Changes in the specific absorption rate (SAR) of radiofrequency energy in patients with retained cardiac leads during MRI at 1.5T and 3T

TY - JOUR

T1 - Changes in the specific absorption rate (SAR) of radiofrequency energy in patients with retained cardiac leads during MRI at 1.5T and 3T

AU - Golestani Rad, Laleh

AU - Rahsepar, Amir Ali

AU - Kirsch, John E.

AU - Suwa, Kenichiro

AU - Collins, Jeremy C.

AU - Angelone, Leonardo M.

AU - Keil, Boris

AU - Passman, Rod S.

AU - Bonmassar, Giorgio

AU - Serano, Peter

AU - Krenz, Peter

AU - DeLap, Jim

AU - Carr, James

AU - Wald, Lawrence L.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose: To evaluate the local specific absorption rate (SAR) and heating around retained cardiac leads during MRI at 64 MHz (1.5T) and 127 MHz (3T) as a function of RF coil type and imaging landmark. Methods: Numerical models of retained cardiac leads were built from CT and X-ray images of 6 patients with retained cardiac leads. Electromagnetic simulations and bio-heat modeling were performed with MRI RF body and head coils tuned to 64 MHz and 127 MHz and positioned at 9 different imaging landmarks covering an area from the head to the lower limbs. Results: For all patients and at both 1.5T and 3T, local transmit head coils produced negligible temperature rise (DT<0:1C) for ||B1+|| ≤ 3µT. For body imaging with quadrature-driven coils at 1.5T, ΔT during a 10-min scan remained < 3°C at all imaging landmarks for ||B1+|| ≤ 3µT and <6°C for ||B1+|| ≤ 4µT. For body imaging at 3T, ΔT during a 10-min scan remained < 6°C at all imaging landmarks for (Formula presented.). For shorter pulse sequences up to 2 min, ΔT remained < 6°C for ||B1+|| ≤ 3µT. Conclusion: For the models based on 6 patients studied, simulations suggest that MRI could be performed safely using a local head coil at both 1.5T and 3T, and with a body coil at 1.5T with pulses that produced ||B1+|| ≤ 4µT. MRI at 3T could be performed safely in these patients using pulses with ||B1+|| ≤2µT.

AB - Purpose: To evaluate the local specific absorption rate (SAR) and heating around retained cardiac leads during MRI at 64 MHz (1.5T) and 127 MHz (3T) as a function of RF coil type and imaging landmark. Methods: Numerical models of retained cardiac leads were built from CT and X-ray images of 6 patients with retained cardiac leads. Electromagnetic simulations and bio-heat modeling were performed with MRI RF body and head coils tuned to 64 MHz and 127 MHz and positioned at 9 different imaging landmarks covering an area from the head to the lower limbs. Results: For all patients and at both 1.5T and 3T, local transmit head coils produced negligible temperature rise (DT<0:1C) for ||B1+|| ≤ 3µT. For body imaging with quadrature-driven coils at 1.5T, ΔT during a 10-min scan remained < 3°C at all imaging landmarks for ||B1+|| ≤ 3µT and <6°C for ||B1+|| ≤ 4µT. For body imaging at 3T, ΔT during a 10-min scan remained < 6°C at all imaging landmarks for (Formula presented.). For shorter pulse sequences up to 2 min, ΔT remained < 6°C for ||B1+|| ≤ 3µT. Conclusion: For the models based on 6 patients studied, simulations suggest that MRI could be performed safely using a local head coil at both 1.5T and 3T, and with a body coil at 1.5T with pulses that produced ||B1+|| ≤ 4µT. MRI at 3T could be performed safely in these patients using pulses with ||B1+|| ≤2µT.

KW - abandoned lead

KW - anatomical models

KW - cardiac implanted electronic device

KW - computational modeling

KW - defibrillator

KW - finite element method

KW - pacemaker

KW - retained lead

KW - RF heating

KW - safety

KW - SAR

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U2 - 10.1002/mrm.27350

DO - 10.1002/mrm.27350

M3 - Article

VL - 81

SP - 653

EP - 669

JO - Magnetic Resonance in Medicine

T2 - Magnetic Resonance in Medicine

JF - Magnetic Resonance in Medicine

SN - 0740-3194

IS - 1

ER -