Portable magnetic resonance imaging

Magnetic resonance imaging
Para-sagittal MRI of the head, with aliasing artifacts (nose and forehead appear at the back of the head)
SynonymsNuclear magnetic resonance imaging (NMRI), magnetic resonance tomography (MRT)
ICD-9-CM88.91
MeSHD008279
MedlinePlus003335

Portable magnetic resonance imaging (MRI) is referred to the imaging provided by an MRI scanner that has mobility and portability.[1][2][3] It provides MR imaging to the patient in-time and on-site, for example, in intensive care unit (ICU) where there is danger associated with moving the patient, in an ambulance, after a disaster rescue, or in a field hospital/medical tent.

Superconducting-magnet-based portable MRI

The superconducting magnet is one of the main sources to supply a homogeneous main static magnetic field (B0) for MR imaging. Normally it ranges from 1 T to 7 T. To obtain mobility for a conventional MRI scanner that uses a superconducting magnet to supply B0, it is placed in a trailer.[4]

The magnetic field strength of such a mobile MRI scanner is within the range of 1.5 T to 3 T. The weight of the scanner is the same as one sited in a hospital and the price is higher than a traditional one in the hospital, which is due to the mobility added to the scanner. It can be sited by a medical tent by a battlefield.

Resistive electromagnet-based portable MRI

The electromagnet is another source to supply homogeneous B0 for MR imaging. It offers mobility to MRI as electromagnet is relatively light and easier to move around compared to a superconducting magnet. Moreover, an electromagnet does not require a complicated cooling system. Matthew Rosen and his colleagues from Massachusetts General Hospital have developed a 6.5 mT (65 Gauss) electromagnet-based system.[5] The scanner has a 220 cm diameter and is sited in a copper-mesh enclosure where it has been used mostly for human head imaging, although the system was originally designed to perform hyperpolarized 3He lung imaging with subjects in both upright and horizontal orientations.[6] Magritek has a table-top system using an electromagnet to supply B0.[7] The imaging volume is a cylinder with a diameter of 1–2 cm. The downside of using an electromagnet for MRI is the field strength. It is usually below 10 mT if the field of view (FoV) is relatively large, e.g. a diameter of spherical volume (DSV) of 20 cm for head imaging.

Permanent-magnet-based portable MRI

A permanent magnet array (PMA) can supply B0 field for MRI.[8] It does not require power nor a cooling system, which helps to simplify the hardware of a scanner favoring portability. To supply a homogeneous B0 within an FoV of 40–50 cm for a body scan, a PMA, usually in a C-shape or an H-shape, goes up to a room size and is heavy. The field strength is usually below 0.5 T. Siemens has a product, MAGNETOM C, which has a magnetic field of 0.35 T for a body scan.[9] The scanner is a room-sized, 233×206×160 cm, and has a weight of 17.6 tons. Its FoV can go up to 40 cm with a homogeneity of less than 100 ppm. When the concept of body dedication is applied to a PMA-based system where the magnet and other apparatus are built around a targeted body-part under imaging (e.g. the angle, the knee, the shoulder, the arm), the size of the scanner can be reduced to half of a room-size [10][11][12] for a homogeneous field for a DSV of around 10–15 cm. A C-shaped PMA was reduced to a table-top size to have a homogeneous field within a DSV of 1–2 cm for imaging [13]

Using a PMA to supply a homogeneous B0 and relying on linear gradient fields supplied by gradient coils cannot give us a PMA with portability and a relatively large imaging volume simultaneously. Allowing magnetic field that has non-linear gradients to encode the signal for imaging leads to the possibility of having a relatively light PMA (tens to hundreds of kgs) and a relatively large FoV (15–25 DSV) at the same time.[14] A Halbach array supplies a magnetic field that points in the transversal direction and has a quadrupolar pattern .[15][16] An Inward-outward (IO) ring pair array supplies a magnetic field that points in the longitudinal direction which allows the application of the advancement of RF coils to the system.[17][18][19] The pattern supplied by the latest designed IO ring pair array can be very close to a linear pattern, which leads to an efficient signal encoding and a good image quality [19]

