Safety
Engineering/Interventional/Safety Tuesday, 18 May 2021
Digital Poster
2298 - 2317

Oral Session - Safety: That Implant Is Hot!
Engineering/Interventional/Safety
Tuesday, 18 May 2021 16:00 - 18:00
  • Effect of transmit frequency on RF heating of metallic implants
    Bart R. Steensma1, Janot P. Tokaya2, Peter R. S. Stijnman1, M. Arcan Erturk3, Cornelis A. T. van den Berg1, and Alexander J. E. Raaijmakers4
    1Center for Image Sciences - Computational Imaging Group, University Medical Center Utrecht, Utrecht, Netherlands, 2TNO, Utrecht, Netherlands, 3Medtronic, Minneapolis, MN, United States, 4Biomedical Engineering - Medical Imaging Analysis, Eindhoven University of Technology, Eindhoven, Netherlands
    For uniform E-field exposure, worst-case RF heating in elongated metallic reduces with increasing transmit frequency. For realistic E-field exposures, for similar head SAR levels, E-field enhancement for worst-case implant length is roughly equal for all transmit frequencies. 
    Figure 3: maximum scattered E-field at the tip of a metallic wire plotted against wire length. The incident field was a uniform (phase/amplitude) plane wave of 1 V/m. Different transmit frequencies were considered (21-298 MHz) as well as insulated (dashed) and bare wires (solid).
    Figure 4: violin plots showing, for a wide range of investigated positions and trajectories, the distributions of induced tip current for straight wires and realistic DBS implants (a and c normalized to head SAR, b and d normalized to B1). Different implants lengths, insulation types and transmit frequencies were considered.
  • Demystifying the effect of field strength on RF heating of conductive leads: A simulation study of SAR in DBS lead models during MRI at 1.5 T - 10.5 T
    Ehsan Kazemivalipour1,2,3, Alireza Sadeghi-Tarakameh4, Boris Keil5, Yiğitcan Eryaman4, Ergin Atalar1,2, and Laleh Golestanirad3,6
    1Electrical and Electronics Engineering Department, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 3Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 4Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, MN, United States, 5Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Sciences, Giessen, Germany, 6Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, United States
    Performing MRI at higher static fields is not necessarily more dangerous than lower fields in patients with conductive implants. When global SAR is set as the upper limit, coils at higher resonance frequency generate less local SAR due to decreased B1+ levels.
    Figure 1 – Numerical models of a 1.5 T 16-rung low-pass birdcage coil tuned at 64 MHz, a 3 T 16-rung low-pass birdcage coil tuned at 127 MHz, a 7 T 16-rung hybrid birdcage coil tuned at 297 MHz, and a 10.5 T 8-channel bumped dipole coil tuned at 447 MHz all loaded with a uniform human head model with no implant. The geometrical dimensions of the coils were the same as the coils reported in the literature2-5.
    Figure 3 - 1g-SAR distributions in patient 10 (ID10) for the 1.5 T, 3 T, 7 T, and 10.5 T coils on an axial plane passing through the electrode contacts. The coils' input powers were adjusted (A) to generate an average of B1+ = 2 μT and (B) to produce a GHSAR = 3 W/kg over an axial plane passing through the patient's eyes.
  • An Investigation of SAR Values Induced Near an Orthopedic Implant at 7T Relative to Lower Fields: A Simulation Study
    Paul S Jacobs1 and Andrew J Fagan1
    1Radiology, Mayo Clinic, Rochester, MN, United States
    Maximum 1g-averaged SAR values adjacent to orthopedic screws or varying lengths from 3T to 7T were simulated, with a 36% reduction in SARmax found at 7T compared to a peak near 4T.
    Figure 2. (a) A schematic from the simulation environment showing the overall simulation volume (white box), the tissue volume (purple), the dipole antenna (yellow), and the high mesh density volume around the screw (dark purple). (b) Representative example of a SAR map, showing the location where the SARmax value was typically located at the screw tip (arrow).
    Figure 3. Graph of the SARmax for each field strength configuration as a function of implant length embedded in bone tissue. The simulated input RF power levels were normalized to ensure the same transmitted power of 1W by the dipole antennas across all field strengths.
  • Safe 7T MRI of tissues neighboring Mg-based biodegradable implants using parallel transmission
    Mostafa Berangi1,2, Andre Kuehne1, and Thoralf Niendorf1,2
    1MRI.TOOLS GmbH, Berlin, Germany, 2Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany
    An RF transceiver array along with dedicated B1 shimming based on a genetic-algorithm to facilitate 7T MRI aided monitoring of bio-degradable metallic implants is designed and evaluated in phantom experiments and benchmarked with the simulations.
    Figure 1; A-C) computer-aided designs (CAD) of the RF transceiver representing sections of the RF array with the position of the phantom and implant inside the phantom. D) manufactured RF transceiver, phantom and power dividers.
    Figure 4; Simulation results of coronal unaveraged specific absorption rate (SAR) maps of a plane through the center of the implant using degenerate birdcage mode (CP), orthogonal projection (OP) and genetic algorithm-based (GA) shimming.
  • Combined heating of hip joint implant by radiofrequency and switched-gradient fields during MRI examination
    Alessandro Arduino1, Umberto Zanovello1, Jeff Hand2, Luca Zilberti1, Rüdiger Brühl3, Mario Chiampi1, and Oriano Bottauscio1
    1Istituto Nazionale di Ricerca Metrologica, Torino, Italy, 2School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom, 3Physikalisch-Technische Bundesanstalt, Braunschweig and Berlin, Germany
    Simulations show that the heating of a CoCrMo hip prosthesis caused by MRI switched gradient fields may be more relevant than that due to the RF field, making safety criteria based on whole-body SAR insufficient for implanted patients.
    Figure 3 – Maximum temperature increase in the whole body volume after 360 s exposure versus the axial position of the hip implant in the coils, corresponding to the twelve body positions from 1 to 12. Results for EPI, True-FISP, GRE and TSE (with constant dead time) sequences. Dimensions of the prosthesis: stem length 142 mm; hemispherical head diameter 30 mm; acetabular shell diameter and thickness 66 mm and 8 mm; screw length 34 mm; polyethylene liner thickness 10 mm.
    Figure 4 – Time-spatial evolution of the temperature increase around the prosthesis for three analysed sequences (screenshots after 50 s, 200 s and 360 s). For the 3 T group, the results for the EPI sequence are not reported, being almost identical to those at 1.5 T. The results for the TSE sequence refer to a constant dead time of 5.67 s. A region of influence around the implant was defined as a parallelepiped box of size 21.7 cm × 18.8 cm × 28.2 cm.
  • Safe scanning of elongated implants with the sensor matrix QS: Comparison of orthogonal projection and null mode based pTx mitigation
    Berk Silemek1, Frank Seifert1, Bernd Ittermann1, and Lukas Winter1
    1Physikalisch-Technische Bundesanstalt (PTB) Braunschweig and Berlin, Berlin, Germany
    The sensor Q Matrix ( $$$Q_S$$$) is introduced that allows safe MRI of implants without compromising image quality. This safety concept is based on small and low-cost embedded sensors and pTx. It is real-time capable and does not require a priori simulations or safety testing.
