Finya Ketelsen1,2, Vincent Hammersen1, Kevin Kröninger2, and Gregor Schaefers1,3
1MRI-STaR - Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany, 2TU Dortmund University, Dortmund, Germany, 3MR:comp GmbH, Testing Services for MR Safety & Compatibility, Gelsenkirchen, Germany
Synopsis
Medical
implants of all kind must be tested for RF-induced heating to determine their
MR safety and compatibility. Test conditions concerning E-field homogeneity and
E-field drift during assessment time are defined in ISO/TS 10974 and ASTM-F2182.
This study evaluates the influence of E-field drift and E-field homogeneity on
RF-heating. It shows that both effects can lead to a temperature
underestimation. Even for small implants whose volume is in a homogenous area
within ±1dB,
this underestimation can occur. System instability and implant size and
position can further increase the underestimation of RF-induced heating and
should be carefully considered.
Introduction
RF-induced
heating is an MRI safety issue for patients with implanted devices. These implants
must be tested according to ISO/TS 109741 or ASTM-F21822.
Conditions and limits are defined for testing e.g., the incident E-field spatial
variation must be within ±1dB/±12% and the drift less than 0.25dB during
assessment.
This study evaluates the influence of E-field homogeneity and drift on the RF-induced
heating of several objects.Methods
To
investigate the influence of incident E-field homogeneity, two exposure systems
were used. A Birdcage Coil (BC) with a field distribution according to Annex M1
(MITS System, Speag) and a Linear Exposure System (LES) (MR:comp GmbH), generating
an E-field distribution along z-axis.
The ASTM phantom (420mm x 90mm x 650mm), filled with saline solution (σ=0.47 S/m, εr=80),
was used and E-field
distributions were measured with an Erms probe (SAR Probe, EX3DV4, SPEAG) in both systems. The measured area is a
100x610mm xz-plane with 20mm distance to each wall (cf. Fig. 2).
In a second measurement, the test objects were placed successively
in the phantom: a 100mm-long titanium rod (SAIMD-21,2), and three
stainless steel rods (⌀=
6mm, length: 100mm, 200mm, 300mm).
For each measurement one rod was placed centrally with 6cm wall distance to
reduce reflection effects3. Two fiber optic temperature probes were
placed at each rod tip (cf .Fig. 1).
To investigate the influence of the E-field drift over measurement time,
one test run where an E-field drift was tolerated and one test run where the
E-field was kept constant by readjusting the applied power was done in each
system with the titanium rod.
To investigate the influence of field homogeneity, the E-field was kept
constant over the 6min exposure time for all further runs.
Temperature rise was measured for each object with and without object and was
then scaled to an average incident E-field of 150V/m to compare results.Results
Measured
Erms-Field distributions for BC and LES are shown in Fig. 2a/b. The
0dB and ±1dB
isolines are shown in black and the grey rectangle represents the 300mm rod
position as largest object.
The results
show, that the E-field of the LES is homogenous over the entire pathway of all
objects. For the BC the E-field varies over the pathway (cf. Tab. 1).
The maximum
E-field variations of the LES are between +1.59% and -3.05%. For the BC, homogeneity
varies over the rod length. For 100mm and 200mm the homogeneity is less than ±12%, for the 300mm rod the field varies up to -16.14%.
The 100mm
titanium rod is a well-defined object1,2. According to Annex I2,
the target value for its temperature rise divided by square of incident E-field
should be 0.66 mK/(V/m)2. The value for the titanium rod in the LES is 0.656±0.009 mK/(V/m)2. The values are in agreement and therefore
the temperature rises from the LES are the target values for the BC
measurement.
Results of temperature rise scaled to an average
incident E-field of 150V/m for all four objects are shown in Fig. 3 for both
systems.
Results in
Fig 3 indicate, that the temperature rise measured in the BC is lower for all
objects compared to LES. The difference between the values is increasing with E-field
inhomogeneity. Temperature rises for both 100mm rods are 4.02% to 4.36%, for
the 200m rod 6.40% and for the 300mm rod even 11.88% lower than the target
values.
Results for the influence of the E-field drift are
shown in Fig. 4. In
both cases the E-field drops down by 7.5% to 8.0%, which leads to a lower
temperature rise of 3.80% to 4.95%. The difference for constant E-field in the LES
and drifting E-field in the BC amounts to 7.99%.Discussion
The
results in Tab. 1 indicate that the incident E-fields for the two 100mm rods
and the 200mm rod varies less than 12% for both systems. However, even for the
200mm rod the temperature rise is underestimated by 6.40%. For the 300mm rod in
the BC the inhomogeneity is up to 16.14% and the underestimation of the
temperature rise is 11.88%, even though the volume outside the 12% criteria is relatively
small (cf. Fig. 2a).
The E-field drift leads to an additional underestimation of the temperature
rise.
Depending on the system’s temporal stability, object size and position, this
underestimation could be considerably worse and should be taken into account.Conclusion
This
study shows that the E-field drift and homogeneity should be carefully
considered when testing implants for RF-induced heating. Even for small
implants, where the incident E-field varies less than 12%, the underestimation
of temperature rise should not be neglected.
Both effects should be further investigated for larger implants, like
orthopedic implants, where the E-field inhomogeneity is even worse, which can
lead to a major underestimation.Acknowledgements
No acknowledgement found.References
1. Technical specification ISO/TS 10974:2018,
“Assessment of the safety of magnetic resonance imaging for patients with an
active implantable medical device,” The International Organization for
Standardization, 2018.
2. 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.
3. M. Kozlov, M. Angelone, “Effect of Multiple
Scattering on Heating Induced by Radio Frequency Energy”, IEEE T ELECTROMAGN C,
Vol 62, No.5, October 2020.