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Rouni MA, Shalev B, Tsanidis G, Markakis I, Kraus S, Rukenstein P, Suchi D, Shalev O, Samaras T. A Validated Methodological Approach to Prove the Safety of Clinical Electromagnetic Induction Systems in Magnetic Hyperthermia. Cancers (Basel) 2024; 16:621. [PMID: 38339373 PMCID: PMC10854696 DOI: 10.3390/cancers16030621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/19/2024] [Accepted: 01/29/2024] [Indexed: 02/12/2024] Open
Abstract
The present study focuses on the development of a methodology for evaluating the safety of MNH systems, through the numerical prediction of the induced temperature rise in superficial skin layers due to eddy currents heating under an alternating magnetic field (AMF). The methodology is supported and validated through experimental measurements of the AMF's distribution, as well as temperature data from the torsos of six patients who participated in a clinical trial study. The simulations involved a computational model of the actual coil, a computational model of the cooling system used for the cooling of the patients during treatment, and a detailed human anatomical model from the Virtual Population family. The numerical predictions exhibit strong agreement with the experimental measurements, and the deviations are below the estimated combined uncertainties, confirming the accuracy of computational modeling. This study highlights the crucial role of simulations for translational medicine and paves the way for personalized treatment planning.
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Affiliation(s)
- Maria Anastasia Rouni
- Thessaloniki Software Solutions S.A., 55535 Thessaloniki, Greece; (G.T.); (I.M.)
- Faculty of Sciences, School of Physics, Aristotle University, 54124 Thessaloniki, Greece;
| | - Boaz Shalev
- New Phase Ltd., Petah Tikva 4934829, Israel; (B.S.); (S.K.); (P.R.); (D.S.); (O.S.)
| | - George Tsanidis
- Thessaloniki Software Solutions S.A., 55535 Thessaloniki, Greece; (G.T.); (I.M.)
| | - Ioannis Markakis
- Thessaloniki Software Solutions S.A., 55535 Thessaloniki, Greece; (G.T.); (I.M.)
| | - Sarah Kraus
- New Phase Ltd., Petah Tikva 4934829, Israel; (B.S.); (S.K.); (P.R.); (D.S.); (O.S.)
| | - Pazit Rukenstein
- New Phase Ltd., Petah Tikva 4934829, Israel; (B.S.); (S.K.); (P.R.); (D.S.); (O.S.)
| | - Doron Suchi
- New Phase Ltd., Petah Tikva 4934829, Israel; (B.S.); (S.K.); (P.R.); (D.S.); (O.S.)
| | - Ofer Shalev
- New Phase Ltd., Petah Tikva 4934829, Israel; (B.S.); (S.K.); (P.R.); (D.S.); (O.S.)
| | - Theodoros Samaras
- Faculty of Sciences, School of Physics, Aristotle University, 54124 Thessaloniki, Greece;
- Department of Physics, University of Malta, 595 38 Msida, Malta
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Silemek B, Seifert F, Petzold J, Brühl R, Ittermann B, Winter L. Wirelessly interfacing sensor-equipped implants and MR scanners for improved safety and imaging. Magn Reson Med 2023; 90:2608-2626. [PMID: 37533167 DOI: 10.1002/mrm.29818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 08/04/2023]
Abstract
PURPOSE To investigate a novel reduced RF heating method for imaging in the presence of active implanted medical devices (AIMDs) which employs a sensor-equipped implant that provides wireless feedback. METHODS The implant, consisting of a generator case and a lead, measures RF-inducedE $$ E $$ -fields at the implant tip using a simple sensor in the generator case and transmits these values wirelessly to the MR scanner. Based on the sensor signal alone, parallel transmission (pTx) excitation vectors were calculated to suppress tip heating and maintain image quality. A sensor-based imaging metric was introduced to assess the image quality. The methodology was studied at 7T in testbed experiments, and at a 3T scanner in an ASTM phantom containing AIMDs instrumented with six realistic deep brain stimulation (DBS) lead configurations adapted from patients. RESULTS The implant successfully measured RF-inducedE $$ E $$ -fields (Pearson correlation coefficient squared [R2 ] = 0.93) and temperature rises (R2 = 0.95) at the implant tip. The implant acquired the relevant data needed to calculate the pTx excitation vectors and transmitted them wirelessly to the MR scanner within a single shot RF sequence (<60 ms). Temperature rises for six realistic DBS lead configurations were reduced to 0.03-0.14 K for heating suppression modes compared to 0.52-3.33 K for the worst-case heating, while imaging quality remained comparable (five of six lead imaging scores were ≥0.80/1.00) to conventional circular polarization (CP) images. CONCLUSION Implants with sensors that can communicate with an MR scanner can substantially improve safety for patients in a fast and automated manner, easing the current burden for MR personnel.
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Affiliation(s)
- Berk Silemek
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Frank Seifert
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Johannes Petzold
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Rüdiger Brühl
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Bernd Ittermann
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Lukas Winter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
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Yao A, Ma M, Shi H. A machine learning-based approach for RF transfer function modeling of active implantable medical electrodes at 3T MRI. Phys Med Biol 2023; 68:175019. [PMID: 37541227 DOI: 10.1088/1361-6560/aced7a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/04/2023] [Indexed: 08/06/2023]
Abstract
Objective.The objective of this work is to propose a machine learning-based approach to rapidly and efficiently model the radiofrequency (RF) transfer function of active implantable medical (AIM) electrodes, and to overcome the limitations and drawbacks of traditional measurement methods when applied to heterogeneous tissue environments.Approach.AIM electrodes with different geometries and proximate tissue distributions were considered, and their RF transfer functions were modeled numerically. Machine learning algorithms were developed and trained with the simulated transfer function datasets for homogeneous and heterogeneous tissue distributions. The performance of the method was analyzed statistically and validated experimentally and numerically. A comprehensive uncertainty analysis was performed and uncertainty budgets were derived.Main results.The proposed method is able to predict the RF transfer function of AIM electrodes under different tissue distributions, with mean correlation coefficientsrof 0.99 and 0.98 for homogeneous and heterogeneous environments, respectively. The results were successfully validated by experimental measurements (e.g. the uncertainty of less than 0.9 dB) and numerical simulation (e.g. transfer function uncertainty <1.6 dB and power deposition uncertainty <1.9 dB). Up to 1.3 dBin vivopower deposition underestimation was observed near generic pacemakers when using a simplified homogeneous tissue model.Significance.Provide an efficient alternative of transfer function modeling, which allows a more realistic tissue distribution and the potential underestimation ofin vivoRF-induced power deposition near the AIM electrode can be reduced.
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Affiliation(s)
- Aiping Yao
- School of Information Science and Engineering, Lanzhou University, People's Republic of China
| | - Mingjuan Ma
- School of Information Science and Engineering, Lanzhou University, People's Republic of China
| | - Hexuan Shi
- School of Information Science and Engineering, Lanzhou University, People's Republic of China
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4
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Petzold J, Schmitter S, Silemek B, Winter L, Speck O, Ittermann B, Seifert F. Towards an integrated radiofrequency safety concept for implant carriers in MRI based on sensor-equipped implants and parallel transmission. NMR IN BIOMEDICINE 2023; 36:e4900. [PMID: 36624556 DOI: 10.1002/nbm.4900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 10/11/2022] [Accepted: 01/04/2023] [Indexed: 06/15/2023]
Abstract
To protect implant carriers in MRI from excessive radiofrequency (RF) heating it has previously been suggested to assess that hazard via sensors on the implant. Other work recommended parallel transmission (pTx) to actively mitigate implant-related heating. Here, both ideas are integrated into one comprehensive safety concept where native pTx safety (without implant) is ensured by state-of-the-art field simulations and the implant-specific hazard is quantified in situ using physical sensors. The concept is demonstrated by electromagnetic simulations performed on a human voxel model with a simplified spinal-cord implant in an eight-channel pTx body coil at 3 T . To integrate implant and native safety, the sensor signal must be calibrated in terms of an established safety metric (e.g., specific absorption rate [SAR]). Virtual experiments show that E -field and implant-current sensors are well suited for this purpose, while temperature sensors require some caution, and B 1 probes are inadequate. Based on an implant sensor matrix Q s , constructed in situ from sensor readings, and precomputed native SAR limits, a vector space of safe RF excitations is determined where both global (native) and local (implant-related) safety requirements are satisfied. Within this safe-excitation subspace, the solution with the best image quality in terms of B 1 + magnitude and homogeneity is then found by a straightforward optimization algorithm. In the investigated example, the optimized pTx shim provides a 3-fold higher mean B 1 + magnitude compared with circularly polarized excitation for a maximum implant-related temperature increase ∆ T imp ≤ 1 K . To date, sensor-equipped implants interfaced to a pTx scanner exist as demonstrator items in research labs, but commercial devices are not yet within sight. This paper aims to demonstrate the significant benefits of such an approach and how this could impact implant-related RF safety in MRI. Today, the responsibility for safe implant scanning lies with the implant manufacturer and the MRI operator; within the sensor concept, the MRI manufacturer would assume much of the operator's current responsibility.
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Affiliation(s)
- Johannes Petzold
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
- Biomedical Magnetic Resonance, Otto von Guericke University Magdeburg, Magdeburg, Germany
| | - Sebastian Schmitter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Berk Silemek
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Lukas Winter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Oliver Speck
- Biomedical Magnetic Resonance, Otto von Guericke University Magdeburg, Magdeburg, Germany
| | - Bernd Ittermann
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Frank Seifert
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
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5
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Kikken MWI, Steensma BR, van den Berg CAT, Raaijmakers AJE. Multi-echo MR thermometry in the upper leg at 7 T using near-harmonic 2D reconstruction for initialization. Magn Reson Med 2023; 89:2347-2360. [PMID: 36688273 DOI: 10.1002/mrm.29591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 01/02/2023] [Accepted: 01/03/2023] [Indexed: 01/24/2023]
Abstract
PURPOSE The aim of this work is the development of a thermometry method to measure temperature increases in vivo, with a precision and accuracy sufficient for validation against thermal simulations. Such an MR thermometry model would be a valuable tool to get an indication on one of the major safety concerns in MR imaging: the tissue heating occurring due to radiofrequency (RF) exposure. To prevent excessive temperature rise, RF power deposition, expressed as specific absorption rate, cannot exceed predefined thresholds. Using these thresholds, MRI has demonstrated an extensive history of safe usage. Nevertheless, MR thermometry would be a valuable tool to address some of the unmet needs in the area of RF safety assessment, such as validation of specific absorption rate and thermal simulations, investigation of local peak temperatures during scanning, or temperature-based safety guidelines. METHODS The harmonic initialized model-based multi-echo approach is proposed. The method combines a previously published model-based multi-echo water/fat separated approach with an also previously published near-harmonic 2D reconstruction method. The method is tested on the human thigh with a multi-transmit array at 7 T, in three volunteers, and for several RF shims. RESULTS Precision and accuracy are improved considerably compared to a previous fat-referenced method (precision: 0.09 vs. 0.19°C). Comparison of measured temperature rise distributions to subject-specific simulated counterparts show good relative agreement for multiple RF shim settings. CONCLUSION The high precision shows promising potential for validation purposes and other RF safety applications.
