Complexity of MRI induced heating on metallic leads: Experimental measurements of 374 configurations

BackgroundMRI induced heating on PM leads is a very complex issue. The widely varying results described in literature suggest that there are many factors that influence the degree of heating and that not always are adequately addressed by existing testing methods.MethodsWe present a wide database of experimental measurements of the heating of metallic wires and PM leads in a 1.5 T RF coil. The aim of these measurements is to systematically quantify the contribution of some potential factors involved in the MRI induced heating: the length and the geometric structure of the lead; the implant location within the body and the lead path; the shape of the phantom used to simulate the human trunk and its relative position inside the RF coil.ResultsWe found that the several factors are the primary influence on heating at the tip. Closer locations of the leads to the edge of the phantom and to the edge of the coil produce maximum heating. The lead length is the other crucial factor, whereas the implant area does not seem to have a major role in the induced temperature increase. Also the lead structure and the geometry of the phantom revealed to be elements that can significantly modify the amount of heating.ConclusionOur findings highlight the factors that have significant effects on MRI induced heating of implanted wires and leads. These factors must be taken into account by those who plan to study or model MRI heating of implants. Also our data should help those who wish to develop guidelines for defining safe medical implants for MRI patients. In addition, our database of the entire set of measurements can help those who wish to validate their numerical models of implants that may be exposed to MRI systems.

[1]  K Bachmann,et al.  Effects of magnetic resonance imaging on cardiac pacemakers and electrodes. , 1997, American heart journal.

[2]  J Gieseke,et al.  MR imaging and cardiac pacemakers: in-vitro evaluation and in-vivo studies in 51 patients at 0.5 T. , 2000, Radiology.

[3]  C J Bakker,et al.  Heating Around Intravascular Guidewires by Resonating RF Waves , 2000, Journal of magnetic resonance imaging : JMRI.

[4]  P. Boesiger,et al.  Pacing in magnetic resonance imaging environment: clinical and technical considerations on compatibility. , 2001, European heart journal.

[5]  W. Nitz,et al.  On the heating of linear conductive structures as guide wires and catheters in interventional MRI , 2001, Journal of magnetic resonance imaging : JMRI.

[6]  R. C. Susil,et al.  RF heating due to conductive wires during MRI depends on the phase distribution of the transmit field , 2002, Magnetic resonance in medicine.

[7]  P. Boesiger,et al.  Pacemaker Reed Switch Behavior in 0.5, 1.5, and 3.0 Tesla Magnetic Resonance Imaging Units: Are Reed Switches Always Closed in Strong Magnetic Fields? , 2002, Pacing and clinical electrophysiology : PACE.

[8]  P S Ruggera,et al.  In vitro assessment of tissue heating near metallic medical implants by exposure to pulsed radio frequency diathermy. , 2003, Physics in medicine and biology.

[9]  Henry R. Halperin,et al.  Modern Pacemaker and Implantable Cardioverter/Defibrillator Systems Can Be Magnetic Resonance Imaging Safe: In Vitro and In Vivo Assessment of Safety and Function at 1.5 T , 2004, Circulation.

[10]  Robert Fair,et al.  Magnetic resonance imaging and cardiac pacemaker safety at 1.5-Tesla. , 2004, Journal of the American College of Cardiology.

[11]  A. Roguin,et al.  Magnetic Resonance Imaging in patients with ICDs and Pacemakers , 2005, Indian pacing and electrophysiology journal.

[12]  Ron Kalin,et al.  Current Clinical Issues for MRI Scanning of Pacemaker and Defibrillator Patients , 2005, Pacing and clinical electrophysiology : PACE.

[13]  Jean A. Tkach,et al.  Is magnetic resonance imaging safe for patients with neurostimulation systems used for deep brain stimulation? , 2005, Neurosurgery.

[14]  W. Kainz,et al.  MRI‐induced heating of selected thin wire metallic implants – laboratory and computational studies – findings and new questions raised , 2006, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[15]  Jeffrey L Helfer,et al.  Can pacemakers, neurostimulators, leads, or guide wires be MRI safe? Technological concerns and possible resolutions. , 2006, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[16]  M.A. Stuchly,et al.  Numerical Evaluation of Radio Frequency Power Deposition in Human Models during MRI , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[17]  P Bartolini,et al.  Temperature and SAR measurement errors in the evaluation of metallic linear structures heating during MRI using fluoroptic® probes , 2007, Physics in medicine and biology.