Electromagnetic simulations remain to date the preferred method to assess the Specific Absorption Rate (SAR). Within that framework, taking into account the SAR intersubject variability by using a multiplicative safety factor on generic model results remains attractive due to its computational simplicity. Here we report a probabilistic analysis based on the unscented transform sampling scheme followed by the reconstruction of a polynomial approximation of the SAR with respect to head geometrical and position variables. Probabilities of exceeding a given SAR value in the population are returned and safety factors can be deduced based on risk over benefit ratio assessments.
The coil under study was the 8 Tx-Rx Rapid biomedical coil (Rapid biomedical, Rimpar, Germany). Thirty three EM simulations using the finite-element HFSS (Ansys, Canonsburg, PA, USA) solver were performed to sample the 4-dimensional parameter space consisting of the head length (HL), head breadth (HB), translations in Z (TZ) and in Y (TY) (Fig.1). The generic average head model was taken as an in-house surface-based model (9 tissues) which included shoulders and whose dimensions were very close to the mean of the adult Caucasian population2. HL, HB, TZ and TY were modeled as random normal variables (denoted Xi=1…4) with zero means and standard deviations (std) taken from2 for the first two variables (7 and 6 mm respectively), while 15 and 3.8 mm were taken respectively for the last two so that 3 stds would encompass all possible scenarios. The sampling points at which full EM simulations were performed were determined by following the unscented transform scheme3: $$$(\pm\sigma_1,\pm\sigma_2,\pm\sigma_3,\pm\sigma_4)\sqrt{3/2}$$$, $$$(0,\pm\sigma_k,...,0)\sqrt{6}$$$, $$$(0,\pm\sigma_k,...,0)\sqrt{3}$$$ and $$$(0,0,0,0)$$$ (the origin, i.e. average model), where $$$\sigma_k$$$ denotes the std of Xk. The corresponding 10-g SAR matrices were then calculated for each setup/model. A given RF excitation then returned a peak 10-g SAR value over 33 setups which was normalized by the average model peak SAR to yield the dimensionless variable SARN= SAR(Xi=1…4)/SAR(Xi=1…4= 0). Assuming a smooth dependence with respect to Xi=1…4 the normalized SAR was modeled as a multivariate second order polynomial4
$$SAR_N=a_0+a_1X_1+a_2X_2+a_3X_3+a_4X_4+a_{1,2}X_1X_2+a_{1,3}X_1X_3+a_{1,4}X_1X_4+\cdot\cdot\cdot$$
$$a_{2,3}X_2X_3+a_{2,4}X_2X_4+a_{3,4}X_3X_4+b_1X_1^2+b_2X_2^2+b_3X_3^2+b_4X_4^2\cdot$$
The 15 coefficients of this polynomial were reconstructed by a weighted-least squares fit to take into account the probability of occurrence of the Xi values. The observed peak SAR being pulse-dependent, several RF excitation schemes were tested: 105 random RF shims, 105 random 5 kT-points, a CP-mode, a universal inversion pulse tailored to work robustly over the 33 models5 and 33 (non-random) tailored RF shims (one for each setup). Once the polynomials were reconstructed for each RF pulse, 106 random values of Xi=1…4 were generated according to their native normal probability distributions to compute the corresponding 106 SARN values. Probabilities to exceed a given SAR threshold could then be deduced by simply counting the number of SAR values exceeding that limit.
Figure 2 reports the results of the multivariate polynomial fits along each variable Xi and for 3 different RF pulses. The SAR sampled at the 33 points in the geometrical and position space investigated behaves relatively smoothly so that second order polynomials appear reasonable approximations. The probability to exceed a given peak SAR for the entire population is provided for each pulse type (the average being taken for the 105 RF-shim and 5 kT-point scenarios) in Fig.3.a. A 1.5 safety factor keeps the probability of exceeding the corresponding SAR result below 1 % for most RF pulses, although the pulse variability shown in Fig.3.b of these results should be kept in mind.