Design and feasibility of a flexible, on-body, high impedance coil receive array for a 1.5 T MR-linac

<b>Introduction:</b> The lack of radiation-attenuating tuning capacitors in high impedance coils (HICs) make HICs an interesting building block of receive arrays for MRI-guided radiotherapy (MRIgRT). Additionally, their flexibility and limited channel coupling allow for low-density support materials, which are likely to be more radiation transparent (radiolucent). <b>Purpose:</b> In this work, we introduce the use of HICs in receive arrays for MRIgRT treatments. We discuss the design and show the dosimetric feasibility of a HIC receive array for on-body placement, which has a high channel count and aims to improve the imaging performance of the 1.5 T MR-linac. <b>Methods:</b> Our design comprises an anterior and posterior element, which each feature a 2×8 channel layout (32 channels total). The anterior element is flexible, while the posterior element is rigid to support the patient. Mockups with support materials and conductors were built, irradiated, and optimized to minimize impact on the surface dose and dose at depth. Functional, single-channel HIC imaging prototypes and a 5-channel array were built to assess the performance in terms of signal-to-noise ratio (SNR). The performance was compared to the clinical MR-linac array. <b>Results:</b> Surface dose increases were minimized to 7% of the dose maximum. At 10 cm depth, dose changes were limited to ≤0.8% under a single conductor and ≤1.4% under a conductor crossing. This dose change will be further minimized by anatomical motion and the use of multiple beam angles. The 5-channel imaging prototype outperformed the clinical array in terms of SNR and channel coupling. Imaging performance was not affected by the radiation beam. <b>Conclusions:</b> The use of HICs allowed for the design of our flexible, on-body receive array for MRIgRT. The design was shown to be dosimetrically feasible and improved the SNR. Future research with a full array will have to show the gain in parallel imaging performance and thus acceleration.