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Affiliation(s)
- Mathijs W I Kikken
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Bart R Steensma
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Cornelis A T van den Berg
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.,Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Alexander J E Raaijmakers
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.,Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
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Bastawrous M, Ghosh Biswas R, Soong R, Jouda M, MacKinnon N, Mager D, Korvink JG, Simpson AJ. Lenz Lenses in a Cryoprobe: Boosting NMR Sensitivity Toward Environmental Monitoring of Mass-Limited Samples. Anal Chem 2023; 95:1327-1334. [PMID: 36576271 DOI: 10.1021/acs.analchem.2c04203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Nuclear magnetic resonance (NMR) spectroscopy is commonly employed in a wide range of metabolomic research. Unfortunately, due to its relatively low sensitivity, smaller samples become challenging to study by NMR. Cryoprobes can be used to increase sensitivity by cooling the coil and preamplifier, offering sensitivity improvements of ∼3 to 4x. Alternatively, microcoils can be used to increase mass sensitivity by improving sample filling and proximity, along with decreased electrical resistance. Unfortunately, combining the two approaches is not just technically challenging, but as the coil decreases, so does its thermal fingerprint, reducing the advantage of cryogenic cooling. Here, an alternative solution is proposed in the form of a Lenz lens inside a cryoprobe. Rather than replacing the detection coil, Lenz lenses allow the B1 field from a larger coil to be refocused onto a much smaller sample area. In turn, the stronger B1 field at the sample provides strong coupling to the cryocoil, improving the signal. By combining a 530 I.D. Lenz lens with a cryoprobe, sensitivity was further improved by 2.8x and 3.5x for 1H and 13C, respectively, over the cryoprobe alone for small samples. Additionally, the broadband nature of the Lenz lenses allowed multiple nuclei to be studied and heteronuclear two-dimensional (2D) NMR approaches to be employed. The sensitivity improvements and 2D capabilities are demonstrated on 430 nL of hemolymph and eight eggs (∼350 μm O.D.) from the model organismDaphnia magna. In summary, combining Lenz lenses with cryoprobes offers a relatively simple approach to boost sensitivity for tiny samples while retaining cryoprobe advantages.
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Affiliation(s)
- Monica Bastawrous
- Environmental NMR Center, University of Toronto, 1265 Military Trail, Toronto, Ontario M1C 1A4, Canada
| | - Rajshree Ghosh Biswas
- Environmental NMR Center, University of Toronto, 1265 Military Trail, Toronto, Ontario M1C 1A4, Canada
| | - Ronald Soong
- Environmental NMR Center, University of Toronto, 1265 Military Trail, Toronto, Ontario M1C 1A4, Canada
| | - Mazin Jouda
- Institute of Microstructure Technology, Karlsruhe Institute of Technology, 76344 Eggenstein-Leopoldshafen, Germany
| | - Neil MacKinnon
- Institute of Microstructure Technology, Karlsruhe Institute of Technology, 76344 Eggenstein-Leopoldshafen, Germany
| | - Dario Mager
- Institute of Microstructure Technology, Karlsruhe Institute of Technology, 76344 Eggenstein-Leopoldshafen, Germany
| | - Jan G Korvink
- Institute of Microstructure Technology, Karlsruhe Institute of Technology, 76344 Eggenstein-Leopoldshafen, Germany
| | - Andre J Simpson
- Environmental NMR Center, University of Toronto, 1265 Military Trail, Toronto, Ontario M1C 1A4, Canada
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7
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Onyekanne CE, Salifu AA, Obayemi JD, Ani CJ, Ashouri Choshali H, Nwazojie CC, Onwudiwe KC, Oparah JC, Ezenwafor TC, Ezeala CC, Odusanya OS, Rahbar N, Soboyejo WO. Laser-induced heating of polydimethylsiloxane-magnetite nanocomposites for hyperthermic inhibition of triple-negative breast cancer cell proliferation. J Biomed Mater Res B Appl Biomater 2022; 110:2727-2743. [PMID: 35799416 DOI: 10.1002/jbm.b.35124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 03/23/2022] [Accepted: 06/08/2022] [Indexed: 12/15/2022]
Abstract
This paper presents the results of an experimental and computational study of the effects of laser-induced heating provided by magnetite nanocomposite structures that are being developed for the localized hyperthermic treatment of triple-negative breast cancer. Magnetite nanoparticle-reinforced polydimethylsiloxane (PDMS) nanocomposites were fabricated with weight percentages of 1%, 5%, and 10% magnetite nanoparticles. The nanocomposites were exposed to incident Near Infrared (NIR) laser beams with well-controlled powers. The laser-induced heating is explored in: (i) heating liquid media (deionized water and cell growth media [Leibovitz L15+]) to characterize the photothermal properties of the nanocomposites, (ii) in vitro experiments that explore the effects of localized heating on triple-negative breast cancer cells, and (iii) experiments in which the laser beams penetrate through chicken tissue to heat up nanocomposite samples embedded at different depths beneath the chicken skin. The resulting plasmonic laser-induced heating is explained using composite theories and heat transport models. The results show that the laser/nanocomposite interactions decrease the viability of triple-negative breast cancer cells (MDA-MB-231) at temperatures in the hyperthermia domain between 41 and 44°C. Laser irradiation did not cause any observed physical damage to the chicken tissue. The potential in vivo performance of the PDMS nanocomposites was also investigated using computational finite element models of the effects of laser/magnetite nanocomposite interactions on the temperatures and thermal doses experienced by tissues that surround the nanocomposite devices. The implications of the results are then discussed for the development of implantable nanocomposite devices for localized treatment of triple-negative breast cancer tissue via hyperthermia.
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Affiliation(s)
- Chinyerem E Onyekanne
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Ali A Salifu
- Department of Mechanical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA.,Department of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA
| | - John D Obayemi
- Department of Mechanical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA.,Department of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA
| | - Chukwuemeka J Ani
- Department of Physics, Nile University of Nigeria, Abuja, Federal Capital Territory, Nigeria
| | - Habibeh Ashouri Choshali
- Department of Civil and Environmental Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA
| | - Chukwudalu C Nwazojie
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Killian C Onwudiwe
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Josephine C Oparah
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Theresa C Ezenwafor
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Chukwudi C Ezeala
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria
| | - Olushola S Odusanya
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria.,Biotechnology and Genetic Engineering Advanced Laboratory, Sheda Science and Technology Complex, Abuja, Federal Capital Territory, Nigeria
| | - Nima Rahbar
- Department of Civil and Environmental Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA
| | - Winston O Soboyejo
- Department of Materials Science and Engineering, Biomaterials Lab, African University of Science and Technology, Abuja, Federal Capital Territory, Nigeria.,Department of Mechanical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA.,Department of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, USA
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Montes-Robles R, Montanaro H, Capstick M, Ibáñez-Civera J, Masot-Peris R, García-Breijo E, Laguarda-Miró N, Martínez-Máñez R. Tailored cancer therapy by magnetic nanoparticle hyperthermia: A virtual scenario simulation method. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 226:107185. [PMID: 36279641 DOI: 10.1016/j.cmpb.2022.107185] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 10/04/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND AND OBJECTIVE Hyperthermia is a cancer treatment aiming to induce cell death by directly warming cancerous tissues above 40 °C. This technique can be applied both individually and together with other cancer therapies. The main challenge for researchers and medics is to heat only tumoral cells avoiding global or localized heating of sane tissues. The objective in this study is to provide a realistic virtual scenario to develop an optimized multi-site injection plan for tailored magnetic nanoparticle-mediated hyperthermia applications. METHODS A three-dimensional model of a cat's back was tested in three different simulation scenarios, showing the impact of magnetic nanoparticles in each specific environment configuration. RESULTS As a result of this study. This simulation method can, minimising the affection to healthy tissue. CONCLUSIONS This virtual method will help real and personalized therapy planning and tailor the dose and distribution of magnetic nanoparticles for an enhanced hyperthermia cancer treatment.
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Affiliation(s)
- Roberto Montes-Robles
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain
| | - Hazael Montanaro
- ITIS Foundation for Research on Information Technologies in Society, Zurich, Switzerland; Swiss Federal Institute of Technology (ETHZ), Zurich, Switzerland
| | - Myles Capstick
- ITIS Foundation for Research on Information Technologies in Society, Zurich, Switzerland
| | - Javier Ibáñez-Civera
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain
| | - Rafael Masot-Peris
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain
| | - Eduardo García-Breijo
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain
| | - Nicolás Laguarda-Miró
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain.
| | - Ramón Martínez-Máñez
- Interuniversity Research Institute for Molecular Recognition and Technological Development (IDM), Universitat Politècnica de València (UPV), Universitat de València (UV), Valencia, Spain; CIBER in the Subject Area of de Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Madrid, Spain; ITIS Foundation for Research on Information Technologies in Society, Zurich, Switzerland
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9
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Malik SJ, Hand JW, Carmichael DW, Hajnal JV. Evaluation of specific absorption rate and heating in children exposed to a 7T MRI head coil. Magn Reson Med 2022; 88:1434-1449. [PMID: 35666836 PMCID: PMC9328145 DOI: 10.1002/mrm.29283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 03/25/2022] [Accepted: 04/13/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE To evaluate specific absorption rate (SAR) and temperature distributions resulting from pediatric exposure to a 7T head coil. METHODS Exposure from a 297-MHz birdcage head transmit coil (CP mode single-channel transmission) was simulated in several child models (ages 3-14, mass 13.9-50.4 kg) and one adult, using time-domain electromagnetic and thermal solvers. Position variability, age-related changes in dielectric properties, and differences in thermoregulation were also considered. RESULTS Age-adjusted dielectric properties had little effect in this population. Head average SAR (hdSAR) was the limiting factor for all models centered in the coil. The value of hdSAR (normalized to net power) was found to decrease linearly with increasing mass (R2 = 0.86); no equivalent relationship for peak-spatial 10g averaged SAR (psSAR10g ) was identified. Relatively small (< 10%) variability was observed in hdSAR for position shifts of ±25 mm in each orthogonal direction when normalized to net power; accounting for B1+$$ {\mathrm{B}}_1^{+} $$ efficiency can lead to much larger variability. Position sensitivity of psSAR10g was greater, but in most cases hdSAR remained the limiting quantity. For thermal simulations, if blood temperature is fixed (i.e., asserting good thermoregulation), maximum temperatures are compliant with International Electrotechnical Commission limits during 60-min exposure at the SAR limit. Introducing variable blood temperature leads to core temperature changes proportional to whole-body averaged SAR, exceeding guideline limits for all child models. CONCLUSIONS Children experienced higher SAR than adults for the 297-MHz head transmit coil examined in this work. Thermal simulations suggest that core temperature changes could occur in smaller subjects, although experimental data are needed for validation.
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Affiliation(s)
- Shaihan J Malik
- Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK.,Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK
| | - Jeffrey W Hand
- Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK
| | - David W Carmichael
- Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK
| | - Joseph V Hajnal
- Biomedical Engineering Department, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK.,Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK
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10
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Wearable Blood Pressure Sensing Based on Transmission Coefficient Scattering for Microstrip Patch Antennas. SENSORS 2022; 22:s22113996. [PMID: 35684617 PMCID: PMC9183053 DOI: 10.3390/s22113996] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 05/18/2022] [Accepted: 05/22/2022] [Indexed: 02/04/2023]
Abstract
Painless, cuffless and continuous blood pressure monitoring sensors provide a more dynamic measure of blood pressure for critical diagnosis or continuous monitoring of hypertensive patients compared to current cuff-based options. To this end, a novel flexible, wearable and miniaturized microstrip patch antenna topology is proposed to measure dynamic blood pressure (BP). The methodology was implemented on a simulated five-layer human tissue arm model created and designed in High-Frequency Simulation Software “HFSS”. The electrical properties of the five-layer human tissue were set at the frequency range (2−3) GHz to comply with clinical/engineering standards. The fabricated patch incorporated on a 0.4 mm epoxy substrate achieved consistency between the simulated and measured reflection coefficient results at flat and bent conditions over the frequency range of 2.3−2.6 GHz. Simulations for a 10 g average specific absorption rate (SAR) based on IEEE-Standard for a human arm at different input powers were also carried out. The safest input power was 50 mW with an acceptable SAR value of 3.89 W/Kg < 4W/Kg. This study also explored a novel method to obtain the pulse transit time (PTT) as an option to measure BP. Pulse transmit time is based on obtaining the time difference between the transmission coefficient scattering waveforms measured between the two pairs of metallic sensors underlying the assumption that brachial arterial geometries are dynamic. Consequently, the proposed model is validated by comparing it to the standard nonlinear Moens and Korteweg model over different artery thickness-radius ratios, showing excellent correlation between 0.76 ± 0.03 and 0.81 ± 0.03 with the systolic and diastolic BP results. The absolute risk of arterial blood pressure increased with the increase in brachial artery thickness-radius ratio. The results of both methods successfully demonstrate how the radius estimates, PTT and pulse wave velocity (PWV), along with electromagnetic (EM) antenna transmission propagation characteristics, can be used to estimate continuous BP non-invasively.
