The Role of NSF's Support of Engineering in Enabling Technological Innovation: III. MAGNETIC RESONANCE IMAGING
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The Role of NSF's Support of Engineering in Enabling Technological Innovation
III. MAGNETIC RESONANCE IMAGING
TECHNOLOGICAL DECOMPOSITION
Initial experiments that demonstrated the principle of magnetic
resonance imaging were done on existing NMR machines. Lauterbur's
first projection methods were essentially manual, so that his
fundamental contribution was conceptual, not technological. Oxford
Industries was able to build magnets of sufficient strength and
homogeneity of field to meet both research and commercial needs.
Except at high magnetic field strengths, when the dielectric
properties of the human body create problems, RF transmitters
and receivers generally could be built using available technology.
(Note, however, that General Electric's high-strength field magnets
and the associated field coil design accounted in large measure
for GE's rapid rise to market dominance in the early 1980s.)
Displays were not a problem, and the development of commercializable
MRI machines continually drew on the state of the computer art.
With the exception of a number of breakthroughs in the design
of gradient coils and in techniques for spatial encoding and image
reconstruction[49], the evolution of MRI was one of steady improvement
in image quality made possible in part by the dramatic increases
in computing power at a given price available in the marketplace.
Thus the evolution of technologies intrinsic to MRI involved
incremental technological improvements sparked at intervals by
fundamental advances. In terms of our distinction between intrinsic
and supporting technologies, MRI breaks down as follows:
Intrinsic Technologies
Supporting Technologies
The idea of NMR imaging
Idea of applying NMR to medicine
Pulsed, Fourier transform techniques
RF coil design at high field strengths
Magnet
RF transmitter and receiver
Display
Computer
NMR Imaging and Its Application to Clinical Medicine
The idea of using a magnetic gradient to introduce spatial information
into signals from an NMR spectrometer, which can then be converted
to an actual visual image, was Paul Lauterbur's. The idea of
applying NMR to cancer detection and realizing the idea in the
first commercial MRI machine were Raymond Damadian's contribution. [50]
Raymond Damadian received his M.D. degree from the Albert Einstein
College of Medicine at Yeshiva University, and did his internship
and residency at the Downstate Medical Center in Brooklyn, part
of the State University of New York system. [51] He chose to pursue
a research career rather than practice clinical medicine. He
joined SUNY in 1967 with a joint appointment in Biophysics and
Internal Medicine. During the years before the work that led
directly to publication of his first Science article, Damadian
was working on cellular composition and chemical transport. This
work, focusing on cell metabolism, led Damadian to believe that
there should be a way to detect cancerous cells through chemical
analysis rather than by relying on direct visualization under
a microscope. References in a standard chemistry textbook to
Nicolaas Bloembergen's finding, 20 years earlier, that NMR relaxation
times T1 and T2 were affected by the viscosity
of a fluid led Damadian eventually to consider applying NMR spectroscopy
to tissue in the hope of finding differences between cancerous
and normal tissue.
At the April 1969 meeting of the Federation of American Societies
in Experimental Biology, Damadian and Freeman Cope agreed to conduct
NMR experiments on detecting potassium in bacteria from the Dead
Sea. (Cope had been working on detecting sodium in brain tissue
and wanted to measure potassium in biological tissue.) They were
able to borrow time on a new, pulsed FT spectrometer made by NMR
Specialties of New Kensington, PA, which enabled them to observe
relaxation times directly. They were successful in detecting
potassium, and this led Damadian to seek support from New York
City's Health Research Council for purchase of a pulsed NMR spectrometer
to explore the potential use of spectroscopy "for early non-destructive
detection of internal malignancies" (letter quoted in Mattson
and Simon, 1996: 646). A year later, Damadian had assembled a
collection of rats bearing tumors and had again received permission
to use spectrometers at NMR Specialties. The T1 measurements
Damadian made of cancerous vs. normal rat tissue were the basis
for his 1971 article in Science.
Subsequent investigations by Damadian and others revealed that,
although the relaxation times of signals from cancerous tissue
were different from those from normal tissue, they overlapped
with relaxation times from noncancerous but abnormal tissue.
