System and method for correlating proton resonance frequency thermometry with tissue temperatures

Patent metadata

Field	Value
Publication number	US-12161406-B2
Application number	US-202117318458-A
Country	US
Kind code	B2
Filing date	May 12, 2021
Priority date	Jun 12, 2020
Publication date	Dec 10, 2024
Grant date	Dec 10, 2024

Abstract

Devices and systems used to ablate tissue of a tumor using laser energy are disclosed. The devices and systems include a laser probe and a magnetic resonance (MR) safe temperature probe. The MR safe temperature probe includes an optical sensor. A bone anchor fixture separates the laser probe and the MR safe temperature probe to prevent interference in the MR safe temperature probe data. Proton Resonance Frequency (PRF) thermometry is used to model a temperature of a pixel of an MR image located adjacent the optical sensor. The modeled pixel temperature and the measured temperature are compared and monitored. Exceeding a threshold difference value causes an intervening action to occur.

First claim

The invention claimed is:

1. A system comprising:
a magnetic resonance (MR) safe temperature probe comprising a temperature sensor;
a bone anchor fixture configured to maintain a target distance between the MR safe temperature probe and a laser diffusion fiber (LDF), wherein the target distance is configured to reduce or minimize an effect of optical interference generated by the LDF to facilitate tissue temperature measurements adjacent the MR safe temperature probe without significant distortion when the LDF is activated;
a processor to:
perform proton resonance frequency shift (PRF) thermometry on magnetic resonance imaging (MRI) data to generate a temperature model indicating calculated temperatures for pixels in a magnetic resonance image;
receive measured temperature data from the MR safe temperature probe;
correlate a pixel in the magnetic resonance image with a location of the temperature sensor;
compare a calculated temperature of the pixel from the temperature model with the measured temperature data from the MR safe temperature probe at the location; and
determine when a difference between the calculated temperature and the measured temperature data at the location exceeds a threshold, wherein when the threshold is exceeded, the processor causes an intervening action to occur;
wherein the bone anchor fixture comprises:
a bone anchor body with a single lumen; and
a guide member disposed within the bone anchor body, wherein the guide member separates the LDF and the MR safe temperature probe within the single lumen by the target distance to reduce or minimize optical interference.

2. The system of claim 1 , wherein the temperature sensor comprises a gallium arsenide crystal.

3. The system of claim 1 , wherein the target distance is between 5 millimeters and 10 millimeters.

4. The system of claim 1 , wherein the target distance is 8 millimeters.

5. The system of claim 1 , wherein to cause the intervening action comprises at least one of generating an alert, transmitting a control signal to a laser ablation system, and updating the temperature model.

6. A system comprising:
a magnetic resonance (MR) safe temperature probe comprising a temperature sensor;
a bone anchor fixture configured to maintain a target distance between the MR safe temperature probe and the laser diffusion fiber (LDF), wherein the target distance is configured to reduce or minimize an effect of optical interference generated by the LDF to facilitate tissue temperature measurements adjacent the MR safe temperature probe without significant distortion when the LDF is activated;
a processor to:
perform proton resonance frequency shift (PRF) thermometry on magnetic resonance imaging (MRI) data to generate a temperature model indicating calculated temperatures for pixels in a magnetic resonance image;
receive measured temperature data from the MR safe temperature probe;
correlate a pixel in the magnetic resonance image with a location of the temperature sensor;
compare a calculated temperature of the pixel from the temperature model with the measured temperature data from the MR safe temperature probe at the location; and
determine when a difference between the calculated temperature and the measured temperature data at the location exceeds a threshold, wherein when the threshold is exceeded, the processor causes an intervening action to occur;

wherein the processor is further configured to record a time stamp associated with the calculated temperature and the measured temperature data and compare the calculated temperature and the measured temperature data of the pixel across time.

7. The system of claim 6 , wherein the bone anchor fixture comprises:
a bone anchor body comprising a first lumen extending the length of the bone anchor body through which the LDF is configured to be inserted; and
an adapter coupled to the bone anchor body and extending to a side of the bone anchor body, the adapter comprising a second lumen extending the length of the adapter that is the target distance away from the first lumen, wherein the MR safe temperature probe is configured to be inserted through the second lumen.

8. A non-transitory computer-readable medium including instructions that when executed by one or more processors of a temperature control system cause the temperature control system to:
perform proton resonance frequency shift (PRF) thermometry on magnetic resonance imaging (MRI) data to generate a temperature model indicating calculated temperatures for pixels in a magnetic resonance image;
receive measured temperature data from a magnetic resonance (MR) safe temperature probe comprising a temperature sensor;
correlate a pixel in the magnetic resonance image with a location of the temperature sensor;
compare a calculated temperature of the pixel from the temperature model with the measured temperature data at the location from the MR safe temperature probe; and
determine when a difference between the calculated temperature and the measured temperature data at the location exceeds a threshold, wherein when the threshold is exceeded, cause an intervening action to occur;
wherein the intervening action is chosen based on an amount of excess of the calculated temperature over the threshold,
wherein for a greater excess the intervening action comprises transmitting a control signal to a laser ablation system to cause the laser ablation system to stop emitting a laser output, and
wherein for a smaller excess the intervening action comprises updating the temperature model based on the measured temperature data at the location.

9. The non-transitory computer-readable medium of claim 8 , wherein the intervening action comprises generating an alert on a computer interface.

10. A non-transitory computer-readable medium including instructions that when executed by one or more processors of a temperature control system cause the temperature control system to:
perform proton resonance frequency shift (PRF) thermometry on magnetic resonance imaging (MRI) data to generate a temperature model indicating calculated temperatures for pixels in a magnetic resonance image;
receive measured temperature data from a magnetic resonance (MR) safe temperature probe comprising a temperature sensor;
correlate a pixel in the magnetic resonance image with a location of the temperature sensor;
compare a calculated temperature of the pixel from the temperature model with the measured temperature data at the location from the MR safe temperature probe; and
determine when a difference between the calculated temperature and the measured temperature data at the location exceeds a threshold,
wherein when the threshold is exceeded, cause an intervening action to occur,
wherein the instructions are further to cause the temperature control system to:
track a second calculated temperature with a second pixel, wherein the second pixel is at a second location removed from the MR safe temperature probe;
compare the second calculated temperature of the second pixel from the temperature model with the measured temperature data at the location from the MR safe temperature probe; and
determine when a temperature delta between the second calculated temperature and the measured temperature data at the location exceeds a second threshold,
wherein when the second threshold is exceeded, cause the intervening action to occur.

11. A non-transitory computer-readable medium including instructions that when executed by one or more processors of a temperature control system cause the temperature control system to:
perform proton resonance frequency shift (PRF) thermometry on magnetic resonance imaging (MRI) data to generate a tempera

Assignees

• Medtronic Navigation Inc

Inventors

• Capote Marco
• Esparza-Coss Emilio
• Vincelette Rebecca
• Lemley Katherine
• Baxter Eric
• Santana Shawn

Classifications

• A61B5/015 Primary

  By temperature mapping of body part · CPC title

• A61B5/0036

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B2017/00911

  for fields applied by a magnetic resonance imaging system · CPC title

• A61B5/055

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title

• A61B2018/00803

  with temperature prediction · CPC title