Xin Chen1 and Michael Steckner1
1Canon Medical Research USA Inc., Mayfield Village, OH, United States
Synopsis
MRI vendors have been asked to
provide B1+ contour plots of unloaded whole body transmit coils in order to show
technologists/radiographers where not position a patient for SAR hotspot/RF
burn avoidance purposes. Two flaws with this strategy are demonstrated by
modeling Duke at the abdominal landmark in the centered and off-set position:
1) B1+ maps correlate poorly to SAR hotspots, 2) loaded B1+ maps are
significantly different relative to unloaded B1+ maps. Knowledge of the
birdcage coil end-ring position in conjunction with spacing pads will improve
RF burn safety outcomes.
Introduction
Reducing the frequency of RF burns
is important. Skin/bore contact is one proposed RF burn mechanism1.
It has been incorrectly postulated that B1+ contour plots from the unloaded
whole body (WB) RF coil will show regions within the patient accessible space to
be avoided in order to reduce skin/bore RF burns. SAR hotspots are a function
of the Electric (E) field, which is induced by the time varying B1 total field.
The correlation between B1/E-fields is poor because tissue electromagnetic
properties are an important factor. Considering only the B1+ component further
weakens the B1/E-field relationship because the B1- component becomes increasingly
important with higher B0 and when the RF coil is loaded. This abstract demonstrates
the weak relationship between B1+ and SAR hotspots at 3T by modeling the Duke
digital model (abdominal landmark) in the center of the bore, vs an offset
position near the coil.Methods
FDTD EM modeling was performed with
Sim4Life (v5.2, ZMT, Zurich, Switzerland). Human model Duke2 (ZMT,
Zurich, Switzerland) was positioned in an ISO/TS109743 WB Tx coil (16-rung
high-pass birdcage, diameter 750mm, length 650mm. RF shield diameter 790mm, length
850mm4,5) for abdomen imaging (Figure 1). The coil was tuned to
128MHz and driven in quadrature mode with two voltage sources (10V) in one end
ring. B1+ field was computed for the following cases: 1) unloaded coil (Figure 1c at the hotspot level shown in Figure 4) 2) Duke centered (Figure 1a) 3) Duke off-center with
approximately 2.5 cm spacing between the coil elements and right arm skin
surface (Figure 1b). All figures only show B1+rms.Results
Figure 1c shows the uniformity of
the B1+ field produced by the unloaded WB birdcage coil, with the strongest
fields immediately beside the transmit coil. The B1+ fields are relatively
constant for the length of the transmit coil, except in the immediate vicinity
of the endrings. The B1+ rolloff from isocenter in the central imaging regions
of the coil cannot be clearly visualized in this representation.
Figure 2a is a coronal map of log10(loaded
B1+ / unloaded B1+) and associated SAR map, both at the level of the SAR wrist hotspot
when Duke is centrally positioned. The unloaded coil B1+ map used in Figure 2a is
not shown here, but is nearly identical to Figure 1c. Figure 3a shows the
correlation between B1+ in the unloaded coil vs SAR for regions only within the
body outline that are above 3% of the maximum SAR shown in Figure 2b. Figure 3b is
equivalent to Figure 3a, but correlates the SAR with the loaded coil enhancement factor
(not truncated) shown in Figure 2a.
Figures 4a,b and Figures 5a,b are the equivalent
to Figures 2a,b and Figures 3a,b respectively when Duke is laterally offset except at
the coronal level of the elbow SAR hotspot. Discussion
With the exception of the space
around the endrings, Figure 1c shows the B1+ field immediately beside the coil
is uniform along the length of the coil and that outside of the coil the B1+
field is essentially zero.
Figure 2a shows a large change in
B1+ field in the loaded vs unloaded coil for Duke at center. In conjunction
with Figure 2b the poor correlation between B1+ field variations and SAR
hotspots is visualized, particularly near the armpits and wrists. Duke’s right
arm has a higher B1+ enhancement in the loaded coil vs left arm, yet has lower
SAR.
Figure 3a demonstrates poor
correlation between B1+ and SAR. A large range of SAR is possible for a given
B1+. Figure 3b demonstrates that change in B1+ due to coil loading is also a
poor predictor of SAR. While increasing B1+ enhancement may lead to increased
SAR in some regions that trend reverses for the largest B1+ enhancements.
Figures 4a, b are equivalent to Figures
2a, b for Duke in offset position. The poor correlation between B1+ and SAR
remains. While the B1+ field is uniform along the length of the coil, the SAR
within the arm is not uniform and reaches its maxima at locations in the arm
that are not closest to the coil. While B1+ field intensity near the end rings
is high, the SAR nearby is low. Figures 5a, b are equivalent to Figures 3a, b, but
for Duke in the offset position, and also demonstrates the poor correlation
between B1+ and SAR both with respect to the unloaded coil and the B1+
enhancement factor for the loaded coil.Conclusion
There is no useful correlation
between B1+ maps, loaded or unloaded, and SAR hotspots. Any attempt to extract
quantitative insights from a single unloaded B1+ map and apply to any patient
and any landmark will be misleading. The only supportable conclusion is that
B1+ fields are highest in the immediate vicinity of the coil and rapidly fall
off outside the coil. Knowledge of the end-ring position and use of spacing
pads is the best available information for reducing skin/bore RF burns.Acknowledgements
No acknowledgement found.References
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