System for detecting malignant lymph nodes using an MR imaging device
A system detects malignant lymph nodes using an MR imaging device, for, in the absence of a contrast agent, acquiring in a patient anatomical volume of interest including lymph nodes, (a) a first image using a variable flip angle, lymph node enhanced contrast, MR image acquisition process, (b) a second image using a susceptibility weighting imaging acquisition process and (c) a third image using a diffusion weighting imaging acquisition process. In the presence of a contrast agent absorbed by benign lymph nodes, MR imaging device acquires in the patient anatomical volume of interest, (d) a fourth image using a susceptibility weighting imaging acquisition process. A display processor processes data representing the first, second, third and fourth images for display of malignant and benign lymph nodes on a reproduction device.
1. A system for detecting malignant lymph nodes using an MR imaging device, comprising:
an MR imaging device configured in response to predetermined instructions for,
in the absence of a contrast agent, acquiring in a patient anatomical volume of interest including lymph nodes,
(a) a first image using a variable flip angle, lymph node enhancing, MR image acquisition process,
(b) a second image using a susceptibility weighting imaging acquisition process and
(c) a third image using a diffusion weighting imaging acquisition process for identifying malignant lymph nodes and
in the presence of a contrast agent absorbed by benign lymph nodes, acquiring in said patient anatomical volume of interest,
(d) a fourth image using a susceptibility weighting imaging acquisition process; and
a display processor for processing data representing the first, second, third and fourth images to provide images facilitating identification of malignant and benign lymph nodes for display on a reproduction device.
2. A system according to claim 1 , wherein
said display processor processes data representing the first, second, third and fourth images for adjacent display enabling user comparison of images.
3. A system according to claim 1 , including
a user interface enabling a user to select particular lymph nodes in at least one of the first, second, third and fourth images displayed on said reproduction device and
an image data processor for processing data associated with the selected lymph nodes.
4. A system according to claim 1 , including
an image data processor for processing image representative datasets to align the second, third and fourth image with the first images.
5. A system according to claim 4 , wherein
said image data processor employs at least one of, (a) a rigid registration process and (b) a non-rigid registration process for processing image representative datasets to align the to align the second, third and fourth image with the first images.
6. A system according to claim 1 , including
an image data processor for substantially subtracting data representing image content of said second image from said fourth image to provide image difference content representative data of an image emphasizing benign lymph node regions.
7. A system according to claim 6 , wherein
said image data processor processes image representative data to superimpose the third image on the reference image data to provide an image facilitating identification of malignant lymph nodes.
8. A system according to claim 1 , wherein
said third image emphasizes malignant lymph node regions.
9. A system according to claim 1 , wherein
said contrast agent is an Ultra small Super Paramagnetic Iron Oxide nano-particle (USPIO) compatible agent.
10. A system according to claim 1 , wherein
said first image is acquired by said MR imaging device using a breath hold 3D SPACE compatible acquisition process.
11. A system according to claim 1 , wherein
said second image is acquired by said MR imaging device using a breath hold 3D Susceptibility Weighted Imaging (SWI) compatible acquisition process.
12. A system according to claim 1 , wherein
said third image is acquired by said MR imaging device using a breath hold 2D Diffusion Weighted Imaging (DWI) compatible acquisition process.
13. A system according to claim 1 , wherein
said fourth image is acquired by said MR imaging device using a breath hold 3D Susceptibility Weighted Imaging (SWI) compatible acquisition process.
14. A system for detecting malignant lymph nodes by processing images acquired using an MR imaging device, comprising:
an image data processor configured in response to predetermined instructions for,
providing a differential image dataset showing probable benign regions by subtracting datasets comprising a pre-contrast agent susceptibility weighted image dataset and a post-contrast agent susceptibility weighted image dataset,
processing a pre-contrast agent diffusion weighted image dataset to identify candidate regions identifying malignant lymph nodes and
automatically identifying candidate malignant lymph nodes using the differential image dataset and diffusion weighted image dataset; and
a display processor for processing the differential image dataset and diffusion weighted image dataset to provide an image identifying a candidate malignant lymph node for display on a reproduction device.
15. A system according to claim 14 , wherein
said image data processor processes at least one of, the pre-contrast agent susceptibility weighted image dataset, the post-contrast agent susceptibility weighted image dataset and the pre-contrast agent diffusion weighted image dataset to identify lymph nodes.
16. A system according to claim 15 , wherein
said image data processor performs the step of identifying lymph nodes by processing an image dataset acquired using a variable flip angle, lymph node enhancing, MR image acquisition process.
17. A system according to claim 16 , wherein
said variable flip angle, lymph node enhanced contrast, MR image acquisition process comprises a SPACE (Sampling Perfection with Application optimized Contrast) compatible acquisition.
18. A system according to claim 14 , wherein
said image data processor identifies benign lymph nodes in the pre-contrast agent susceptibility weighted image dataset and the post-contrast agent susceptibility weighted image dataset in response to detected node luminance.
19. A system according to claim 18 , wherein
said image data processor automatically identifies malignant lymph nodes in the post-contrast agent susceptibility weighted image dataset in response to detected node luminance exceeding a predetermined threshold.
20. A system according to claim 14 , wherein
said image data processor automatically identifies malignant lymph nodes in the diffusion weighted image dataset in response to restricted diffusion in a node detected by analysis exceeding a predetermined threshold.
21. A system according to claim 14 , wherein
said display processor automatically provides an image identifying a lymph node as malignant with a visual indicator.
22. A system according to claim 14 , wherein
said contrast agent is an Ultra small Super Paramagnetic Iron Oxide nano-particle (USPIO) compatible agent.
23. A method for detecting malignant lymph nodes by processing images acquired using an MR imaging device, comprising the activities of:
employing at least one computer for,
providing a differential image dataset showing probable benign regions by subtracting datasets comprising a pre-contrast agent susceptibility weighted image dataset and a post-contrast agent susceptibility weighted image dataset,
processing a pre-contrast agent diffusion weighted image dataset to identify candidate regions for identifying malignant lymph nodes and
automatically identifying candidate malignant lymph nodes using the differential image dataset and diffusion weighted image dataset; and
processing the differential image dataset and diffusion weighted image dataset to provide an image identifying a candidate malignant lymph node for display on a reproduction device.