Lab researchers are pioneering new medical uses for SQUIDsăsuperconducting quantum interference devicesăfrom pinpointing brain tissue that causes epilepsy to monitoring fetal heartbeats.
Measurements associated with the neural currents in the brain can be used to diagnose epilepsy, stroke, and mental illness, as well as to study brain function. One way to observe these tiny electrical currents is to measure the magnetic fields they produce outside the skull, a technique called magnetoencephalography, or MEG.
The traditional way to monitor the brainęs electrical activity is with electroencephalography (EEG), which requires gluing as many as 150 electrodes to the scalp. MEG measures brain currents as precisely as EEG does but without physical contact, making it possible to screen large numbers of patients quickly and easily. MEG is also insensitive to the conductivities of the scalp, skull, and brain, which can affect EEG measurements.
Enter the SQUID
When cooled to very low temperatures, superconductors conduct electricity without resistance. This lack of resistance allows a SQUID to measure the interference of quantum-mechanical electron waves circulating in its superconducting loop as the magnetic flux enclosed by the loop changes. A SQUID can measure magnetic fields as small as 1 femtotesla.
The MEG Helmet
The SQUIDs become superconducting when immersed in liquid helium contained in a large thermos. The liquid helium cools the SQUIDs to 4°C above absolute zero. Resembling an oversized beauty-salon hair dryer, the helmet is positioned over a patient's head as he or she sits in a chair. [figure: MEG helmet]
With sophisticated computer algorithms developed by Volegov, MEG data can be converted into current maps that give researchers an idea of where activity in the brain is occurring. Using specially designed current coils, the Los Alamos MEG system has achieved a spatial resolution of less than 0.25 millimeter. This resolution is at least four times better than that of any other MEG system, even though other systems have up to twice as many SQUIDs. [figure: MEG helmet and measurements]
But like other MEG systems, the Los Alamos system responds to brain-current changes in less than a thousandth of a second, adequate for most brain-current studies. The SQUIDs themselves respond in about a millionth of a second.
During a MEG measurement, the SQUIDs must be shielded from ambient magnetic fields, which tend to swamp the brain signals. Ambient fields are produced mainly by the power lines in a building, although Earth's magnetic field and even the steel in a passing car contribute. (Ferromagnetic materials like steel locally distort Earth's field.) At the frequencies of interest in brain studies—a few to several hundred hertz—the ambient fields must typically be reduced by a factor of 10,000 to 100,000. [figure: magnetic fields]
The helmet's SQUIDs are partially shielded from ambient fields by a thick, hemispherical shell of lead, which becomes superconducting at liquid-helium temperatures. Because superconductors perfectly reflect magnetic fields, the shell reduces ambient fields to as little as one-thousandth of their initial strengths. The shielding is not perfect because the shell does not completely enclose the head. The SQUIDs near the shell's crown are better shielded than those near its brim. The shell also reflects the brain's magnetic fields back to the SQUID array, increasing the helmet's sensitivity. [figure: internal assembly of MEG helmet]
Usually, ambient fields are reduced by taking MEG data in a room built with large sheets of aluminum and Mumetal (an alloy with high magnetic permeability), which magnetically shield the patient. The room reduces ambient fields by about a factor of 100 for frequencies near 0 hertz and by much larger factors for frequencies up to 1,000 hertz or more. The superconducting shell effectively blocks magnetic fields from zero to several thousand hertz. Thus, measurements made with the shell require only a "low-end" shielded room, which costs about $100,000, one-fifth the cost of conventional shielded rooms.
The team has recently added external SQUIDs to the helmet that further reduce the effects of ambient fields. The external SQUIDs measure these fields at several points just outside the superconducting shell, and a computer program then subtracts the fields from the brain-field data to reduce the ambient fields' effects by another factor of 1,000—at all frequencies. The computer correction is effective because the superconducting shell shields the external SQUIDs from brain fields in addition to shielding the SQUIDs in the array from ambient fields. Thus, the external SQUIDs measure only the ambient fields.
After recent side-by-side comparisons with a commercial MEG system at the Veteran's Administration (VA) Hospital in Albuquerque, New Mexico, the helmet is back at Los Alamos for further development. The VA's commercial system has been used to study stroke, epilepsy, schizophrenia, and brain function. Eventually, Espy says, the MEG helmet could find a home in a future Los Alamos brain-imaging facility along with EEG, magnetic resonance imaging (MRI), and other brain-imaging tools. In developing this and other medical applications for SQUIDs—such as detecting tumors and screening for disease—the team has collaborated with researchers at the Universities of New Mexico, Nebraska, and Oregon and the University of California at San Francisco.
