A simulation study on the effect of optimized high permittivity materials on fetal imaging at 3T

3 Tesla Fetal MR Imaging Quality and Safety Considerations

Medical imaging, particularly fetal MR imaging, has undergone a transformative shift with the introduction of 3 Tesla (3T) clinical MR imaging systems. The utilization of higher static magnetic fields in these systems has resulted in remarkable advancements, including superior soft tissue contrast, improved spatial and temporal resolution, and reduced image acquisition time. Despite these notable benefits, safety concerns have emerged, stemming from the elevated static magnetic field strength, amplified acoustic noise, and increased radiofrequency power deposition. This article provides an overview of fetal MR imaging at 3T, its benefits and drawbacks, and the potential safety issues.

Radiofrequency safety of high permittivity pads in MRI-Impact of insulation material

PURPOSE

High permittivity dielectric pads are known to be effective for tailoring the RF field and improving image quality in high field MRI. Despite a number of studies reporting benign specific absorption rate (SAR) effects, their "universal" safety remains an open concern. In this work, we evaluate the impact of the insulation material in between the pad and the body, using both RF simulations as well as phantom experiments.

METHODS

A 3T configuration with high permittivity material was simulated and characterized experimentally in terms of B₁ ⁺ fields and RF power absorption, both with and without electrical insulation in between the high permittivity material and the sample. Different insulation conditions were compared, and electromagnetic analyses on the induced current density were performed to elucidate the effect.

RESULTS

Increases in RF heating of up to 49% were observed experimentally in a tissue-mimicking phantom after removing the material insulation. The B₁ ⁺ magnitude and RF transceive phase were not affected. Simulations indicated that an insulation thickness of 0.5-2 mm should be accounted for in numerical models in order to ensure reliable results.

CONCLUSION

A reliable RF safety assessment of high permittivity dielectric pads requires accounting for the insulating properties of the plastic encasing. Ignoring the electrical insulation can lead to erroneous results with substantial increases in local SAR at the interface. Conversely, the material insulation does not need to be modeled to predict the B₁ ⁺ effects during the design of the pad geometry.

Improving detection of fMRI activation at 1.5 T using high permittivity ceramics

In this work, we propose an application of high permittivity materials (HPMs) to improve functional magnetic resonance imaging (fMRI) at 1.5 T, increasing the receive (Rx) sensitivity of a commercial multi-channel head coil. To evaluate the transmit efficiency, specific absorption rate (SAR), and the signal-to-noise ratio (SNR) changes introduced by the HPMs with relative permittivity of 4500, we considered the following configurations in simulation: a whole-body birdcage coil and an Rx-only multi-channel head coil with and without the HPM blocks in the presence of a homogeneous head phantom or a human body model. Experimental studies were also performed with a phantom and with volunteers. Seven healthy volunteers enrolled in a prospective study of fMRI activation in the motor cortex with and without HPMs. fMRI data were analyzed using group-level paired T-tests between acquisitions with and without HPM blocks. Both electromagnetic simulations and experimental measurements showed ∼25% improvement in the Rx sensitivity of a commercial head coil in the areas of interest when HPM blocks were placed in close proximity. It increased the detected motor cortex fMRI activation volume by an average of 56%, thus resulting in more sensitive functional imaging at 1.5 T.

Parallel transmission 2D RARE imaging at 7T with transmit field inhomogeneity mitigation and local SAR control

PURPOSE

We develop and test a parallel transmit (pTx) pulse design framework to mitigate transmit field inhomogeneity with control of local specific absorption rate (SAR) in 2D rapid acquisition with relaxation enhancement (RARE) imaging at 7T.

METHODS

We design large flip angle RF pulses with explicit local SAR constraints by numerical simulation of the Bloch equations. Parallel computation and analytical expressions for the Jacobian and the Hessian matrices are employed to reduce pulse design time. The refocusing-excitation "spokes" pulse pairs are designed to satisfy the Carr-Purcell-Meiboom-Gill (CPMG) condition using a combined magnitude least squares-least squares approach.

RESULTS

In a simulated dataset, the proposed approach reduced peak local SAR by up to 56% for the same level of refocusing uniformity error and reduced refocusing uniformity error by up to 59% (from 32% to 7%) for the same level of peak local SAR compared to the circularly polarized birdcage mode of the pTx array. Using explicit local SAR constraints also reduced peak local SAR by up to 46% compared to an RF peak power constrained design. The excitation and refocusing uniformity error were reduced from 20%-33% to 4%-6% in single slice phantom experiments. Phantom experiments demonstrated good agreement between the simulated excitation and refocusing uniformity profiles and experimental image shading.