    Figure-5:MRI experiments at 3T using the diode and $$$Q_S^E$$$ for pTx mitigation and imaging. The target location for the B1-shim is marked with a red cross. A-D) Coronal and E-H) axial GRE images for the four different pTx modes WC, CP, OP, and NM. Signal intensity profiles along I) x-axis, J) y-axis and K) z-axis for each excitation mode. L) shows induced diode signals on the implant for these modes. OP and NM show substantially reduced tip signal compared to the B1-shim (and dramatic reduction compared to WC).

    Figure-3: Results for the diode sensor in the mapped area in the testbed. The implant is immersed 120 mm into the phantom. (A) The diode readings for CP, OP and NM. OP and NM are derived from eigenvalues of the acquired $$$Q_S^E$$$. In (B), the heating rates measured by the thermistor are mapped, when the same CP, OP and NM are applied for 2 s per implant position. (C) Diode-signal (i.e. E-field) ratios (logarithmic scale) for each mode, indicating improved or reduced patient hazard. Compared to CP, both OP and NM reduce the E-field nearly everywhere (99%) and by a factor ≥2 in 93% of the positions.

  • Safe-MRI with stereo-electroencephalography (sEEG) for epilepsy patients
    Flora Guarnotta1, Jeremie Clement1, Rachel Sparks1, and Özlem Ipek1
    1School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom
    We investigated the role of parallel-transmit (pTx) RF coil arrays at 3 Tesla to control the RF-heating and local signal increases near the electrodes using computational field simulations on realistically modelled intra-/post-surgical simultaneous MRI-EEG measurement.
    Electrode configurations of ROCA-ROLI(2),ROLI(1)-ROLI(2) and LCIP-LTFU with a table summarised their targeted tissue, brain hemisphere and number of electrodes.
    RF shimming for the 16ch loop coil on the whole brain shown in the transverse plane, the 1st column illustrates the mean B1+ maps and the 2nd column the MIP of the SAR0.1g maps a) without electrodes b) with ROLI(2)-ROCA, normalised to 1W total input power.
  • MR Safety Assessments of Active Implantable and Interventional Devices in a Single Measurement Setup
    Ali Caglar Özen1,2, Simon Reiss1, Thomas Lottner1, Dursun Korel Yildirim3,4, Ozgur Kocaturk3,5, and Michael Bock1
    1Deptartment of Radiology, Medical Physics, University Medical Center Freiburg, University of Freiburg, Freiburg, Germany, 2German Consortium for Translational Cancer Research Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany, 3Institute of Biomedical Engineering, Bogazici University, Istanbul, Turkey, 4Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD, United States, 5Transmural Systems, Andover, MA, United States
    MR-safety of an actively visualized guidewire was evaluated at three different field strengths, for three different insertion lengths using a single setup that consists of an electrooptic sensor, local excitor, and dipole antennae. 
    Figure 1: Schematic of the TF evaluation approach for AICs and AIGWs. A) Hot spot detection with high resolution E field mapping during continuous RF excitation with a dipole antenna. B) TF measurement. C) TF validation by E field mapping with and without the AIGW. D) A detailed schematic of the electrooptical sensor. E) Dipole antennae used for generating uncorrelated incident fields.
    Figure 2: Results of the hotspot detection measurements for 100cm, 80cm and 60cm insertion lengths from top to bottom. The location of the hotspot remains constant, and it is 4mm before the tip point.
  • MRI Implant Safety: Method for RF Heating In-Vivo-Transfer Required from ASTM Standard F2182
    Manuel Murbach1, Thomas Doering2, and Gregor Schaefers2,3
    1Murbach EMConsulting, Zurich, Switzerland, 2MR:comp GmbH, Gelsenkirchen, Germany, 3MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany
    This study shows that our alternative method (Tier 2.5) may be suitable to estimate realistic in vivo E-fields at short implant locations without being overly conservative. The standard Tier 2 method may result in implant labels to be >3 times more restrictive than in current practice.
    Figure 3: Comparison of the ViP model FATS with the ASTM test-field. E10g maximum intensity projection (MIP) for all imaging positions at 1.5T, normalized to normal operating mode. Maximum E10g in FATS is up to >4 times higher than the ASTM test field of 120 V/m, resulting in a factor >18 in power (red box). For the complete assessment, other models, MR coils, and field strengths have to be considered.
    Figure 2: Comparison of the different Tiers: Tier 2, where the total E-field of the passive implant is averaged on 10g cubes. Proposed Tier 2.5, where the tangential E-field along representative trajectories over the 3D volume of the passive implant are averaged. Tier 3, where the 1D tangential E-field is extracted and used as input for the transfer function.
  • Radiofrequency-Induced Heating of Broken, Damaged, and Abandoned Leads
    Aiping Yao1, Tolga Goren1, Theodoros Samaras2, Niels Kuster1,3, and Wolfgang Kainz4
    1IT'IS Foundation, Zurich, Switzerland, 2Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece, 3ITET, ETH Zurich, Zurich, Switzerland, 4FDA, Silver Spring, MD, United States
    We studied the deposited lead-tip power of a generic implant, intact and with wire breaks at regular intervals. The lead-tip power enhancement reached 30-fold vs. the intact lead. The presence of a nearby intact wire, or even a nearby broken wire, reduced this enhancement factor to ~3-fold. 
    Deposited lead-tip power for the 100 cm long single-wire and double-wire lead (wire distance d =1.3 mm) with main-wire break under isoelectric conditions. Also, (i) 100 cm long single-wire lead with wire break at b = 50 cm and a gap size g = 1, 2, 5 and 10 mm, (ii) 100 cm long double-wire lead with wire distances d = 1.8 and 0.55 mm and the main-wire broken at b = 50 cm, and (iii) 100 cm long double-wire lead with wire distance d = 1.3 mm and both wires broken at b = 50 cm. Experimental validation measurements (m1 – m4) of the four 50 cm break cases are shown with slight offset for clarity.
    (a) Generic implant with a 100 cm long single-wire lead, with a break of dimension g at distance b from the lead-tip. (b) Generic implant with a double-wire lead (wire separation d) and two electrodes (lead-tips).
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Digital Poster Session - MRI & Implants: The Good, The Bad & The Ugly
Engineering/Interventional/Safety
Tuesday, 18 May 2021 17:00 - 18:00
  • Using deep neural networks to predict RF heating of implanted conductive leads exclusively from implant trajectory and RF coil features
    Jasmine Vu1,2, Bach T Nguyen2, Bhumi Bhusal2, Justin Baraboo1,2, Joshua Rosenow3, Ulas Bagci 2, Molly G Bright1,4, and Laleh Golestanirad1,2
    1Biomedical Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL, United States, 2Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 3Neurosurgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 4Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
    The presented deep learning-based framework was capable of predicting maximum SAR at the tips of implanted conductive leads with only knowledge of the lead trajectory and the RF coil’s background field in hand.
    Figure 2: (A) Superposition of Etan distributions along different lead trajectories. Similar Etan values were observed along the intracranial regions across lead trajectories. (B) Distribution of Etan (color field) and the incident electric field (arrows) for lead trajectories that demonstrate low and high 1gSARmax values. (C) A DNN was created to predict 1gSARmax using the extracranial Etan values as inputs into the algorithm due to similarities in Etan values in the intracranial regions.
    Figure 4: (A) Performance of network training, as indicated by the mean squared error, for all folds of five-fold cross-validation. (B) Predicted 1gSARmax values from testing of the DNN plotted against the ground-truth 1gSARmax values from EM simulations.