But Damadian was initially convinced that relaxation times could
be used to detect cancer, and therefore in 1972 filed a patent
claim for an "Apparatus and Method for Detecting Cancer in
Tissue." The patent included the idea of using NMR to "scan"
the human body to locate cancerous tissue. In early 1976, he
and his graduate students began working on a prototype machine,
with technical assistance from the physics department at Brookhaven
National Laboratory (which put him in touch with people designing
superconducting magnets for the latest particle accelerator) and
financial assistance from private donors. Work continued for
a year and a half on an NMR machine with a superconducting magnet
large enough to accommodate a human body. In July 1977, Damadian
and his students succeeded in creating a crude image of the cross
section of a human chest, accomplished by moving the subject through
106 slightly different positions to build up an image. (The focal
point was achieved through a combination of electrically focusing
the RF field and taking advantage of inhomogeneities in the magnet's
main field.)
Nine months after achieving the chest image, Damadian left the
university to set up FONAR Corporation. He and a staff of about
30, working in a rented facility, produced a permanent-magnet
MRI machine and introduced it at the 1980 meeting of the American
Roentgen Ray Society and, later that year, at the annual meeting
of the Radiological Society of North America. Subsequent models
of the FONAR machine adopted Lauterbur's projection method, but
that approach was quickly superseded by the pulsed Fourier transform
method that became the dominant design of the MRI industry.
Paul Lauterbur received a B.S. in chemistry from Case Institute
in 1951. He took a job with the Mellon Institute in Pittsburgh
and, after serving in the Army, returned to Mellon in 1955. While
in the Army, he helped set up an NMR laboratory and began research
on NMR spectroscopy. He then set up his own NMR lab at Mellon
and produced numerous papers. He worked on his Ph.D. in chemistry
at the University of Pittsburgh while at Mellon, receiving the
degree in 1962. He moved to SUNY Stony Brook's chemistry department
in 1963 and continued his NMR studies, focusing on intramolecular
and solvent isotope effects on chemical shifts. Lauterbur says
that two areas that began to interest him at Stony Brook led toward
imaging. One was biological applications of NMR, which led him
to do a sabbatical in 1969-70 at the Stanford Medical Center,
where he worked on labeling of proteins and tritium NMR. The
second was computer-aided acquisition and processing of NMR spectra.
Because the Stanford experiments were not productive, Lauterbur
had difficulty obtaining support for his subsequent research (most
proposals were submitted to NIH).
Through an unusual confluence of events, Lauterbur ended up at
NMR Specialties in the spring of 1971, observing researchers from
Johns Hopkins attempt to replicate Damadian's results. While
at Mellon, Lauterbur had helped to set up NMR Specialties and,
as a result, was on its Board of Directors in 1971. Because the
company was about to go bankrupt, Lauterbur agreed to take over
the company (a decision made easier because he did not have summer
salary or grant support that year). At NMR Specialties that summer,
Lauterbur watched as Leon Saryan from Johns Hopkins used the same
machine Damadian had used to compare the relaxation times of fast-
and slow-growing tumors in rats with those of normal rat tissue.
Immediately afterward, Lauterbur went out for a hamburger, thinking
about how the information obtained from invasive techniques might
be obtained in other ways, so that the location of a signal within
an object might be identified. That evening, he struck on the
idea that inhomogeneous magnetic fields introduced locational
coordinates into NMR signals, and immediately bought a notebook,
wrote the ideas down, and had them witnessed.