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11
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Computational modeling of poroelastic brain tumor therapy during heat transfer carrying temperature-dependent blood perfusion. Med Eng Phys 2022; 103:103792. [DOI: 10.1016/j.medengphy.2022.103792] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 03/18/2022] [Accepted: 03/21/2022] [Indexed: 11/15/2022]
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12
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Fiedler TM, Orzada S, Flöser M, Rietsch SHG, Schmidt S, Stelter JK, Wittrich M, Quick HH, Bitz AK, Ladd ME. Performance and safety assessment of an integrated transmit array for body imaging at 7 T under consideration of specific absorption rate, tissue temperature, and thermal dose. NMR IN BIOMEDICINE 2022; 35:e4656. [PMID: 34962689 DOI: 10.1002/nbm.4656] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 10/18/2021] [Accepted: 11/05/2021] [Indexed: 05/12/2023]
Abstract
In this study, the performance of an integrated body-imaging array for 7 T with 32 radiofrequency (RF) channels under consideration of local specific absorption rate (SAR), tissue temperature, and thermal dose limits was evaluated and the imaging performance was compared with a clinical 3 T body coil. Thirty-two transmit elements were placed in three rings between the bore liner and RF shield of the gradient coil. Slice-selective RF pulse optimizations for B1 shimming and spokes were performed for differently oriented slices in the body under consideration of realistic constraints for power and local SAR. To improve the B1+ homogeneity, safety assessments based on temperature and thermal dose were performed to possibly allow for higher input power for the pulse optimization than permissible with SAR limits. The results showed that using two spokes, the 7 T array outperformed the 3 T birdcage in all the considered regions of interest. However, a significantly higher SAR or lower duty cycle at 7 T is necessary in some cases to achieve similar B1+ homogeneity as at 3 T. The homogeneity in up to 50 cm-long coronal slices can particularly benefit from the high RF shim performance provided by the 32 RF channels. The thermal dose approach increases the allowable input power and the corresponding local SAR, in one example up to 100 W/kg, without limiting the exposure time necessary for an MR examination. In conclusion, the integrated antenna array at 7 T enables a clinical workflow for body imaging and comparable imaging performance to a conventional 3 T clinical body coil.
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Affiliation(s)
- Thomas M Fiedler
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Stephan Orzada
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Martina Flöser
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Stefan H G Rietsch
- Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany
- High-Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany
| | - Simon Schmidt
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
- Faculty of Physics and Astronomy, University of Heidelberg, Heidelberg, Germany
| | - Jonathan K Stelter
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Marco Wittrich
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Harald H Quick
- Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany
- High-Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany
| | - Andreas K Bitz
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
- Electromagnetic Theory and Applied Mathematics, Faculty of Electrical Engineering and Information Technology, FH Aachen - University of Applied Sciences, Aachen, Germany
| | - Mark E Ladd
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
- Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany
- Faculty of Physics and Astronomy, University of Heidelberg, Heidelberg, Germany
- Faculty of Medicine, University of Heidelberg, Heidelberg, Germany
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13
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Tang M, Yamamoto T. Progress in Understanding Radiofrequency Heating and Burn Injuries for Safer MR Imaging. Magn Reson Med Sci 2022; 22:7-25. [PMID: 35228437 PMCID: PMC9849420 DOI: 10.2463/mrms.rev.2021-0047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
RF electromagnetic wave exposure during MRI scans induces heat and occasionally causes burn injuries to patients. Among all the types of physical injuries that have occurred during MRI examinations, RF burn injuries are the most common ones. The number of RF burn injuries increases as the static magnetic field of MRI systems increases because higher RFs lead to higher heating. The commonly believed mechanisms of RF burn injuries are the formation of a conductive loop by the patient's posture or cables, such as an electrocardiogram lead; however, the mechanisms of RF burn injuries that occur at the contact points, such as the bore wall and the elbow, remain unclear. A comprehensive understanding of RF heating is needed to address effective countermeasures against all RF burn injuries for safe MRI examinations. In this review, we summarize the occurrence of RF burn injury cases by categorizing RF burn injuries reported worldwide in recent decades. Safety standards and regulations governing RF heating that occurs during MRI examinations are presented, along with their theoretical and physiological backgrounds. The experimental assessment techniques for RF heating are then reviewed, and the development of numerical simulation techniques is explained. In addition, a comprehensive theoretical interpretation of RF burn injuries is presented. By including the results of recent experimental and numerical simulation studies on RF heating, this review describes the progress achieved in understanding RF heating from the standpoint of MRI burn injury prevention.
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Affiliation(s)
- Minghui Tang
- Department of Diagnostic Imaging, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Toru Yamamoto
- Division of Biomedical Engineering and Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan,Corresponding author: Faculty of Health Sciences, Hokkaido University, Kita 12 Nishi 5, Kita-ku, Sapporo, Hokkaido 060-0812, Japan. Phone: +81-11-706-3412, Fax: +81-11-706-4916, E-mail:
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14
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Noetscher GM, Serano P, Wartman WA, Fujimoto K, Makarov SN. Visible Human Project® female surface based computational phantom (Nelly) for radio-frequency safety evaluation in MRI coils. PLoS One 2021; 16:e0260922. [PMID: 34890429 PMCID: PMC8664205 DOI: 10.1371/journal.pone.0260922] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 11/19/2021] [Indexed: 11/19/2022] Open
Abstract
Quantitative modeling of specific absorption rate and temperature rise within the human body during 1.5 T and 3 T MRI scans is of clinical significance to ensure patient safety. This work presents justification, via validation and comparison, of the potential use of the Visible Human Project (VHP) derived Computer Aided Design (CAD) female full body computational human model for non-clinical assessment of female patients of age 50–65 years with a BMI of 30–36 during 1.5 T and 3 T based MRI procedures. The initial segmentation validation and four different application examples have been identified and used to compare to numerical simulation results obtained using VHP Female computational human model under the same or similar conditions. The first application example provides a simulation-to-simulation validation while the latter three application examples compare with measured experimental data. Given the same or similar coil settings, the computational human model generates meaningful results for SAR, B1 field, and temperature rise when used in conjunction with the 1.5 T birdcage MRI coils or at higher frequencies corresponding to 3 T MRI. Notably, the deviation in temperature rise from experiment did not exceed 2.75° C for three different heating scenarios considered in the study with relative deviations of 10%, 25%, and 20%. This study provides a reasonably systematic validation and comparison of the VHP-Female CAD v.3.0–5.0 surface-based computational human model starting with the segmentation validation and following four different application examples.
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Affiliation(s)
- Gregory M. Noetscher
- Department of Electrical and Computer Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, United States of America
- NEVA Electromagnetics, LLC, Yarmouth Port, Massachusetts, United States of America
- * E-mail:
| | - Peter Serano
- Ansys, Inc., Canonsburg, Pennsylvania, United States of America
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America
| | - William A. Wartman
- Department of Electrical and Computer Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, United States of America
| | - Kyoko Fujimoto
- Center for Devices and Radiological Health, US Food and Drug Administration, Silver Spring, Maryland, United States of America
| | - Sergey N. Makarov
- Department of Electrical and Computer Engineering, Worcester Polytechnic Institute, Worcester, Massachusetts, United States of America
- NEVA Electromagnetics, LLC, Yarmouth Port, Massachusetts, United States of America
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America
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15
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Jeong H, Ntolkeras G, Grant PE, Bonmassar G. Numerical simulation of the radiofrequency safety of 128-channel hd-EEG nets on a 29-month-old whole-body model in a 3 Tesla MRI. IEEE TRANSACTIONS ON ELECTROMAGNETIC COMPATIBILITY 2021; 63:1748-1756. [PMID: 34675444 PMCID: PMC8522907 DOI: 10.1109/temc.2021.3097732] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
This study investigates the radiofrequency (RF) induced heating in a pediatric whole-body voxel model with a high-density electroencephalogram (hd-EEG) net during magnetic resonance imaging (MRI) at 3 Tesla. A total of three cases were studied: no net (NoNet), a resistive hd-EEG (NeoNet), and a copper (CuNet) net. The maximum values of specific absorption rate averaged over 10g-mass (10gSAR) in the head were calculated with the NeoNet was 12.51 W/kg and in the case of the NoNet was 12.40 W/kg. In contrast, the CuNet case was 17.04 W/Kg. Temperature simulations were conducted to determine the RF-induced heating without and with hd-EEG nets (NeoNet and CuNet) during an MRI scan using an age-corrected and thermoregulated perfusion for the child model. The results showed that the maximum temperature estimated in the child's head was 38.38 °C for the NoNet, 38.43 °C for the NeoNet, and 43.05 °C for the CuNet. In the case of NeoNet, the maximum temperature estimated in the child's head remained compliant with IEC 60601 for the MRI RF safety limit. However, the case of CuNet estimated to exceed the RF safety limit, which may require an appropriate cooling period or a hardware design to suppress the RF-induced heating.
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Affiliation(s)
- Hongbae Jeong
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Med-ical School, Charlestown, MA 02129 USA
| | - Georgios Ntolkeras
- Boston Children's Hospital, Harvard Medical School, Boston, MA 02115 USA
| | - P Ellen Grant
- Boston Children's Hospital, Harvard Medical School, Boston, MA 02115 USA
| | - Giorgio Bonmassar
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Med-ical School, Charlestown, MA 02129 USA
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16
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Malik SJ, Hand JW, Satnarine R, Price AN, Hajnal JV. Specific absorption rate and temperature in neonate models resulting from exposure to a 7T head coil. Magn Reson Med 2021; 86:1299-1313. [PMID: 33811667 DOI: 10.1002/mrm.28784] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 02/11/2021] [Accepted: 03/06/2021] [Indexed: 11/07/2022]
Abstract
PURPOSE To investigate safe limits for neonatal imaging using a 7T head coil, including both specific absorption rate (SAR) and temperature predictions. METHODS Head-centered neonate models were simulated using finite-difference time domain-based electromagnetic and thermal solvers. The effects of higher water content of neonatal tissues compared with adults, position shifts, and thermal insulation were also considered. An adult model was simulated for comparison. RESULTS Maximum and average SAR are both elevated in the neonate when compared with an adult model. When normalized to B1+ , the SAR experienced by a neonate is greater than an adult by approximately a factor of 2; when normalized to net forward power (forward-reflected), this increases to a factor of 2.5-3.0; and when normalized to absorbed power, approximately a factor of 4. Use of age-adjusted dielectric properties significantly increases the predicted SAR, compared with using adult tissue properties for the neonates. Thermal simulations predict that change in core temperature/maximum temperature remain compliant with International Electrotechnical Commission limits when a thermally insulated neonate is exposed at the SAR limit for up to an hour. CONCLUSION This study of two neonate models cannot quantify the variability expected within a larger population. Likewise, the use of age-adjusted dielectric properties have a significant effect, but while their use is well motivated by literature, there is uncertainty in the true dielectric properties of neonatal tissue. Nevertheless, the main finding is that unlike at lower field strengths, operational limits for 7T neonatal MRI using an adult head coil should be more conservative than limits for use on adults.
