Eric D. Anttila1, Grant M. Baker1, Alan R. Leewood1, Seoggwan Kim1, and David C. Gross1
1MED Institute Inc., West Lafayette, IN, United States
Synopsis
The primary goal of this study was to compare radiofrequency
(RF) induced temperature rises of a stent within the ASTM phantom and two
virtual human anatomies in a 1.2 T Hitachi Oasis open bore, 1.5 T Siemens Altea
closed bore, and 3.0 T Siemens Prisma closed bore MRI systems for the purpose
of MRI labeling according to ASTM F25031. The secondary goal was to simulate
RF-induced heating of the same stent within the Duke virtual human model
containing 1) internal organs with individual material properties and 2) no
internal organs and average tissue properties throughout and compare predicted
temperature rises.
Purpose
Open bore MRI systems have several advantages over closed
bore MRI systems including the wide patient table, the ability to scan larger
patients, and open field of view2. These benefits allow for the imaging of
pediatric, bariatric, geriatric, and claustrophobic patients. With the growing
number of open bore MRI systems, it is of paramount importance to understand
the effects of RF-induced heating on metallic medical devices. The purpose of
this abstract is to demonstrate how a device (e.g. vascular stent) that has a relatively
high temperature rise in closed bore systems can have a potential safety
advantage (i.e., lower temperature rise) in an open bore system. RF-heating results in two virtual human
anatomies were compared, one with internal organs with individual material
properties, and the other without internal organs and with average tissue
properties throughout.Methods
COMSOL Multiphysics® was used to build computational models
for the 1.2 T Hitachi Oasis open bore MRI system, 1.5 T Siemens Altea closed
bore MRI system, and the 3.0 T Siemens Prisma closed bore MRI system. All three
models were built using geometric details provided by Hitachi (Fujifilm) and
Siemens. Figure 1 shows each MRI system and the RF body coils with the Duke
human anatomy model.
Validation of each computational model included RF-induced
heating measurements of titanium calibration rods in the ASTM F2182 phantom. Input
voltages for simulations were tuned to generate a whole phantom SAR of 2 W/kg
in each MRI system. RF-induced heating simulating a 15-minute scan of a Nitinol
superficial femoral artery (SFA) stent in an ASTM phantom, as well as two Duke
human virtual anatomies was conducted. The gel phantom was assumed to be a
solid, therefore convective heat transfer in the gel was not considered since
the viscosity of the gel prevents bulk fluid motion. Stents were positioned 2
cm from the bottom of each ASTM phantom, as higher heating is associated with
this location in the open bore MRI system. The stent in the open bore MRI
system was positioned in the center of the phantom, as this location was
associated with a region of known electric field, in accordance with ASTM F21823. Material properties pertaining to
heat transfer for individual internal organs were taken from the IT’IS database4 and assigned
to each organ as shown in Figure 4. Average tissue properties were assumed to
be the same as the gelled saline, according to ASTM F21823.Results and Discussion
The electric field associated with the closed bore scanners
with no device appear similar in terms of both tangential (z-direction)
electric field component magnitude as well as overall contour (Figure 2).
However, the tangential (y-direction) component magnitude is lower in the open
bore system. Different length stents were tested in each scanner within the
ASTM phantom, with the length corresponding to the resonant wavelength of each
individual scanner (i.e., frequency), thus providing the maximum expected
temperature rise. The 1.5 T Siemens Altea demonstrated the highest heating in
the ASTM phantom at 13.2°C, followed by the 3.0 T Siemens Prisma (9.9°C),
and the 1.2 T Hitachi Oasis (5.8°C). Figure 3 shows trends for RF-induced
heating in the virtual human anatomy containing internal organs with individual
material properties with a stent, which followed a similar trend (11.0°C,
7.0°C,
1.5°C).
Simulated temperature rises and overall contours were comparable between the
two virtual human anatomies, with similar predicted whole-body and partial-body
SAR values. This indicates the human anatomy with average tissue properties
throughout the anatomy without internal organs is able to predict accurate temperature
rises while significantly lowering computational cost.Conclusions
A Nitinol SFA stent was compared in terms of RF-induced
heating in the ASTM phantom, as well as two virtual human anatomies in the 1.2
T (49 MHz) Hitachi Oasis open bore system, the 1.5 T (64 MHz) Siemens Altea
closed bore system, and the 3.0 T (128 MHz) Siemens Prisma closed bore system. Results
demonstrated a device with a relatively high temperature rise in closed bore
MRI systems could have a potential safety advantage (i.e., lower temperature
rise) in an open bore MRI system. In terms of the comparison of the two virtual
human anatomies, simulated temperature rises and SAR values were similar in the
two anatomies, indicating the outer contour of the anatomy with average tissue
properties throughout is a reasonable approach to estimating temperature rise
while significantly lowering computational cost.Acknowledgements
The authors would like to thank FUJIFILM Healthcare Americas
Corporation (Twinsburg, OH) for support of this project, for providing the RF
coil model details, and providing access to and running the 1.2 T Hitachi Oasis
open bore MRI system. The authors also would like to thank Siemens Healthineers
(Erlangen, Germany) for providing information regarding their RF coils. The
authors also thank AltaSim Technologies (Columbus, OH) for their help with the
development and validation of the RF coil models in COMSOL Multiphysics®.References
1. ASTM F2503-20, Standard
Practice for Marking Medical Devices and Other Items for Safety in the Magnetic
Resonance Environment. ASTM International (2020).
2. Oasis 1.2T | Fujifilm Healthcare.
https://hca.fujifilm.com/oasis-12t.
3. ASTM F2182-19E02, Standard Test Method for Measurement of
Radio Frequency Induced Heating On or Near Passive Implants During Magnetic
Resonance Imaging. ASTM International (2019).
4. Thermal Conductivity » IT’IS Foundation.
https://itis.swiss/virtual-population/tissue-properties/database/thermal-conductivity/.