Simone Angela Winkler1
1Department of Radiology, Weill Cornell Medicine, New York, NY, United States
Synopsis
In
recent years, there is increasing interest to move MRI toward higher static
field strengths. The motivation for higher field strengths lies in the promise
of higher signal-to-noise ratio (SNR), however, higher field (e.g., 7 Tesla
[T]) human MRI remains challenging due to several difficulties including the
inhomogeneity of the transmitted radio frequency (RF) field, which leads to two
phenomena.
-
(1)
Non-uniform excitation (B1+) and therefore
non-uniform image intensity;
- (2)
Non-uniform electric fields and therefore locally increased tissue heating.
This talk will focus on RF modeling methods to predict B1+ and SAR distributions in the human body.
INTRODUCTION
In
recent years, there is increasing interest to move MRI toward higher static
field strengths. The motivation for higher field strengths lies in the promise
of higher signal-to-noise ratio (SNR), however, higher field (e.g., 7 Tesla
[T]) human MRI remains challenging due to several difficulties including the
inhomogeneity of the transmitted radio frequency (RF) field, which leads to two
phenomena distinctly related to UHF MRI.
(1)
Non-uniform excitation (B1+) and therefore
non-uniform image intensity;
(2)
Non-uniform electric fields and therefore potential
hotspots and locally increased tissue heating.NON-UNIFORM TRANSMIT FIELDS (B1+)
Even
at moderately high field strengths such as 3T, B1+ inhomogeneity effects are
observed and are severe enough in certain applications to warrant detailed
understanding and correction—this is especially important at 3T given the
clinical importance of this field strength [1].
In the case of 3T breast MR, this B1+ nonuniformity results in a distinct
left–right asymmetry, such that the B1+ field magnitude in the left breast is
increased by a factor of approximately 1.3 with regard to the right breast for
various patient orientations and types of body coils [2]-[3].
An example of the B1+ distribution is shown in Figure 1a, with another example
in Figure 1b showcasing the MR image shading that results from such an
inhomogeneous B1+ distribution.
The
aforementioned problems of B1+ nonuniformity arise as a result of loading of
the body coil (Fig. 1c) by the human body. As shown in Figure 1f, the
polarization distribution of the B1 field becomes severely perturbed compared
with the circularly polarized unloaded B1 field in Figure 1e, even at the
moderate field strength of 3T as shown here. This results in a generally
noncircular (elliptical) polarization, with certain regions that even
degenerate into a linear polarization. In practice, this translates into a
smaller left-hand rotating component of the transmitted B1+-field, with the
remaining portion of the total B1-field spilling over into the right-hand
polarization (i.e., the B1 component of the transmit field), which is not
useful for spin excitation—the result is a lower efficiency for spin excitation
as well as a decreased receive RF signal in certain areas of the image, leading
to local image shading.NON-UNIFORM TISSUE HEATING (SAR)
This
safety issue is one of the most important limiting factors in the design and
use of the RF components for UHF MRI, since there is a risk of patient injury
through the deposition of high RF power levels within small regions
(“hotspots”) for extended times, leading to local heating with potential tissue
damage. The key parameter used in characterizing MR safety for RF coils is the
specific absorption rate (SAR), which measures the power delivered to a certain
mass of tissue in W/kg. Current technology is not equipped to measure SAR
locally; the only quantity that can be easily determined in-vivo is the overall
average, or global, SAR, which is a measure of the average power absorbed per
unit mass of tissue that is delivered to the entire mass of the body part under
investigation (e.g. head or torso).
In
UHF MRI, higher static field strengths result in higher global specific
absorption rate (SAR) values. Additionally, the wave phenomena that emerge in
UHF MRI introduce an inherent spatial variation of the electric fields,
resulting in a spatially-varying local SAR pattern (Figure 2). The local
variation is hard to predict due to anatomical, tissue compositional and
positional variations between patients, as well as variations determined by the
transmit RF coil. This increased and difficult to predict local SAR may in fact
be the dominant limitation of high field and especially UHF MRI.
Parallel
transmit (pTx) technology, in which multiple transmit RF channels can be
controlled independently [4],[5],
has become popular for mitigating the B1+
field non-uniformity problems that occur at higher field strengths. However, an
unconstrained combination of the power output of multiple channels can, in a
worst-case scenario, causes very strong local heating effects due to
constructive interference of the electric field components from each channel,
leading to strong local SAR hotspots, possibly even stronger than those
produced by conventional excitation. This concern has led to the development of
SAR-aware pTx methods, which employ knowledge of E-fields in addition to the extra degrees of freedom provided by
the multi-transmit coil, to reduce local SAR hotspots while simultaneously
constraining B1+
inhomogeneity [6]-[11].
To
date there is still no good method available to directly and non-invasively
measure local SAR in-vivo. In the current practical environment the global or
average SAR is measured and a conservative estimate of the peak local SAR is
established using a ratio that is typically in the range between 3:1 and 20:1 [12].
The peak local SAR can then be estimated from the measured global SAR by
multiplication with this ratio. RF MODELING
Electromagnetic
and RF modeling has become a popular tool to assess B1+ and SAR in simulation [13]-[16].
A diverse family of detailed body models can be used to estimate B1+, global
SAR, and peak local SAR in various different body types ranging from infants to
adults of different gender. While B1+ and SAR values can still vary from
patient to patient, with patient position, and with other variables, these
simulations provide a strong basis for novel approaches that tackle B1+ and SAR
prediction more accurately [17]-[20].
Given the strong incentive to develop UHF MRI into a clinical tool, it is
paramount to find a viable and accurate method for monitoring the spatially
varying SAR pattern, and therefore the actual ratio of peak local SAR to global
SAR, as the key parameter in MRI safety.
This
talk will focus on the simulation methods available today for use in MRI B1+
and RF heating safety assessment.Acknowledgements
No acknowledgement found.References
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