Acousto-Optic Catheter Tracking Sensor for Interventional MRI Procedures

A Review of Recent Advancements in Sensor-Integrated Medical Tools

A medical tool is a general instrument intended for use in the prevention, diagnosis, and treatment of diseases in humans or other animals. Nowadays, sensors are widely employed in medical tools to analyze or quantify disease-related parameters for the diagnosis and monitoring of patients' diseases. Recent explosive advancements in sensor technologies have extended the integration and application of sensors in medical tools by providing more versatile in vivo sensing capabilities. These unique sensing capabilities, especially for medical tools for surgery or medical treatment, are getting more attention owing to the rapid growth of minimally invasive surgery. In this review, recent advancements in sensor-integrated medical tools are presented, and their necessity, use, and examples are comprehensively introduced. Specifically, medical tools often utilized for medical surgery or treatment, for example, medical needles, catheters, robotic surgery, sutures, endoscopes, and tubes, are covered, and in-depth discussions about the working mechanism used for each sensor-integrated medical tool are provided.

Wirelessly interfacing sensor-equipped implants and MR scanners for improved safety and imaging

PURPOSE

To investigate a novel reduced RF heating method for imaging in the presence of active implanted medical devices (AIMDs) which employs a sensor-equipped implant that provides wireless feedback.

METHODS

The implant, consisting of a generator case and a lead, measures RF-inducedE $$ E $$ -fields at the implant tip using a simple sensor in the generator case and transmits these values wirelessly to the MR scanner. Based on the sensor signal alone, parallel transmission (pTx) excitation vectors were calculated to suppress tip heating and maintain image quality. A sensor-based imaging metric was introduced to assess the image quality. The methodology was studied at 7T in testbed experiments, and at a 3T scanner in an ASTM phantom containing AIMDs instrumented with six realistic deep brain stimulation (DBS) lead configurations adapted from patients.

RESULTS

The implant successfully measured RF-inducedE $$ E $$ -fields (Pearson correlation coefficient squared [R2 ] = 0.93) and temperature rises (R2  = 0.95) at the implant tip. The implant acquired the relevant data needed to calculate the pTx excitation vectors and transmitted them wirelessly to the MR scanner within a single shot RF sequence (<60 ms). Temperature rises for six realistic DBS lead configurations were reduced to 0.03-0.14 K for heating suppression modes compared to 0.52-3.33 K for the worst-case heating, while imaging quality remained comparable (five of six lead imaging scores were ≥0.80/1.00) to conventional circular polarization (CP) images.

CONCLUSION

Implants with sensors that can communicate with an MR scanner can substantially improve safety for patients in a fast and automated manner, easing the current burden for MR personnel.

Application of Low Temperature Processed 0-3 Composite Piezoelectric Thick Films in Flexible, Non-planar, High Frequency Ultrasonic Devices

Low-temperature, flexible, 0-3 composite piezoelectric materials can decrease the size, cost, and complexity of high-frequency acoustic devices on temperature sensitive substrates such as those in catheter based ultrasonic devices and acoustooptic sensors. In this paper, the application of low-temperature 0-3 connected composite thick films in flexible, non-planar, high frequency ultrasonic devices is reported. A flexible high-frequency ultrasound transducer and an acousto-optic radio-frequency (RF) field sensor are demonstrated utilizing PZT-based composite thick films. Flexible composite films have been fabricated with thicknesses between 20-100μm utilizing screen-printing, stencil-printing, and dip-coating techniques. Composite films' piezoelectric d33 coefficient is measured, with results between 35-43 pC/N. Ultrasonic transducers utilizing these films demonstrate broadband acoustic response. A composite transducer is fabricated on flexible polyimide and wrapped around a 3mm catheter. Pulse-echo experiments demonstrate viability of these films as both as an actuator and a sensor in flexible devices. The composite material is further dip-coated onto an optical fiber Bragg grating to form a flexible acousto-optic RF field sensor. The sensor demonstrates RF field sensing in the 20-130 MHz range. The results from these experiments indicate significant potential for future flexible, high frequency ultrasonic devices utilizing low temperature 0-3 composite piezoelectric materials on temperature sensitive substrates.

A Fiber Bragg Grating-Based Sensor for Passive Cavitation Detection at MHz Frequencies

Fiber Bragg gratings (FBGs) are a potential alternative to piezoelectric ultrasound sensors for applications that demand high sensitivity and immunity to electromagnetic interference (EMI). However, limited data exist on the quantitative performance characterization of FBG sensors in the MHz frequency range relevant to biomedical ultrasound. In this work, we evaluated an FBG to detect MHz-frequency ultrasound and tested the feasibility of measuring passive cavitation signals nucleated using a commercial contrast agent (SonoVue). The sensitivity, repeatability, and linearity of the measurements were assessed for ultrasound measurements at 1, 5, and 10 MHz. The bandwidth of the FBG sensor was measured and compared to that of a calibrated needle hydrophone. The FBG showed a sensitivity of 0.99, 0.769, and 0.818 V/MPa for 1, 5, and 10 MHz ultrasound, respectively. The sensor also exhibited linear response ( 0.975 ≤ R -Squared ≤ 0.996) and good repeatability with a coefficient of variation (CV) less than 5.5%. A 2-MHz focused transducer was used to insonify SonoVue microbubbles at a peak negative pressure of 175 kPa and passive cavitation emissions were measured, in which subharmonic and ultraharmonic spectral peaks were observed. These results demonstrate the potential of FBGs for MHz-range ultrasound applications, including passive cavitation detection (PCD).

