Strategically combining these two concepts could provide enhanced acceleration and efficiency. In this work, the imaging acceleration ability and homogeneous image reconstruction strategy of 4-element rotating radiofrequency coil array (RRFCA) was numerically investigated and experimental validated at 7T with a homogeneous phantom. Each coil of RRFCA was capable of acquiring a large number of sensitivity profiles, leading to a better acceleration performance illustrated by the improved geometry-maps that have lower maximum values and more uniform distributions compared to 4- and 8-element stationary arrays. A reconstruction algorithm, rotating SENSitivity Encoding (rotating SENSE), was proposed to provide image reconstruction. Additionally, by optimally choosing the angular sampling positions and transmit profiles under the rotating scheme, phantom images could be faithfully reconstructed. The results indicate that, the proposed technique is able to provide homogeneous reconstructions with overall higher and more uniform signal-to-noise ratio (SNR) distributions at high reduction factors. It is hoped that, by employing the high imaging acceleration and homogeneous imaging reconstruction ability of RRFCA, the proposed method will facilitate human imaging for ultra high field MRI.

Multilayer integral method for simulation of eddy currents in thin volumes of arbitrary geometry produced by MRI gradient coils.

PURPOSE: This article aims to present a fast, efficient and accurate multi-layer integral method (MIM) for the evaluation of complex spatiotemporal eddy currents in nonmagnetic and thin volumes of irregular geometries induced by arbitrary arrangements of gradient coils. METHODS: The volume of interest is divided into a number of layers, wherein the thickness of each layer is assumed to be smaller than the skin depth and where one of the linear dimensions is much smaller than the remaining two dimensions. The diffusion equation of the current density is solved both in time-harmonic and transient domain. RESULTS: The experimentally measured magnetic fields produced by the coil and the induced eddy currents as well as the corresponding time-decay constants were in close agreement with the results produced by the MIM. Relevant parameters such as power loss and force induced by the eddy currents in a split cryostat were simulated using the MIM. CONCLUSION: The proposed method is capable of accurately simulating the current diffusion process inside thin volumes, such as the magnet cryostat. The method permits the priori-calculation of optimal pre-emphasis parameters. The MIM enables unified designs of gradient coil-magnet structures for an optimal mitigation of deleterious eddy current effects.

Numerical safety study of currents induced in the patient during rotations in the static field produced by a hybrid MRI-LINAC system.

MRI-LINAC is a new image-guided radiotherapy treatment system that combines magnetic resonance imaging (MRI) and a linear particle accelerator (LINAC) into a single unit. Moving (i.e., rotating or translating) the patient inside the strong magnetic field of the split MRI-LINAC magnet can potentially induce high levels of electric fields and corresponding current densities in the conducting tissues. The prediction and assessment of patient safety in terms of electromagnetic field exposure have received very little attention for a split cylindrical MRI magnet configuration, especially in the vicinity of the gap region. In this novel numerical study, based on the quasi-static finite-difference method, rotation-induced electric fields and current densities are calculated considering a split 1-T magnet and a tissue-accurate 2-mm-resolution human body model. The patient was modeled in both axial and radial orientations relative to the magnet gap in a number of treatment/imaging scenarios. It was found that rotating the patient in the radial orientation produced an order of magnitude larger field exposure in the central nervous system than when the patient was rotated in the axial orientation. Also, rotating the patient with periods lower than about Trot = 43.3 s may result in field exposures above the limits set out in the international safety guidelines. The novel results of this investigation can provide useful insights into the safe use of the MRI-LINAC technology and optimal orientations of the patient during the treatment.

Electromechanical design and construction of a rotating radio-frequency coil system for applications in magnetic resonance.

While recent studies have shown that rotating a single radio-frequency (RF) coil during the acquisition of magnetic resonance (MR) images provides a number of hardware advantages (i.e., requires only one RF channel, avoids coil-coil coupling and facilitates large-scale multinuclear imaging), they did not describe in detail how to build a rotating RF coil system. This paper presents detailed engineering information on the electromechanical design and construction of a MR-compatible RRFC system for human head imaging at 2 T. A custom-made (bladeless) pneumatic Tesla turbine was used to rotate the RF coil at a constant velocity, while an infrared optical encoder measured the selected frequency of rotation. Once the rotating structure was mechanically balanced and the compressed air supply suitably regulated, the maximum frequency of rotation measured ~14.5 Hz with a 2.4% frequency variation over time. MR images of a water phantom and human head were obtained using the rotating RF head coil system.

