Andre van der Kouwe1, Hongbae Jeong1, Zinong Yang2, Donald Straney1, Robert Frost1, Laura Lewis2, and Giorgio Bonmassar1
1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Biomedical Engineering, Boston University, Boston, MA, United States
Synopsis
We introduce a new EEG net, which will allow
clinicians to monitor EEG while tracking head motion for correction. Motion
during MRI limits patient scans, especially of children and patients with
seizures. The MotoNet was built using PTF, embedding EEG/motion sensor pairs on
opposite sides in one circuit. MRI safety studies at 3T confirmed maximum
heating below 1ºC. EEG/motion
measurements were made with a standard commercial EEG system. Using a custom
MRI sequence with spatial localization gradients only, we showed that the signal
on each channel was highly correlated with motion, allowing for electrode
positioning and motion tracking.
INTRODUCTION
Head motion during clinical neuroimaging results
in compromised image quality and diagnosis, especially in the sickest patients,
and results in substantial lost revenue for imaging centers (1). In research scans,
blurring and other artifacts can bias scientific conclusions. Navigators and
camera-based systems are commonly used to track and correct motion in real-time
but require sequence changes or a clear line-of-sight to the patient in the
head coil. Small pick-up coils rigidly attached to the patient's head have been
previously used for motion tracking (2), and others have
shown that motion tracking is feasible during simultaneous EEG-fMRI using
standard MRI conditional EEG amplifiers (3,4). Here we introduce a
new EEG net, the "MotoNet" that has 32 loops/sensors embedded
alongside 32 EEG electrodes. Since the voltage induced flux in each sensor is
dependent on the position and orientation of the sensor in the gradient field (5,6), the combination of
rigidly-related sensors allows tracking of the head motion. This measurement is
more precise than EEG, which is less focal as it records gradient artifact
signals from the entire volume conductor of the head.METHODS
Fabrication: High-resistance
Polymer Thick Film (PTF) technology (Fig. 1) was adopted to fabricate electrode
pads and leads ($$$\overline{R_{trace}}$$$=17.47±0.95 kΩ). Conductive inks (Engineered
Conductive Materials, OH, USA) were
screen-printed onto Melinex (DuPont Teijin Films U.S. Limited Partnership, VA,
USA) substrate with EEG electrodes on one side and a loop on the opposite side ($$$\overline{R_{trace}}$$$=41.61±2.07 kΩ). The MotoNet circuits fit in a
commercial elastomer structure, and the PTF leads were passed through the
wire-tunnel of a Siemens Head/Neck 64 coil and connected to a 64-channel Brain
Products amplifier system through a custom-made interface.
Safety: The RF
safety of the MotoNet was tested in a 3T MRI (Prisma, Siemens Healthineers)
using a head-sized agar phantom (Fig. 2). A high-power turbo spin-echo sequence
was set to produce 3.2 W/kg in the head for 30 minutes. The dielectric
properties of the phantom were selected to be similar to the adult brain properties
at 3T (7,8). The 8-channel optic probes were positioned
at distributed locations across MotoNet, including three hot-spots estimated
from thermal simulation (9).
Sensor Pose
Estimation Theory
The voltage vi
induced flux in a loop i depends on the orientation of the loop with
respect to the changing magnetic flux:
$$v_i\left(t\right)=a_{xi}\left(t\right)\frac{\partial B_x\left(t\right)}{\partial t}+a_{yi}\left(t\right)\frac{\partial B_y\left(t\right)}{\partial t}+a_{zi}\left(t\right)\frac{\partial B_z\left(t\right)}{\partial t}$$
where the
orientation is encoded in the areas axi, ayi
and azi of the sensor loop projected on the planes
perpendicular to the normal in the x, y, and z directions,
respectively. The location of the coil is encoded by the gradients which are
designed to generate a field with a z-component that varies linearly
with the distance from the gradient isocenter. However, Maxwell's equations
predict unavoidable orthogonal field components (5):
$$\left(\begin{matrix}B_x\left(t\right)\\B_y\left(t\right)\\B_z\left(t\right)\\\end{matrix}\right)=\left(\begin{matrix}-{\frac{1}{2}}G_z\left(t\right)&0&G_x\left(t\right)\\0&-{\frac{1}{2}}G_z\left(t\right)&G_y\left(t\right)\\G_x\left(t\right)&G_y\left(t\right)&G_z\left(t\right)\\\end{matrix}\right)\left(\begin{matrix}x\\y\\z\\\end{matrix}\right)$$
Since the sensor
detects the time-varying component of the field, the magnet's main field is
irrelevant. Furthermore, we design the time-varying gradient waveforms to vary
with a constant ramp of m (mT/m/ms) as shown in Fig. 3 (10). We average the response across the three
slopes of the triangular waveform, accounting for the sign. This waveform is
repeated independently on the x, y, and z axes with the
same amplitude. We, therefore, expect the induced voltages vxi,
vyi and vzi to depend on position and
orientation at an instant as follows:
$${R}_i={A}_i\bullet\ T_i$$
$$\begin{matrix}{R}_i=\left(\begin{matrix}x_{1,i}&\cdots&z_{1,i}\\\vdots&\ddots&\vdots\\x_{4,i}&\cdots&z_{4,i}\\\end{matrix}\right),&{T}_i=\left(\begin{matrix}v_{1,i}^x&\cdots&v_{4,i}^x\\\vdots&\ddots&\vdots\\v_{1,i}^z&\cdots&v_{4,i}^z\\\end{matrix}\right)\\\end{matrix}$$
The geometry of
the ensemble of 32 sensors is known from the SPOT3D (11) (ANT128). The eight local affine
transformation matrices $$${A}_{i}$$$ represents the local transformation matrices
between the sensor space location and the voltage space. Each $$${A}_{i}$$$ was estimated using 4 neighboring points in
sensor space (Ri) and 4 points in voltage space
(Ti) using a linear equation:
$$A_i=R_i\bullet\ {T_i}^{-\mathbf{1}}$$
Phantom Motion
Tracking Scans
We
placed the head-shaped agar phantom in a 3T Siemens Prisma scanner and imaged
it with a 2 mm isotropic MPRAGE in the initial plus three other
positions. The x-,y-,z- gradient responses were measured and estimated using
motion sensors that are ensemble-averaged across epochs (128 repetitions). We
used "robust register" (12) to obtain the pose
in each position relative to the initial position. The TCL markerless tracker
(TracInnovations, Denmark) was used to estimate the pose of the phantom.RESULTS
Safety: The
maximum temperature rise was found to be 0.79 ˚C (Fig. 2), which is an acceptable
temperature increase according to FDA guidance (13).
Phantom
Scans: Fig. 4 shows the voltage signals recorded in the motion sensors. The
strong impulse response observed at the time of gradient change was excluded
from the data analysis. Fig. 5 shows the correlation between the transformation
estimated from the TCL tracker and the neighboring subsets of motion sensors at
three different positions of the phantom. Overall, correlation was estimated as
0.896 ± 0.03, demonstrating a strong relationship
between the motions and voltage responses shown in the motion sensors.CONCLUSION
We demonstrated that the MotoNet is MRI safe and
the signals from the motion sensors correlate with the pose of the head. In
future work we will estimate head position by modeling the sensor positions and
orientations based on the known geometry of the MotoNet and the anatomical
image of the patient's head.Acknowledgements
This work was funded by NIH/NIBIB grant
R01EB024343 and NIH S10OD025253.References
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