TTField Electrode Placement via MRI Conductivity Mapping

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Solution Overview

Problem

Current methods for optimizing Tumor Treating Fields (TTFields) array placement on the scalp are slow and provide low-resolution images, requiring time-consuming tissue segmentation and relying on diffusion-weighted imaging or diffusion tensor imaging for conductivity measurements.

Innovation Solution

A method using two MRI images with different repetition times to create a 3D model of AC electrical conductivity or resistivity, allowing for optimized electrode placement without segmentation, by calculating the intensity ratio of the images and mapping it into a 3D model, which is more computationally efficient and provides higher resolution.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If diffusion weighted imaging or diffusion tensor imaging is used for conductivity measurements, then electrical conductivity measurements can be obtained in an anatomic volume, but the process is slow and provides images with relatively low number of slices

Engineering Contradiction:
Improveconductivity measurement capabilityVSAvoidimage acquisition speed
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent replaces the mechanical/diffusion-based imaging process (DWI/DTI) with a magnetic resonance-based approach using T1-weighted images with different repetition times. This substitution enables faster image acquisition while maintaining the capability to derive conductivity measurements through signal intensity ratio calculations.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The invention changes the MRI acquisition parameters by using T1-weighted images with different repetition times (TR) instead of diffusion-weighted sequences. By varying the TR parameter and calculating the signal intensity ratio between images acquired at different TR values, the method derives conductivity information faster than traditional DWI/DTI approaches.

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If conventional tissue segmentation approaches are used, then anatomical volume can be analyzed, but the process is time-consuming and labor-intensive

Engineering Contradiction:
Improveanatomical analysis capabilityVSAvoidprocessing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent extracts only the necessary information (signal intensity ratios from T1-weighted images) required for conductivity estimation, eliminating the need for complete tissue segmentation. This extraction approach focuses on the specific parameter needed (conductivity) without requiring full anatomical decomposition.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The method creates a simplified representation of tissue properties through signal intensity ratios that directly correlate with conductivity, bypassing the need for detailed anatomical copies or segmentations. The ratio-based approach creates an efficient proxy for tissue conductivity without replicating complex anatomical structures.

Inventive Principle:
Principle #26Copying

3Measurement precision

If high-resolution conductivity mapping is implemented, then treatment optimization accuracy improves, but computational complexity increases

Engineering Contradiction:
Improveconductivity mapping resolutionVSAvoidcomputational complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent replaces complex computational segmentation and classification algorithms with a simpler signal intensity ratio calculation approach. This substitution maintains high-resolution conductivity mapping capability while reducing computational complexity through direct mathematical relationships between MRI signal ratios and conductivity values.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

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

This approach enables faster and more accurate simulation of TTFields distribution in the brain, improving treatment efficacy by optimizing electric field intensity in target tissues without the need for labor-intensive segmentation, with average errors in conductivity estimates adequate for TTFields simulations.

Implementation Method 1

obtaining first and second MRI images of the anatomic volume, with associated first and second repetition times, respectively

Methodology Applied
Scientific EffectMagnetic Resonance Imaging (MRI):

Implementation Method 2

creating a 3D model of AC electrical conductivity or resistivity of an anatomic volume at a given frequency below 1 MHz

Methodology Applied
Scientific EffectElectrical Conductivity Tomography: Electrical Impedance Tomography

Data Source

PatentUS11650277B2TTField treatment with optimization of electrode positions based on low frequency (<1MHZ) AC conductivity estimates derived from two MRI images having different repetition times
Publication Date: 2023.05.16 NOVOCURE GMBH
  • US11650277B2 patent drawing
  • US11650277B2 patent drawing

AI summary

A 3D model of AC electrical conductivity (at a given frequency) of an anatomic volume can be created by obtaining two MRI images of the anatomic volume, where the two images have different repetition times. Then, for each voxel in the anatomic volume, a ratio IR of the intensity of the corresponding voxels in the two MRI images is calculated. This calculated IR is then mapped into a corresponding voxel of a 3D model of AC electrical conductivity at the given frequency. The given frequency is below 1 MHz (e.g., 200 kHz). In some embodiments, the 3D model of AC electrical conductivity at the given frequency is used to determine the positions for the electrodes in TTFields (Tumor Treating Fields) treatment.