Rapid safety assessment and mitigation of radiofrequency induced implant heating using small root mean square sensors and the sensor matrix Qs. Issue 1 (16th August 2021)

• Record Type: Journal Article
• Authors: Silemek, Berk; Seifert, Frank; Petzold, Johannes; Hoffmann, Werner; Pfeiffer, Harald; Speck, Oliver; Rose, Georg; Ittermann, Bernd; Winter, Lukas
• Is Part Of: Magnetic resonance in medicine. Volume 87:Issue 1(2022)
• Page Start: 509
• Page End: 527
• Publication Date: 2021-08-16
• Subjects: active implantable medical devices -- implant safety -- interventional MRI -- MR safety -- parallel transmission -- RF heating; Nuclear magnetic resonance -- Periodicals; Electron paramagnetic resonance -- Periodicals; 616.07548
• DOI: 10.1002/mrm.28968
• Languages: English
• ISSNs: 0740-3194

Abstract

Abstract : 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 ( QS ). 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: QS 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 µV) and thermistor (26 µK). The orthogonal projection method used for pTx mitigation was able to reduce the induced signals and temperatures in all 155 investigated locations. Using the QS 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 €) 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 QS approach is independent of simulations or in vitro testing and therefore complements these existing safety assessments.