Koray Ertan1,2, Trevor Wade3,4, Andrew Alejski4, Charles A McKenzie3, Paolo Decuzzi2, Brian Rutt1, and Peter B Roemer5
1Department of Radiology, Stanford University, Stanford, CA, United States, 2Laboratory of Nanotechnology for Precision Medicine, Italian Institute of Technology, Genoa, Italy, 3Department of Medical Biophysics, Western University, London, ON, Canada, 4Robarts Research Institute, Western University, London, ON, Canada, 5Roemer Consulting, Lutz, FL, United States
Synopsis
Computationally
efficient methods are presented which allow calculation of
switched-gradient-induced electric field distributions on realistically sized
body model with uniform interior properties (compatible with regulatory IEC
standards). Electric fields were calculated for three classes of gradient coils
(asymmetric head, symmetric head and body gradients) using 100-member male and
female body model populations; these were then used to estimate population-mean
PNS parameters which were validated against experimental PNS measurements,
showing high accuracy. Our computationally efficient methods can calculate
whole-body E-field distributions in seconds with updates for different gradient
designs in tens of milliseconds, providing an important tool for PNS-constrained
gradient design.
Introduction
Modern
day high performance gradient systems are strongly limited by peripheral nerve
stimulation. Head gradient coils, either asymmetric or symmetric, can provide
higher PNS thresholds compared to body gradient coils. Although PNS limits for
various gradient coils have been experimentally measured1-4, no
comprehensive analyses have been performed especially for head gradient coils and
especially including direct validation of calculated PNS thresholds against
experimental measurements. Electric field calculations can be used to predict
PNS thresholds according to the IEC 60601-2-33 safety standard5 and
there is a substantial literature focused on switched-magnetic-coil-induced E-field
calculations6,7. Here, we present computationally efficient methods
for calculating gradient-induced E-fields on realistically sized uniform body
models. Calculated E-fields were used to predict PNS parameters and validated against
PNS measurements acquired from three very different gradient coils (two head and
one body gradient coil).Theory and Methods
We
defined simplified body models with uniform interior electrical properties (as
required by the IEC standard5) but realistic head-neck-shoulder
geometry, depicted in Figure 1. We hypothesized that despite the simplified
body model, our calculated surface E-fields would accurately predict population-mean
PNS thresholds. The 2.5th, 50th and 97.5th
percentile dimensions for both male and female populations were obtained from the
Humanscale reference manual8. Male and female populations of 100
body models each were generated assuming Gaussian distributions of dimensions;
these populations were used to calculate population-mean E-fields and PNS
thresholds.
Total
E-field in the low frequency magnetoquasistatic regime can be calculated as follows5:$$\vec{E} = -d\vec{A}/dt - \nabla\phi\qquad[1]$$where
$$$\vec{A}$$$ is the vector
potential produced by the gradient coil and $$$\phi$$$ is the electrostatic potential due to
accumulated charges. A set of basis
functions in the form of $$$U_m(u)V_n(v)$$$, with $$$u$$$ being
angular coordinate and $$$v$$$ being axial
coordinate, represented
the surface charge density. $$$U_m(u)$$$ is either
sine or cosine depending on gradient axis and $$$V_n(v)$$$ is a piecewise
linear hat (triangle) function. Recognizing that the normal component of $$$\vec{E}$$$ must be zero
on the surface of a uniform-interior body model, we can solve for the unknown weights
of the charge basis functions. A weighted summation of E-fields generated by each basis function
together with $$$d\vec{A}/dt$$$ provides the total E-field distribution. Peak surface E-fields are converted
to population-mean PNS parameters ΔGmin and SRmin4,5.
The above calculations were validated against
experimental PNS measurements across a range of gradient coils for which we had
sufficient information to calculate E-fields and for which PNS experimental
data had been published: one symmetric folded head gradient coil (our own H3
design)2,10, one asymmetric head gradient coil (essentially
equivalent to the GE HG2 head gradient coil9), and one conventional
body gradient coil (the GE BRM body gradient coil1).Results
Calculated
E-fields on the simplified body models are shown in Figure 2, which shows values
and locations of peak surface E-fields. Locations are in approximate agreement
with experimental reports1-3. Table 1 shows the comparison of
calculated and measured PNS parameters for the H3 head gradient (at two body
positions: shoulder-coil contact and 2cm shoulder-coil gap), while Table 2
shows the same for the two GE gradients (HG2 head gradient and BRM body
gradient). For the head gradient coils, we calculated ∆Gmin using
two different chronaxie values: the IEC-specified value (360 µs) as well as a
longer value of 600 µs. This longer chronaxie value results in a significantly
closer match to experimental data, especially for the H3 coil. Chronaxie values
in the range of 600µs have consistently been observed in the literature1-3.
Calculated results also show that the asymmetric head gradient (HG2) has lower
X (vs Y) threshold while the symmetric head gradient (H3) demonstrates the
opposite ordering; this is consistent with experimental findings. The overall
prediction errors between our calculated PNS parameters and the corresponding
experimentally measured values were 28% mean absolute error (using 360 µs
chronaxie for all coils) or 18% MAE (using 600 µs chronaxie for head coils). Excluding
low reliability measurements (coefficient of variation >10%), these overall
errors reduced to 23% MAE (using 360 µs chronaxie for all coils) or 10% MAE
(using 600 µs chronaxie for head coils). A comparison of individual and mean
PNS measured thresholds, calculated PNS thresholds and hardware limits is
presented in Figure 3.Discussion and Conclusion
Our
computational methods predict population-mean PNS thresholds for three widely
different gradient coils with high accuracy. PNS experiments are time
consuming, expensive, and prone to error; this makes a computational approach
attractive. We found that achieving maximum prediction accuracy for head
gradient coils required the use of a longer chronaxie (~600 µs). Our methods generate whole-body
E-field distributions in seconds with updates for different gradient designs in
tens of milliseconds; this high speed will allow for practical PNS-optimized gradient
design. We are currently using Sim4Life (ZMT MedTech AG, Zurich) to study E-fields
differences between uniform body models and fully realistic,
heterogenous-interior Virtual Family models11. The combination of
computational speed, direct validation with high accuracy compared to matched
experimental measurements, and regulatory compatibility, represents an advance
over prior work. Our work demonstrates an important capability for predicting
population-mean PNS thresholds with enough accuracy to be useful for a number
of important applications in gradient design, development and analysis.Acknowledgements
We gratefully acknowledge the scientific contributions of Dr. Graeme McKinnon. We acknowledge research support from the National Institutes of Health (NIH P41 EB015891, NIH R01 EB025131 and NIH U01
EB025144). We acknowledge ZMT Zurich MedTech AG for their Sim4Science support. KE
acknowledges the support of a research fellowship from the MINDED
program, a Marie Skłodowska-Curie COFUND Action.References
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