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Affiliation(s)
- Shaihan J Malik
- Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom.,Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom
| | - Jeffrey W Hand
- Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom
| | - Ryan Satnarine
- Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom
| | - Anthony N Price
- Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom.,Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom
| | - Joseph V Hajnal
- Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom.,Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, United Kingdom
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17
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Silemek B, Seifert F, Petzold J, Hoffmann W, Pfeiffer H, Speck O, Rose G, Ittermann B, Winter L. Rapid safety assessment and mitigation of radiofrequency induced implant heating using small root mean square sensors and the sensor matrix Q s. Magn Reson Med 2021; 87:509-527. [PMID: 34397114 DOI: 10.1002/mrm.28968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 07/20/2021] [Accepted: 07/26/2021] [Indexed: 11/07/2022]
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 mm3 ) 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.
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Affiliation(s)
- Berk Silemek
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Frank Seifert
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Johannes Petzold
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Werner Hoffmann
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Harald Pfeiffer
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Oliver Speck
- Biomedical Magnetic Resonance, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.,German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.,Leibniz Institute for Neurobiology (LIN), Magdeburg, Germany.,Center for Behavioral Brain Sciences (CBBS), Magdeburg, Germany
| | - Georg Rose
- Center for Behavioral Brain Sciences (CBBS), Magdeburg, Germany.,Institute for Medical Engineering and Research Campus STIMULATE, University of Magdeburg, Magdeburg, Germany
| | - Bernd Ittermann
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Lukas Winter
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
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18
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Zhang F, Jiang C, Li Y, Niu X, Long T, He C, Ding J, Li L, Li L. Investigation of Artifacts and Optimization in Proton Resonance Frequency Thermometry Towards Heating Risk Monitoring of Implantable Medical Devices in Magnetic Resonance Imaging. IEEE Trans Biomed Eng 2021; 68:3638-3646. [PMID: 34003743 DOI: 10.1109/tbme.2021.3081599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Artifacts limit the application of proton resonance frequency (PRF) thermometry for on-site, individualized heating evaluations of implantable medical devices such as deep brain stimulation (DBS) for use in magnetic resonance imaging (MRI). Its properties are unclear and the research on how to choose an unaffected measurement region is insufficient. METHODS The properties of PRF signals around the metallic DBS electrode were investigated through simulations and phantom experiments considering electromagnetic interferences from material susceptibility and the radio frequency (RF) interactions. A threshold method on phase difference Δϕ was used to define a measurement area to estimate heating at the electrode surface. Its performance was compared to that of the Bayesian magnitude method and probe measurements. RESULTS The B0 magnetic field inhomogeneity due to the electrode susceptibility was the main influencing factor on PRF compared to the RF artifact. Δϕ around the electrode followed normal distribution but was distorted. Underestimation occurred at places with high temperature rises. The noise was increased and could be well estimated from magnitude images using a modified NEMA method. The Δϕ-threshold method based on this knowledge outperformed the Bayesian magnitude method by more than 42% in estimation error of the electrode heating. CONCLUSION The findings favor the use of PRF with the proposed approach as a reliable method for electrode heating estimation. SIGNIFICANCE This study clarified the influence of device artifacts and could improve the performance of PRF thermometry for individualized heating assessments of patients with implants under MRI.
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19
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Dyne E, Prakash PS, Li J, Yu B, Schmidt TL, Huang S, Kim MH. Mild magnetic nanoparticle hyperthermia promotes the disaggregation and microglia-mediated clearance of beta-amyloid plaques. NANOMEDICINE-NANOTECHNOLOGY BIOLOGY AND MEDICINE 2021; 34:102397. [PMID: 33857686 DOI: 10.1016/j.nano.2021.102397] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 03/18/2021] [Indexed: 12/19/2022]
Abstract
The formation of beta-amyloid (Aβ) plaques is a classical hallmark of Alzheimer's disease (AD) that is associated with the promotion of neuroinflammation and subsequent neurotoxicity. Given the limited therapeutic options for targeting and clearing Aβ plaques in AD, there is an urgent need to develop effective approaches to reduce plaque accumulation. The objective of this study was to validate mild magnetic nanoparticle (MNP) hyperthermia technology as a strategy to clear Aβ deposits and determine the impact on microglia functionality. Our results demonstrated that the heating of MNPs localized to Aβ aggregates upon exposure to high frequency alternating magnetic field (AMF) was sufficient to disrupt Aβ plaques, resulting in its fragmentation. Importantly, this could facilitate the phagocytic clearance of Aβ as well as attenuate pro-inflammatory responses by human microglial cells. Our results support the feasibility of mild MNP/AMF hyperthermia as a new strategy for reducing beta-amyloid burdens in Alzheimer's disease.
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Affiliation(s)
- Eric Dyne
- School of Biomedical Sciences, Kent State University, Kent, OH, USA
| | - Praneetha Sundar Prakash
- School of Biomedical Sciences, Kent State University, Kent, OH, USA; Department of Physics, Kent State University, Kent, OH, USA
| | - Junfeng Li
- Department of Chemistry and Biochemistry, Kent State University, Kent, OH, USA
| | - Bing Yu
- Department of Biological Sciences, Kent State University, Kent, OH, USA
| | - Thorsten-Lars Schmidt
- School of Biomedical Sciences, Kent State University, Kent, OH, USA; Department of Physics, Kent State University, Kent, OH, USA
| | - Songping Huang
- Department of Chemistry and Biochemistry, Kent State University, Kent, OH, USA
| | - Min-Ho Kim
- School of Biomedical Sciences, Kent State University, Kent, OH, USA; Department of Biological Sciences, Kent State University, Kent, OH, USA.
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20
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Reiss S, Lottner T, Ozen AC, Polei S, Bitzer A, Bock M. Analysis of the RF Excitation of Endovascular Stents in Small Gap and Overlap Scenarios Using an Electro-Optical E-field Sensor. IEEE Trans Biomed Eng 2021; 68:783-792. [DOI: 10.1109/tbme.2020.3009869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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21
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Electromagnetic simulation of RF burn injuries occurring at skin-skin and skin-bore wall contact points in an MRI scanner with a birdcage coil. Phys Med 2021; 82:219-227. [DOI: 10.1016/j.ejmp.2021.02.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 02/03/2021] [Accepted: 02/15/2021] [Indexed: 11/20/2022] Open
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22
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Fagan AJ, Bitz AK, Björkman-Burtscher IM, Collins CM, Kimbrell V, Raaijmakers AJ. 7T MR Safety. J Magn Reson Imaging 2021; 53:333-346. [PMID: 32830900 PMCID: PMC8170917 DOI: 10.1002/jmri.27319] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 07/21/2020] [Accepted: 07/22/2020] [Indexed: 12/11/2022] Open
Abstract
Magnetic resonance imaging and spectroscopy (MRI/MRS) at 7T represents an exciting advance in MR technology, with intriguing possibilities to enhance image spatial, spectral, and contrast resolution. To ensure the safe use of this technology while still harnessing its potential, clinical staff and researchers need to be cognizant of some safety concerns arising from the increased magnetic field strength and higher Larmor frequency. The higher static magnetic fields give rise to enhanced transient bioeffects and an increased risk of adverse incidents related to electrically conductive implants. Many technical challenges remain and the continuing rapid pace of development of 7T MRI/MRS is likely to present further challenges to ensuring safety of this technology in the years ahead. The recent regulatory clearance for clinical diagnostic imaging at 7T will likely increase the installed base of 7T systems, particularly in hospital environments with little prior ultrahigh-field MR experience. Informed risk/benefit analyses will be required, particularly where implant manufacturer-published 7T safety guidelines for implants are unavailable. On behalf of the International Society for Magnetic Resonance in Medicine, the aim of this article is to provide a reference document to assist institutions developing local institutional policies and procedures that are specific to the safe operation of 7T MRI/MRS. Details of current 7T technology and the physics underpinning its functionality are reviewed, with the aim of supporting efforts to expand the use of 7T MRI/MRS in both research and clinical environments. Current gaps in knowledge are also identified, where additional research and development are required. Level of Evidence 5 Technical Efficacy 2 J. MAGN. RESON. IMAGING 2021;53:333-346.
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Affiliation(s)
- Andrew J. Fagan
- Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
| | - Andreas K. Bitz
- Faculty of Electrical Engineering and Information Technology, FH Aachen - University of Applied Sciences, Aachen, Germany
| | - Isabella M. Björkman-Burtscher
- Department of Radiology, University of Gothenburg, Sahlgrenska Academy, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Christopher M. Collins
- Center for Advanced Imaging Innovation and Research, NYU Langone Medical Center, New York, New York, USA
| | - Vera Kimbrell
- Department of Radiology, Brigham and Women’s Hospital, Boston, Massachusetts, USA
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23
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Seo Y, Wang ZJ. Measurement and evaluation of specific absorption rate and temperature elevation caused by an artificial hip joint during MRI scanning. Sci Rep 2021; 11:1134. [PMID: 33441883 PMCID: PMC7807097 DOI: 10.1038/s41598-020-80828-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 12/21/2020] [Indexed: 11/25/2022] Open
Abstract
A primary safety concern in a magnetic resonance imaging environment is heating of metallic implants by absorbing radiofrequency (RF) energy during MRI scanning. Experimental measurement in conjunction with computational modeling was used to evaluate the risk of biological tissue injury from the RF heating of artificial hip joints by obtaining both specific absorption rate (SAR) and temperature elevation at 1.5 T and 3 T MRI systems. Simulation result showed that high SAR and high temperature appeared near both head and tail sections of the artificial hip joints. For five different 1.5 T and 3 T MRI systems, measured temperature location showed that high temperature rises occurred near both head and tail regions of the metallic hip joints. Measured SAR value of 24.6 W/kg and the high temperature rise (= 4.22 °C) occurred in the tail region of the hip joint at 1.5 T, which was higher than the limits for temperature required by the international electrotechnical commission 60601-2-33. We have demonstrated the feasibility of evaluating RF heating of metallic hip joints during MRI scans.
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Affiliation(s)
- Youngseob Seo
- Division of Chemical and Biological Metrology, Korea Research Institute of Standards and Science, 267 Gajeong-ro, Doryong-dong, Yuseong-gu, Daejeon, 34113, Republic of Korea.
| | - Zhiyue J Wang
- Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.,Department of Radiology, Children's Health, Dallas, TX, USA
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24
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Abstract
Magnetic resonance (MR) imaging relies on a strong static magnetic field in conjunction with careful orchestration of pulsed linear gradient magnetic fields and radiofrequency magnetic fields in order to generate images. The interaction of these fields with patients as well as materials with magnetic or conducting properties can be a source of risk in the MR environment. This article provides a basic review of the physical underpinnings of the primary risks in MR imaging to foster development of intuition with respect to both patient and risk management in the MR environment.
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Affiliation(s)
- Roger Jason Stafford
- Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1472, Houston, TX 77030, USA.
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25
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Adibzadeh F, Sumser K, Curto S, Yeo DTB, Shishegar AA, Paulides MM. Systematic review of pre-clinical and clinical devices for magnetic resonance-guided radiofrequency hyperthermia. Int J Hyperthermia 2020; 37:15-27. [PMID: 31918599 DOI: 10.1080/02656736.2019.1705404] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Clinical trials have demonstrated the therapeutic benefits of adding radiofrequency (RF) hyperthermia (HT) as an adjuvant to radio- and chemotherapy. However, maximum utilization of these benefits is hampered by the current inability to maintain the temperature within the desired range. RF HT treatment quality is usually monitored by invasive temperature sensors, which provide limited data sampling and are prone to infection risks. Magnetic resonance (MR) temperature imaging has been developed to overcome these hurdles by allowing noninvasive 3D temperature monitoring in the target and normal tissues. To exploit this feature, several approaches for inserting the RF heating devices into the MR scanner have been proposed over the years. In this review, we summarize the status quo in MR-guided RF HT devices and analyze trends in these hybrid hardware configurations. In addition, we discuss the various approaches, extract best practices and identify gaps regarding the experimental validation procedures for MR - RF HT, aimed at converging to a common standard in this process.