A brain scan can precisely locate the epileptigenic tissue if the imaging method has high spatial resolution and is fast enough to detect the seizure discharge or the electrical activity that precedes a seizure, which also originates in the epileptigenic tissue. Although seizures occur sporadically, the electrical activity associated with them occurs continually. Thus, locating the source of these precursors can isolate the epileptigenic tissue. [figure: mapping electrical activity]
Both EEG and MEG have high spatial resolution and are fast enough to detect seizure-related electrical activity, but sometimes the position or orientation of the electrical activity is such that MEG can locate the epileptigenic tissue while EEG cannot. In addition, by pinpointing how the brain responds to visual, auditory, tactile, or other stimuli, MEG can help assess the effects of possible collateral damage during surgery. Along with other brain-imaging techniques, MEG is also being used to diagnose schizophrenia and stroke.
Peering into Brain Columns
MicroMEG has been used to study how impulses travel along a single nerve, such as a frogęs sciatic nerve. Eventually, MicroMEG will be used to probe the electrical activity of as few as 100 to 1,000 neurons in one of the brainęs cortical columns. The columns are believed to operate in parallel, like the hundreds of microprocessors in a supercomputer that work in parallel to achieve high overall speed. Such studies will improve our understanding of brain function.
The team has also used the MicroMEG array in a highly sensitive SQUID microscope that detects flaws or defective welds in metallic nuclear-weapon parts. The SQUID microscope can detect defects invisible to ultrasound, x-rays, or traditional eddy-current methods. The metal parts are inspected to ensure that the weapons will perform as expected.
Measuring a Baby's Heartbeat
Stethoscopes and ultrasound cannot provide this information because they use sound. Nor is electrocardiography (ECG) useful, because it directly measures the electricity produced by the heart through electrodes taped to the body. However, the baby is electrically insulated from the mother.
Around the twentieth week, Espy says, the babyęs sebaceous glands secrete a waxy, white substance called vernix caseosa, which covers the babyęs skin to protect it from amniotic fluid in the womb. Because the vernix is electrically insulating, electrical signals from the babyęs heartbeat cannot pass into the motheręs body for measurement on her skin. However, the magnetic fields produced by the babyęs heartbeat pass easily through the vernix and can be measured with FMCG. Although in principle ECG could be used before the vernix forms, the fetal heart is then too small to produce a detectable electrical signal.
Espy says that fetal heart conditions detected with FMCG can often be treated before the baby is born, or if surgery is required, the necessary equipment and specialists can be on hand at birth. And unlike other medical diagnostic techniques, FMCG poses no risk to the unborn baby or the mother. X-rays can harm even adults, and amniocentesis is invasive, with potential risk to the fetus. FMCG, however, merely receives the magnetic signals sent out by the babyęs heart. FMCG is passive, noninvasive, and harmless.
The team acquired some of its MCG expertise while developing a hand-held battlefield MCG monitor. The device will allow a medic to monitor the heart rhythms of wounded soldiers without moving them or removing their clothing. The monitor can be portable because the heartęs magnetic fields above the chest are about 100 to 1,000 times stronger than the brainęs magnetic fields above the skull. Using advanced SQUID-sensor designs and ambient-field cancellation techniques, the team has built a hand-held MCG monitor that needs no shielding at all. The SQUID can be cooled by liquid nitrogen or an electric cryocooler. The same technology could also be incorporated in a small monitor for clinical use in a doctoręs office.
From measuring brain currents and heartbeats to inspecting welds in nuclear weapons, the Los Alamos SQUID team is exploring the potential of tiny magnetic fields to solve a host of medical and defense problems.
The raw data obtained from the 155 SQUID sensors in the MEG helmet. (see detailed figure.)
The red waveforms (visual 9) were obtained with the patientęs eyes closed. The blue waveforms (visual 7) were obtained as the patient observed a flashing light.
The superconducting lead shell. The gray mesh defines the shellęs contour. SQUID sensors are attached to the blue surface. At liquid-helium temperatures, the lead shell becomes superconducting and therefore an excellent magnetic shield. Because a superconductor perfectly reflects magnetic fields at all frequencies, the shell helps shield the underlying SQUID array from ambient magnetic fields. The shell also shields SQUIDs placed outside the shell from the brainęs magnetic fields. These external SQUIDs provide data used to help cancel the effects of ambient fields. The superconducting shell and field cancellation method greatly reduce the cost of the magnetically shielded room required for MEG measurements, making them more affordable.
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