During the next several days, Lauterbur figured out how to create
a series of one-dimensional projections by changing the orientation
of the gradient field and then mathematically reconstruct a two-dimensional
image. (Lauterbur was not aware of previous techniques for accomplishing
this, nor did he know that the principle was being applied to
CT scanning at about this time.) He attempted to patent the idea
privately but failed, and subsequently (when back at Stony Brook)
could not arouse the interest of Research Corporation, which handled
intellectual property rights at Stony Brook (SRI interview, April
12, 1996). He turned to experiments at Stony Brook in 1972, supported
by part of an institutional research grant to Stony Brook from
NIH. Lauterbur used a pair of capillary tubes filled with water
and D2O in one experiment and water and a solution
of MnSO4 in water in a second. The results were fuzzy
but recognizable pairs of images of the cross-sections of the
tubes, images that changed as a result of the effect of different
RF power levels and T1 relaxation times of the different
liquids. (His initial results were obtained by hand on graph
paper rather than on a display tube. A typewriter typed out the
400 spin density figures in a 20 20 matrix.) The paper he submitted
to Nature describing the experiment was published in 1973
(Lauterbur, 1973). The paper explicitly mentions the possible
application of NMR imaging to the "in vivo study of
malignant tumors, which have been shown to give proton nuclear
magnetic resonance signals with much longer water spin-lattice
relaxation times than those in the corresponding normal tissues."
At about this time, Lauterbur obtained a grant from the National
Cancer Institute that enabled him to buy an NMR spectrometer and
develop a research team (Mattson and Simon, 1996: 722).
After his initial publication, Lauterbur gave numerous talks in
universities and industry, but aroused little interest in the
latter. He visited the United Kingdom and interacted with the
Nottingham physicists, specifically Hinshaw, Moore, Andrew, and
Mansfield. He also visited Hounsfield at EMI. He traveled to
the United Kingdom frequently because he received more positive
reactions from the British researchers, who were convinced something
important would come from their work. He consulted with industry
and was visited in his lab by industry. No one treated his work
seriously from a commercial point of view; he tried to sell his
ideas at Varian but was unsuccessful. Technicare came to his
lab at Stony Brook, but nothing came of it. As Chen and Hoult
point out,
Curiously, with the exception of the EMI company in Britain, ...
industry took little or no notice of Lauterbur's invention, and
it was left to universities to develop magnetic resonance imaging.
(Chen and Hoult, 1989: 40)
During the next 10 years, Lauterbur and his students and colleagues
conducted studies of the chemical shift imaging of proton signals,
the introduction of paramagnetic contrast agents, and three-dimensional
projection reconstruction and, toward the end of this period,
a whole-body 3D system in which cancer specimens that had been
removed through surgery was studied (Mattson and Simon, 1996:
727). In 1985, he left Stony Brook to join the faculty of the
University of Illinois at Urbana-Champaign, where he is now Director
of the Biomedical Magnetic Resonance Laboratory.
NSF Role. Our interview with Lauterbur revealed that,
for most of the period during which he was building the basis
for his fundamental contribution, he struggled to obtain support,
mostly from NIH. As we saw, at the time of his initial experiments,
he was working with a small amount of money from Stony Brook that
in turn came from an NIH institutional grant. His first interaction
with NSF came in the 1980s, when he wanted to get started on nonbiological
materials. He did obtain support from the RANN (Research Applied
to National Needs) Program, but the program was terminated in
the middle of his grant period. Our search of the NSF awards
database showed that Lauterbur received a 2-year award in 1966
for $61,000, "Anisotropic Nuclear Magnetic Shieldings in
Solids," and another in 1980 for $98,000 for 30 months, "Nuclear
Magnetic Resonance Microscopy." A search of the database
using the keywords "magnetic resonance imaging" yielded
just two awards during this period: $309,000 to Jerome Singer[52],
an electrical engineer at the University of California-Berkeley,
in 1977 for "In-Vivo Nuclear Magnetic Resonance Imaging of
Flow Patterns" and $108,000 to Tara Das at SUNY Stony Brook
in 1987 for "Theory of Relaxation Times Associated with Contrast
Agents in Magnetic Resonance Imaging." A search of the database
using "magnetic resonance" yielded more than 900 small
research awards from 1955 to the present, totaling more than $90
million. A large proportion of these awards were for the purchase
of NMR spectrometers. The NIH awards database, which is accessible
on-line, shows that Lauterbur was awarded his first NIH grant
in 1972, and from then on averaged about two a year through 1984.
In 1974, he received $232,000 from NIH for "Application
of NMR Zeugmatography in Cancer Research." [53]
At SUNY, following publication of his NRM experiments with rat
tumors, Damadian received grants from the American Cancer Society,
the New York City Health Research Council, and private philanthropists.
