期刊
MAGNETIC RESONANCE IN MEDICINE
卷 87, 期 1, 页码 509-527出版社
WILEY
DOI: 10.1002/mrm.28968
关键词
active implantable medical devices; implant safety; interventional MRI; MR safety; parallel transmission; RF heating
资金
- EMPIR programme - European Union [17IND01]
- European Association of National Metrology Institutes [17IND01]
The study demonstrates rapid detection and mitigation of RF-induced implant heating during MRI using small and low-cost embedded sensors. The sensors can provide real-time monitoring and mitigation while preserving image quality, independent of simulations or in vitro testing.
Purpose Rapid detection and mitigation of radiofrequency (RF)-induced implant heating during MRI based on small and low-cost embedded sensors. Theory and Methods A diode and a thermistor are embedded at the tip of an elongated mock implant. RF-induced voltages or temperature change measured by these root mean square (RMS) sensors are used to construct the sensor Q-Matrix (Q(S)). Hazard prediction, monitoring and parallel transmit (pTx)-based mitigation using these sensors is demonstrated in benchtop measurements at 300 MHz and within a 3T MRI. Results Q(S) acquisition and mitigation can be performed in <20 ms demonstrating real-time capability. The acquisitions can be performed using safe low powers (<3 W) due to the high reading precision of the diode (126 mu V) and thermistor (26 mu K). The orthogonal projection method used for pTx mitigation was able to reduce the induced signals and temperatures in all 155 investigated locations. Using the Q(S) approach in a pTx capable 3T MRI with either a two-channel body coil or an eight-channel head coil, RF-induced heating was successfully assessed, monitored and mitigated while the image quality outside the implant region was preserved. Conclusion Small (<1.5 mm(3)) and low-cost (<1 euro) RMS sensors embedded in an implant can provide all relevant information to predict, monitor and mitigate RF-induced heating in implants, while preserving image quality. The proposed pTx-based Q(S) approach is independent of simulations or in vitro testing and therefore complements these existing safety assessments.
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