  • RF-Induced Heating of Medical Devices in an Open Bore MRI
    Seoggwan Kim1, Amy Kester1, Alan R. Leewood1, and David C. Gross1
    1MED Institute Inc., West Lafayette, IN, United States
    Development and validation of an open bore computational model were demonstrated in this study.  Future experiments and simulations will be used to quantify RF-induced heating in open bore MRI for the purpose of MRI labeling of medical devices according to ASTM F2503 [3].
    Figure 1: A representative image of (a) 1.2T Hitachi Oasis open bore MRI system, (b) RF body coil of a 1.2T Hitachi Oasis open bore MRI system with the Duke human model, (c) RF body coil of 1.2T Hitachi Oasis open bore MRI system with a knee implant in an ASTM gel phantom (65cm x 42cm x 9cm), and (d) detailed CAD model of a knee implant.
    Figure 4: Temperature rise contour of a nitinol SFA stent and a knee implant within Duke in 1.5T Siemens Avanto closed bore and 1.2T Hitachi Oasis open bore MRI systems at a scan time of 900 sec.
  • RF Impedance of MR-Conditional Pacemaker Leads when Connected to Implantable Pulse Generators from Different MR-Conditional Systems
    David Prutchi1, Jason Meyers1, and Ramez Shehada2
    1Impulse Dynamics (USA) Inc., Marlton, NJ, United States, 2Medical Technology Laboratories, La Mirada, CA, United States
    The IPG’s contribution to the limitation of RF currents is relatively small (1.03 to 8.04%, mean 2.72%).  A maximum difference of 4.85% was found for a hybrid system, which is probably negligible when considering lead impedance variability.
    Figure 1: Contribution of IPG input impedance against the total lead/IPG impedance to 63.87 MHz RF currents at the lead’s Tip electrode. Lead/IPG pairs are MR-conditional labeled for whole-body MRI at 1.5T.
    Table 1: Contribution of IPG input impedance against the total lead/IPG impedance to 63.87 MHz RF currents at the lead’s Tip electrode. Lead impedance incorporates the effect of the implantable device’s enclosure in gel slurry. Lead/IPG pairs are MR-conditional labeled for whole-body MRI at 1.5T.
  • Importance of Pacemaker Lead Preconditioning for MR Safety In-Vitro Studies
    David Prutchi1, Jason Meyers1, and Ramez Shehada2
    1Impulse Dynamics (USA) Inc., Marlton, NJ, United States, 2Medical Technology Laboratories, La Mirada, CA, United States
    Body fluids change the peak impedance of implanted leads at MR frequencies, making it critical to precondition leads by soaking in isotonic saline is critical prior to conducting MR safety testing in-vitro.
    Figure 1: Magnitude and phase of the Biotronik and Abbott leads before and after soaking for over 10 days in isotonic saline solution
    Table 1: Characteristic Impedance at 63.87 MHz of pacemaker leads before and after being soaked for over 10 days in saline solution
  • Radio-Frequency Induced Heating of Hip and Knee Implants in the Cylindrical and Planar Systems
    Kyoko Fujimoto1, Tayeb A Zaidi1, Dave Lampman2, Josha W Guag1, Shawn Etheridge2, Hideta Habara3, and Sunder S Rajan1
    1Center for Devices and Radiological Health, US Food and Drug Administration, Silver Spring, MD, United States, 2Hitachi Healthcare Americas, Twinsburg, OH, United States, 3Healthcare Business Unit, Hitachi, Ltd., Tokyo, Japan
    The validated computational modeling offers a viable approach to compare the potential RF-induced heating risk. The 1.2T planar system showed lower risk of heating of hip and knee implants compared to the 1.5T system. Having different coil designs may improve patient access to MRI scans.
    Figure 5: Maximum intensity projection SAR1g results are shown near the implantable devices. All the SAR maps were normalized with the B1+ method.
    Figure 4: The slice SAR maps with implants are shown in four different imaging landmarks for SAR1g and SAR10g. All the SAR maps were normalized with the B1+ method.
  • Validation of a new 64MHz RF exposure system for testing medical implants for RF-induced heating according to ASTM-F2182 and ISO/TS 10974
    Finya Ketelsen1,2, Kevin Kröninger2, and Gregor Schaefers1,3
    1MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 2TU Dortmund University, Dortmund, Germany, 3MR:comp GmbH, Testing Services for MR Safety & Compatibility, Gelsenkirchen, Germany
    This study introduced the validation of a new RF field source for testing implants for RF-induced heating according to ASTM F2182 and ISO/TS 10974. Its ability to produce different homogeneous fields over a large area qualifies it for testing all kinds of active and passive implants.
    Fig. 5: This figure shows the measured temperature rise values after six minutes divided by the square of the incident E-field at each position and the target values from Annex I1.
    Fig. 4: This figure shows the measured Erms-field distributions, a) Erms-field at 0° phase, c) Erms-field at 180° phase and the deviation between measurement and simulation in b) 0°phase and d) 180° phase.
  • MRI in patients with a cerebral aneurysm clip; Guideline in the Netherlands
    Mark BM Hofman1, Cristina Lavini2, Albert van der Zwan3, Carola van Pul4, Sara H Muller5, Mette K Stam6, Marinette van der Graaf7, Carla Kloeze8, Bastiaan J van Nierop9, Wouter Teeuwisse10, Peter Kappert11, Evie EM Kolsteren12, Kristie Venhorst12, and Joost PA Kuijer13
    1Radiology and Nuclear Medicine, Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 2Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands, 3, Neurology and Neurosurgery, UMC Utrecht Brain Center, Utrecht, Netherlands, 4Maxima Medical Centre, Eindhoven, Netherlands, 5Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands, 6Radiology, LUMC, Leiden, Netherlands, 7Imaging, Radboud UMC, Nijmegen, Netherlands, 8Catharina Hospital, Eindhoven, Netherlands, 9Radiology and Nuclear Medicine, University Medical Centre Utrecht, Utrecht, Netherlands, 10CJ Gorter Center for High Field MRI, LUMC, Leiden, Netherlands, 11Radiology, UMCG, Groningen, Netherlands, 12Knowledge Institute Medical Specialists, Utrecht, Netherlands, 13Radiology and Nuclear Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
    Can a patient with an aneurysm clip undergo an MRI exam? The Dutch Association of Medical Specialists wrote a guideline that includes a decision flow diagram and the risk estimates whether an unknown clip type might be ferromagnetic.
    Figure 1: Flowchart with decision tree for MRI examination in patient with a cerebral aneurysm clip, with references to Tables numbers in this ISMRM abstract (which differ in numbering from the full guideline). Zoom in your browser to read. While considering all evidence and considerations it was recognized that withholding an MR exam for large patients groups in which it is likely but not entirely certain that the aneurysm clip is non-ferromagnetic, will impact patient’s diagnostics.
    Table 4: Probability that an unknown type of cerebral aneurysm clip is not safe for MRI; as estimated by the working group.
  • Pediatric Patient Positioning Can Reduce Local-SAR at the Pacemaker Lead-tip During MRI Exams
    Jessica A. Martinez1 and Daniel B. Ennis1,2,3
    1Department of Radiology, Stanford University, Stanford, CA, United States, 2Cardiovascular Institute, Stanford University, Stanford, CA, United States, 3Maternal & Child Health Research Institute, Stanford University, Stanford, CA, United States
    Lead-tip local-SAR for thoracic pediatric with CIEDs MRI exams can be substantially reduced using a supine, feet-first orientation. If the exam must be performed in a supine head-first, a leftward transversal displacement, lateral rotation, or Fowler position may mitigate local-SAR.
