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Development of An Active Intravascular MR Device With An Optical Transmission System
Development of An Active Intravascular MR Device With An Optical Transmission System
Development of An Active Intravascular MR Device With An Optical Transmission System
Abstract—Magnetic resonance imaging (MRI) is a safe and reli- tracking of the catheter tip is needed. The images produced by
able medical imaging method providing good soft tissue contrast an MRI scanner can then be used to guide the catheter inter-
while avoiding harmful ionizing radiation. It is highly desirable actively during surgery. Active MR devices enable very fast
to use the MRI technology for interventional procedures. How-
ever, due to resonance effects that can result in tissue heating, and robust catheter tracking and also intravascular imaging. By
long conducting cables must be avoided. Motivated by the need using local receiver coils at the catheter tip, high resolution and
for more radio-frequency (RF) safety, we developed an optical high signal-to-noise ratio (SNR) images of the surrounding local
transmission system for active intravascular MRI devices. An tissue can be obtained. For active intravascular devices, a signal
optical transmitter sends the MR signal via an optical fiber. A transmission is needed that transmits the received MR signal
miniature optical modulator was designed to be integrated into
a catheter tip. Furthermore, power is supplied optically to the along the catheter.
transmitter. This system can target new medical applications, due Resonance effects in long conducting cables can cause tissue
to safe catheter tracking and safe intravascular imaging. heating [4], which prevents the clinical use of active devices
Index Terms—Catheter, intravascular imaging, magnetic reso- equipped with standard cables. A transformer-based cable has
nance imaging (MRI), optical power supply, optical transmission, been proposed that reduces RF heating for active devices [5]
radio-frequency (RF) safety. and [6]. The transformers suppress common mode currents as-
sociated with RF heating, but they do not completely avoid such
currents and also introduce some signal loss. In this work, we
I. INTRODUCTION present an active MR device with optical signal transmission
and an optical power supply, in which optical fibers are used in-
stead of conducting cables. Optical fibers are inherently RF safe,
T HE USE of minimally invasive procedures has expanded
in the last years. In many of these procedures, a catheter is
used to treat vascular diseases like coronary heart disease. Cur-
so that there is no risk of RF heating. Other optical concepts
have been presented in [7]–[10]. In [7], a coil at the catheter tip
is tracked by intravoxel dephasing caused by a photo current. In
rently, surgeries are performed under X-ray fluoroscopy guid-
[8] and [9], an optically tunable resonance circuit is used at the
ance, which exposes the patient and the medical staff to ionizing
catheter tip. By tuning and detuning the circuit via an optically
radiation. Investigations were made to apply minimally invasive
varied MNOS-capacitance, the catheter tip can be localized au-
therapy under guidance of magnetic resonance imaging (MRI).
tomatically. The method in [10] uses a Faraday effect position
MRI avoids ionizing radiation and has good soft tissue contrast
sensor, which measures the local magnetic field for localization
with the ability of high image resolution and might provide an
of the catheter.
alternative to X-ray imaging in interventional therapy. High-res-
In contrast to these techniques, the potential advantages of the
olution intravascular MRI can be used to obtain diagnostic in-
concept presented here are direct high positive contrast com-
formation about atherosclerotic plaque in vessels by using micro
pared to a low negative contrast from a difference measure-
radio-frequency (RF) coils at the catheter tip [1]–[3].
ment technique in [7] and direct signal transmission instead of
Because real-time MRI is based on the frequent update of
an inductive signal coupling depending on tip orientation in [8]
one or more slices, unlike projection-based X-ray fluoroscopy,
and [9]. Because of the direct signal transmission, the presented
system has the ability to carry image information and is, there-
fore, not limited to tracking as in [10].