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Affiliation(s)
- Fatemeh Adibzadeh
- Department of Radiation Oncology, Erasmus MC - Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.,Department of Electrical Engineering, Technical University of Sharif, Tehran, Iran
| | - Kemal Sumser
- Department of Radiation Oncology, Erasmus MC - Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Sergio Curto
- Department of Radiation Oncology, Erasmus MC - Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | | | - Amir A Shishegar
- Department of Electrical Engineering, Technical University of Sharif, Tehran, Iran
| | - Margarethus M Paulides
- Department of Radiation Oncology, Erasmus MC - Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.,Department of Electrical Engineering, Technical University of Eindhoven, Eindhoven, The Netherlands
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26
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Le Ster C, Mauconduit F, Mirkes C, Bottlaender M, Boumezbeur F, Djemai B, Vignaud A, Boulant N. RF heating measurement using MR thermometry and field monitoring: Methodological considerations and first in vivo results. Magn Reson Med 2020; 85:1282-1293. [PMID: 32936510 DOI: 10.1002/mrm.28501] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 07/10/2020] [Accepted: 08/10/2020] [Indexed: 11/11/2022]
Abstract
PURPOSE A MR thermometry (MRT) method with field monitoring is proposed to improve the measurement of small temperature variations induced in brain MRI exams. METHODS MR thermometry experiments were performed at 7 Tesla with concurrent field monitoring and RF heating. Images were reconstructed with nominal k-space trajectories and with first-order spherical harmonics correction. Experiments were performed in vitro with deliberate field disturbances and on an anesthetized macaque in 2 different specific absorption rate regimes, that is, at 50% and 100% of the maximal specific absorption rate level allowed in the International Electrotechnical Commission normal mode of operation. Repeatability was assessed by running a second separate session on the same animal. RESULTS Inclusion of magnetic field fluctuations in the reconstruction improved temperature measurement accuracy in vitro down to 0.02°C. Measurement precision in vivo was on the order of 0.15°C in areas little affected by motion. In the same region, temperature increase reached 0.5 to 0.8°C after 20 min of heating at 100% specific absorption rates and followed a rough factor of 2 with the 50% specific absorption rate scans. A horizontal temperature plateau, as predicted by Pennes bioheat model with thermal constants from the literature and constant blood temperature assumption, was not observed. CONCLUSION Inclusion of field fluctuations in image reconstruction was beneficial for the measurement of small temperature rises encountered in standard brain exams. More work is needed to correct for motion-induced field disturbances to extract reliable temperature maps.
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Affiliation(s)
- Caroline Le Ster
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
| | - Franck Mauconduit
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
| | | | - Michel Bottlaender
- Université Paris-Saclay, CEA, CNRS, Inserm, BioMaps, Service Hospitalier Frederic Joliot, Orsay, France.,UNIACT, Neurospin, CEA, Gif-sur-Yvette, France
| | - Fawzi Boumezbeur
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
| | - Boucif Djemai
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
| | - Alexandre Vignaud
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
| | - Nicolas Boulant
- Université Paris-Saclay, CEA, CNRS, BAOBAB, NeuroSpin, Gif-sur-Yvette, France
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27
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Tsanidis G, Samaras T. Numerical calculation of the radiofrequency transfer function of cochlear implants for assessing deposited power in MRI. Phys Med Biol 2020; 65:175005. [PMID: 32580168 DOI: 10.1088/1361-6560/ab9fc7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The medical imaging of patients with a cochlear implant inside a Magnetic Resonance Imaging (MRI) scanner carries the risk of power deposition in the tissues at the tip of the implant lead, which may result in their heating. In order to assess this risk, ISO/TS 10 974 (2018) describes a methodology (Tier 3 approach) whereby a radiofrequency electrical model for the implant lead in the form of a transfer function is constructed. The construction of the transfer function takes place by assuming that a homogenous medium surrounds the implant, whereas, in reality, implants can traverse various tissues of different electrical properties. The results show that the use of a High Permittivity Medium (HPM) overestimates the Tier 3 calculated deposited power by almost 6 dB, whereas a Low Permittivity Medium (LPM) underestimates it by 9 dB, compared to the in vivo power deposition in three virtual human models, obtained following the Tier 4 approach of ISO/TS 10 974(2018). Since the Tier 3 approach requires less computational resources compared to Tier 4, we suggest its modification with the use of two media (mixed media approach), where implant is immersed. By carefully choosing the media electrical properties, it is possible to calculate power deposition values at the lead tip that differ less than 1 dB from the in vivo ones.
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Affiliation(s)
- George Tsanidis
- Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece. Thessaloniki Software Solutions (THESS) S.A., Technopolis ICT Business Park, Thessaloniki, Greece
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28
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Zheng J, Lan Q, Kainz W, Long SA, Chen J. Genetic algorithm search for the worst-case MRI RF exposure for a multiconfiguration implantable fixation system modeled using artificial neural networks. Magn Reson Med 2020; 84:2754-2764. [PMID: 32459032 DOI: 10.1002/mrm.28319] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 03/20/2020] [Accepted: 04/21/2020] [Indexed: 11/09/2022]
Abstract
PURPOSE This paper presents a method to search for the worst-case configuration leading to the highest RF exposure for a multiconfiguration implantable fixation system under MRI. METHODS A two-step method combining an artificial neural network and a genetic algorithm is developed to achieve this purpose. In the first step, the level of RF exposure in terms of peak 1-g and/or 10-g averaged specific absorption rate (SAR1g/10g ), related to the multiconfiguration system, is predicted using an artificial neural network. A genetic algorithm is then used to search for the worst-case configuration of this multidimensional nonlinear problem within both the enumerated discrete sample space and generalized continuous sample space. As an example, a generic plate system with a total of 576 configurations is used for both 1.5T and 3T MRI systems. RESULTS The presented method can effectively identify the worst-case configuration and accurately predict the SAR1g/10g with no more than 20% of the samples in the studied discrete sample space, and can even predict the worst case in the generalized continuous sample space. The worst-case prediction error in the generalized continuous sample space is less than 1.6% for SAR1g and less than 1.3% for SAR10g compared with the simulation results. CONCLUSION The combination of an artificial neural network with genetic algorithm is a robust technique to determine the worst-case RF exposure level for a multiconfiguration system, and only needs a small amount of training data from the entire system.
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Affiliation(s)
- Jianfeng Zheng
- Department of Electrical and Computer Engineering, University of Houston, Houston, Texas, USA
| | - Qianlong Lan
- Department of Electrical and Computer Engineering, University of Houston, Houston, Texas, USA
| | - Wolfgang Kainz
- Center for Devices and Radiological Health, Food and Drug Administration, Rockville, Maryland, USA
| | - Stuart A Long
- Department of Electrical and Computer Engineering, University of Houston, Houston, Texas, USA
| | - Ji Chen
- Department of Electrical and Computer Engineering, University of Houston, Houston, Texas, USA
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29
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Modeling radio-frequency energy-induced heating due to the presence of transcranial electric stimulation setup at 3T. MAGNETIC RESONANCE MATERIALS IN PHYSICS BIOLOGY AND MEDICINE 2020; 33:793-807. [PMID: 32462558 PMCID: PMC7669803 DOI: 10.1007/s10334-020-00853-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 04/22/2020] [Accepted: 05/12/2020] [Indexed: 11/02/2022]
Abstract
PURPOSE The purpose of the present study was to develop a numerical workflow for simulating temperature increase in a high-resolution human head and torso model positioned in a whole-body magnetic resonance imaging (MRI) radio-frequency (RF) coil in the presence of a transcranial electric stimulation (tES) setup. METHODS A customized human head and torso model was developed from medical image data. Power deposition and temperature rise (ΔT) were evaluated with the model positioned in a whole-body birdcage RF coil in the presence of a tES setup. Multiphysics modeling at 3T (123.2 MHz) on unstructured meshes was based on RF circuit, 3D electromagnetic, and thermal co-simulations. ΔT was obtained for (1) a set of electrical and thermal properties assigned to the scalp region, (2) a set of electrical properties of the gel used to ensure proper electrical contact between the tES electrodes and the scalp, (3) a set of electrical conductivity values of skin tissue, (4) four gel patch shapes, and (5) three electrode shapes. RESULTS Significant dependence of power deposition and ΔT on the skin's electrical properties and electrode and gel patch geometries was observed. Differences in maximum ΔT (> 100%) and its location were observed when comparing the results from a model using realistic human tissue properties and one with an external container made of acrylic material. The electrical and thermal properties of the phantom container material also significantly (> 250%) impacted the ΔT results. CONCLUSION Simulation results predicted that the electrode and gel geometries, skin electrical conductivity, and position of the temperature sensors have a significant impact on the estimated temperature rise. Therefore, these factors must be considered for reliable assessment of ΔT in subjects undergoing an MRI examination in the presence of a tES setup.
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30
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Winter L, Seifert F, Zilberti L, Murbach M, Ittermann B. MRI‐Related Heating of Implants and Devices: A Review. J Magn Reson Imaging 2020; 53:1646-1665. [DOI: 10.1002/jmri.27194] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 04/29/2020] [Accepted: 04/30/2020] [Indexed: 12/11/2022] Open
Affiliation(s)
- Lukas Winter
- Physikalisch‐Technische Bundesanstalt (PTB) Braunschweig and Berlin Germany
| | - Frank Seifert
- Physikalisch‐Technische Bundesanstalt (PTB) Braunschweig and Berlin Germany
| | - Luca Zilberti
- Istituto Nazionale di Ricerca Metrologica Torino Italy
| | - Manuel Murbach
- ZMT Zurich MedTech AG Zurich Switzerland
- Institute for Molecular Instrumentation and Imaging (i3M) Universidad Politécnica de Valencia (UPV) Valencia Spain
| | - Bernd Ittermann
- Physikalisch‐Technische Bundesanstalt (PTB) Braunschweig and Berlin Germany
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31
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[Test methods to determine magnetic resonance (MR) safety and MR image compatibility of implants/devices]. Radiologe 2019; 59:875-884. [PMID: 31591698 DOI: 10.1007/s00117-019-00588-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
METHODICAL INNOVATIONS In the present article, interactions associated with magnetic resonance (MR) procedures and MR test procedures for implants/devices are examined. PERFORMANCE Since 2012, many interactions of items with MR procedures have been physically described and translated into standardized ASTM and ISO testing procedures. Despite the standardized procedures, the determination of the test method to use is an important decision. The MR user is also responsible for the transfer and interpretation of the individual technical parameters despite the MR Conditional labelling and therefore relatively unambiguous instruction. This includes the total MR examination duration, which often has no clinical practical duration, but is derived from the 15 min of the ASTM radiofrequency (RF) heating test. ACHIEVEMENTS There has been an increasing standardization of the test methods as well as the MR labeling requirements and the advantageous transfer of the parameters to suitable input masks on the MR systems. PRACTICAL RECOMMENDATIONS The current use of standardized MR test methods and MR marking represents the best possible state of the art from the point of view of the approval of medical devices as well as from a liability point of view for the manufacturers of implants-and for MR users in clinical practice. However, off-label decisions (i.e., deviations from the manufacturer's official MR marking) in everyday clinical practice can be medically justified.