    Figure 2. (A) SAR maps and 1-gram local-SAR values for RA and RV leads for the reference position (supine and head-first). (B) SAR maps and 1-gram local-SAR values for a feet-first patient orientation is substantially reduced. (C) Right-left lateral rotations also substantially reduce the 1-gram local-SAR.
    Figure 1. Patient position and orientation variations: (A) head-first vs. feet-first; (B) lateral rotation; (C) transverse left-right displacement; and (D) Fowler position. Each was compared to the local-SAR value with respect to a reference position (shaded, supine and head-first) for a thoracic exam.
  • RF safety simulation of 128-channel EEG net on a 29-month-old whole-body model at 3T
    Hongbae Jeong1,2 and Giorgio Bonmassar1,2
    1Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States
    The SAR of a 29-month-old child with a 128-channel EEG net at 3T was presented. The EEG net designed for MR-compatible use could generate additional heating near the position of the electrode on the skin, but the amount of SAR was estimated within the safety limit with the thin film based EEG trace.
    Figure 2.:The simulation set-up for the EEG traces and sponges. (a) shows the 3D scanned EEG net put on the 29-month-old head mock-up, (b) shows the position of the sponges which is chosen from (a) and used as the reference points for the EEG trace allocation, (c) shows the final drawing of 128 channel EEG traces connected on sponges on the head of the 29-month-old boy voxel model.
    Figure 5: EM simulation results. (a) pSAR results displayed in the surface of the 29-month-old voxel model with a 128-channel EEG net, (b) pSAR results in the surface of the 29-month-old without an EEG net (In both cases, the simulation results are normalized to 2µT at the coil center)
  • Experimental validation of simulated implant heating induced by switched gradient fields
    Rüdiger Brühl1, Thomas Schwenteck1, Bernd Ittermann1, Fabio Baruffaldi2, Alessandro Arduino3, Umberto Zanovello3, Luca Zilberti3, Mario Chiampi3, and Oriano Bottauscio3
    1Physikalisch-Technische Bundesanstalt (PTB), Berlin, Germany, 2IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy, 3Istituto Nazionale di Ricerca Metrologica (INRIM), Torino, Italy
    The heating of bulky metallic implants due to switching MR gradients can be simulated. Numerical simulations are compared with experiments and show a difference of about 8 % in temperature rise. 

    Fig 2a: Experimental heating rate of a knee implant #3 at $$$t=0, x=0, y=0$$$ and various $$$z$$$ positions in a clinically relevant orientation. The signal of the central sensor 1 is shown in blue, the lateral in red.

    Fig 2b: An axial view of the knee implant with two NTC sensors mounted in sockets that are glued on the implant.

    Fig 1a: Comparison of experimental (solid) and simulated (dashed) eddy-current heating of hip implant #1 at scanner coordinates $$$z=-300 \text{ mm}, y=-50 \text{ mm}, x=-145 \text{ mm}$$$. Central sensor in blue, sensors located on the rim in red and green. The EPI sequence was applied from $$$t=0 \text{ to } 20 \text{ s}$$$. The main eddy current circulates along the rim with its large cross section to the vector field $$$dB/dt$$$ of the read gradient z.

    Fig 1b: Simulated temperature rise distribution at $$$t=20 \text{ s}$$$. The arrows indicate the sensor positions.

  • Numerical Simulation study on the effects of intentionally inhomogeneous E-field distributions on RF-induced heating of implants
    Vincent Hammersen1, Finya Ketelsen1, Andreas Rennings2, and Gregor Schaefers1,3
    1MRI-STaR Magnetic Resonance Institute for Safety Technology and Research GmbH, Gelsenkirchen, Germany, 2General and Theoretical Electrical Engineering (ATE), University of Duisburg-Essen, Duisburg, Germany, 3MR:comp GmbH, Gelsenkirchen, Germany
    This study indicates that inhomogeneous E-field excitement of test objects even within the ±1dB and ±20° phase shift limits can have a major impact on the RF-induced heating of implants. Local field Magnitude und directions should not be disregarded.
    A) HFSS setup with a central test object and in-phase Plane Wave excitation (red dotted), separated by radiation boundaries (blue dotted). Remaining surfaces are terminated by PML boundaries. Outer Box is the overall Simulation Box; Inner Box is the VLD export box. B) close up of the titanium rod tip C) single PW source, D) dual outer PW sources (also used for phase variations), E) three PW sources, F) two inner PW sources and G) four inner PW sources. The 300mm central line is identical with the z-axis.
    Root Mean Square of the tuned (150V/m) E-Field Magnitude for the five different excitation setups along a 300mm central line in the centre of the simulation volume. The 100mm tuning line, resp. the test object, is situated between 100mm and 200mm. The dotted red lines indicate the ±1dB (12%) limitation.
  • Lead electromagnetic models for RF-induced heating in multi-electrode cortical implants
    Mubashir Hussain1 and Gregor Schaefers1,2
    1Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 2MR:comp GmbH, Testing Services for MR Safety & Compatibility, Gelsenkirchen, Germany
    Lead electromagnetic models based on transfer functions of  multi-electrode leads of cortical implant are developed to estimate the net deposited power at the electrode array for an arbitrary lead pathway.  
    Figure 2. Setup for generating artificial tangential electric fields along the lead.
    Figure 3. Transfer function of wires with electrode 1 and electrode 4.
  • Numerical Modelling of a Close-fitting 8-channel Transceiver Head Coil and EEG Electrodes for Safety Validation at 7T
    Paul Mcelhinney1, Sarah Allwood-Spiers2, Gavin Paterson1, Marios Philiastides1, and Shajan Gunamony1
    1University of Glasgow, Glasgow, United Kingdom, 2NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
    Simulations show that the overall distribution of SAR within the human body models used is altered with the addition of the EEG cap, however the magnitude is either reduced, or only marginally altered.
    SAR maps of the maximum axial, coronal and sagittal slices are shown for Duke and Ella at 0mm, with and without the presence of the EEG cap.
    EEG cap and electrodes, shown on the sucrose/saline phantom (Fig.2a). View of the electrodes and the connecting wires on the sucrose phantom in CST. The lumped elements representing 5kΩ resistors are shown. Care was taken to distribute the wires in the same positions as the physical cap (Fig.2b). A similar model from CST showing the EEG electrodes in place on the Ella model. The lumped elements are hidden in this view (Fig.2c).