Manuscript received February 7, 2008; revised April 16, 2008. Current ver-
sion published November 21, 2008. This work was supported by the German The presented system consists of a miniature resonant re-
Research Foundation (DFG) within in the context of the project “Active intravas- ceiver circuit and an optical transmitter, which transforms the
cular MR-probe in micro system technology for locally high resoluted charac- electrical signal into an optical signal. One objective of this work
terisation of tissue based on a optical signal transmission” in collaboration with
Philips Research Europe-Hamburg and the supply of the photonic power con- was to design all catheter borne components as the transmitter
verter by JDSU.Asterisk indicates corresponding author. with as few miniature components as possible to allow the inte-
*S. Fandrey is with the Hamburg University of Technology, Institute of Micro gration into the minimally invasive device.
Systems Technology, 21073 Hamburg, Germany (e-mail: stephan.fandrey@tu-
harburg.de).
J. Müller is with the Hamburg University of Technology, Institute of II. MATERIALS AND METHODS
Micro Systems Technology, 21073 Hamburg, Germany (e-mail: j.mueller@
tu-harburg.de). In this section, firstly the concept, the fabrication methods,
S. Weiss is with the Philips Research Europe—Hamburg, Sector Medical and the characterization of all components are described. Sec-
Imaging Systems, 21073 Hamburg, Germany (e-mail: steffen.weiss@philips.
com). ondly, the methods to evaluate the complete system for MR ac-
Digital Object Identifier 10.1109/TMI.2008.925079 tive tracking and MRI are described.
0278-0062/$25.00 © IEEE
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1724 IEEE TRANSACTIONS ON MEDICAL IMAGING, VOL. 27, NO. 12, DECEMBER 2008
Fig. 2. Flexible foil-based micro-Helmholtz coils used as catheter receiver coil Fig. 4. Photovoltaic power converter PPC with a light sensitive area subdivided
on a five French catheter tube. into three diodes connected in series.
A. Optical MR Probe pair of crossed diodes, which also suppresses spin saturation
The principle setup of the MR probe is shown schematically during RF excitation.
in Fig. 1. The MR signal is received by a resonant circuit (L1, The entire transmitter was fabricated on an -SMD-sub-
C1) connected to the gate of a transistor T1. The transistor strate, which was metalized and structured by lithography
modulates the current through a laser diode LD which emits (Fig. 3). For the conductors, a titanium-copper-gold layer was
an optical signal modulated by the MR signal. To power the deposited. The titanium improves the adhesion, the copper
transmitter, an optical power supply is used to avoid conducting serves as a highly conductive material, and the gold layer
cables which are prone to RF induced heating. protects the copper layer from oxidation.
1) Receiver Coils: Dedicated foil-based flexible micro- 3) Optical Power Supply: To avoid any long conducting ca-
Helmholtz-coils were fabricated for optimal integration into bles, the power for the optical transmitter is supplied optically
the catheter tip (Fig. 2). The coils were structured using a by a laser diode (ADL-85501TL, Thorlabs) located outside the
UV-LIGA process and electroplating applied to the planar catheter. The optical power is transmitted via a fiber (GIF 625,
polyimide foil. Subsequently, the foil-based flexible coils were 125 , Thorlabs) to a photovoltaic power converter PPC (PPC-
wrapped around five French catheter tips [11]. Each coil was 3Me, 1 1 0.25 mm , JDSU, Milpitas, CA) in the optical MR
tuned to the Larmor frequency by capacitor C1. The resonance probe at the tip. The PPC has a light sensitive area with a diam-
of this receive circuit was measured with and without being eter of 0.8 mm and is subdivided into three diodes connected in
connected to the optical transmitter using weak inductive cou- series to achieve a voltage sufficient for the VCSEL. For max-
pling of the micro coil to a pickup coil connected to a network imum efficiency it is essential to illuminate the three diodes
analyzer. The Q-factor was determined from the width of the equally, because the weakest illuminated element will limit the
resonance according to current. This is achieved by arranging the diodes in 120 seg-
ments (Fig. 4). Due to the space requirements the PPC with its
(1) width of 1 mm was laid flat in the catheter tube.
