Excitation coil for sentinel lymph node harvesting: design, digital twin and prototype.

A recently developed prototype (Laparoscopic Differential Magnetometer, in short LapDiffMag) identifies magnetic tracer accumulated inside sentinel lymph nodes (SLNs) during clinical laparoscopic procedures. The LapDiffMag relies on excitation of superparamagnetic iron oxide nanoparticles (SPIONs) and subsequent laparoscopic detection based on a nonlinear detection principle. The prototype uses an excitation coil to generate a magnetic field needed to activate SPIONs. This study reports on the process of developing a new excitation coil by describing the design choices based upon clinical requirements, by modeling delivered magnetic field using digital twin, and by comparing the magnetic fields of modeled and manufactured prototype. Digital twin technology was used to produce relevant and reliable data to demonstrate the safety and effectiveness of the excitation coil. The magnetic field originating from manufactured prototype was validated at two different heights above the excitation coil and have shown a good concordance to the data generated by its digital twin. Clinical Relevance- Current standard-of-care for a variety of tumor types consists of minimally invasive radical resection of primary tumor and regional lymph nodes (LNs). The newly introduced excitation coil will (after full validation) enable minimally invasive harvesting of sentinel LNs by means of magnetic tracer detection.

A novel characterization technique for superparamagnetic iron oxide nanoparticles: The superparamagnetic quantifier, compared with magnetic particle spectroscopy.

Superparamagnetic iron oxide nanoparticles (SPIONs) are used as a tracer material in sentinel node biopsies. The latter is a procedure to analyze if cancer cells have spread to lymph nodes, helping to personalize patient care. To predict SPION behavior in vivo, it is important to analyze their magnetic properties in biological environments. The superparamagnetic quantifier (SPaQ) is a new device to measure the dynamic magnetization curve of SPIONs. The magnetization curve was measured for two types of SPIONs: Resovist and SHP-25. We used three techniques: Vibrating Sample Magnetometry (VSM), Magnetic Particle Spectroscopy (MPS), and our new SPaQ. Furthermore, AC susceptibility (ACS) measurements were performed as part of the evaluation of the three techniques. SPaQ and VSM results were found to be similar. Measurement results were nearly identical in both directions, indicating minor hysteresis. However, in MPS measurements, a clear hysteresis loop was observed. Furthermore, the ACS measurements showed a pronounced Brownian maximum, indicating an optimal response for an AC frequency below 10 kHz for both particle systems. Both the SPaQ and MPS were found to be superior to VSM since measurements are faster, can be performed at room temperature, and are particularly sensitive to particle dynamics. The main difference between the SPaQ and MPS lies in the excitation sequence. The SPaQ combines an alternating magnetic field that has a low amplitude with a gradual DC offset, whereas MPS uses only an alternating field that has a large amplitude. In conclusion, both the SPaQ and MPS are highly suited to improve understanding SPION behavior, which will lead to the radical improvement of sentinel node biopsy accuracy.

Design and validation of a large-format transition edge sensor array magnetic shielding system for space application.

The paper describes the development and the experimental validation of a cryogenic magnetic shielding system for transition edge sensor based space detector arrays. The system consists of an outer mu-metal shield and an inner superconducting niobium shield. First, a basic comparison is made between thin-walled mu-metal and superconducting shields, giving an off-axis expression for the field inside a cup-shaped superconductor as a function of the transverse external field. Starting from these preliminary analytical considerations, the design of an adequate and realistic shielding configuration for future space flight applications (either X-IFU [D. Barret et al., e-print arXiv:1308.6784 [astro-ph.IM] (2013)] or SAFARI [B. Jackson et al., IEEE Trans. Terahertz Sci. Technol. 2, 12 (2012)]) is described in more detail. The numerical design and verification tools (static and dynamic finite element method (FEM) models) are discussed together with their required input, i.e., the magnetic-field dependent permeability data. Next, the actual manufacturing of the shields is described, including a method to create a superconducting joint between the two superconducting shield elements that avoid flux penetration through the seam. The final part of the paper presents the experimental verification of the model predictions and the validation of the shield's performance. The shields were cooled through the superconducting transition temperature of niobium in zero applied magnetic field (<10 nT) or in a DC field with magnitude ∼100 µT, applied either along the system's symmetry axis or perpendicular to it. After cool-down, DC trapped flux profiles were measured along the shield axis with a flux-gate magnetometer and the attenuation of externally applied AC fields (100 µT, 0.1 Hz, both axial and transverse) was verified along this axis with superconducting quantum interference device magnetometers. The system's measured on-axis shielding factor is greater than 106, well exceeding the requirement of the envisaged missions. Following field-cooling in an axial field of 85 µT, the residual internal DC field normal to the detector plane is less than 1 µT. The trapped field patterns are compared to the predictions of the dynamic FEM model, which describes them well in the region where the internal field exceeds 6 µT.

A handheld SPIO-based sentinel lymph node mapping device using differential magnetometry.

Sentinel lymph node biopsy has become a staple tool in the diagnosis of breast cancer. By replacing the morbidity-plagued axillary node clearance with removing only those nodes most likely to contain metastases, it has greatly improved the quality of life of many breast cancer patients. However, due to the use of ionizing radiation emitted by the technetium-based tracer material, the current sentinel lymph node biopsy has serious drawbacks. Most urgently, the reliance on radioisotopes limits the application of this procedure to small parts of the developed world, and it imposes restrictions on patient planning and hospital logistics. Magnetic alternatives have been tested in recent years, but all have their own drawbacks, mostly related to interference from metallic instruments and electromagnetic noise coming from the human body. In this paper, we demonstrate an alternative approach that utilizes the unique nonlinear magnetic properties of superparamagnetic iron oxide nanoparticles to eliminate the drawbacks of both the traditional gamma-radiation centered approach and the novel magnetic techniques pioneered by others. Contrary to many other nonlinear magnetic approaches however, field amplitudes are limited to 5 mT, which enables handheld operation without additional cooling. We show that excellent mass sensitivity can be obtained without the need for external re-balancing of the probe to negate any influences from the human body. Additionally, we show how this approach can be used to suppress artefacts resulting from the presence of metallic instruments, which are a significant dealbreaker when using conventional magnetometry-based approaches.