  • MRI in patients with a prosthetic heart valve, annuloplasty ring or mitra clip; Guideline in the Netherlands
    Mark BM Hofman1, Carla Kloeze2, Bastiaan J van Nierop3, Sara H Muller4, Joost PA Kuijer1, Kristie Venhorst5, Cristina Lavini6, Mette K Stam7, Carola van Pul8, Wouter Teeuwisse9, Marco JW Gotte10, Peter Kappert11, Evie EM Kolsteren5, and Marinette van der Graaf12
    1Radiology and Nuclear Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, 2Catharina Hospital, Eindhoven, Netherlands, 3Radiology and Nuclear Medicine, University Medical Centre Utrecht, Utrecht, Netherlands, 4Antoni van Leeuwenhoek Hospital, Amsterdam, Netherlands, 5Knowledge Institute Medical Specialists, Utrecht, Netherlands, 6Radiology and Nuclear Medicine, Amsterdam UMC location AMC, Amsterdam, Netherlands, 7Radiology, LUMC, Leiden, Netherlands, 8Maxima Medical Centre, Eindhoven, Netherlands, 9CJ Gorter Center for High Field MRI, LUMC, Leiden, Netherlands, 10Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, 11Radiology, UMCG, Groningen, Netherlands, 12Imaging, Radboud UMC, Nijmegen, Netherlands
    Can a patient with a prosthetic heart valve undergo MRI? The Dutch Association of Medical Specialists (FMS) wrote a guideline. The recommendation: scan the patient with an 1.5T or 3T whole body MRI system with a horizontal closed bore superconducting magnet without further restrictions.
    Figure 3: Measured temperature increase compared to reference of an implant in a phantom of gel (Δ), water (o), or air (X) in the literature (unknown SAR value on the right). The symbol size is proportional to the number of values reported.
    Figure 1: Number of implant types for which a certain gradient limit is set by the manufacturer (A) and number a certain SAR limit is set by the manufacturer (B), from MagResoure.
  • Comparing RF Heating Based on SAR vs. B1+RMS MRI Conditional Labeling
    Negin Behzadian1 and Shiloh Sison2
    1Research and Development, Abbott, Sylmar, CA, United States, 2Research and Development, Abbott, Sunnyvale, CA, United States
    Typical 3T B1+RMS MRI conditional labeling such as 2.8uT is found to potentially limit scan protocols with SAR levels above 1.5W/kg under Normal Operating Mode and above 1.7W/kg under First Level Controlled Operating Mode.
    Figure 1: Normalized 3T MRI RF-Induced In-Vitro Temperature Rise at Different Fixed wbSAR and B1+RMS Levels under Normal Operating Mode for Two Different Cardiac Pacing Leads
    Figure 3: Points of Equivalent 3T MRI RF-induced Heating for B1+RMS vs. wbSAR Scaling under Normal Operating Mode for Two Different Cardiac Pacing Leads
  • Quantification of safety and image quality in low field MRI in the presence of medical implants.
    Camille D.E. Van Speybroeck1, Wouter M. Teeuwisse1, Tom O'Reilly1, Paul M. Arnold2, and Andrew G. Webb1
    1G.J. Gorter Center for High Field MRI, Leiden University Medical Center, Leiden, Netherlands, 2Neurosurgery, Carle Foundation Hospital, Urbana, IL, United States
    On very low field MRI systems image artifacts are significantly reduced compared to 3T despite much weaker gradients, SAR limits can potentially be reached using short RF pulses and inter-echo TSE times, and some medical implants are MR unsafe.
    Figure 2 Susceptibility artifacts from the septal occluder, the stent and the endoscopic clip. A bandwidth of 156Hz/pixel is used on the 50 mT system (top row), which is matched by the first 3 T scan (middle row), whilst the bottom row shows the 3 T images acquired with 880Hz/pixel. In the images the direction of the main magnetic field (B0) and the frequency- and the two phase-encoding directions are indicated.
    Figure 1 (a) The setup for the magnetically induced displacement force measurement inside the 50 mT system with the angle of deflection α’, angle of rotation β and absolute angle of deflection α indicated. It is based on the F2052-15 ASTM protocol4 with the additional capability of rotating the device to enable measurement of the variation along the z-axis. (b) The central xz-plane of the simulation data for the scalar gradient of the magnetic field, with the measurable area (red) indicated.
  • A Single Setup Approach for the MRI-based Measurement and Validation of the Transfer Function of Elongated Medical Implants
    Peter Stijnman1,2, Arcan Erturk3, Cornelis van den Berg1, and Alexander Raaijmakers1,2
    1Computational Imaging, UMC Utrecht, Utrecht, Netherlands, 2Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 3Medtronic, Minneapolis, MN, United States
    We performed a TF measurement and validation study using a new validation method. Simulated incident electric fields of local transmit coils and the measured TF were used to predict tip heating, verified by temperature probe measurements showing excellent agreement ($$$R^2\geq0.977$$$).
    A.) shows the measured temperature at the tip of the lead. Only the measurements done with the smaller loop coil are shown, a similar set of measurements were done with a larger loop coil. The slope of the temperature increase at the start of each separate heating test is used to obtain the (measured) SAR at the temperature probe for that specific heating test. The (predicted) SAR that is calculated using the transfer function and the known exposure condition is correlated with the measured SAR showing good agreement for all three leads.
    A comparison between the transfer functions obtained with FDTD simulations and the transfer function obtained with MRI measurements are shown. The left plot shows the normalized magnitude of the TF and the right plot shows the phase of the TF.
  • Analysis on 1.5T MR clinical scan time of patients from multiple imaging centers
    Yuqing Wan1, Nathan Ooms2, Paul Nguyen1, and Guangqiang (Jay) Jiang1
    1Axonics Modulation Technologies, Irvine, CA, United States, 2Purdue University, West Lafayette, IN, United States
    Exam durations of 974 patients from two imaging sites are reported for various scan regions. Disparities were found between sites. This information is also useful for implant device manufacturers to define  practical MRI conditions that improve the patients’ overall MR experience.
    Figure 1 Distributions of the examination duration for scan regions for Site A, Site B and Site A and B combined.
    Table 2 Mean and standard deviation of the examination duration for each scan region across the imaging sites
  • An anthropomorphic phantom for deep brain stimulation MRI safety investigations
    Benson Yang1,2, Fred Tam1, Benjamin Davidson3, Clement Hamani3,4, Nir Lipsman1,3,4, Chih-hung Chen2, and Simon J Graham1,5
    1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Electrical and Computer Engineering, McMaster University, Hamilton, ON, Canada, 3Division of Neurosurgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Harquail Centre for Neuromodulation, Sunnybrook Research Institute, Toronto, ON, Canada, 5Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada
    The radiofrequency heating results showed temperature elevation differences when the deep brain stimulation device was power on and off in the heterogeneous phantom setup and when compared to a homogeneous phantom setup.
    Figure 2: Gelatin-filled human skull with implanted deep brain stimulation (DBS) leads and fiber-optic temperature sensors, and the assembled phantom: (a) location of the temperature sensors: sensors 1* and 2* implanted inside the skull and sensor 3 at the spiral trajectory; (b) right DBS lead trajectory and temperature sensor 4 and (c) assembled phantom prior to the final fill and temperature sensor 5 [7].
    Figure 4: Turbo spin-echo images of the phantom: (a) reconstructed transverse view for implantable pulse generator (IPG) off using transmit/receive birdcage coil; (b) reconstructed transverse view for IPG on using transmit/receive birdcage coil; and (c) a reconstructed sagittal view for phantom illustration purposes using 20 channel receive-only head and neck array coil and body coil for transmission [7].