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32
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Role of Simulations in the Treatment Planning of Radiofrequency Hyperthermia Therapy in Clinics. JOURNAL OF ONCOLOGY 2019; 2019:9685476. [PMID: 31558904 PMCID: PMC6735211 DOI: 10.1155/2019/9685476] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 07/20/2019] [Accepted: 07/28/2019] [Indexed: 12/26/2022]
Abstract
Hyperthermia therapy is a treatment modality in which tumor temperatures are elevated to higher temperatures to cause damage to cancerous tissues. Numerical simulations are integral in the development of hyperthermia treatment systems and in clinical treatment planning. In this study, simulations in radiofrequency hyperthermia therapy are reviewed in terms of their technical development and clinical aspects for effective clinical use. This review offers an overview of mathematical models and the importance of tissue properties; locoregional mild hyperthermia therapy, including phantom and realistic human anatomy models; phase array systems; tissue damage; thermal dose analysis; and thermoradiotherapy planning. This review details the improvements in numerical approaches in treatment planning and their application for effective clinical use. Furthermore, the modeling of thermoradiotherapy planning, which can be integrated with radiotherapy to provide combined hyperthermia and radiotherapy treatment planning strategies, are also discussed. This review may contribute to the effective development of thermoradiotherapy planning in clinics.
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33
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Yao A, Zastrow E, Neufeld E, Kuster N. Efficient and Reliable Assessment of the Maximum Local Tissue Temperature Increase at the Electrodes of Medical Implants under MRI Exposure. Bioelectromagnetics 2019; 40:422-433. [DOI: 10.1002/bem.22208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 06/27/2019] [Indexed: 11/06/2022]
Affiliation(s)
- Aiping Yao
- Foundation for Research on Information Technologies in Society (IT'IS) Zurich Switzerland
- Swiss Federal Institute of Technology (ETH) Zurich Zurich Switzerland
| | - Earl Zastrow
- Foundation for Research on Information Technologies in Society (IT'IS) Zurich Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS) Zurich Switzerland
| | - Niels Kuster
- Foundation for Research on Information Technologies in Society (IT'IS) Zurich Switzerland
- Swiss Federal Institute of Technology (ETH) Zurich Zurich Switzerland
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34
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Kainz W, Neufeld E, Bolch WE, Graff CG, Kim CH, Kuster N, Lloyd B, Morrison T, Segars P, Yeom YS, Zankl M, Xu XG, Tsui BMW. Advances in Computational Human Phantoms and Their Applications in Biomedical Engineering - A Topical Review. IEEE TRANSACTIONS ON RADIATION AND PLASMA MEDICAL SCIENCES 2019; 3:1-23. [PMID: 30740582 PMCID: PMC6362464 DOI: 10.1109/trpms.2018.2883437] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Over the past decades, significant improvements have been made in the field of computational human phantoms (CHPs) and their applications in biomedical engineering. Their sophistication has dramatically increased. The very first CHPs were composed of simple geometric volumes, e.g., cylinders and spheres, while current CHPs have a high resolution, cover a substantial range of the patient population, have high anatomical accuracy, are poseable, morphable, and are augmented with various details to perform functionalized computations. Advances in imaging techniques and semi-automated segmentation tools allow fast and personalized development of CHPs. These advances open the door to quickly develop personalized CHPs, inherently including the disease of the patient. Because many of these CHPs are increasingly providing data for regulatory submissions of various medical devices, the validity, anatomical accuracy, and availability to cover the entire patient population is of utmost importance. The article is organized into two main sections: the first section reviews the different modeling techniques used to create CHPs, whereas the second section discusses various applications of CHPs in biomedical engineering. Each topic gives an overview, a brief history, recent developments, and an outlook into the future.
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Affiliation(s)
- Wolfgang Kainz
- Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH), Silver Spring, MD 20993 USA
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | | | - Christian G Graff
- Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH), Silver Spring, MD 20993 USA
| | | | - Niels Kuster
- Swiss Federal Institute of Technology, ETH Zürich, and the Foundation for Research on Information Technologies in Society (IT'IS), Zürich, Switzerland
| | - Bryn Lloyd
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | - Tina Morrison
- Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH), Silver Spring, MD 20993 USA
| | | | | | - Maria Zankl
- Helmholtz Zentrum München German Research Center for Environmental Health, Munich, Germany
| | - X George Xu
- Rensselaer Polytechnic Institute, Troy, NY, USA
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35
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Cavagnaro M, Lin JC. Importance of Exposure Duration and Metrics on Correlation Between RF Energy Absorption and Temperature Increase in a Human Model. IEEE Trans Biomed Eng 2018; 66:2253-2258. [PMID: 30561338 DOI: 10.1109/tbme.2018.2886475] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This study investigated the influence of absorption metrics and averaging schemes on correlation between RF/microwave energy and induced temperature elevation for plane wave exposures. METHODS A voxel-based, anatomically realistic model of the human body was considered. Correlation of electromagnetic fields and temperature increases were evaluated at several frequencies. Both specific absorption rate (SAR) and volume absorption rate (VAR) were considered. RESULTS The best correlation with temperature increase occurs for exposure durations between 1 and 2 min both for SAR and VAR for most of the 700 to 2700 MHz frequencies considered. In this case, a 1 g mass or 1 cm3 volume appears to be optimal. However, for VAR, as frequency increases to above 900 MHz, a better correlation is achieved at slightly increased exposure times and volumes. For longer exposures, the maximum correlation coefficient is reduced, and the correlation favors larger averaging mass or volume. At steady-state (30 min), correlation of temperature increase with SAR is maximum for a mass of 9 g for all frequencies considered, whereas the volume for VAR maximum correlation is 15 cm3 for higher frequencies and 20 cm3 for lower frequencies. CONCLUSIONS In general, SAR provides a better correlation with temperature compared to VAR for short exposures, while VAR renders better correlations for higher frequencies and longer exposures. SIGNIFICANCE The correlation between electromagnetic absorption and temperature increases has implications in guidelines for limiting human exposure to electromagnetic fields and in biomedical applications such as imaging, sensing, and hyperthermia.
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36
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Destruel A, O'Brien K, Jin J, Liu F, Barth M, Crozier S. Adaptive SAR mass-averaging framework to improve predictions of local RF heating near a hip implant for parallel transmit at 7 T. Magn Reson Med 2018; 81:615-627. [PMID: 30058186 DOI: 10.1002/mrm.27379] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 04/26/2018] [Accepted: 05/07/2018] [Indexed: 12/26/2022]
Abstract
PURPOSE Magnetic resonance imaging is used increasingly to scan patients with hip prostheses. We evaluated the reliability of 10 g-averaged specific absorption rate (SAR10g ) to predict radiofrequency (RF) heating in tissues surrounding a hip implant at 7 T in an 8-channel pTx hip coil. A new adaptive SAR mass-averaging method is proposed to improve the correlation between the distribution of mass-averaged SAR and that of tissue temperature. METHODS Currently, RF safety standards for implants are based on temperature instead of SAR, as SAR has not been introduced with regard to exposure scenarios with implants. In this manuscript, however, adaptive SAR is proposed for fast and reliable exposure evaluation with implants, after its correlation with tissue temperature is verified. A framework to calculate adaptive SAR mass-averaging was introduced, which uses a different averaging mass in tissues surrounding the implants and was designed to prevent the temperature from exceeding 39ºC. Predictions from SAR10g and adaptive SAR were compared with thermal simulations. RESULTS The SAR10g method failed to predict both the location and amplitude of heating in tissue near the metal implants. In some cases, the temperature far exceeded 39ºC even when SAR10g was only 70% of the maximum allowed 10 W/kg. The distributions of adaptive SAR and temperature matched in most of the configurations, and the temperature remained below 39ºC when adaptive SAR was constrained. CONCLUSION Adaptive SAR can accurately monitor RF heating and could be used for parallel transmit at 7 T to supplement current standards.
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Affiliation(s)
- Aurelien Destruel
- School of Information Technology and Electrical Engineering, University of Queensland, Australia.,Centre for Advanced Imaging, University of Queensland, Australia
| | - Kieran O'Brien
- Centre for Advanced Imaging, University of Queensland, Australia.,Siemens Healthcare Pty Ltd, Brisbane, Australia
| | - Jin Jin
- School of Information Technology and Electrical Engineering, University of Queensland, Australia.,Siemens Medical Solutions USA, Malvern, Pennsylvania.,Institute for Neuroimaging and Informatics, University of Southern California, Los Angeles, California
| | - Feng Liu
- School of Information Technology and Electrical Engineering, University of Queensland, Australia
| | - Markus Barth
- Centre for Advanced Imaging, University of Queensland, Australia
| | - Stuart Crozier
- School of Information Technology and Electrical Engineering, University of Queensland, Australia
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37
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van Rijssel MJ, Pluim JPW, Luijten PR, Gilhuijs KGA, Raaijmakers AJE, Klomp DWJ. Estimating B 1+ in the breast at 7 T using a generic template. NMR IN BIOMEDICINE 2018; 31:e3911. [PMID: 29570887 PMCID: PMC5947628 DOI: 10.1002/nbm.3911] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 01/30/2018] [Accepted: 01/30/2018] [Indexed: 06/08/2023]
Abstract
Dynamic contrast-enhanced MRI is the workhorse of breast MRI, where the diagnosis of lesions is largely based on the enhancement curve shape. However, this curve shape is biased by RF transmit (B1+ ) field inhomogeneities. B1+ field information is required in order to correct these. The use of a generic, coil-specific B1+ template is proposed and tested. Finite-difference time-domain simulations for B1+ were performed for healthy female volunteers with a wide range of breast anatomies. A generic B1+ template was constructed by averaging simulations based on four volunteers. Three-dimensional B1+ maps were acquired in 15 other volunteers. Root mean square error (RMSE) metrics were calculated between individual simulations and the template, and between individual measurements and the template. The agreement between the proposed template approach and a B1+ mapping method was compared against the agreement between acquisition and reacquisition using the same mapping protocol. RMSE values (% of nominal flip angle) comparing individual simulations with the template were in the range 2.00-4.01%, with mean 2.68%. RMSE values comparing individual measurements with the template were in the range8.1-16%, with mean 11.7%. The agreement between the proposed template approach and a B1+ mapping method was only slightly worse than the agreement between two consecutive acquisitions using the same mapping protocol in one volunteer: the range of agreement increased from ±16% of the nominal angle for repeated measurement to ±22% for the B1+ template. With local RF transmit coils, intersubject differences in B1+ fields of the breast are comparable to the accuracy of B1+ mapping methods, even at 7 T. Consequently, a single generic B1+ template suits subjects over a wide range of breast anatomies, eliminating the need for a time-consuming B1+ mapping protocol.
