Grant M. Baker1, Eric D. Anttila1, Erick Smith1, Andrew Robison1, and David C. Gross1
1MED Institute Inc., West Lafayette, IN, United States
Synopsis
The goal of
this study was to characterize the magnetic susceptibility and accompanying
magnetically induced force, torque, and image artifact of metals and alloys
that are commonly used in medical devices. These values were reported for 46
metals and alloys, with an overall trend that magnetically induced force, torque,
and image artifact increased with increasing susceptibility of a material. The
results of this study can inform medical device design for the development of
safer and better performing devices, especially in the growing area of MR
guided procedures.
Purpose
The magnetic
susceptibility of a material largely contributes to how it interacts with the
applied magnetic field of an MRI system. Consequently, magnetic susceptibility information
can be used to inform medical device design for the development of safer and
more effective devices that are used in MR environments. However, this
information is often not readily available or is presented inconsistently. The
purpose of this abstract is to characterize the magnetic susceptibility and
accompanying magnetically induced force, torque, and image artifact of metals
and alloys commonly used in medical devices.Methods
Forty-six metals and alloys
that are commonly used in medical devices, supplied by Fort Wayne Metals (Fort
Wayne, Indiana) in the shape of solid cylinders (i.e., rods). These rods were tested to determine their magnetic
susceptibility and magnetically induced force, torque, and image artifact. The
metals and alloys were categorized into seven broad groups: stainless steel
alloys, pure and precious metals, cobalt chromium alloys, nickel alloys,
titanium alloys, magnesium alloys, and other alloys. Dimensionless volumetric
magnetic susceptibility of the metals and alloys was calculated using readings
from an Evans balance (Sherwood Scientific Ltd., Cambridge, UK), shown in
Figure 1 (a). This susceptibility was then converted to units of parts per
million (PPM).
The magnetically induced
force of each of the metal or alloy rods was determined using the deflection
angle test method (Figure 1 (b)) described in ASTM F2052 1. Saturation
magnetization of each rod was then calculated through its relationship with
magnetically induced force, which is outlined in ASTM F2052 1. The
saturation magnetizations of six metals and alloys that had magnetic
susceptibilities greater than what the Evans balance was capable of measuring were
used for characterization in lieu of magnetic susceptibilities, which is common
practice for ferromagnetic materials. The maximum possible magnetically induced
torque for each of the rods was then calculated using saturation magnetization
and magnetically induced force according to ASTM F2213 2.
MR image artifact testing
was performed using a gradient echo (GRE) pulse sequence with 100 ms repetition
time (TR), 10 ms echo time (TE), 30° flip angle, and 5 mm slice thickness. The material
with the highest measurable magnetic susceptibility from each of the seven material
groups was tested for MR image artifact, plus one diamagnetic material (Au).
Image artifact and artifact distance were determined and calculated according
to ASTM F2119 3.Results and Discussion
The magnetic
susceptibility of the metals and alloys are shown in Figure 2 and Figure 3,
along with the saturation magnetization of the metals and alloys that had
susceptibilities above what could be calculated from Evans balance readings. For
the materials tested, the stainless steel alloys group had the highest average
measurable magnetic susceptibility (13298 PPM), followed by the cobalt chromium
alloys (1533 PPM), the nickel alloys (1318 PPM), the other alloys (466 PPM),
the magnesium alloys (279 PPM), the titanium alloys (194 PPM), and the pure and
precious metals (57 PPM).
Magnetically
induced force and torque results are shown in Figure 3. Since some rod material
samples had slightly different dimensions, the results shown were normalized to
a uniform volume across all rods to replicate a medical device design process
in which the device dimensions are fixed while the material selection is not. In
general, the magnetically induced force and torque of the rods increased as the
magnetic susceptibility of the rod material increased. MR image artifact results
of the eight metals and alloys tested are shown in Figure 4. The results depict
the worst-case image artifact of the rods in the axial orientation. Artifact
distance increased with increasing magnetic susceptibility, with the exception
of Inconel 625 (CW) (Figure 3(a)). However, the Inconel 625 (CW) sample had a
significantly smaller diameter than the other samples, likely contributing to
the smaller artifact distance due to the relationship between device size and
image artifact distance 4. This knowledge of the relationship
between magnetic susceptibility and image artifact size can be instrumental to
the future design of devices to be used in MR-guided procedures.Conclusions
Schenck (1996)
untangled the ambiguous history of magnetic susceptibility and described the
significant relationship between the magnetic susceptibility of a material and
its interaction with an MRI system, highlighting the implications for device
safety and performance 4. This research leveraged the principles of
susceptibility explained by Schenck to characterize the magnetic susceptibility
of metals and alloys commonly used in medical devices and their accompanying
magnetically induced force, torque and image artifact. Future research will
look to better define and quantify the relationship between magnetic
susceptibility of a material and its magnetically induced force, torque, and
image artifact.Acknowledgements
The authors would like to thank Fort Wayne Metals (Fort
Wayne, Indiana) for supplying the metals and alloys tested in this study.References
1. ASTM F2052-15, Standard
Test Method for Measurement of Magnetically Induced Displacement Force on
Medical Devices in the Magnetic Resonance Environment, ASTM International,
2015.
2. ASTM F2213-17, Standard Test Method for Measurement of
Magnetically Induced Torque on Medical Devices in the Magnetic Resonance
Environment, ASTM International, 2017.
3. ASTM F2119-07, Standard Test Method for Evaluation of MR
Image Artifacts from Passive Implants, ASTM International, 2007.
4. J. F. Schenck, "The role of magnetic susceptibility
in magnetic resonance imaging: MRI magnetic compatibility of the first and
second kinds," Medical Physics, vol. 23, no. 6, pp. 815-850,
1996.