An orthogonal-based decoupling method for MRI phased array coil design.

A new 2 T 3-element orthogonal knee coil array based on the three-dimensional orthogonality principle was designed, constructed and used in a series of pilot magnetic resonance imaging (MRI) studies on a standardized phantom, and human and pig knees. The coil elements within this new coil array are positioned orthogonal to one another allowing problematic mutual coupling effects to be minimized without the use of any passive mutual decoupling schemes. The proposed method is appropriate for the design of transmit, receive and/or transceive radiofrequency (RF) coil arrays for applications in animal/human MRI and spectroscopic studies. Experimental results demonstrated that the 3-element orthogonal knee coil array could be angled arbitrarily, including at 90°, relative to the main static magnetic field (B(0) ) whilst maintaining normal operation with minimal loss of efficiency and functionality. Initial trials with a pig knee specimen further showed that the greatest signal intensity in the patellar ligament (parallel collagen fibres) was observed when the orthogonal knee coil array and the pig knee specimen were angled at ~55° to B(0) , which may have potential uses in magic angle MR applications.

Hign acceleration with a rotating radiofrequency coil array (RRFCA) in parallel magnetic resonance imaging (MRI).

This study explores the performance of a novel hybrid technology, in which the recently introduced rotating RF coil (RRFC) was combined with the principles of Parallel Imaging (PI) to improve the quality and speed of magnetic resonance (MR) images. To evaluate the system, a low-density naturally-decoupled 4-channel rotating radiofrequency coil array (RRFCA) was modelled and investigated. The traditional SENSitivity Encoding (SENSE) reconstruction method and the means of calculating the geometry factor distribution (g map) were adapted to take into account the transient sensitivity encoding. It was found from simulations at 3T that, continuous rotating motion considerably enhanced the coil sensitivity encoding capability, making higher reduction factors in scan time possible. The sensitivity encoding capability can be further improved by choosing an optimal speed of array rotation. Compared to traditional phased-array coils (PACs) with twice as many coil elements, the RRFCA demonstrated clear advantages in terms of quality of reconstruction and superior noise behaviour in all the cases investigated in this initial study.

An improved quasi-static finite-difference scheme for induced field evaluation based on the biconjugate gradient method.

This paper presents a biconjugate gradient (BiCG) method that can significantly improve the performance of the quasi-static finite-difference scheme, which has been widely used to model field induction phenomena in voxel phantoms. The proposed BiCG method offers remarkable computational advantages in terms of convergence performance and memory consumption over the conventional iterative, successive overrelaxation algorithm. The scheme has been validated against other known solutions on a lossy, multilayered ellipsoid phantom excited by an ideal coil loop. The wide application capability and computational performance of the BiCG method is demonstrated by modeling the exposure of MRI healthcare workers to fields produced by pulsed field gradients. This is an important topic of research in light of the Physical Agents Directive 2004/40/EC because a variety of realistic operator postures near the bore entrance of an MRI system are modeled.

Analysis and measurements of magnetic field exposures for healthcare workers in selected MR environments.

There are concerns about workers repeatedly exposed to magnetic fields exceeding regulatory limits with respect to modern magnetic resonance imaging (MRI). As a result, there is need for an ambulatory magnetic field dosimeter capable of measuring these fields in and around an MRI scanner in order to evaluate the regulatory guidelines and determine any underlying exposure risks. This study presents results of tri-axial measurements using an ambulatory magnetic field dosimeter worn by workers during normal working shifts. We recorded and analyzed magnetic field exposures in and around 1.5 T, 2 T, and 4 T magnets during routine patient procedures. The data was integrated and averaged over time and evaluated against the latest exposure standards. Time-varying magnetic fields occur when individuals move through spatially non-uniform static magnetic fields or during gradient-pulsed magnetic fields or a combination of both. Our previous numerical analysis shows that at certain positions surrounding the MRI scanner ends, such fields may induce current densities and electric fields that may exceed the relevant EU, ICNIRP, and IEEE standards. A high-speed acquisition version of the dosimeter measured gradient- pulsed fields at positions accessible by MRI workers near the scanner ends, and the results were evaluated and compared against the numerical simulations and the standards. Our measurements confirm that workers can be exposed to magnetic fields exceeding the guidelines at positions near the gradient coil ends during clinical imaging and a high degree of correlation exists with the numerical results. While the time-weighted average magnetic field exposures in 1.5 T, 2 T, and 4 T were all within the regulatory limits during static magnetic field measurements, the peak limits for the head can be exceeded in some circumstances. This study presents a small number of routine shifts of data that provide indicative results of magnetic field exposure in real situations.