A dedicated reflector was developed, to deflect the light beam
2) Optical Transmitter: The optical transmitter consists of a from the fiber end to the light sensitive area of the PPC (Fig. 5).
transistor chip (J-FET 2N4393, 530 460 200 , Central The reflector was anisotropically wet-etched into a 500
Semiconductor, Hauppauge, NY [12]) and a laser diode chip silicon substrate by KOH, which stops etching at the 111 crystal
(VCSEL ULM850, 250 250 0.15 , Ulm Photonics, plane leaving the reflector under an angle . The nu-
Ulm, Germany) with a very low threshold current of 1 mA, merical aperture of NA=0.275 of the fiber corresponds to an
which is coupled to an optical fiber (GIF 625, 125 , Thor- aperture angle of
labs, Newton, NJ). The gate of the transistor is protected from
voltages inducted by the high-power RF excitation pulse by a (2)
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FANDREY et al.: DEVELOPMENT OF AN ACTIVE INTRAVASCULAR MR DEVICE WITH AN OPTICAL TRANSMISSION SYSTEM 1725
TABLE I
Q-FACTOR OF MICRO COIL IN AIR AND IMMERSED INTO PHANTOM LIQUID
C. MR Phantom Measurements
Imaging and tracking experiments were performed in a 1.5-T
MR system (Achieva, Philips Medical Systems, Best, The
Netherlands). The receiving coil was placed in a bowl filled
with standard phantom liquid ( doped with 0.08%
and 0.2% NaCl) and the optical receiver was connected to the
MR preamplifier.
1) MRI Experiments: Microscopic MR images were ac-
quired with the coil axis parallel and perpendicular to the image
plane (FOV 64 mm, resolution 0.5 mm). In order to assess
the transmisson loss of the optical transmitter, images were
Fig. 5. Reflector concept for powering the optical power supply. a) V-groove
used to align the fiber. b) Reflector area covered with a thin gold layer to maxi-
acquired in two modes, either using optical transmission or
mize its reflectance. c) Illumination of light sensitive area defined by the angle using a direct electrical connection of the receive circuit (L1,
of the reflector = 54 7 : and the numerical aperture of the fiber = 15 96: . C1, crossed diodes) to the MR preamplifier. This second mode
bypassed the optical transmission and served as a benchmark.
The signal-to-noise ratio (SNR) was determined in all images.
It was calculated from the maximum signal intensity S at the
location of the receive coil and the mean noise signal of the
zero signal region in the modulus images according to [13]
(3)
B. Optical Receiver In this section the results of the characterization of the op-
tical MR probe components are presented and discussed. Table I
The optical signal from the fiber is demodulated by an op- shows the measured Q-factors of the MR probe for various con-
tical receiver outside of the catheter. The receiver (HFBR-2416, figurations. The isolated receiver circuit (L1,C1) in air provides
Agilent Technologies, Santa Clara, CA) contains a PIN photo- a high Q of 41.5, which demonstrates the quality of the minia-
diode and a low noise transimpedance preamplifier with a band- ture photolithographic coil design. In liquid, the Q-factors for
width of 125 MHz. The demodulated electrical signal is then all configurations decrease due to dielectric losses in the liquid.
transmitted to the MR preamplifier. The transmission charac- Tuning and matching of the receiver circuit to 50 for direct
teristic of the optical transmission system was measured with a electrical transmission leads to a drop of Q-factors by about
spectrum analyzer. a factor 2 as expected, because the effective series resistances
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1726 IEEE TRANSACTIONS ON MEDICAL IMAGING, VOL. 27, NO. 12, DECEMBER 2008
TABLE II
SNR COMPARISON OF DIRECT ELECTRICAL TRANSMISSION
AND OPTICAL TRANSMISSION
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FANDREY et al.: DEVELOPMENT OF AN ACTIVE INTRAVASCULAR MR DEVICE WITH AN OPTICAL TRANSMISSION SYSTEM 1727
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