Recent Advances in Biomedical Photonic Sensors: A Focus on Optical-Fibre-Based Sensing

In this invited review, we provide an overview of the recent advances in biomedical photonic sensors within the last five years. This review is focused on works using optical-fibre technology, employing diverse optical fibres, sensing techniques, and configurations applied in several medical fields. We identified technical innovations and advancements with increased implementations of optical-fibre sensors, multiparameter sensors, and control systems in real applications. Examples of outstanding optical-fibre sensor performances for physical and biochemical parameters are covered, including diverse sensing strategies and fibre-optical probes for integration into medical instruments such as catheters, needles, or endoscopes.

Fabrication and Qualitative Analysis of an Optical Fibre EFPI-Based Temperature Sensor

The following presents a comparison of an extrinsic Fabry–Perot interferometer (EFPI)-based temperature sensor, constructed using a novel diaphragm manufacturing technique, with a reference all-glass EFPI temperature sensor. The novel diaphragm was manufactured using polyvinyl alcohol (PVA). The novel sensor fabrication involved fusing a single-mode fibre (SMF) to a length of fused quartz capillary, which has an inner diameter of 132 μm and a 220 μm outer diameter. The capillary was subsequently polished until the distal face of the capillary extended approximately 60 μm beyond that of the single mode fibre. Upon completion of polishing, the assembly is immersed in a solution of PVA. Controlled extraction resulted in creation of a thin diaphragm while simultaneously applying a protective coating to the fusion point of the SMF and capillary. The EFPI sensor is subsequently sealed in a second fluid-filled capillary, thereby creating a novel temperature sensor structure. Both temperature sensors were placed in a thermogravimetric analyser and heated from an indicated 30 °C to 100 °C to qualitatively compare sensitivities. Initial results indicated that the novel manufacturing technique both expedited production and produces a more sensitive sensor when compared to an all-glass construction.

Real-time device tracking under MRI using an acousto-optic active marker

PURPOSE

This work aims to demonstrate the use of an "active" acousto-optic marker with enhanced visibility and reduced radiofrequency (RF) -induced heating for interventional MRI.

METHODS

The acousto-optic marker was fabricated using bulk piezoelectric crystal and π-phase shifted fiber Bragg grating (FBGs) and coupled to a distal receiver coil on an 8F catheter. The received MR signal is transmitted over an optical fiber to mitigate RF-induced heating. A photodetector converts the optical signal into electrical signal, which is used as the input signal to the MRI receiver plug. Acousto-optic markers were characterized in phantom studies. RF-induced heating risk was evaluated according to ASTM 2182 standard. In vivo real-time tracking capability was tested in an animal model under a 0.55T scanner.

RESULTS

Signal-to-noise ratio (SNR) levels suitable for real-time tracking were obtained by using high sensitivity FBG and piezoelectric transducer with resonance matched to Larmor frequency. Single and multiple marker coils integrated to 8F catheters were readout for position and orientation tracking by a single acousto-optic sensor. RF-induced heating was significantly reduced compared to a coax cable connected reference marker. Real-time distal tip tracking of an active device was demonstrated in an animal model with a standard real-time cardiac MR sequence.

CONCLUSION

Acousto-optic markers provide sufficient SNR with a simple structure for real-time device tracking. RF-induced heating is significantly reduced compared to conventional active markers. Also, multiple RF receiver coils connected on an acousto-optic modulator can be used on a single catheter for determining catheter orientation and shape.

Sensitivity and phase response of FBG based acousto-optic sensors for real-time MRI applications

Fiber Bragg grating (FBG) based sensors have recently been introduced to the field of magnetic resonance imaging (MRI). Real-time MRI applications demand highly amplitude and phase sensitive MRI compatible sensors. Thus, a model and detailed analysis of FBG based ultrasound detection are required for designing better performing sensors. A hybrid FBG model incorporating numerical and FEA methods was developed and used for sensitivity and linearity analysis. The transfer matrix method was used for the modeling of optical modulation whereas FEA was used for pressure field calculations within the grating. The model was verified through reflection spectrum and acoustic pressure sensitivity testing of two π-phase shifted FBGs in a side slope read-out configuration. The sensitivity curves with respect to the operation point on the side slope was characterized in terms of amplitude and phase, and nonlinearity of the phase response has been quantified. Lastly, the impact of phase linearity of the FBG based acousto-optic sensor was tested under MRI when the sensor was used as a position marker and an analog phase shifter based solution was demonstrated.