Cem M Deniz1,2, Giuseppe Carluccio1, and Christopher M Collins1,2
1Department of Radiology, Center for Advanced Imaging Innovation and Research (CAI2R) and Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States, 2The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States
Synopsis
There
is an increasing interest in using temperature to ensure safety in MRI. We
designed parallel transmission RF pulses using either SAR or temperature constraints
and compared to each other and unconstrained RF pulse design in terms of
excitation fidelity and safety for four different RF exposure durations (from 6
mins to 24 mins). We found that the benefit of using temperature correlation
matrices on RF pulse design diminishes as RF exposure duration increases.
However, 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.
Purpose
RF
safety of subjects is generally ensured during parallel transmission (pTx) RF
pulse design using SAR1. Recently, the use of temperature constraints has
been proposed during pTx RF pulse design to ensure patient safety2–4. Various pTx RF pulse strategies have been
implemented using electromagnetic(EM) field simulations of head models: where
the moderating effects of perfusion are expected to enable superior RF pulse designs
using temperature as a constraint compared to SAR. In the present study, we analyzed the effect
of RF exposure duration (from 6 to 24 minutes ) on RF pulse design performance for regions with different perfusion
characteristics: the head (with brain having relatively high perfusion rates),
and the hip (containing only tissues with relatively low perfusion rates).Methods
EM field simulations of 8 element 7T transmit hip (Fig.1a)
and head arrays (Fig.1b) using the HUGO head model (resolution=5mm3) and the Ella body model5 (resolution=1mm3)
were performed, respectively. Individual coil field distributions
were used for RF pulse design and temperature
simulations.
pTx RF pulses were designed using the small-tip-approximation6 and the following
convex optimization with virtual observation points(VOPs)7: $$\begin{matrix}&\widehat v_{full}=\begin{matrix}argmin\\v_{full}\end{matrix}\left\|A_{full}v_{full}-m_{des}\right\|^2_2\\\text{subject to}&T_{0,j}+v^{*}_{full}Z^{j}_{full}v_{full}\leq39°C\text{ }\forall
j\end{matrix}$$ where $$$m_{des}$$$ is the
desired magnetization profile, and $$$Z^j_{full}$$$ are the block diagonal matrices that contain temperature VOPs to be used in conjunction
with $$$v_{full}$$$. $$$T_{0,j}$$$ is the maximum initial temperature located
within the cluster of jth temperature VOP. RF pulses designed with temperature
constraints (“temperature constrained”, with max 39°C) were compared to RF pulses designed with 10g
averaged SAR constraints (“10gSAR constrained”, with max 10W/kg) as well as RF
pulses designed without any constraints (“unconstrained”). Details of obtaining
the temperature correlation, $$$Z_{full}$$$, and
system, $$$A_{full}$$$, matrices
are explained in Ref.2. A constant rate
spiral-in excitation k-space
trajectory was used in a gradient-echo-based sequence with TR=9ms with the
following parameters: duration=2.2ms(hip)/3.1ms(head), sampling
interval=10μs, maximum gradient slew rate=150mT/m/s and gradient
amplitude=40mT/m. Desired excitation profiles are shown in Fig1.c-d.Results
Figure.2 shows results from RF
pulses designed for different RF exposure durations in head and hip
regions. In both regions, RF pulses designed without safety constraints resulted in constant NRMSE and the maximum
SAR for all exposure durations, and the maximum temperature
increasing with exposure duration reaching 40.4°C and 43.7°C at the end of 24mins of imaging for head and hip regions, respectively. In 10gSAR
constrained design, the maximum temperature increased from 38.4°C to 38.9°C and
38.2°C to 39.3°C for head and hip regions, respectively, while NRMSE and the
maximum SAR were constant as the exposure duration is increased.
Contrary to
the trends observed for unconstrained and 10gSAR constrained pulses,
in the temperature constrained design for the hip region, the NRMSE increased (from
28.0% to 33.6%) and the maximum SAR decreased (from 18.2W/kg to 8.9W/kg) as
RF exposure duration is increased. In the head, the
NRMSE increased (from 8.8% to 19.7%) and the maximum SAR decreased (from 18.0W/kg to 10.6W/kg) as the RF exposure duration is increased. In both regions, the
maximum temperature remained constant at 39°C as RF exposure duration changed. To
meet strict temperature safety requirements, some compromise in NRMSE was
required during temperature constrained RF pulse design. For sequence durations up to 18mins and
above 24mins, lower NRMSE was obtained using strict temperature constraints
compared to SAR constraints in the hip and head, respectively.
For both higher benefits of using temperature constraints
are obtained for shorter sequence durations.
Discussion and Conclusions
We demonstrate that using temperature correlation matrices for pTx RF pulses constraining maximum absolute temperature is beneficial
in both regions. Our results agree with previous
investigations obtained in the head using constraints on temperature increase2,4, indicating that better excitation profiles can be achieved with
temperature constraints than with SAR constraints. Regardless of the perfusion
characteristics differences, our results indicate using temperature correlation
matrices enable lower excitation errors especially for shorter RF exposures and still ensure patient safety. As the RF exposure duration is increased, the benefit of
using temperature correlation matrices diminishes for both
regions. However, safe operation is always guaranteed by using temperature correlation matrices with the expense
of increased excitation error, while using strict SAR constraints may result in
exposure conditions where the maximum local temperature exceeds 39°C. It is also important to note that continuous
exposures to a single SAR distribution and level (single sequence) lasting up
to 24mins is increasingly rare in practice. Rather, shorter sequences with
different SAR levels are applied in series, often with breaks in between them
during which temperature will progress towards baseline. Thus, we believe that
the results for exposure periods shorter than 24mins are more relevant in
practice. Acknowledgements
The
Center for Advanced Imaging Innovation and Research (CAI2R, www.cai2r.net) at New York University School of
Medicine is supported by NIH/NIBIB grant number P41
EB017183.References
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