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Institute of Technology
Inventing Tomorrow

Developing double-duty diagnostic tools

by Paul Sorenson

In a cavernous building tucked below campus on the Mississippi River flats, researchers at the University's Center for Interdisciplinary Applications in Magnetic Resonance are working to integrate two very different tools that allow medical experts to probe the inner workings of the human brain.

Led by center director Bruce Hammer, an associate professor of radiology and biomedical engineering, and Priscilla Cushman, an associate professor of physics, the research team is developing a device that will perform simultaneous magnetic resonance imaging (MRI) and positron emission tomography (PET) scans.

Used separately, the two techniques have provided important insights into brain functions. Combining them, says Hammer, will enhance their strengths and minimize their limitations—opening the door to further insights and discoveries.

PET scans are used to study physiological functions of the brain and to diagnose anatomic anomalies such as strokes, brain tumors, and aneurysms. The technique measures positrons emitted during the decay of radioactive elements injected into the body. The positrons combine with electrons to produce two energetic photons. These energetic protons are converted into visible light by a ring of scintillation crystals through which the patient's body is passed.

During a PET brain scan, for example, a patient is injected with glucose treated with radioactive tracers. Because glucose is the primary source of energy for the brain, regions with high levels of activity correspond to higher levels of glucose, hence high tracer concentrations. Therefore, regions of high gamma radiation detection coincide with regions of high metabolic activity in the brain.

In contrast, MRI scans use radio waves and a strong magnet to produce detailed cross-sectional images of a patient's anatomy. Unlike other types of medical scanners, MRIs provide very good soft tissue resolution and are used extensively to diagnose a wide variety of diseases and injuries.

A hybrid scanner would allow medical experts to correlate the two types of images, says Hammer. For example, a magnetic resonance image obtained at precisely the same location and time as a PET image could be used to determine the precise structural location of metabolic activities.

"Simultaneous PET and MRI scans would also be more accurate and less troublesome for doctors and patients alike,” says Hammer. Simultaneous scans also eliminate the need to transfer patients from one piece of equipment to another.

Moreover, Hammer's earlier research suggests that PET images could be sharpened by acquiring them in a magnetic field. A strong magnetic field perpendicular to the positron's path causes the positron to spiral, thus limiting the distance it can travel and improving the scan's resolution.

"You want to detect the energy where it was created, not where it ends up,” says Cushman.

Higher resolution images would clearly make the technique more useful, adds Hammer, and resolutions could be further improved by using smaller scintillation crystals, low-noise detectors, and smaller-diameter detector rings.

But combining the two techniques presents significant challenges. The technology needed for magnetic resonance techniques can adversely affect the performance of the PET detector, and vice versa.

In particular, the photomultipliers that PET scanners use to convert photon energy into electrical signals do not work in a strong magnetic field. Conversely, some photomultipliers with magnetic components can distort the uniform magnetic field that is essential for clear magnetic resonance imaging.

To overcome these obstacles, Cushman turned to technology she had developed in 1994 for use in high-energy physics experiments.

Using that technology, she developed a PET detector based a photodiode potted inside a proximity-focused image intensifier called a hybrid photomultiplier tube. Unlike conventional photomultipliers, the new detector will function in a strong magnetic field.

According to Cushman, the key is turning the hybrid tube at a 90-degree angle with respect to the scintillating crystals to align it with the field. But that also requires the use of fiber-optic material to direct the light produced by the crystals around the 90-degree bend and into the tube.

"We will lose some energy [in the transition],” says Cushman. “The question is, how much?"

Because hybrid scanners based on this technology can be made in a relatively compact size, they have many potential research applications, including the study of metabolic functions in small laboratory animals, says Cushman.

This summer, she and Hammer plan to build one segment of a MRI/PET ring at the center and test its effectiveness by scanning a radioactive source embedded in material that simulates human tissue and by analyzing the resulting image. Once the initial tests are completed, they will apply to the National Institutes of Health for further funding to build and test a full-scale prototype.

Cushman is hopeful that the NIH will share her team's enthusiasm for the project.

"Our scanner has the potential to go to sub-millimeter resolution,” she says. “That represents a significant advance."

For more information see www.ciamr.umn.edu.