论文标题

在室内,室外和家里的患者的便携式磁共振成像

Portable magnetic resonance imaging of patients indoors, outdoors and at home

论文作者

Guallart-Naval, T., Algarín, J. M., Pellicer-Guridi, R., Galve, F., Vives-Gilabert, Y., Bosch, R., Pallás, E., González, J. M., Rigla, J. P., Martínez, P., Lloris, F. J., Borreguero, J., Marcos-Perucho, A., Negnevitsky, V., Martí-Bonmatí, L., Ríos, A., Benlloch, J. M., Alonso, J.

论文摘要

移动医学成像设备在医疗机构内外都非常有用。在各种成像方式中,只有少数很容易便携。磁共振成像(MRI)是众多医疗保健条件的黄金标准,传统上不属于这一组。最近,低场MRI初创公司已经证明了在医疗设施内携带可移植性的第一个决定性步骤,但是到目前为止,这些步骤与更苛刻的用例(例如在偏远和发展中的地区,体育设施和活动,医疗和军事营或家庭医疗保健)中不兼容。在这里,我们在医疗设施提供的受控环境之外以轻型,自制的低场末端MRI扫描仪拍摄的体内图像。为了证明系统的真实可移植性并在各种相关场景中基准表现,我们在以下方面获得了志愿者膝盖的图像:i)MRI物理实验室; ii)办公室; iii)在校园大楼外,连接到附近的电力插座; iv)在露天,由小型燃料发电机供电; v)在志愿者的家中。所有图像均已在临床上可行的时间内获得,信噪比(SNR)和组织对比度足以满足具有诊断值的2D和3D重建,并且在所有五个情况下都具有可比的总体图像质量。此外,志愿者还携带固定的金属植入物拧到股骨,这在标准临床系统中导致强大的伪像,但在我们的低场获取中似乎很清晰。总的来说,这项工作为以前不现实的情况打开了通往高度可访问的MRI的途径。

Mobile medical imaging devices are invaluable for clinical diagnostic purposes both in and outside healthcare institutions. Among the various imaging modalities, only a few are readily portable. Magnetic resonance imaging (MRI), the gold standard for numerous healthcare conditions, does not traditionally belong to this group. Recently, low-field MRI start-up companies have demonstrated the first decisive steps towards portability within medical facilities, but these are so far incompatible with more demanding use cases such as in remote and developing regions, sports facilities and events, medical and military camps, or home healthcare. Here we present in vivo images taken with a light, home-made, low-field extremity MRI scanner outside the controlled environment provided by medical facilities. To demonstrate the true portability of the system and benchmark its performance in various relevant scenarios, we have acquired images of a volunteer's knee in: i) an MRI physics laboratory; ii) an office room; iii) outside a campus building, connected to a nearby power outlet; iv) in open air, powered from a small fuel-based generator; and v) at the volunteer's home. All images have been acquired within clinically viable times, and signal-to-noise ratios (SNR) and tissue contrast suffice for 2D and 3D reconstructions with diagnostic value, with comparable overall image quality across all five situations. Furthermore, the volunteer carries a fixation metallic implant screwed to the femur, which leads to strong artifacts in standard clinical systems but appears sharp in our low-field acquisitions. Altogether, this work opens a path towards highly accessible MRI under circumstances previously unrealistic.

扫码加入交流群

加入微信交流群

微信交流群二维码

扫码加入学术交流群,获取更多资源