Long Island investors provided the capital to help start FONAR
(SRI interview with Damadian, August 17, 1996). A search of the
NSF database confirmed that Damadian has not received support
from NSF.
Pulsed Fourier Transform Methods
Richard Ernst, a Swiss citizen, received his Ph.D. in chemical
engineering from the Federal Institute of Technology (ETH) in
Zurich in 1962. Upon graduation, he came to the United States
to accept a position at Varian Associates in Palo Alto, where
he worked with Weston Anderson, who had been a student of Felix
Bloch's at Stanford. Ernst and Anderson developed the Fourier
transform technique for generating a frequency spectrum output
from NMR as a means of increasing the sensitivity of the instrument.
The paper announcing their results was published in 1966 (Ernst
and Anderson, 1966: 93). After realizing the significance of
their work in 1965, Anderson and Ernst filed for a patent, "Impulse
Resonance Spectrometer Including a Time Averaging Computer and
Fourier Analyzer," which was granted in 1969. [54] When he returned
to Switzerland and ETH in 1968, he continued his FT work. Most
of the work continued to explore time-domain FT, which led to
the development of 2D and 3D Fourier transform techniques. His
work on 2D FT methods was central to his winning the Nobel Prize.
Ernst realized that FT methods could be applied to NMR imaging.
Kumar and Welti, in Ernst's laboratory, carried out the first
experiments (Kumar, Welti, and Ernst, 1975). Mansfield, at Nottingham,
improved on Ernst's work by recognizing that a sequence of pulses
could be used (Mansfield, Maudsley, and Baines, 1976). Then Ernst
developed a 2D Fourier transform method, which was implemented
by Edelstein, Hutchison, and Mallard at Aberdeen and called the
spin-warp method (Edelstein, Hutchison, Johnson, and Redpath,
1980: 751). This sequence of events, based primarily in universities
in Switzerland and the United Kingdom, produced the computer-driven,
complex pulsed Fourier transform methods that are used in commercial
medical MRI machines. Ernst has pointed out that these developments,
especially the implementation of his Fourier transform method,
would not have been possible without "the introduction of
inexpensive computers in the late 1960s and by the development
of the fast Fourier transform (FFT) algorithm" (Ernst, Bodenhausen,
and Wokaun, 1987:4; quoted in Mattson and Simon, 1996: 595).
In the case of NMR and MRI, knowledge transfer from the university
to industry occurred largely through people transfer. Ernst developed
FT techniques while at Varian and continued to consult with Varian
after he returned to Switzerland. His patents on two-dimensional
Fourier transform NMR and Fourier transform NMR image reconstruction
were assigned to Varian (Mattson and Simon, 1996: 597). Technicare
hired Hinshaw from Nottingham. GE hired Paul Bottomley from Nottingham
and Edelstein from Aberdeen.
William Edelstein received his Ph.D. in physics from Harvard,
where he worked under Robert Pound, a specialist in NMR (although
Edelstein's thesis did not involve NMR). He had difficulty finding
a job in the United States and took a postdoctoral position at
the University of Glasgow with a group trying to detect gravitational
waves. Three years later, he took another postdoc at the University
of Aberdeen to work on the NMR imaging project, although he had
had no previous experience with NMR. In all, Edelstein spent
more than 6 years in the United Kingdom, and he and Bottomley,
an Australian who had worked in the United Kingdom and then as
a postdoc at Johns Hopkins, both joined the GE Corporate Laboratory
in Schenectady in 1980. Thus, Edelstein arrived at GE "equipped
with his spin-warp NMR imaging method and experience from constructing
a 0.04 T whole body imager" (Bottomley, 1996: 237). According
to Edelstein, Ernst's work was the antecedent of spin-warp, but
Edelstein had not actually read Ernst's papers and only later
realized their relevance (SRI interview with Edelstein, April
15, 1996). Edelstein described his early work in the United Kingdom
as government-funded, university-based research. He estimated
that the Aberdeen group spent a total of about £200,000 on
the project during his 3-year stay there.
