Adam M.J. van Niekerk1, Andre J. W. van der Kouwe1,2,3, and Ernesta M. Meintjes1
1Division of Biomedical Engineering, Human Biology, University of Cape Town, Cape Town, South Africa, 2Athinoula A. Martinos Center, Massachusetts General Hospital, Charlestown, MA, United States, 3Radiology, Harvard Medical School, Boston, MA, United States
Synopsis
Prospective motion correction using external hardware can be compromised by poor marker attachment. In this
work we introduce a new attachment site on the mastoid process of the subject. To achieve this, an active wireless marker is implemented that takes advantage of the versatility of an existing method (VectOrient). The effects of the device on the scanner’s
operation and visa versa are evaluated. The small 14x16mm2 device shows good
MRI compatibility. Any degradation in signal quality is localised and could be
further reduced. The link quality is sufficient to stream patient motion
parameters, quantifying patient pulse during MEMPRAGE
and EPI pulse sequences.
Purpose
A
challenge in marker-based prospective motion correction lies in the trade-off
between subject-comfort and how well the marker is attached to the subject’s
skull1. In this work we design and fabricate a device that can be
used for real-time monitoring of patient orientation through the previously
proposed VectOrient2 method. VectOrient allows unlimited measurement
range, no line-of-sight requirement and estimates orientation from a single
point. VectOrient does, however, require a low latency active data link from
within the receive coil. To address marker fixation and MRI compatible data
transfer, we propose implementing a 2.4 GHz radio small enough to fit on the
mastoid process. Here the skin is much
less likely to move relative to the skull and any susceptibility artefacts are
localised to the auditory canal.Methods
The
printed-circuit-board (PCB) was laid out to minimise loop area, eliminate
copper where possible, and reduce overall size (~14 x 16 mm2).
Figure 1A shows the 4-layer PCB layout; a tree-like configuration was used for
signal routing.
The
device comprises a 3-axis accelerometer, 3-axis angular rate sensor, 3-axis
magnetometer, microcontroller and 2.4 GHz radio (CC2500, Texas Instruments,
Dallas, USA). The microcontroller and radio are both clocked at 26 MHz from a
micro-electromechanical oscillator (SiT8008, SiTime, California, USA) with
programmable drive strength, for a reduction in harmonics. The absence of a ground plane on the small ceramic
monopole antenna implemented initially (Fig. 1A) resulted in poor performance.
Link integrity was improved by implementing a wire dipole antenna on the same
footprint (Fig. 1B). An
inductor-capacitor resonant circuit tuned to the Larmor frequency was placed
across the radio output pins to reduce harmonic emissions, filter the 2.4 GHz
signal and protect the output stage. Firmware was developed to ensure accurate
control of the radio state. The radio
was set up for a 50 kbps data rate using minimum-shift-keying (MSK) modulation.
The
effect of the device’s operation on scanner performance was assessed using
standard quality assurance sequences (3T Skyra, Siemens, Erlangen, Germany).
Link
quality was evaluated by measuring the packet error rate during Multi-echo
MPRAGE3 and 2D-EPI acquisitions.
In
vivo scans with and without the device were compared for MEMPRAGE and 2D-EPI
sequences to evaluate changes in image quality and the robustness of the marker
fixation point.Results
RF
noise and spike tests were passed with only a small ripple in the RF spectrum
at 250 kHz from the centre frequency. During the 32ch head coil test, only
channels in close proximity to the device showed SNR deficits (Fig. 2).
Moving the device from the forehead to mastoid region on the phantom showed a
reduced effect on overall SNR.
Although
a packet rate of 200 Hz was possible, bit errors caused by RF pulses made data
transfer unreliable during scanning. Enabling forward error correction
(reducing the packet rate to 50 Hz) allowed more robust transfers.
Interestingly, during phantom scans, EPI affected link performance minimally
(Fig. 3A). Differences in data acquired during ex vivo and in vivo scans
highlight the effect of involuntary subject motion (Fig. 3B). The subject’s
pulse is visible during the MEMPRAGE sequence and scanner bed vibrations are
amplified during EPI.
Mounting
the device on the mastoid process showed little deviation with changes in
facial expression (Fig. 4).
In
vivo images showed relative signal loss around the region of device fixation
with the effect being more pronounced during EPI (Fig. 5).Discussion
Mounting the wireless device on the mastoid
process reduces its effect on SNR, presumably because the 32ch coil is
optimised for neuroimaging, and improves fixation robustness and subject
comfort. Although a reliable link was achieved, the repetitive nature of
gradient and RF activity suggests that link strength could be monitored and the
radio synchronised with the pulse sequence. Increasing data rate for burst
transmissions would reduce interference allowing one to take full advantage of
the high bandwidth sensors. The precise measurements of angular velocity and
acceleration show that in gradient intensive pulse sequences like EPI
involuntary motion is dominated by directional scanner vibration providing
insight into better patient positioning. Conclusion
Clinical
MRI can benefit from an easy to use single point of contact wireless device
capable of quantifying subject orientation for prospective motion correction or
measuring physiological signals for pulse sequence gating or more robust
analysis of functional MRI data.Acknowledgements
I would like to thank Andrew Wilkinson and Marcin Jankiewicz for their help in RF design challenges and data acquisition respectively.
National Institutes of Health
under grants R01HD071664, R21MH096559, the NRF/DST through the South
African Research Chairs Initiative and the University of Cape Town through the RCIPS Explorer fund EX15-009
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