The "Indomitable" MRI
Raymond Damadian's medical imaging machine set off a revolution but not without controversy
- By Julie Wakefield
- Smithsonian magazine, June 2000, Subscribe
(Page 2 of 3)
Though Lauterbur's gradient approach quickly gained favor over Damadian's human scanner method, Damadian filed for a patent on his concept in 1972 and received it in 1974. He forged ahead, determined to make the first human scan. Aided by graduate students, he built the heart of Indomitable, a homemade superconducting magnet, from roughly 30 miles of niobium-titanium wire wrapped on a cylinder. The magnet, a hollow cylinder, spanned 53 inches in diameter, big enough to swallow up a human. On top, the team installed an elaborate liquid helium cooling system to keep resistance in the wire near zero. But the helium leaked miserably, costing $2,000 a week and reducing the magnet's strength.
Without time for modifications, Damadian pushed his team onward. Mike Goldsmith, one of his graduate students, cobbled a wearable antenna coil fashioned from cardboard, capacitors and copper wire. Others fine-tuned the rest: an oscilloscope to monitor the hydrogen broadcasts detected by the coil; a minicomputer to translate the received signals into an image; and a manually operated wooden platform to move the subject. Damadian's moment of reckoning finally arrived on May 11, 1977. Inside his Downstate Medical Center lab, he ran through his checklist, a process that took about 12 hours.
Approval from the school's Human Experimentation Committee seemed unnecessary. Damadian had volunteered himself as the first guinea pig.
With veiled trepidation, Damadian shimmied into the corsetlike antenna coil and sat down on the movable platform inside his shiny, 1 1/2-ton contraption. Without fanfare, Damadian's assistant powered up Indomitable's systems and subsystems.
Seconds passed. Then minutes. The team couldn't detect any radio signal. A half-hour passed. Still no signal. After hours of tinkering, still nothing. "We were very depressed," Damadian recalls. "We had been telling the whole world that we were going to be able to do this thing and we failed."
Eventually the thought occurred that Damadian might be too corpulent for the feeble coil. Apparently fat insulates the body from more than mere cold weather.
For seven weeks after the test, graduate student Larry Minkoff keenly monitored his boss, watching for any odd behavior or ailment. Detecting none, he offered his own svelter torso to science.
The machine appreciated his lean physique. On July 3, 1977, nearly five hours after the start of this test, Indomitable achieved the first human scan and became the first MRI prototype. The crude image, reconstructed first with colored pencils and then by computer from 106 data points, revealed a two-dimensional view of Minkoff's chest — including his heart and lungs.
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