At the time Edelstein and Bottomley joined GE, there was little
business commitment to imaging. Edelstein's boss, Roland Redington,
had tried to get GE Medical Systems in Milwaukee interested in
imaging but was unable to get Medical Systems funding. Redington
and his colleagues in Schenectady then decided to take a more
research-oriented tack and obtained corporate funds to buy a 1.5
T, whole-body, high-field magnet to try in vivo NMR spectroscopy.
According to Walter Robb, who was Vice President and General
Manager of Medical Imaging at the time, GE was interested in MRI,
but the research undertaken was not very serious because "GE
was very busy with CT" (SRI interview with Walter Robb, March
19, 1996). Bottomley, defying the prevailing consensus that was
partly based on one of his own earlier papers, led the GE Schenectady
group in a successful effort to make head images at 1.5 T. These
images "stunned" attendees at the RSNA (Radiological
Society of North America) meeting in 1982, the biggest radiology
meeting of the year, leading customers to defer purchases of MRI
equipment until they could see what GE would offer. Under the
leadership of Robb, GE Medical Systems then decided to create
and market a 1.5 T product, which required a number of inventions,
notably the "birdcage" RF coil by Cecil Hayes at GE
Medical Systems. All of the GE development was supported by internal
GE funds (Edelstein, personal communication, October 28, 1996).
NSF Role. The NSF awards database shows no direct support
for any of the principals involved in originating or developing
pulsed Fourier transform methods for imaging. Edelstein recalls
that his Ph.D. work at Harvard was supported by the Office of
Naval Research. His adviser, Pound, had received, and continued
to receive, substantial support from NSF. According to the awards
database, between 1970 and 1980, Pound received several awards
totaling nearly $400,000 for "Resonance and Radiation Physics,"
a $300,000 grant for "Nuclear Resonance," and a $7,000
grant from the Instructional Scientific Equipment Program.
At General Electric, MRI development was based almost entirely
on internal resources, once the British-honed talent had been
imported. During development of CT scanners, GE had worked with
the University of California, San Francisco, on a research level,
but UCSF had joined with Diasonics, a competitor in MRI. Because
of the profits generated from GE's CT scanners, there was no shortage
of resources and no need to obtain outside help. Collaboration
with the University of Pennsylvania, Yale, Duke, and the Medical
College of Wisconsin was strictly for clinical testing of new
MRI units. GE did not obtain significant technical help from
universities, although physicians at clinical sites provided considerable
feedback and developmental help. [55] Walter Robb had met with Damadian
to discuss MRI, and GE had hired Lauterbur as a consultant. Robb
recalls no NSF involvement in the development process (SRI interview
with Robb, March 19, 1996).
RF Coil Design
The literature does not point to a clear breakthrough in RF coil
design analogous to, say, the Fourier transform technique for
image analysis. Rather, there appear to be several possible designs
that have been developed over the years by both researchers and
commercial firms (Chen and Hoult, 1989: 150). Gary Glover, Professor
of Radiology at the Stanford Medical School, credits Cecil Hayes
with a significant advance: the "birdcage" coil design
(SRI interview with Glover, January 31, 1996). At higher field
strengths, the body is a dielectric absorber, and as General Electric
went to 1.5 T machines in the early 1980s, this fact became a
significant problem. The birdcage RF coil, developed at GE, enabled
whole-body imaging at these field levels.
In the early 1980s, Diasonics and Technicare were the technical
leaders in MRI. Following GE's unsuccessful attempt to buy EMI
Technology in 1980, GE launched an all-out effort to develop MRI
(Walter Robb, personal communication, October 8, 1996). GE's
Walter Robb saw the work of the company's competitors at the first
annual meeting of the Society of Magnetic Resonance in Medicine
and decided immediately to develop a machine. By the November
1982 meeting of the Radiological Society of North America, GE
was able to demonstrate head images from a 1.5 T machine that
were far superior to any competitor's. The details of the birdcage
coil were kept secret for 3 years, until Hayes and his colleagues
published a paper describing the design (Hayes, Edelstein, Schenk,
Mueller, and Eash, 1985). By this time, GE had established its
place as the market leader (SRI interview with Hayes, April 3,
1996). Gary Glover, a researcher at GE Medical Systems during
this period, noted that "GE was in considerable collaboration
with university researchers at Duke and Stanford. There was much
infusion from the university folks. The university researchers
would propose a design, and a company would build it to try it
out." Still, much of the innovation required to make MRI
commercially viable for clinical applications resulted from research
in industrial laboratories (SRI interview with Glover, January
31, 1996, and personal communication, October 1996).
