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Magnetic Particle Imaging

Personalized medicine will require a complete patient-specific picture of the functional processes associated with disease. Accurate quantification of physiological processes is therefore an important requirement for imaging in research, clinical diagnosis and personalized therapy. Functional imaging modalities such as PET and SPECT already provide a great deal of information on physiological processes in the human body and significantly enhance the anatomical information revealed by modalities such as ultrasound, CT and MR imaging.

In the case of suspected cardiovascular disease, however, the quantitative information ideally required for diagnosis and therapy selection also includes measurements such as coronary blood flow, myocardial perfusion (blood supply to the heart muscle) and heart ejection fraction (a measure of the pumping function of the heart). Philips has now developed Magnetic Particle Imaging (MPI) – a new imaging technology that generates anatomical and functional images of the heart from which such information can be extracted in a quantitative manner, as has been demonstrated in a pre-clinical study. The results of the pre-clinical study were published in volume 54, issue 5 of Physics in Medicine and Biology (2009).

MPI uses the magnetic properties of injected iron-oxide nanoparticles to measure the concentration of these nanoparticles in the blood. Because the human body contains no naturally occurring magnetic materials visible to MPI, there is no background signal. After injection, the nanoparticles therefore appear as bright signals in the images, the intensity of which allows the nanoparticle concentrations to be calculated. By combining high spatial resolution with short image acquisition times (as short as 1/50th of a second), MPI can capture dynamic concentration changes as the nanoparticles are swept along in the blood stream. This could ultimately allow MPI scanners to perform a wide range of functional cardiovascular measurements in a single scan. These could include measurements of coronary blood supply, myocardial perfusion, and the heart’s ejection fraction, wall motion and flow speeds.

The technology has been used in a pre-clinical study to generate unprecedented real-time 3D images of arterial blood flow and volumetric heart motion in a mouse. The Magnetic Particle Imaging demonstrated in this pre-clinical study utilized an iron-oxide based contrast agent called Resovist*, which is already used in the EU as a contrast agent for MR scans.

The experimental system successfully imaged the real-time transit of an injected Resovist bolus through the heart chambers and major blood vessels of the mouse. The Resovist concentrations used were comparable to those currently approved for clinical use. Movement of the bolus was captured at a frame rate of 46 volumes per second, allowing the generation of smooth video sequences. In addition, the acquired MPI images correlated accurately with anatomical images obtained using MR (Magnetic Resonance) imaging, demonstrating the excellent spatial accuracy of MPI for in-vivo imaging. The achieved true image resolution was approximately 1.5 mm along one axis and 3 mm along the other two axes, while the voxel size was approximately (0.6mm)3. The differences in axial resolution are due to the configuration of magnetic fields used to excite the magnetic nanoparticles.

Given the fact that a mouse heart is only 5 mm in size and beats 240 times per minute, these results represent a major step forward in taking MPI from a theoretical concept to an imaging tool to help improve diagnosis and therapy planning, not only for cardiovascular diseases but also for other diseases including cancer.


Basic principles

In its simplest form, MPI works as follows: the iron-oxide nanoparticles are superparamagnetic, which makes them responsive to external magnetic fields. As a result, even a weak oscillating magnetic field generated by the MPI scanner will cause them to magnetize. While doing so, they emit a small but detectable electromagnetic signal that can be picked up by a receiving antenna. It is this signal that is measured by the scanner. On its own, however, this signal would only detect the presence of magnetic nanoparticles in the imaging area, not their exact location within that area.



Their location is determined as follows: Firstly, virtually all of the imaging area is saturated with a strong static magnetic field that forces the nanoparticles to magnetize in a fixed direction, thus rendering these particles silent to MPI. Then a single point within the imaging area is created where the static magnetic field strength falls to zero (a so-called ‘Field Free Point’). At this point, the nanoparticles remain free to oscillate in response to the applied oscillating magnetic field. The amplitude of the signal picked up by the receiving antenna is then a measure of the nanoparticle concentration only at the Field Free Point and nowhere else. To create the entire image, all that needs to be done is to move the Field Free Point until every point in the imaging area has been scanned.

* Resovist is an iron-oxide based MRI contrast agent produced by Bayer Schering Pharma AG.

 
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