CONCLUSION

PTx-designed excitation and refocusing CPMG pulse pairs can mitigate transmit field inhomogeneity in the 2D RARE sequence. Moreover, local SAR can be decreased significantly using pTx, potentially leading to better slice coverage, enabling larger flip angles or faster imaging.

Novel materials in magnetic resonance imaging: high permittivity ceramics, metamaterials, metasurfaces and artificial dielectrics

This article reviews recent developments in designing and testing new types of materials which can be: (i) placed around the body for in vivo imaging, (ii) be integrated into a conventional RF coil, or (iii) form the resonator itself. These materials can improve the quality of MRI scans for both in vivo and magnetic resonance microscopy applications. The methodological section covers the basic operation and design of two different types of materials, namely high permittivity materials constructed from ceramics and artificial dielectrics/metasurfaces formed by coupled conductive subunits, either in air or surrounded by dielectric material. Applications of high permittivity materials and metasurfaces placed next to the body to neuroimaging and extremity imaging at 7 T, body and neuroimaging at 3 T, and extremity imaging at 1.5 T are shown. Results using ceramic resonators for both high field in vivo imaging and magnetic resonance microscopy are also shown. The development of new materials to improve MR image quality remains an active area of research, but has not yet found significant use in clinical applications. This is mainly due to practical issues such as specific absorption rate modelling, accurate and reproducible placement, and acceptable size/weight of such materials. The most successful area has been simple “dielectric pads” for neuroimaging at 7 T which were initially developed somewhat as a stop-gap while parallel transmit technology was being developed, but have continued to be used at many sites. Some of these issues can potentially be overcome using much lighter metasurfaces and artificial dielectrics, which are just beginning to be assessed.

Improving B 1 + homogeneity in abdominal imaging at 3 T with light, flexible, and compact metasurface

PURPOSE

Radiofrequency field inhomogeneity is a significant issue in imaging large fields of view in high- and ultrahigh-field MRI. Passive shimming with coupled coils or dielectric pads is the most common approach at 3 T. We introduce and test light and compact metasurface, providing the same homogeneity improvement in clinical abdominal imaging at 3 T as a conventional dielectric pad.

METHODS

The metasurface comprising a periodic structure of copper strips and parallel-plate capacitive elements printed on a flexible polyimide substrate supports propagation of slow electromagnetic waves similar to a high-permittivity slab. We compare the metasurface operating inside a transmit body birdcage coil to the state-of-the-art pad by numerical simulations and in vivo study on healthy volunteers.

RESULTS

Numerical simulations with different body models show that the local minimum of B 1 + causing a dark void in the abdominal domain is removed by the metasurface with comparable resulting homogeneity as for the pad with decreasing maximum and whole-body SAR values. In vivo results confirm similar homogeneity improvement and demonstrate the stability to body mass index.

CONCLUSION

The light, flexible, and inexpensive metasurface can replace a relatively heavy and expensive pad based on the aqueous suspension of barium titanate in abdominal imaging at 3 T.

A simulation study on the effect of optimized high permittivity materials on fetal imaging at 3T

PURPOSE

One of the main concerns in fetal MRI is the radiofrequency power that is absorbed both by the mother and the fetus. Passive shimming using high permittivity materials in the form of "dielectric pads" has previously been shown to increase the B 1 + efficiency and homogeneity in different applications, while reducing the specific absorption rate (SAR). In this work, we study the effect of optimized dielectric pads for 3 pregnant models.

METHODS

Pregnant models in the 3rd, 7th, and 9th months of gestation were used for simulations in a birdcage coil at 3T. Dielectric pads were optimized regions of interest (ROI) using previously developed methods for B 1 + efficiency and homogeneity and were designed for 2 ROIs: the entire fetus and the brain of the fetus. The SAR was evaluated in terms of the whole-body SAR, average SAR in the fetus and amniotic fluid, and maximum 10 g-averaged SAR in the mother, fetus, and amniotic fluid.

RESULTS

The optimized dielectric pads increased the transmit efficiency up to 55% and increased the B 1 + homogeneity in almost every tested configuration. The B 1 + -normalized whole-body SAR was reduced by more than 31% for all body models. The B 1 + -normalized local SAR was reduced in most scenarios by up to 62%.

CONCLUSION

Simulations have shown that optimized high permittivity pads can reduce SAR in pregnant subjects at the 3rd, 7th, and 9th month of gestation, while improving the transmit field homogeneity in the fetus. However, significantly more work is required to demonstrate that fetal imaging is safe under standard operating conditions.