Cecil Hayes studied physics at Harvard during the mid-1960s; he
and Edelstein both had Robert Pound as their thesis adviser.
He took a 3-year postdoc position at Rutgers, then a second postdoc
at the University of Utah. He became involved in NMR imaging
about 1978 while at Utah, when several NMR physicists joined a
group of electrical engineers and pulmonary M.D.s, who had previously
tried to do microwave measurements of water in the lungs. Hayes
focused on hardware, building a small NMR unit from scratch.
In 1982, he joined General Electric, where his fellow student
Edelstein was working at corporate R&D headquarters in Schenectady.
Hayes applied to the R&D lab but was hired by the manufacturing
facility in Milwaukee (SRI interview with Hayes, April 3, 1996).
Hayes is now a member of the department of radiology at the University
of Washington.
NSF Role. The first 2 years of Hayes' graduate study were
paid for by an NSF Predoctoral Fellowship. Hayes recalled that
his thesis advisor, Pound, had an NSF grant, which supported Hayes
for several years. His postdoc at Rutgers and the first 3 years
of his second postdoc at Utah were also based on NSF support for
NMR applications to condensed matter. The MR imaging work at
Utah was supported by NIH. His work at GE was supported entirely
by internal company funds (Hayes, personal communication, October
CONCLUSIONS
In this concluding section, we focus on four aspects of the evolution
of MRI: (1) government, industry, and university roles and relationships;
(2) the relationships between research and technology development;
(3) the role of property rights; and (4) the role of NSF. In
the case of NSF's role, we distinguish between innovative leadership
and financial support. Support can take several forms,
including support for research, for education, and for infrastructure
(e.g., travel, coordination, instrumentation, and facilities).
Government, Industry, University Roles and Relationships
For the first decade of its development, MRI research was led
by academics, many based in the United Kingdom, who were either
physicists interested in the imaging phenomenon itself or medical
researchers interested in eventual application of the technology
to clinical diagnostics. Initially publishing in physics journals,
by the late 1970s most of the British were publishing in radiology
and instrumentation journals, driven by the prospect of the technology's
application in clinical medicine. In the mid-1970s, only EMI
pursued industrial development of MRI, but it did so substantially
in isolation from other researchers. The British government was
substantially involved in MRI development; British researchers
received significant support from the Medical Research Council.
In the United States, Raymond Damadian, a medical researcher,
sparked interest in applying NMR techniques to medicine, while
Paul Lauterbur, a chemist, initiated imaging itself and pursued
improved images. [56] Until well into the 1980s, both worked essentially
alone, at least as far as colleagues in the United States were
concerned. Damadian pursued commercialization of MRI on his own,
while Lauterbur unsuccessfully tried to interest U.S. industry
in its development. Once the potential for applying MRI to medicine
became apparent to industry, largely because of the clinical trials
being conducted in the United Kingdom with machines built by academics,
industry rapidly took over the leading role and kept it through
the end of the 1980s. Rapid commercial development and market
leadership were achieved by large medical instrument firms, such
as General Electric and Siemens, who used profits, technology,
and market knowledge from related products to move quickly to
the forefront. In most cases, companies took the lead in research
underlying MRI rather than relying on collaborations with or results
generated by universities. Some academic consultants were hired,
but the primary industry-university linkages (which were important)
consisted of companies working with medical schools to conduct
clinical trials of prototype machines. GE and Technicare, an
early technical leader in the field, basically bought their knowledge
and expertise from the British in the form of the leading researchers:
Edelstein, Bottomley, Hinshaw. It is significant, of course,
that Edelstein and Hinshaw were Americans, educated in the United
States.