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Digital Poster Session - SAR & RF Heating
Engineering/Interventional/Safety
Tuesday, 18 May 2021 17:00 - 18:00
  • Compact 3T MRI for patients with implanted devices: Software tool to display MR fields at a specified location
    Lydia Jean Bardwell Speltz1,2, Yunhong Shu2, Myung-Ho In2, Nolan Meyer1,2, Erin Gray2, Diana Lanners2, Yihe Hua3, Robert E Watson2, John Huston III2, Thomas KF Foo3, and Matt A Bernstein2
    1Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN, United States, 2Department of Radiology, Mayo Clinic, Rochester, MN, United States, 3GE Global Research, Niskayuna, NY, United States
    A software tool reports B0, gradient slew rate, B1+2, and dB/dz at a device location to assess if MR conditional devices can be scanned safely on the compact 3T scanner.
    Figure 1: Senza IPG location based on three different heights indicated as a red circle.
    Figure 2: For the specified location of the device (red circle), shown are a) the main magnetic field strength and b) normalized RF voltage squared along the z-axis, which is a measure of (B1+)2. Because the RF is negligible at the location of the device, even if the device labeling calls for a T/R head coil, the brain could be scanned with a multi-channel receive head coil, which offers a substantial improvement in image quality.
  • Patient specific parallel transmit pulses are patient position dependent while safety models are fixed: safety implications
    Emre Kopanoglu1
    1CUBRIC, School of Psychology, Cardiff University, Cardiff, United Kingdom
    Pulses designed using patient-specific B1+-maps are inherently patient position dependent, while safety models used for local SAR supervision are not. The actual local SAR at off-centre positions was observed to be up to 4.6-fold higher compared to the peak estimated using a centred model.
    Figure 2: psSAR-actual is compared with (a-b) psSAR-centre and (c-d) psSAR-9positions. (a-b) The actual peak local SAR was up to 4.6-fold higher than the peak estimated using the centred safety model. The sensitivity of psSAR to positional mismatch increased with the number of spokes but remained fairly consistent across slices (15/21 comparisons between slices yielded p>0.05). (c-d) Using 9 body models reduced the sensitivity of psSAR to positional mismatches. Nevertheless, the actual SAR was still up to 3.7-fold higher than the peak estimated using the 9 models.
    Figure 4: The regions that were exposed to higher levels of local SAR than the estimated maximum due to the positional mismatch are shown for two selected positions. (a) A region of size 166 cm3 was exposed to elevated levels of local SAR at the worst-case scenario. 20 cm3 of tissue was exposed to more than twice the estimated maximum local SAR. (b) The positional mismatch caused elevated levels of SAR exposure in the right anterior part of the head in a different case.
  • Assessing the In-Vivo RF Heating Effects of Short-Duration B1+RMS in MRI Sequences
    Negin Behzadian1 and Shiloh Sison2
    1Research and Development, Abbott, Sylmar, CA, United States, 2Research and Development, Abbott, Sunnyvale, CA, United States
    Short-duration (i.e. sub-10s) B1+RMS exposure does not need to be considered for RF heating safety assessment, given our finding of no significant increase in the final in-vivo temperature or cumulative thermal dose.
    Figure 1: Temperature vs. time for long-duration (i.e. 10s averaged) vs. short-duration B1+RMS exposure
    Figure 2: Thermal dose vs. time for long-duration (i.e. 10s averaged) vs. short-duration B1+RMS exposure
  • Validation of SAR Management Procedure for Dynamic pTx RF Waveforms Using a Self-Built Coil at 7 Tesla
    Sydney Nicole Williams1, Sarah Allwood-Spiers2, Paul McElhinney1, Yuehui Tao3, John E. Foster2, Shajan Gunamony1,4, and David A. Porter1
    1Imaging Centre of Excellence, University of Glasgow, Glasgow, United Kingdom, 2MRI Physics, NHS Greater Glasgow & Clyde, Glasgow, United Kingdom, 3Siemens Healthcare Ltd., Glasgow, United Kingdom, 4MR CoilTech Limited, Glasgow, United Kingdom
    We present a set of experimental tests to validate time varying dynamic parallel transmit (pTx) to ensure the safety of a self-built 8Tx/32Rx coil for 7T MRI. We show preliminary results of full waveform pTx in a healthy volunteer.
    Figure 5. Example of the first full-waveform pTx scan in vivo after following validation tests outlined in this abstract. Here, a conventional 3D GRE sequence with a CP-mode hard pulse is compared to a Universal Pulse based on a 3D SPINS trajectory. Both pulses were set to a nominal flip angle of 5° and their reported SAR values are outlined as well.
    Figure 3. Comparison of prescribed pTx RF pulse (blue) and normalized measurement waveforms (magenta) of the UP applied in the center-most TR of the 3D gradient-echo sequence. The left set of columns show the magnitude plots for 4/8 channels and right columns show the corresponding phase data. Some deviations between the prescribed and measured data exist for these more complex waveforms, yet in general are still in good agreement.
  • Individualized and accurate SAR characterization method based on an equivalent circuit model in MRI system
    Weiman Jiang1, Fan Yang1, and Kun Wang1
    1GE Healthcare, Beijing, China
    This work proposed a novel accurate and low-cost method to individualized monitor the whole body SAR based on an equivalent circuit model and the circuit’s frequency response analysis.
    Figure 1 A, The schematic diagram of experimental setup of the pulse energy method with flux loop defined in NEMA MS 8. B, The schematic diagram of experimental setup of equivalent circuit model without flux loop.
    Figure 2 A, Equivalent circuit model of the empty coil in the power transmit chain. B, Equivalent circuit model of the coil loaded with subject in the power transmit chain.
  • A local SAR compression algorithm with improved compression, speed and flexibility
    Stephan Orzada1, Thomas M. Fiedler1, Harald H. Quick2,3, and Mark E. Ladd1,2,4,5
    1Medical Physics in Radiology (E020), German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany, 3High-Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 4Faculty of Physics and Astronomy, University of Heidelberg, Heidelberg, Germany, 5Faculty of Medicine, University of Heidelberg, Heidelberg, Germany
    We present an enhancement to Lee’s SAR compression algorithm that increases compression efficiency by a factor of 2, while at the same time increasing comnpression speed and flexibility by iteratively reducing the overestimation.
    Schematic of the proposed VOP algorithm. In its core it uses Lee’s algorithm (2) with a speed enhancement proposed by Kuehne et al. (4).
    Comparison of the compression achieved with the original (Lee) and the enhanced algorithm for all three arrays. The left column shows the results in terms of number of VOPs, the right column the respective calculation time. For comparison: for the lowest overestimation (0.671% or 2.68%), Eichfelder’s algorithm (not in plot) concluded with 10,788 VOPs after 362 min (8-channel local array), 6,270 VOPs after 527 min (8-channel remote array), and 2,802 VOPs after 441 min (16-channel array).
  • Validation of a Temperature Prediction Workflow for Imaging Complete Deep Brain Stimulation Systems
    Alireza Sadeghi-Tarakameh1, Nur Izzati Huda Zulkarnain1, Noam Harel1, and Yigitcan Eryaman1
    1Center for Magnetic Resonance Research (CMRR), University of Minnesota, Minneapolis, MN, United States
    We validate a previously proposed temperature prediction workflow for a complete DBS Systems undergoing MRI. The workflow accurately predicted the temperature time progression for different trajectories and terminations (e.g., an extension cable and an implantable pulse generator (IPG))
    Figure 1. Workflow and the experimental set-up for predicting RF heating at the contact points of commercial DBS electrodes due to RF exposure in MRI. (a) Phase 1: Offline calibration to determine the Req. Phase 2: Temperature prediction. (b) Position of the temperature probe around the contacts of the DBS electrode. (c) The commercial IPG device used in the experiments. (d) The extension cable with a protective boot.