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38
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Adibzadeh F, Paulides MM, van Rhoon GC. SAR thresholds for electromagnetic exposure using functional thermal dose limits. Int J Hyperthermia 2018; 34:1248-1254. [DOI: 10.1080/02656736.2018.1424945] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Fatemeh Adibzadeh
- Department of Radiation Oncology, Hyperthermia Unit, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands
| | - Margarethus M. Paulides
- Department of Radiation Oncology, Hyperthermia Unit, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands
| | - Gerard C. van Rhoon
- Department of Radiation Oncology, Hyperthermia Unit, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands
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39
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Kodera S, Gomez-Tames J, Hirata A. Temperature elevation in the human brain and skin with thermoregulation during exposure to RF energy. Biomed Eng Online 2018; 17:1. [PMID: 29310661 PMCID: PMC5759877 DOI: 10.1186/s12938-017-0432-x] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 12/26/2017] [Indexed: 12/03/2022] Open
Abstract
Background Two international guidelines/standards for human protection from electromagnetic fields define the specific absorption rate (SAR) averaged over 10 g of tissue as a metric for protection against localized radio frequency field exposure due to portable devices operating below 3–10 GHz. Temperature elevation is suggested to be a dominant effect for exposure at frequencies higher than 100 kHz. No previous studies have evaluated temperature elevation in the human head for local exposure considering thermoregulation. This study aims to discuss the temperature elevation in a human head model considering vasodilation, to discuss the conservativeness of the current limit. Methods This study computes the temperature elevations in an anatomical human head model exposed to radiation from a dipole antenna and truncated plane waves at 300 MHz–10GHz. The SARs in the human model are first computed using a finite-difference time-domain method. The temperature elevation is calculated by solving the bioheat transfer equation by considering the thermoregulation that simulates the vasodilation. Results The maximum temperature elevation in the brain appeared around its periphery. At exposures with higher intensity, the temperature elevation became larger and reached around 40 °C at the peak SAR of 100 W/kg, and became lower at higher frequencies. The temperature elevation in the brain at the current limit of 10 W/kg is at most 0.93 °C. The effect of vasodilation became notable for tissue temperature elevations higher than 1–2 °C and for an SAR of 10 W/kg. The temperature at the periphery was below the basal brain temperature (37 °C). Conclusions The temperature elevation under the current guideline for occupational exposure is within the ranges of brain temperature variability for environmental changes in daily life. The effect of vasodilation is significant, especially at higher frequencies where skin temperature elevation is dominant.
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Affiliation(s)
- Sachiko Kodera
- Department of Electrical and Mechanical Engineering, Nagoya Institute of Technology, Nagoya, 466-8555, Japan.
| | - Jose Gomez-Tames
- Department of Electrical and Mechanical Engineering, Nagoya Institute of Technology, Nagoya, 466-8555, Japan
| | - Akimasa Hirata
- Department of Electrical and Mechanical Engineering, Nagoya Institute of Technology, Nagoya, 466-8555, Japan.
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40
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Dressel S, Gosselin MC, Capstick MH, Carrasco E, Weyland MS, Scheidegger S, Neufeld E, Kuster N, Bodis S, Rohrer Bley C. Novel hyperthermia applicator system allows adaptive treatment planning: Preliminary clinical results in tumour-bearing animals. Vet Comp Oncol 2017; 16:202-213. [PMID: 28892246 DOI: 10.1111/vco.12340] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 07/14/2017] [Accepted: 07/17/2017] [Indexed: 11/28/2022]
Abstract
Hyperthermia (HT) as an adjuvant to radiation therapy (RT) is a multimodality treatment method to enhance therapeutic efficacy in different tumours. High demands are placed on the hardware and treatment planning software to guarantee adequately planned and applied HT treatments. The aim of this prospective study was to determine the effectiveness and safety of the novel HT system in tumour-bearing dogs and cats in terms of local response and toxicity as well as to compare planned with actual achieved data during heating. A novel applicator with a flexible number of elements and integrated closed-loop temperature feedback control system, and a tool for patient-specific treatment planning were used in a combined thermoradiotherapy protocol. Good agreement between predictions from planning and clinical outcome was found in 7 of 8 cases. Effective HT treatments were planned and verified with the novel system and provided improved quality of life in all but 1 patient. This individualized treatment planning and controlled heat exposure allows adaptive, flexible and safe HT treatments in palliatively treated animal patients.
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Affiliation(s)
- S Dressel
- Division of Radiation Oncology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
| | | | | | | | - M S Weyland
- ZHAW School of Engineering, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - S Scheidegger
- ZHAW School of Engineering, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - E Neufeld
- IT'IS Foundation, Zurich, Switzerland
| | - N Kuster
- IT'IS Foundation, Zurich, Switzerland.,Swiss Federal Institute of Technology (ETH), Zurich, Switzerland
| | - S Bodis
- Radioonkologie Zentrum KSA-KSB, Kantonsspital Aarau, Aarau, Switzerland.,Department of Radiation Oncology, University Hospital Zurich, Zurich, Switzerland
| | - C Rohrer Bley
- Division of Radiation Oncology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
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41
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Deniz CM, Carluccio G, Collins C. Parallel transmission RF pulse design with strict temperature constraints. NMR IN BIOMEDICINE 2017; 30:10.1002/nbm.3694. [PMID: 28187249 PMCID: PMC5456413 DOI: 10.1002/nbm.3694] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 11/29/2016] [Accepted: 12/19/2016] [Indexed: 06/06/2023]
Abstract
RF safety in parallel transmission (pTx) is generally ensured by imposing specific absorption rate (SAR) limits during pTx RF pulse design. There is increasing interest in using temperature to ensure safety in MRI. In this work, we present a local temperature correlation matrix formalism and apply it to impose strict constraints on maximum absolute temperature in pTx RF pulse design for head and hip regions. Electromagnetic field simulations were performed on the head and hip of virtual body models. Temperature correlation matrices were calculated for four different exposure durations ranging between 6 and 24 min using simulated fields and body-specific constants. Parallel transmission RF pulses were designed using either SAR or temperature constraints, and compared with each other and unconstrained RF pulse design in terms of excitation fidelity and safety. The use of temperature correlation matrices resulted in better excitation fidelity compared with the use of SAR in parallel transmission RF pulse design (for the 6 min exposure period, 8.8% versus 21.0% for the head and 28.0% versus 32.2% for the hip region). As RF exposure duration increases (from 6 min to 24 min), the benefit of using temperature correlation matrices on RF pulse design diminishes. However, the safety of the subject is always guaranteed (the maximum temperature was equal to 39°C). This trend was observed in both head and hip regions, where the perfusion rates are very different.
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Affiliation(s)
- Cem M. Deniz
- Center for Advanced Imaging Innovation and Research (CAIR) and Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, USA
- The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, USA
- NYU WIRELESS, New York University Tandon School of Engineering, Brooklyn, NY, USA
- RF Test Labs, Inc., New York, NY, USA
| | - Giuseppe Carluccio
- Center for Advanced Imaging Innovation and Research (CAIR) and Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, USA
- The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, USA
| | - Christopher Collins
- Center for Advanced Imaging Innovation and Research (CAIR) and Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, USA
- The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, USA
- NYU WIRELESS, New York University Tandon School of Engineering, Brooklyn, NY, USA
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42
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Eryaman Y, Lagore RL, Ertürk MA, Utecht L, Zhang P, Torrado-Carvajal A, Türk EA, DelaBarre L, Metzger GJ, Adriany G, Uğurbil K, Vaughan JT. Radiofrequency heating studies on anesthetized swine using fractionated dipole antennas at 10.5 T. Magn Reson Med 2017; 79:479-488. [PMID: 28370375 DOI: 10.1002/mrm.26688] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Revised: 03/03/2017] [Accepted: 03/04/2017] [Indexed: 11/09/2022]
Abstract
PURPOSE To validate electromagnetic and thermal simulations with in vivo temperature measurements, and to demonstrate a framework that can be used to predict temperature increase caused by radiofrequency (RF) excitation with dipole transmitter arrays. METHODS Dipole arrays were used to deliver RF energy in the back/neck region of the swine using different RF excitation patterns (n = 2-4 per swine) for heating. The temperature in anesthetized swine (n = 3) was measured using fluoroscopic probes (n = 12) and compared against thermal modeling from animal-specific electromagnetic simulations. RESULTS Simulated temperature curves were in agreement with the measured data. The root mean square error between simulated and measured temperature rise at all locations (at the end of each RF excitation) is calculated as 0.37°C. The mean experimental temperature rise at the maximum temperature rise locations (averaged over all experiments) is calculated as 2.89°C. The root mean square error between simulated and measured temperature at the maximum temperature rise location is calculated as 0.57°C. (Error values are averaged over all experiments.) CONCLUSIONS: Electromagnetic and thermal simulations were validated with experiments. Thermal effects of RF excitation at 10.5 Tesla with dipoles were investigated. Magn Reson Med 79:479-488, 2018. © 2017 International Society for Magnetic Resonance in Medicine.
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Affiliation(s)
- Yiğitcan Eryaman
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Russell L Lagore
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - M Arcan Ertürk
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Lynn Utecht
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Patrick Zhang
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Angel Torrado-Carvajal
- Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.,Medical Image Analysis and Biometry Laboratory, Universidad Rey Juan Carlos, Madrid, Spain
| | - Esra Abaci Türk
- Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Lance DelaBarre
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Gregory J Metzger
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Gregor Adriany
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Kâmil Uğurbil
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
| | - J Thomas Vaughan
- Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA
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43
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Chen X, Steckner M. Electromagnetic computation and modeling in MRI. Med Phys 2017; 44:1186-1203. [PMID: 28079264 DOI: 10.1002/mp.12103] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 09/26/2016] [Accepted: 01/07/2017] [Indexed: 12/13/2022] Open
Abstract
Electromagnetic (EM) computational modeling is used extensively during the development of a Magnetic Resonance Imaging (MRI) scanner, its installation, and use. MRI, which relies on interactions between nuclear magnetic moments and the applied magnetic fields, uses a range of EM tools to optimize all of the magnetic fields required to produce the image. The main field magnet is designed to exacting specifications but challenges in manufacturing, installation, and use require additional tools to maintain target operational performance. The gradient magnetic fields, which provide the primary signal localization mechanism, are designed under another set of complex design trade-offs which include conflicting imaging performance specifications and patient physiology. Gradients are largely impervious to external influences, but are also used to enhance main field operational performance. The radiofrequency (RF) magnetic fields, which are used to elicit the signals fundamental to the MR image, are a challenge to optimize for a host of reasons that include patient safety, image quality, cost optimization, and secondary signal localization capabilities. This review outlines these issues and the EM modeling used to optimize MRI system performance.
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Affiliation(s)
- Xin Chen
- Toshiba Medical Research Institute USA, Inc. 777 Beta Drive, Mayfield Village, OH, 44143, USA
| | - Michael Steckner
- Toshiba Medical Research Institute USA, Inc. 777 Beta Drive, Mayfield Village, OH, 44143, USA
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44
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Fiedler TM, Ladd ME, Bitz AK. SAR Simulations & Safety. Neuroimage 2017; 168:33-58. [PMID: 28336426 DOI: 10.1016/j.neuroimage.2017.03.035] [Citation(s) in RCA: 56] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2016] [Revised: 02/28/2017] [Accepted: 03/16/2017] [Indexed: 01/19/2023] Open
Abstract
At ultra-high fields, the assessment of radiofrequency (RF) safety presents several new challenges compared to low-field systems. Multi-channel RF transmit coils in combination with parallel transmit techniques produce time-dependent and spatially varying power loss densities in the tissue. Further, in ultra-high-field systems, localized field effects can be more pronounced due to a transition from the quasi stationary to the electromagnetic field regime. Consequently, local information on the RF field is required for reliable RF safety assessment as well as for monitoring of RF exposure during MR examinations. Numerical RF and thermal simulations for realistic exposure scenarios with anatomical body models are currently the only practical way to obtain the requisite local information on magnetic and electric field distributions as well as tissue temperature. In this article, safety regulations and the fundamental characteristics of RF field distributions in ultra-high-field systems are reviewed. Numerical methods for computation of RF fields as well as typical requirements for the analysis of realistic multi-channel RF exposure scenarios including anatomical body models are highlighted. In recent years, computation of the local tissue temperature has become of increasing interest, since a more accurate safety assessment is expected because temperature is directly related to tissue damage. Regarding thermal simulation, bio-heat transfer models and approaches for taking into account the physiological response of the human body to RF exposure are discussed. In addition, suitable methods are presented to validate calculated RF and thermal results with measurements. Finally, the concept of generalized simulation-based specific absorption rate (SAR) matrix models is discussed. These models can be incorporated into local SAR monitoring in multi-channel MR systems and allow the design of RF pulses under constraints for local SAR.