Relationships between Fundamental Research and Technology
Development
The fundamental elements of MRI are those of NMR, which rest directly
on nuclear physics. NMR moved rapidly from fundamental research
at Stanford to commercialization because of Russell Varian's involvement;
from that point, industry led the development. Richard Ernst's
initial contribution to NMR came while he was at Varian. Fast
Fourier transforms, developed by mathematicians at Bell Labs,
and Ernst's 2D imaging technique based on pulsed Fourier transform
procedures, speeded the development of MRI by reducing computing
requirements. Once the phenomenon of nuclear resonance was understood,
the development of both NMR and MRI depended more on technology
than on research, although as commercial NMR matured in the mid-1980s,
the focus of advances shifted more toward fundamental research. [57]
Through most of MRI's evolution, the challenges were to improve
image quality and reduce scan times and computational requirements.
Even during the early days of MRI at Nottingham, Aberdeen, and
Stony Brook, these challenges, rather than a desire to explore
underlying processes, motivated the researchers-yet in many instances
it was necessary to engage in just such explorations to improve
image quality or reduce scan time.
Intellectual Property Rights
There is an extensive patent history associated with MRI, but
there is no evidence that patenting slowed development of the
innovation. The pioneers of MRI, academics in the United States
and the United Kingdom, either recognized the potential value
of their discoveries or hedged their bets by patenting. Lauterbur
attempted unsuccessfully to patent his projection method. Damadian
patented the FONAR technique. Hinshaw and Mansfield patented
the point and slice methods of selective excitement, respectively.
Ernst, after returning to the Swiss Federal Institute of Technology,
patented his 2D technique and assigned the patent to Varian.
The leading companies patented extensively; the following table
shows the number of MRI patents granted to selected firms in the
MRI industry between January 1, 1971, and December 31, 1990. [58]
Company
Number of
U.S. Patents
Toshiba
58
Picker International
45
General Electric
33
University of California
19
Philips
17
Hitachi
14
Elscint
13
Mitsubishi
11
Siemens
9
Resonex
9
Technicare
8
Fonar
3
An examination of the patent citations shows that there was clear
awareness of others' previous work. Although researchers may
have proceeded with prototype development before addressing the
intellectual property question, most subsequently took out licenses
or engaged in cross-licensing with other firms. GE and other
companies all licensed the portfolio held by the British Technology
Group. Hinshaw commented on the tradition in the medical instruments
industry of using each other's patented technology and competing
on other grounds to avoid patent litigation. It appears that,
with some notable exceptions, such as GE's birdcage coil, market
advantage was gained more through know-how and pricing than through
intellectual property, since most companies were using the same
basic technology.
There is more to the property rights story than we were able to
capture in this case. Unfortunately, the detailed bibliometric
and patent citation analyses that were to have accompanied this
case were not funded until the case was completed; therefore,
whatever insights these analyses will yield will have to be added
later. In any event, a more detailed examination of the key patents
in MRI and an exploration of patenting strategy by firms seem
warranted.
NSF Role
Through awards for research and instrumentation in nuclear magnetic
resonance, NSF provided a significant part of the infrastructure
that several U.S. participants drew on in the development of MRI.
From 1955 to the present, NSF support for NMR research underlying
the entire innovation amounted to $90 million. [59] Among those receiving
awards were Harvard's Robert Pound, dissertation adviser to both
William Edelstein and Cecil Hayes. In addition, NSF supported
Hayes' coursework, his dissertation work, and 6 years of postdoctoral
work at Rutgers and Utah. This included support for instrumentation
purchases and the education of graduate students, some of whom
would build on their graduate research experiences in subsequent
MRI work. Additionally, NSF has supported research in related
areas undergirding the innovation itself, e.g., electromagnetics,
digital systems, and computer engineering. Beyond this, however,
there is little additional evidence of NSF's direct role in the
development of MRI, at least through the end of the 1980s. In
addition to small research awards, NSF provides partial support
for research on MRI imaging at the NSF Engineering Research Center
for Emerging Cardiovascular Technology at Duke and, until recently,
did so for the Center for Magnetic Resonance Technology for Basic
Biological Research at the University of Illinois. [60]
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