    Figure 4. Comparison between the simulated and measured temperatures corresponding to five different cases. RMSE of less than 0.15°C promises an accurate temperature prediction.
  • Radiofrequency peak B1+ Survey of commercial 3T MR Systems
    Xin Huang1, Vick Chen1, and Shiloh Sison1
    1Abbott Laboratories, Sunnyvale, CA, United States
    The highest peak B1+ center slab average in ASTM phantom is found to be 27 µT inside the 3T commercial MR systems. The 3T MRI safety assessment should include values up to this level.
    Figure 2. The general test set-up (GE MR750 testing). The H-field sniffer probe is within the phantom, in the center of the scanner. The probe remote unit was placed on a shelf as far away as possible from the scanner. The remote unit was connected, via a coaxial cable through a waveguide, to a standard oscilloscope positioned beside the operator console.
    Figure 1. Phantom used for testing. Left: The phantom is shown filled to a depth of 7 cm for testing on the Siemens Prisma system. Right: the phantom is shown filled to a depth of 4 cm for testing on the GE MR750.
  • Impact of 1.5T SAR Limits on the MRI Scan Time for Implantable Devices
    Yuqing Wan1, Nathan Ooms2, Paul Nguyen1, and Guangqiang (Jay) Jiang1
    1Axonics Modulation Technologies, Irvine, CA, United States, 2Purdue University, West Lafayette, IN, United States
    MR scan time may increase by 67% when the SAR is restricted due to medical implant. The overall session may be further extended due to additional wait time required for certain implants. This can result in great inconvenience and extra cost to patients.
    Figure 1 Distributions of the patient examination duration for different scan regions under various RF exposure levels.
    Table 2 Scan time for standard protocols under Normal Operating Mode (wbSAR limited to 2W/kg) and the prolonged protocol durations when wbSAR limited to 1W/kg and 0.5W/kg.
  • RF safety and image quality testing of deep brain stimulation electrodes with 3T MRI
    Gaurav Verma1, Paul Min2, MyungHo In2, Jungho Cha3, Akbar Alipour1, Charlotte Elorette4, Lazar Fleysher5, Priti Balchandani1, Helen Mayberg3, and Ki Sueng Choi3
    1Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Radiology, Mayo Clinic, Rochester, MN, United States, 3Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 5Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States
    Radio frequency (RF) safety and image quality testing was performed in the presence of deep brain stimulation (DBS) electrodes using gel acrylamide phantoms and two 3T MRI scanners. Both tests showed improved performance when electrodes were aligned along B0 field and normal to transmit field.
    Figure 6: T1 MPRAGE image of Medtronic DBS electrode aligned angled to the B0 field showing 4.7 cm wide susceptibility artifact.
    Figure 1: Temperature rise for Abbott and Medtronic DBS electrode tips aligned parallel to B0 field and scanned using GRE, T1 MPRAGE, T2-TSE sequences.
  • Improved compression of SAR matrices by a reformulation of the generalized virtual observation point compression scheme
    Vincent Gras1 and Nicolas Boulant1
    1DRF/Joliot/Neurospin, CEA - Université Paris Saclay, Gif sur Yvette, France
    he Virtual Observation Points compression problem is reformulated to further reduce by a factor ~5 the number of SAR matrices used for RF pulse design and exam supervision.
    Number of VOPs computed for different overestimation factors λ. Blue: Lee’s generalized VOP compression method, red: this work.
    10g-SAR computed over the uncompressed set of voxels and over the VOPs for the two different methods (λ=0.7) and for 1 million random RF shims. a) 10g-SAR over the VOPs versus the true SAR. The dashed black line is the identity line. b) Boxplots of the relative overestimation for the two methods. The SAR is never underestimated.
  • Stand-Alone Hardware SAR Monitor based on low cost Electronic Standard Components
    Marcus Prier1,2, Max Joris Hubmann1,2, Enrico Pannicke1,2, and Oliver Speck1,2
    1Otto-von-Guericke University, Magdeburg, Germany, 2Research Campus STIMULATE, Magdeburg, Germany
    A low cost, stand-alone RF power monitor was developed that fulfills the requirements given in the standard 60601-2-33 and is based on electrical standard components. Evaluation measurements show power measurement and RFPA blanking switching times accuracies with an error less than 1%.
    Figure 1: The proposed SAR Monitor consists of two dual directional couplers (1,2), two RMS envelope filters (3) and a microcontroller (4).
    Figure 4: A block diagram of the proposed SAR monitor, that handles power limit exceedance and RF-coil errors for a standard MRI RF transmit / receive setup.
  • Is a Local Tx Coil sufficient for Guidewire Safety in MRI?
    Felipe Godinez1,2, Greig Scott3, Joseph V Hajnal1,2, and Shaihan J Malik1,2
    1Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 2Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, 3Department of Electrical Engineering, Stanford, Stanford, CA, United States
    Heating in cardiac guidewires in interventional MRI can be mitigated by using a local Tx coils instead of whole-body coils. Whole-body and local parallel-transmit coils were used to create maximum coupling scenarios to demonstrate this difference, which we have observed in prior animal tests.
    Figure 1: Anthropomorphic gel phantom filled with poly acrylic acid gel. The gel thickness was 133mm.
    Figure 3: Temperature profile at the guidewire tip for the body and local coil during a high power sequence.
  • Input Impedance Comparison of MR-Conditional Cardiac Implantable Pulse Generators at the 1.5T MR Frequency of 63.87 MHz
    Jason Meyers1, David Prutchi1, and Ramez Shehada2
    1Impulse Dynamics (USA) Inc., Marlton, NJ, United States, 2Medical Technology Laboratories, La Mirada, CA, United States
    The input impedances at 63.87 MHz of six MR-conditional cardiac IPGs were measured and found to be low and comparable, suggesting that impedance is not intentionally added by device manufacturers to limit RF-induced electrode heating.
    Figure 2: This test fixture was constructed to allow direct measurement of the impedance between an IPG’s header connector block and Can. Also shown are the IPGs modified to provide direct access to terminal blocks to allow this measurement.
    Figure 1: Simplified diagram showing the RF current circulation paths that cause tissue heating.
  • Computational simulations of heating in the vicinity of an 8-contact depth EEG electrode: the impact of model simplification
    Hassan B Hawsawi1,2, Ozlem Ipek3,4, David W Carmichael5,6, and Louis Lemieux1
    1Clinical and Experimental Epilepsy, University College London, London, United Kingdom, 2Administration of Medical Physics, King Abdullah Medical City, Makkah, Saudi Arabia, 3King’s College London, London, United Kingdom, 4CIBM-AIT, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland, 5Department of Biomedical Engineering, King’s College London, London, United Kingdom, 6Developmental Imaging and Biophysics Section, UCL Great Ormond Street Institute of Child Health, London, United Kingdom
    Performing computational EM simulations of icEEG electrode in MRI helps to reduce the time to test multiple scenarios empirically; however, simulating a complete model consumes time compared to a simplified model. The simplified model can cause increase or reduction in heating estimation.
    Figure 1: Simplified model 8C1SW: 8-contact electrode with 1 shared wire (connected to the 8 contacts).
    Figure 3: Estimated SAR distributions in the coronal view for: (A) simulation 1 and (B) simulation 2.
