Electrode Orientation Detection Using MRI Temperature Maps
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Solution Overview
Problem
Existing medical devices face challenges in accurately determining the orientation of electrodes within tissue post-implantation due to visibility issues from MRI artifacts and potential lead movement, which can affect the efficacy and safety of electrical stimulation therapy.
Innovation Solution
Utilizing MRI data and MR thermometry to generate temperature maps, comparing baseline and subsequent temperature changes to determine electrode orientation and movement within tissue, enabling precise electrode positioning and therapy optimization.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If MRI data is used to determine electrode orientation, then measurement precision is improved, but MRI artifacts from electrodes cause visibility issues and reduce measurement accuracy
Solution Approach 1:
The patent introduces temperature data from MR thermometry as an intermediary to detect electrode orientation. Instead of directly imaging electrodes (which causes artifacts), the system uses temperature changes in tissue as a mediator to indirectly determine electrode position and orientation, thereby avoiding the harmful MRI artifacts while maintaining measurement precision
Solution Approach 2:
The patent replaces the traditional MRI imaging mechanism with MR thermometry. Rather than using magnetic field interactions that create artifacts with electrodes, the system uses thermal field interactions to detect electrode orientation through temperature changes in surrounding tissue, substituting one physical mechanism for another to eliminate the artifact problem
2Adaptability or versatility
If lead movement occurs post-implantation, then adaptability to tissue changes is improved, but electrode positioning accuracy deteriorates affecting therapy efficacy
Solution Approach 1:
The patent implements a feedback mechanism where temperature data is continuously or periodically acquired to detect changes in electrode orientation caused by lead movement. The system compares current temperature patterns with baseline data to identify movement and can trigger alerts or adjust therapy parameters, thereby maintaining positioning accuracy while accommodating inevitable lead movement
Solution Approach 2:
The patent establishes baseline temperature data during an initial period when the lead is stable. This preliminary action creates a reference framework that enables subsequent detection of orientation changes, allowing the system to identify and respond to lead movement before it significantly impacts therapy efficacy
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enhances the efficacy and safety of electrical stimulation therapy by ensuring electrodes remain accurately positioned, reducing undesirable side effects and improving therapeutic outcomes.
Implementation Method 1
the system can generate temperature maps that represent temperature changes in the tissue
Implementation Method 2
delivering electrical stimulation to a target tissue site... temperature changes in tissue of the patient during stimulation
Data Source
AI summary
Devices, systems, and techniques are disclosed for determining an orientation of electrodes within a patient. For example, method may include receiving magnetic resonance imaging (MRI) data of tissue of a patient that received electrical stimulation via at least one electrode disposed in the patient, generating, based on the MRI data, stimulation temperature data representative of temperature changes in the tissue of the patient during the electrical stimulation, and determining, based on the temperature data, an orientation of the at least one electrode with respect to the tissue of the patient.