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Affiliation(s)
- Thomas M Fiedler
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
| | - Mark E Ladd
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany
| | - Andreas K Bitz
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany; Electromagnetic Theory and Applied Mathematics, Faculty of Electrical Engineering and Information Technology, FH Aachen - University of Applied Sciences, 52066 Aachen, Germany
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45
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Niendorf T, Paul K, Oezerdem C, Graessl A, Klix S, Huelnhagen T, Hezel F, Rieger J, Waiczies H, Frahm J, Nagel AM, Oberacker E, Winter L. W(h)ither human cardiac and body magnetic resonance at ultrahigh fields? technical advances, practical considerations, applications, and clinical opportunities. NMR IN BIOMEDICINE 2016; 29:1173-97. [PMID: 25706103 DOI: 10.1002/nbm.3268] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 12/26/2014] [Accepted: 01/13/2015] [Indexed: 05/12/2023]
Abstract
The objective of this study was to document and review advances and groundbreaking progress in cardiac and body MR at ultrahigh fields (UHF, B0 ≥ 7.0 T) with the goal to attract talent, clinical adopters, collaborations and resources to the biomedical and diagnostic imaging communities. This review surveys traits, advantages and challenges of cardiac and body MR at 7.0 T. The considerations run the gamut from technical advances to clinical opportunities. Key concepts, emerging technologies, practical considerations, frontier applications and future directions of UHF body and cardiac MR are provided. Examples of UHF cardiac and body imaging strategies are demonstrated. Their added value over the kindred counterparts at lower fields is explored along with an outline of research promises. The achievements of cardiac and body UHF-MR are powerful motivators and enablers, since extra speed, signal and imaging capabilities may be invested to overcome the fundamental constraints that continue to hamper traditional cardiac and body MR applications. If practical obstacles, concomitant physics effects and technical impediments can be overcome in equal measure, sophisticated cardiac and body UHF-MR will help to open the door to new MRI and MRS approaches for basic research and clinical science, with the lessons learned at 7.0 T being transferred into broad clinical use including diagnostics and therapy guiding at lower fields. Copyright © 2015 John Wiley & Sons, Ltd.
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Affiliation(s)
- Thoralf Niendorf
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site, Berlin, Germany
| | - Katharina Paul
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Celal Oezerdem
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Andreas Graessl
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Sabrina Klix
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Till Huelnhagen
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Fabian Hezel
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | | | | | - Jens Frahm
- Biomedizinische NMR Forschungs GmbH, am Max-Planck-Institut für biophysikalische Chemie, Göttingen, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site, Göttingen, Germany
| | - Armin M Nagel
- Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Eva Oberacker
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Lukas Winter
- Berlin Ultrahigh Field Facility (BUFF), Max-Delbrueck Center for Molecular Medicine, Berlin, Germany
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46
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Neufeld E, Kyriacou A, Kainz W, Kuster N. Approach to Validate Simulation-Based Distribution Predictions Combining the Gamma-Method and Uncertainty Assessment: Application to Focused Ultrasound. ACTA ACUST UNITED AC 2016. [DOI: 10.1115/1.4034323] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This paper presents a novel approach for simulation validation by combining systematic, National Institute of Standards and Technology-guideline-based uncertainty assessment with the gamma dose distribution comparison method, and applies the approach to simulated and measured complicated pressure distributions in the field of focused ultrasound. Simulations require verification and validation to demonstrate that they correctly implement the underlying model and sufficiently capture the real-world behavior of the system of interest within the context-of-use. Uncertainty assessment is necessary to determine the quality (strength, success, and range) of the validation. The combined approach of systematic uncertainty evaluation and the gamma-method presented herein permits thorough validation with meaningful and reasonable tolerances (expanded uncertainty: 1.04 dB = 12.7%, 1.88 wavelengths), whereas point-wise comparison would have resulted in an unacceptably large uncertainty (>10 dB) due to the impact of distortion. The approach presented also provides a scalar agreement metric and a natural means of visualizing areas of disagreement. Verification is achieved by identifying the critical physical and numerical phenomena and ascertaining correct handling by means of analytical and numerical benchmarks. The generality of the verification and validation approach presented makes it applicable to a wide range of computational models, beyond the highlighted acoustic simulations.
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Affiliation(s)
- Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughausstrasse 43, Zürich 8004, Switzerland e-mail:
| | - Adamos Kyriacou
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughausstrasse 43, Zürich 8004, Switzerland e-mail:
| | - Wolfgang Kainz
- Division of Physics, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD 20993 e-mail:
| | - Niels Kuster
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughausstrasse 43, Zürich 8004, Switzerland
- Swiss Federal Institute of Technology (ETH) Zürich, Zürich 8092, Switzerland e-mail:
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47
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Neufeld E, Cassará AM, Montanaro H, Kuster N, Kainz W. Functionalized anatomical models for EM-neuron Interaction modeling. Phys Med Biol 2016; 61:4390-401. [PMID: 27224508 PMCID: PMC5381388 DOI: 10.1088/0031-9155/61/12/4390] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The understanding of interactions between electromagnetic (EM) fields and nerves are crucial in contexts ranging from therapeutic neurostimulation to low frequency EM exposure safety. To properly consider the impact of in vivo induced field inhomogeneity on non-linear neuronal dynamics, coupled EM-neuronal dynamics modeling is required. For that purpose, novel functionalized computable human phantoms have been developed. Their implementation and the systematic verification of the integrated anisotropic quasi-static EM solver and neuronal dynamics modeling functionality, based on the method of manufactured solutions and numerical reference data, is described. Electric and magnetic stimulation of the ulnar and sciatic nerve were modeled to help understanding a range of controversial issues related to the magnitude and optimal determination of strength-duration (SD) time constants. The results indicate the importance of considering the stimulation-specific inhomogeneous field distributions (especially at tissue interfaces), realistic models of non-linear neuronal dynamics, very short pulses, and suitable SD extrapolation models. These results and the functionalized computable phantom will influence and support the development of safe and effective neuroprosthetic devices and novel electroceuticals. Furthermore they will assist the evaluation of existing low frequency exposure standards for the entire population under all exposure conditions.
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Affiliation(s)
- Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughausstr. 43, 8004 Zürich, Switzerland
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48
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Neufeld E, Vogiatzis Oikonomidis I, Ida Iacono M, Angelone LM, Kainz W, Kuster N. Investigation of assumptions underlying current safety guidelines on EM-induced nerve stimulation. Phys Med Biol 2016; 61:4466-78. [PMID: 27223274 DOI: 10.1088/0031-9155/61/12/4466] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
An intricate network of a variety of nerves is embedded within the complex anatomy of the human body. Although nerves are shielded from unwanted excitation, they can still be stimulated by external electromagnetic sources that induce strongly non-uniform field distributions. Current exposure safety standards designed to limit unwanted nerve stimulation are based on a series of explicit and implicit assumptions and simplifications. This paper demonstrates the applicability of functionalized anatomical phantoms with integrated coupled electromagnetic and neuronal dynamics solvers for investigating the impact of magnetic resonance exposure on nerve excitation within the full complexity of the human anatomy. The impact of neuronal dynamics models, temperature and local hot-spots, nerve trajectory and potential smoothing, anatomical inhomogeneity, and pulse duration on nerve stimulation was evaluated. As a result, multiple assumptions underlying current safety standards are questioned. It is demonstrated that coupled EM-neuronal dynamics modeling involving realistic anatomies is valuable to establish conservative safety criteria.
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Affiliation(s)
- Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughausstr. 43, 8004 Zürich, Switzerland
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49
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Murbach M, Neufeld E, Samaras T, Córcoles J, Robb FJ, Kainz W, Kuster N. Pregnant women models analyzed for RF exposure and temperature increase in 3T RF shimmed birdcages. Magn Reson Med 2016; 77:2048-2056. [PMID: 27174499 DOI: 10.1002/mrm.26268] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Revised: 04/15/2016] [Accepted: 04/15/2016] [Indexed: 12/31/2022]
Abstract
PURPOSE MRI is increasingly used to scan pregnant patients. We investigated the effect of 3 Tesla (T) two-port radiofrequency (RF) shimming in anatomical pregnant women models. THEORY AND METHODS RF shimming improves B1+ uniformity, but may at the same time significantly alter the induced current distribution and result in large changes in both the level and location of the absorbed RF energy. In this study, we evaluated the electrothermal exposure of pregnant women in the third, seventh, and ninth month of gestation at various imaging landmarks in RF body coils, including modes with RF shimming. RESULTS Although RF shimmed configurations may lower the local RF exposure for the mother, they can increase the thermal load on the fetus. In worst-case configurations, whole-body exposure and local peak temperatures-up to 40.8°C-are equal in fetus and mother. CONCLUSIONS Two-port RF shimming can significantly increase the fetal exposure in pregnant women, requiring further research to derive a very robust safety management. For the time being, restriction to the CP mode, which reduces fetal SAR exposure compared with linear-horizontal polarization modes, may be advisable. Results from this study do not support scanning pregnant patients above the normal operating mode. Magn Reson Med 77:2048-2056, 2017. © 2016 International Society for Magnetic Resonance in Medicine.
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Affiliation(s)
| | | | - Theodoros Samaras
- Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Juan Córcoles
- Department of Electronic and Communication Technology, Universidad Autónoma de Madrid (UAM), Escuela Politécnica Superior, Madrid, Spain
| | | | - Wolfgang Kainz
- US Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH), Silver Spring, Maryland, USA
| | - Niels Kuster
- IT'IS Foundation, Zurich, Switzerland.,Swiss Federal Institute of Technology (ETH), Zurich, Switzerland
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50
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Simonis FFJ, Raaijmakers AJE, Lagendijk JJW, van den Berg CAT. Validating subject-specific RF and thermal simulations in the calf muscle using MR-based temperature measurements. Magn Reson Med 2016; 77:1691-1700. [PMID: 27120403 DOI: 10.1002/mrm.26244] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Revised: 03/01/2016] [Accepted: 03/25/2016] [Indexed: 02/05/2023]
Abstract
PURPOSE Ongoing discussions occur to translate the safety restrictions on MR scanners from specific absorption rate (SAR) to thermal dose. Therefore, this research focuses on the accuracy of thermal simulations in human subjects during an MR exam, which is fundamental information in that debate. METHODS Radiofrequency (RF) heating experiments were performed on the calves of 13 healthy subjects using a dedicated transmit-receive coil while monitoring the temperature with proton resonance frequency shift (PRFS) thermometry. Subject-specific models and one generic model were used for electromagnetic and thermal simulations using Pennes' bioheat equation, with the blood equilibration constant equaling zero. The simulations were subsequently compared with the experimental results. RESULTS The mean B1+ equaled 15 µT in the center slice of all volunteers, and 95% of the voxels had errors smaller than 2.8 µT between the simulation and measurement. The intersubject variation in RF power to achieve the required B1+ was 11%. The resulting intersubject variation in median temperature rise was 14%. Thermal simulations underestimated the median temperature increase on average, with 34% in subject-specific models and 28% in the generic model. CONCLUSIONS Although thermal measures are directly coupled to tissue damage and therefore suitable for RF safety assessment, insecurities in the applied thermal modeling limit their estimation accuracy. Magn Reson Med 77:1691-1700, 2017. © 2016 International Society for Magnetic Resonance in Medicine.
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Affiliation(s)
- F F J Simonis
- Department of Radiotherapy, Imaging Division, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, the Netherlands
| | - A J E Raaijmakers
- Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, the Netherlands
| | - J J W Lagendijk
- Department of Radiotherapy, Imaging Division, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, the Netherlands
| | - C A T van den Berg
- Department of Radiotherapy, Imaging Division, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, the Netherlands
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