Seoggwan Kim1, Amy Kester1, Alan R. Leewood1, and David C. Gross1
1MED Institute Inc., West Lafayette, IN, United States
Synopsis
The goal of this study was to develop a computational model that
can accurately predict the radiofrequency (RF) induced temperature rise of medical
devices in a 1.2T (49 MHz) Hitachi Oasis open bore system for the purpose of
MRI labeling according to ASTM F2503. A comparison of experimental and
analytical temperature rise of calibration rods, a stent, and a knee implant within
a gel phantom was conducted. Simulations
of RF heating of the stent and knee implant within the Duke virtual human model
were compared for the 1.2T Hitachi Oasis open bore and 1.5T Siemens Avanto closed
bore MRI systems.
Purpose
Open bore MRI systems
account for approximately 18% of the global MRI installed base compared to 3T
closed bore accounting for approximately 19% of the global MRI installed
base. The wide patient table, large
opening and open view of these MRI systems are advantageous for imaging
pediatric, bariatric, geriatric and claustrophobic patients. With the parallel growth of open bore MRI
systems and the increased prevalence of patients with implanted medical devices
it is important to consider RF-induced heating of devices in open bore MRI
systems. The authors are not aware of
any medical devices that have MRI safety labeling for 1.2T open bore MRI.Methods
COMSOL Multiphysics® was used to build a computational model for the
1.2T Hitachi Oasis open bore MRI system which solves the sequentially coupled
electromagnetic and transient heat transfer problem. The model was built using
the geometric details of the RF coil provided by Hitachi. Figure 1 shows an
image of the Oasis MRI system, the modeled RF body coil with the Duke human
model, a knee implant in an ASTM phantom, and the detailed CAD model of a knee
implant.
Validation
of the computational model included magnetic and electric field
measurements in an ASTM F2182 phantom [1]. The phantom was filled with saline (electrical
conductivity of 0.27 S/m) to a depth of 7.6 cm and landmarked along the mid-length of the phantom. Measurements
were conducted at 12 different locations on the plane 3.5 cm below the surface
(2.5 cm below the isocenter) as shown in Figure 2 (a). Input voltages for the simulation
were tuned to generate a similar level of electric field to that of the
experiment.
RF-induced
heating simulations and experimental measurements of titanium calibration rods,
a nitinol SFA stent, and a knee implant at various locations in a gel phantom
were conducted. The
phantom was filled with a gelled saline prepared according to ASTM F2182 (electrical
conductivity of 0.47 ± 10% S/m). The
phantom was filled with gel to a depth of 9 cm and centered on the patient
table of the MRI system and landmarked along the mid-length of the phantom. Temperature
measurements were recorded using a fiber optic probe system. The input voltages
for the simulation were tuned to induce a whole phantom SAR of 2 W/Kg. The sequence
protocol for the Oasis was adjusted to induce the same temperature rise on a calibration
rod as that of the simulation under the test configuration. The results were
compared with those obtained from the simulation using an existing
computational model of a 1.5T Siemens Avanto closed bore MRI system [2].Results and Discussion
Experimental and
simulation results for electric and magnetic fields in an ASTM phantom in the
open bore Oasis agreed well both qualitatively and quantitatively showing a similar
trend at the measurement locations as shown in Figure 2 (b). Since the input
voltages for the simulation were tuned to induce a similar level of electric
field to that of the measurement, the electric field showed better agreement
than the magnetic field.
RF heating experiments and simulations of calibration rods, a stent,
and a knee implant within an ASTM Phantom in Oasis were conducted. As shown in
Table 1, temperature rise values under different test configurations agreed
well considering the level of simplification of the computational model compared
to the actual MRI system as described above.
A comparison
of Oasis and Avanto was performed with an analysis of the electric field in a phantom
and RF heating simulations of a calibration rod, a stent, and a knee implant
within the phantom (Figure 3) and the stent and knee implant within Duke
(Figure 4). Both systems induced a similar level of electric field strength in
an ASTM phantom, when set to provide a whole phantom SAR of 2 W/kg, but the
electric field distributions were different. When the devices were placed in
the region with high electric field, left-hand side for Avanto and top side for
Oasis, they had a similar level of temperature rise. The Avanto generated significantly
higher temperature rise in the stent and knee implant within Duke when compared
to the Oasis open bore, due to the orientation of the devices within Duke
relative to the high electric field. The devices were oriented parallel to the
high electric field in the Avanto while they were perpendicular in the Oasis
open bore.Conclusions
Development and
validation of an open bore computational model were demonstrated in this
study. This computational model will aid
in the understanding of RF-induced heating of medical devices in open bore MRI.
The results show good agreement between the experiment and computational model.
The 1.2T Hitachi Oasis open bore and a 1.5T Siemens Avanto closed bore systems
induced a similar maximum level of electric field strength in a phantom, when the
RF coils were powered to provide a whole phantom SAR of 2 W/kg. However, the
electric field distributions are very different between the closed bore and
open bore MRI systems. Future
experiments and simulations will be used to quantify RF-induced heating in open
bore MRI for the purpose of MRI labeling of medical devices according to ASTM
F2503 [3].Acknowledgements
The authors would like to thank Hitachi
Healthcare America (Twinsburg, OH) for financial support of this project, for
providing the RF coil model details, providing access to and running the 1.2T
Hitachi Oasis open bore MRI system, and providing E-field and H-field
measurements performed with FDA. The
authors are grateful for Exactech (Gainesville, FL) providing the knee implant
and CAD model used in this study, and Cook Medical (Bloomington, IN) providing
the stent used in this study. The
authors thank AltaSim Technologies (Columbus, OH) for their help with the
development and validation of the RF coil models in COMSOL Multiphysics®.References
[1] ASTM F2182-19e2, Standard Test Method for Measurement of
Radio Frequency Induced Heating On or Near Passive Implants During Magnetic
Resonance Imaging, ASTM International, 2019.
[2] A. Leewood, B. Hess, M. S. Huser, S. H. Gopal, G. G.
Mendoza, M. I. Iacono, W. Kainz, S. S. Rajan and L. M. Angelone,
"Simplified computational models of medical devices for accurate RF
heating simulations with significantly reduced computational cost," in
Proceedings from ISMRM 23rd Annual Meeting, Toronto, ON, Canada, May 2015.
[3] ASTM F2503-20, Standard Practice for Marking Medical
Devices and Other Items for Safety in the Magnetic Resonance Environment, ASTM
International, 2020.