  • Safety Considerations in Neuroimaging of Neonatal and Pediatric Patients Using Portable Low Field MRI
    Mark Smith1, Harry Hu2, Ram Krishnamurthy1, John Pitts3, and Mai-Lan Ho1
    1Nationwide Children's Hospital, Columbus, OH, United States, 2Hyperfine, Dublin, OH, United States, 3Hyperfine, Cleveland, OH, United States
    Recently, a portable 64mT ultra-low field MRI system received 510K clearance (Hyperfine, Guilford, CT). This is a point of care (POC) system designed for bedside use, affording neuroimaging to patients in circumstances where conventional MRI is not possible.  Our pediatric institution (Nationwide Children’s Hospital) recently acquired one of these systems, with the intent to meet neuroimaging needs for critically ill NICU or PICU patients who cannot tolerate transport to the MRI department.  Most of these patients are on continuous monitoring and / or life support, requiring that electronic equipment and associated hardware remain operational and connected to the patient during the bedside MRI exam.  Prior to scanning patients with the portable MRI, safety testing should be conducted on monitoring hardware likely to be in place during the bedside MRI, especially hardware that is MR unsafe for conventional high-field MRI.   Our initial tests on this portable ULF MRI scanner revealed no safety concerns due to displacement or heating, apart from the ECMO CentriMag pump. In a patient setting, positioning the CentriMag pump and the integrated ECMO system apparatus at least one meter in distance from the scanner edge is recommended.  All the hardware tested above is MR unsafe or conditional at 1.5T and 3T.  Other equipment that we have not tested but we consider potentially unsafe include Camino ICP monitors, LVAD, cardiac pacing wires and the Pleuraflow Chest tube with magnetic strip.
    Figure 1
    Figure 2
  • Influence of E-Field Homogeneity and Drift for Testing Medical Implants for RF-induced heating at 64MHz according to ASTM-F2182 and ISO/TS 10974
    Finya Ketelsen1,2, Vincent Hammersen1, Kevin Kröninger2, and Gregor Schaefers1,3
    1MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 2TU Dortmund University, Dortmund, Germany, 3MR:comp GmbH, Testing Services for MR Safety & Compatibility, Gelsenkirchen, Germany
    This study shows that the influence of spatial E-field homogeneity and E-field drift during assessment should be considered for RF-induced heating of implants. Even if the requirements according to ASTM F2182 and ISO/TS 10974 are fulfilled, an underestimation of RF-induced heating can occur.
    Fig. 3: Temperature rise for 150V/m average incident E-field for all four objects for both systems.
    Fig. 2: Measured E-field distributions with 0dB and ±1dB isolines and the placement of the 300mm-long rod for the (a) birdcage coil and (b) linear exposure system case.
  • Parallel-transmit coil dimensions affect SAR sensitivity to motion at 7T.
    Alix Plumley1, Philip Schmid1, and Emre Kopanoglu1
    1Cardiff University Brain Research Imaging Centre, Cardiff, United Kingdom
    SAR distributions are sensitive to head motion in pTx, potentially exceeding safety limits when motion occurs. We investigate the effect of pTx coil size on SAR motion-sensitivity, and find that SAR for coil models with larger dimensions is less sensitive to motion than that with smaller coils. 
    Fig.3 Worst-case local-SAR following motion for pTx pulses. (i) psSAR for worst-cases as a factor of psSARcentre (same pulse without motion). Tissue volume exposed to higher SAR than psSARcentre shown in orange. (ii) SAR profiles for corresponding worst-cases (bottom row) compared to their SARcentre (top row). Colour scale shows psSAR as a factor of psSARcentre (normalised per coil). The number of spokes in each coil’s worst-case pulse is indicated with asterisks. (iii) The positions at which these worst-case psSAR were observed. All worst-cases were observed at slice 1 or 2.
    Fig.2 Motion-sensitivity of (i) peak local-SAR and (ii) whole-head SAR for RF-shim pulses designed using at the central position, and evaluated at all off-centre positions for each coil model A to F. Slice 2 shown; slices 2-5 showed similar trends. Y-axes refer to SAR at each evaluated position (left-right [L-R] and anterior-posterior [A-P] displacements), as a factor of SAR at the centre position (i.e. without motion). SARcentre was comparable across coil models (not shown).
  • Safety evaluation with respect to RF-induced heating of a new setup for Transcranial Electric Stimulation during MRI
    Fróði Gregersen1,2,3,4, Cihan Göksu2,5, Gregor Schaefers6,7, Rong Xue4,8,9, Axel Thielscher1,2, and Lars Hanson1,2
    1Section for Magnetic Resonance, DTU Health Tech, Technical University of Denmark, Kgs Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital, Amager and Hvidovre, Denmark, 3Sino-Danish Center for Education and Research, Aarhus, Denmark, 4University of Chinese Academic of Sciences, Beijing, China, 5High-Field Magnetic Resonance Center, Max-Planck-Institute for Biological Cybernetic, Tübingen, Germany, 6MRI-STaR-Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 7MR:comp GmbH, MR Safety Testing Laboratory, Gelsenkirchen, Germany, 8State Key Laboratory of Brain and Cognitive Science, Beijing MRI Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, 9Beijing Institute for Brain Disorders, Beijing, China
    Using low-conductive silicone-rubber as TES leads inside the MR scanner reduces safety issues by eliminating the ‘antenna effect’. This allows for higher stimulation currents and lead configurations optimal for MRCDI.
    Figure 3: a) Power loss on electrodes vs lead length for antenna effect simulations seen in Figure 2a for copper and silicone-rubber, respectively. b) Power loss on electrodes vs conductivity at worst-case lead length. c) 1 g average local head SAR for simulations at 128 MHz (top) and 298 MHz (bottom). d) Temperature measurement for center-surround electrodes with center leads (Figure 3c). L in the legend indicates that it is a measurement on the left electrode. The numbers on the electrodes indicate the probe position referred to in table 2.
    Figure 1: a) Commercially available TES/MRI setup with copper leads and 5 kΩ safety resistors. Leading the wires through the opening in the coil and using twisted pair cables restricts the lead configuration and causes stray fields compromising MRCDI experiments. b) and c) show the proposed electrodes and the lead design. Low-conductivity silicone-rubber is used for electrodes and leads thermally and electrically shielded with a glass fiber sleeving. Medical grade touch-proof MC connectors are used to connect the electrodes to copper lead wires 90 cm away from the subject's head.
  • Unloaded RF transmit coil B1+ maps do not correlate with SAR hotspots
    Xin Chen1 and Michael Steckner1
    1Canon Medical Research USA Inc., Mayfield Village, OH, United States
    Unloaded coil B1+ maps don’t provide useful information for reducing skin/bore RF burns, are very different vs loaded B1+ maps, don’t include the B1- contributions, and don’t accurately reflect the E-field distribution responsible for RF burns.
    Figure 1. Duke at abdomen landmark: a) centered b) shifted to his right side and c) associated unloaded coil B1+ map [uT] at hotspot level shown in Figure 4.
    Figure 2. a) the variations in B1+ caused by loading [log10(loaded B1+ / unloaded B1+)] and b) the associated SAR map. Both figures are at the coronal level of the SAR hotspot in wrist for Duke in the central position. The colourbar range in a) only has been truncated by approximately 50% to magnify colour variations.