Methods for biomedical targeting and delivery and devices and systems for practicing the same
The present disclosure provides methods for targeting a biomedical system. Aspects of the subject methods include determining the trajectory of a targeting device using magnetic resonance imaging (MRI) of a MRI-visible style of a trajectory guide that is compatible with the targeting device. Targeted biomedical systems may be utilized for a variety of purposes including targeted delivery of a therapeutic, holding a therapeutic device, positioning of a therapeutic device and other uses. Also provided are devices and systems that can be used in practicing the described methods including but not limited to trajectory guides and adjustable targeting systems, as well as non-transitory computer readable medium storing instructions that, when executed by a computing device, cause a computing device to perform steps of the described methods.
1. A method of magnetic resonance imaging (MRI)-assisted delivery of an agent or an electrical current to a desired area of a subject, the method comprising:
positioning a base comprising a plurality of annular walls forming a socket on a tissue surface of a subject;
positioning an adjustable turret comprising a channel and a spherical end into the base, wherein the socket is dimensioned to receive the spherical end and allow the turret to undergo an adjustment comprising an angle adjustment and a roll adjustment;
inserting a MRI-visible stylet of a trajectory guide within the channel of the adjustable turret;
visualizing the MRI-visible stylet using an MRI imager;
determining the trajectory of the channel based on the visualizing; and
adjusting the adjustable turret based on the determined trajectory of the channel to target the desired area of the subject;
removing the MRI-visible stylet from the channel following the adjusting; and
delivering the agent or the electrical current through the channel to the desired area of the subject.
2. The method according to claim 1 , wherein the method comprises MRI-assisted delivery of the agent and the delivering comprises inserting a delivery device containing the agent into the channel.
3. The method according to claim 2 , wherein the delivery device comprises a needle or cannula.
4. The method according to claim 2 , wherein the agent is a gene therapy vector.
5. The method according to claim 2 , wherein the delivery device comprises a depth stop positioned at a point along the length of the delivery device to prevent inserting the delivery device into the channel past said point.
6. The method according to claim 1 , wherein the method comprises MRI-assisted delivery of the electrical current and the delivering comprises inserting an electrode into the channel.
7. The method according to claim 6 , wherein the electrode comprises a depth stop positioned at a point along the length of the electrode to prevent inserting the electrode into the channel past said point.
8. The method according to claim 1 , wherein the base is positioned ex vivo.
9. The method according to claim 1 , wherein the base comprises a flange and the affixing comprises mounting a fastener through the flange to affix the base to the tissue surface of the subject.
10. The method according to claim 1 , wherein the method further comprises locking the adjustable turret in place following the adjusting.
11. The method according to claim 10 , wherein the locking comprises tightening a locking collar to compress the adjustable turret between the locking collar and the base.
12. The method according to claim 10 , wherein the locking comprises tightening a locking collar to compress the adjustable turret between a plurality of annular walls of the base.
13. The method according to claim 1 , wherein the channel is not coaxial with the turret.
14. The method according to claim 1 , wherein the adjusting comprises a roll adjustment relative to the long axis of the adjustable turret.
15. The method according to claim 1 , wherein the adjusting comprises an angle adjustment relative to the long axis of the adjustable turret.
16. The method according to claim 1 , wherein the adjustable turret comprises a plurality of channels.
17. The method according to claim 16 , wherein the plurality of channels comprises at least two channels that are parallel.
18. The method according to claim 16 , wherein the plurality of channels comprises at least two channels that are nonparallel.
19. The method according to claim 16 , wherein the determining comprises determining the trajectory of at least two channels of the plurality.
20. The method according to claim 1 , wherein the trajectory guide comprises a plurality of MRI-visible stylets.
21. The method according to claim 1 , wherein the trajectory guide has at least the same number of stylets as the adjustable turret has channels.
22. A method of magnetic resonance imaging (MRI)-assisted delivery of an agent or an electrical current to a desired area of a subject, the method comprising:
positioning an adjustable turret comprising a plurality of channels on a tissue surface of a subject;
inserting each of a plurality of MRI-visible stylets of a trajectory guide within each of the plurality of channels of the adjustable turret;
visualizing the plurality of MRI-visible stylets using an MRI imager;
determining the trajectory of two or more channels of the plurality of channels based on the visualizing;
identifying a channel of the two or more channels with the trajectory closest to the desired area of the subject; and
delivering the agent or the electrical current through the channel with the trajectory closest to the desired area of the subject.
23. The method according to claim 22 , wherein the method further comprises adjusting the adjustable turret based on the determined trajectory of the identified channel to target said channel to the desired area of the subject.
24. The method according to claim 22 , wherein the method comprises MRI-assisted delivery of the agent and the delivering comprises inserting a delivery device containing the agent into the channel.
25. The method according to claim 22 , wherein the method comprises MRI-assisted delivery of the electrical current and the delivering comprises inserting an electrode into the channel.