Exposure of workers to pulsed gradients in MRI.

PURPOSE: To numerically evaluate the electric field/current density magnitudes and spatial distributions in healthcare workers when they are standing close to the gradient coil windings near the magnetic resonance imaging (MRI) scanner ends. MATERIALS AND METHODS: Anatomically realistic, whole-body male and female voxel phantoms are engaged to model the workers at various positions near the ends of three cylindrical gradient coils (x-, y-, and z-axis gradients). The numerical calculations of induced fields are based on an efficient, quasistatic finite-difference method. RESULTS: The simulations show that it is possible to induce electric fields/current densities above levels recommended by the International Commission for Non-ionizing Radiation Protection (ICNIRP) and the Institute of Electrical and Electronics Engineers (IEEE) standards when the workers are standing close to the gradient coils and when two or three gradients are switched simultaneously, as is often the case. CONCLUSION: The longitudinal gradient tends to induce more fields in workers than the transverse coils. The strongest levels of field exposure are observed when all three gradients are operated simultaneously and can be above regulations when the healthcare worker is close to the gradient coils. Other postures such as bending into the magnet shall be investigated in further studies.

Numerical study of currents in workers induced by body-motion around high-ultrahigh field MRI magnets.

PURPOSE: To numerically evaluate the electric field/current density magnitudes and spatial distributions in healthcare workers when moving through strong, nonuniform static magnetic fields generated by the magnetic resonance imaging (MRI) system and to understand the relationship between the field characteristics and levels/distributions of induced field quantities. MATERIALS AND METHODS: Tissue-equivalent, whole-body male and female voxel phantoms are engaged to model the workers at various positions and variety of body motions around three real superconducting magnets with field strengths of 1.5 T, 4 T, and 7 T. The numerical calculations of induced fields are based on an efficient, quasistatic finite-difference scheme. RESULTS: The simulations show that it is possible to induce electric fields/current densities above levels recommended by International Commission for Non-ionizing Radiation Protection (ICNIRP) and Institute of Electrical and Electronics Engineers (IEEE) standards when the worker is moving very close to the imager. The results indicate that the worker should be at least approximately 0.5-1.0 m axially away from the cryostat end for field strengths between 1.5-7 T to limit the exposure according to the standards when moving at a nominal 1 m second(-1). CONCLUSION: To comply with international safety regulations, workers either need to be restricted in their access to certain areas around the magnet or to ensure slow movement in specified regions.

Transient temperature rise in a mouse due to low-frequency regional hyperthermia.

A refined nonlinear heat transfer model of a mouse has been developed to simulate the transient temperature rise in a neoplastic tumour and neighbouring tissue during regional hyperthermia using a 150 kHz inductive coil. In this study, we incorporate various bio-energetic enhancements to the heat transfer equation and numerical validations based on experimental findings for the mouse, in terms of nonlinear metabolic heat production, homeothermy, blood perfusion parameters, thermoregulation, psychological and physiological effects. The discretized bio-heat transfer equation has been validated with the commercial software FEMLAB on a canonical multi-sphere object before applying the scheme to the inhomogeneous mouse voxel phantom. The time-dependent numerical results of regional hyperthermia of mouse thigh have been compared with the available experimental temperature results with only a few small disparities. During the first 20 min of local unfocused heating, the temperature in the tumour and the surrounding tissue increased by around 7.5 degrees C. The objective of this preliminary study was to develop a validated electrothermal numerical scheme for inductive hyperthermia of a small mammal with the intention of expanding the model into a complete numerical solution involving ferromagnetic nanoparticles for targeted heating of tumours at low frequencies. In addition, the numerical scheme herein could assist in optimizing and tailoring of focused electromagnetic fields for hyperthermia.

A parallel FDTD scheme for electromagnetic analysis and design of MRI system.

This paper presents a parallel-computing FDTD simulator for electromagnetic analysis and design applications in Magnetic Resonance Imaging system. It is intended to be a complete, high-performance FDTD model of an MRI system including all temporal RF and low-frequency field generating units and electrical models of the patient. The developed MRI-dedicated FDTD algorithm is adapted to a parallel computing architecture with the MPI library. Its capabilities are illustrated in two distinct, large-scale field problems. One concerns the interaction of RF-fields with human tissue at high magnitude fields. The other includes the characterization of the temporal eddy currents induced in the cryostat vessel during gradient switching. The presented examples demonstrate the computational efficiency and extended analyses available due to the parallel FDTD framework.