Forums on portable MRI/low-field MRI

References

  1. ↑ Mitra, Esha (2018-06-08). "Tata Trusts develops portable MRI scanner". The Hindu. India. Retrieved 2019-12-12.
  2. ↑ "Hyperfine and Yale School of Medicine collaborate on world's first portable MRI technology". EurekAlert!. Washington, DC, U.S.: AAAS news release. Retrieved 2019-12-12.
  3. ↑ Ren, Zhi Hua; Obruchkov, Sergei; Lu, Dong; Dykstra, Robin; Huang, Shao Ying (2017-11-01). "A low-field portable magnetic resonance imaging system for head imaging". 2017 Progress in Electromagnetics Research Symposium - Fall (PIERS - FALL). pp. 3042–3044. doi:10.1109/PIERS-FALL.2017.8293655. ISBN 978-1-5386-1211-8. S2CID 3400077. Retrieved 2019-12-12 – via Researchgate.
  4. ↑ "Mobile MRI Scanner". www.siemens-healthineers.com. Archived from the original on 2019-12-12.
  5. ↑ Sarracanie M, LaPierre CD, Salameh N, Waddington DEJ, Witzel T & Rosen MS, Low-Cost High-Performance MRI. Sci Rep 5, 15177 (2015). https://doi.org/10.1038/srep15177
  6. ↑ Tsai LL, Mair RW, Rosen MS, Patz S, Walsworth RL. An open-access, very-low-field MRI system for posture-dependent 3He human lung imaging. J Magn Reson. 2008 Aug;193(2):274-85. https://doi.org/10.1016/j.jmr.2008.05.016. Epub 2008 May 24. PMID 18550402; PMCID: PMC2572034
  7. ↑ "Terranova | Magritek". Archived from the original on 2014-07-20.
  8. ↑ S. Y. Huang, Z. H. REN, S. OBRUCHKOV, J. GONG, R. DYKSTRA, W. YU, " Portable Low-cost MRI System based on Permanent Magnets/Magnet Arrays", Investigative Magnetic Resonance Imaging(2019), 23 (3):179, http://dx.doi.org/10.13104/imri.2019.23.3.179
  9. ↑ "Magnetic Resonance Imaging". www.siemens-healthineers.com. Munich , Germany: Siemens Healthineers. Retrieved 2019-12-12.
  10. ↑ O-scan, Esaote
  11. ↑ Terada, Yasuhiko, et al. "Improved reliability in skeletal age assessment using a pediatric hand MR scanner with a 0.3 T permanent magnet." Magnetic Resonance in Medical Sciences 13.3 (2014): 215–219
  12. ↑ J. McGinley, et al, ISMRM 2018 0944
  13. ↑ E. Esparza-Coss and D. Cole, “A Low Cost MR/Permanent Magnet Prototype,” Second Mexican Symp on Med Physics. American Institute of Physics Conf. Proc., 1998.
  14. ↑ J. Gong, S. Y. Huang, Z. H. Ren, and Wenwei Yu, “Effects of Encoding Fields of Permanent Magnet Arrays on Image Quality in Low-field Portable MRI Systems”, IEEE Access, vol. 7, pp. 80310-80327, 2019, doi: 10.1109/ACCESS.2019.2923118
  15. ↑ K. Halbach, Nuclear instruments and methods, vol. 169, no. 1, pp. 1–10, 1980.
  16. ↑ Cooley, C. Z.et al. Magn. Resonance Medicine73, 872–883 (2015)
  17. ↑ Z. H. Ren, W. C. Mu, and S.Y.Huang, “Design and Optimization of a Ring-Pair Permanent Magnet Array for Head Imaging in a Low-field Portable MRI System”, IEEE Transactions on Magnetics, Volume 55, Issue 1, Jan. 2019
  18. ↑ Z. H. Ren, J Gong, and S.Y.Huang, “An Irregular-shaped Ring-Pair Magnet Array with a Linear Field Gradient for 2D Head Imaging in Low-field Portable MRI”, IEEE Access 7, 48715-48724, 2019
  19. 1 2 W. C. Mu, J. Gong, Z. H. Ren, W. Yu, and S. Y. Huang, Sparse Inward-outward (IO) Ring-Pair Permanent Magnet Array (PMA) with a Light Rotation Load for Low-field Head Portable MRI, Preprint, DOI: 10.13140/RG.2.2.23271.60320
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