Pallab Bhattacharyya1, Tanvir Baig2, Bhumi Bhusal2, Mark Lowe1, Michael Martens2, and Stephen Jones1
1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, 2Physics, Case Western Reserve University, Cleveland, OH, United States
Synopsis
RF-induced heating of stereo encephalography (SEEG)
electrodes during MRI scans could be of concern. Since the direction of entry of
SEEG electrodes into brain can vary, heating of the tip of a single insulated copper
wire (with bare tip) entering into a gel filled ASTM phantom axially (along the
Z axis) and laterally (along the X axis) were measured as a function of the
wire length. In this simple model of multi-wire multi-contact SEEG system, the
resonating lengths (length with maximum heating) of the 2 configurations were
same, while the lateral entry mode produced more heating.
Purpose
Functional MRI (fMRI) simultaneously with stereo
electroencephalography (SEEG) has recently been shown to improve identification
of epileptogenic zone (EZ), for subsequent resection as a cure for medically
refractory focal epilepsy.1 As a safety
measure of performing MRI with implanted SEEG electrodes, RF induced heating of
SEEG electrodes in dielectric media similar to cerebral tissues have been
reported.2,3.
It has been shown that temperature in the tip of a guidewire can have excessive
heating, when the length of the wire approaches certain resonating lengths.4,5 Since the SEEG electrode and the connecting
extension cable can enter into the brain along the Z axis (straight and axially)
or X axis (bent and laterally), in this study with a single wire model, we
investigate the dependence of heating of a single wire as a function of the
direction of entry (with respect to the B0 field) into the
dielectric medium from air. Methods
All experiments were conducted in a whole body 3T
Prisma scanner (Siemens Erlangen, Germany) with a transmit-receive (TxRx) head
coil. Heating of a copper wire (250 cm long, 0.7 mm diameter) during a turbo
spin echo (TSE) scan (TR = 6470 ms; TE = 71 ms; Flip angle = 1800; Turbo
factor = 15; Echo trains per slice = 18) was studied. The specific absorption
rate values of the sequence were whole body: 0.2 W/kg, exposed body: 2.8 W/kg,
head: 2.8 W.kg, time averaged RF power: 8.3 W. The wire was insulated with
polyvinyl chloride (PVC) throughout the length, except for 2 mm at the tip
(similar to the tip of a real electrode). An ASTM torso phantom was filled up
with polyacryclic gel6 having similar
conductivity as human tissue. Two different experiments were carried out with
(i) the wire entering the phantom along the Z axis at a position 2 cm inside from the lateral
surface of the phantom and with 9 cm of its length in the phantom and (ii) the
wire entering the phantom along the X axis with the wire bent and entering from
the side of the phantom with 9 cm of its length in the phantom (Fig. 1). The
tip of the wire was close to where the midline of the brain would be for an in vivo scan. For each experiment, the
length of the wire was changed by cutting the portion of the outside end keeping
the inside portion length fixed at 9 cm.
Temperature change for each length of the wire tip during the TSE scan
was measured using fluoroptic temperature sensor (model m3300, Luxtron
(Lumasense Technologies), Santa Clara, CA, USA). Sufficient time was allowed
between subsequent measurements to allow the system to cool down to baseline
temperature.Results and Discussion
The temperature rise of the wire tip for
different lengths for wire entering axially is shown in Table 1 and Fig. 2. The
1st two resonances, as determined from the local maxima, were at
total lengths of 70 cm and 185 cm. Separation between the resonances was 115
cm, which is half the wavelength (λ) in air at 3T. The temperature rise of the
wire tip during the TSE scan as a function of different total lengths for the
wire entering the phantom laterally is shown in Table 2. The TSE sequence, not
used in vivo, is used here to
generate high power (~4-5 times higher than echoplanar imaging for fMRI). Fig.
3 shows that the resonance lengths under the 2 different scenarios are about
the same. However, the temperature rise for both the resonance lengths is ~2.50C
higher in the case of laterally entering wire. This possibly is due to the wire
being closer to the Tx body coil in case of the wire entering laterally in the
phantom. The similarity in resonance length and hence the wire temperature rise
pattern suggests that the lengths of a conducting wire to avoid while entering
into the tissue is same in either case. A SEEG electrode has multiple contacts
– and hence this is the simple (single contact) model of what would be used in
real life. But this model suggests that temperature rise is more when the wire (i)
is closer to the Tx RF coil and (ii) is at resonance length.Conclusion
RF-induced heating of a single insulated
wire exposed at the tip increases at specific resonance lengths, and the
resonance lengths are independent of the mode of entry (axial or lateral) into
a conducting dielectric medium. The heating is higher as the wire gets closer
to the Tx coil.Acknowledgements
This research was supported in part by Cleveland
Clinic Epilepsy Center.References
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