Vincent Hammersen1, Michael Wolff1, Jakob Kreutner1, and Gregor Schaefers2
1R&D, MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 2MR:comp GmbH, Gelsenkirchen, Germany
Synopsis
Gradient induced heating of an AIMD is a serious safety
hazard. To examine this risk a time consuming temperature mapping of the device
with temperature probes is necessary to characterize hotspots on the implant.
The use of IR cameras would directly point out where those hotspots occur and
simplify those measurements to fewer mapping runs with temperature probes. But
the small solution medium layer heights necessary for imaging could alter the hotspot
characteristics. We investigated this problem with a laboratory test system and
showed that hotspots neither move nor are affected in its location by different
media types.
Introduction:
Gradient-induced heating is a well-known potential
risk for patients with active implantable medical devices (AIMDs). The switched
magnetic fields of the MRI-scanner interact with these devices and induce
energy in form of eddy currents into conductive components with a certain minimal
size and orientation. This can lead to local heating effects. A method to
evaluate this risk is defined in ISO/TS10974 1 and requires a hotspot survey
prior to testing. If temperature sensors are used and the device under testing
(DUT) is large, a fine-meshed and time consuming grid on the DUT has to be
examined. To overcome this problem the use of infrared cameras was proposed to
monitor the device heating, but it can only monitor the temperature through a
thin layer of liquid (about 2-3mm). So the question we tried to resolve is:
Can hotspots be correctly assessed with IR cameras?
And do small media heights affect the hotspot characteristics?Material and Methods:
Testing was performed in a laboratory test system.
The DUT was placed inside a pulsed magnetic field simulator coil (PMFS,
MRI-Tec, Germany) (see Fig.1), which is excited by high performance amplifiers
and a function generator that provides the pulse sequences. A triangle wave
form with 2500 Hz was selected, with a dB/dtrms of about
140 T/s at the test object location and duration of 300s. Magnetic field
condition testing was performed using a calibrated search coil.
A measurement grid (see Fig.1) was drawn on the
DUT, an explanted generic IPG (maximal spacing: line to line about 5mm, probe
point to probe position about 10mm). The IPG was coated with anti-reflection
spray and placed in the phantom with its biggest surface oriented perpendicular
to the magnetic field. This orientation leads to the highest heating effects. An
IR-Camera (FLIR, Wilsonville, OR, USA) is used to monitor the hotspots and
Fiber optic temperature probes (Optocon AG, Dresden, Germany) are used for
temperature mapping. Two media types were selected and compared: Polyacrylic
gel and a NaCl solution (both: σ = 0.47 S/m and εr = 78
1).
In a first step the IPG inside the phantom was
covered with 2-3mm of gel and the IR-hotspot search was performed using the IR
camera. In the second step the temperature probes were placed at the predefined
line (P1-P4) on the implant (see Fig.2). The phantom was filled entirely with gel.
The medium was stirred until the temperature was homogenously within
± 1.0 °C of the room temperature and the 300s exposition started.
This step was repeated until data for all relevant grid positions was obtained.
The gel was then replaced with the NaCl solution and the entire experiment was
repeated. Grid line measurements were performed in gel at line 1,2,3,4,6,10
(see Fig.3) and in NaCl at line 11,2,,2,3,5,10.Results and Discusion:
The time-dependent temperature rise in gel for one
grid line is presented in Fig.2. The corresponding IR-Image, at tend=300s,
shows a large hotspot on the lower half of the IPG, with cooler edges. The same
characteristics can be seen on the temperature probes chart in Fig.2, where central
sensors P2 and P3 show the highest and the sensors on the edge P1 and P4 show a
significant lower temperature.
The maximum temperature increase for selected lines
is shown in Fig. 3 and is in accordance with the grid locations depicted in the
hotspot overlay. Probe 3 shows reduced heating effects on line 2 and 4 compared
to probe position 2 on these lines. A reason for this effect could be the more
central location of line 2 in the hotspot. According to Fig.3 temperature
mapping hotspots are limited to this area, probe position 2 and 3 on line 2 to
line 4.
Fig.4. is comparing the hotspot growth in gel and NaCl.
The NaCl solutions shows a sharper image with more confined thermal zones, but
the maximum temperature rise is much lower compared to gel (see Fig.5). There
are also differences between probe position 2 and 3 (line 2 and 3). This could
be due to convection effects in the less viscous medium. However hotspot centers
and especially maximum temperature areas are very similar.Conclusion:
It is possible to use IR cameras with small media layers to find hotspots;
those are congruent to those found with temperature probe mapping and normal
medium level infill. This is the case for both NaCl- and gel-media, both media
are showing matching hotspot locations. The more viscous and therefore better
isolating nature of gel restrains thermic convection better than the more
liquid NaCl solution, but also leads to a blurrier IR-picture 2. The overall
temperature increase is much higher in gel than in NaCl. Measurements should
therefore always be performed in gel. Since IR cameras only give relative
temperatures, exact measurements with temperature probes are still essential,
but it is possible to save of lot of time by limiting the measurements on the
relevant hotspot found by IR cameras. For example in this measurement setup: a
reduction from original 10 mapping lines to just 2 or 3 (lines 2 to 4) would be
reasonable and a big time saver.Acknowledgements
No acknowledgement found.References
[1] Technical specification ISO/TS 10974 “Assessment
of the safety of magnetic resonance imaging for patients with an active
implantable medical device”; www.iso.org.
[2] M. Wolff, S. Scholz, A. Douiri, et al. Thermographic
evaluation of different media types for hot spot detection during a simulated
switched MRI gradient magnetic field exposure. ESMRMB 2017, 34th Annual
Scientific Meeting, Barcelona.