Ex vivo evaluation of ferromagnetism, heating, and artifacts produced by heart valve prostheses exposed to a 1.5‐T MR system

Ex vivo testing techniques were used to determine the ferromagnetic qualities of, presence of heating in, and artifacts produced by 13 different heart valve prostheses exposed to a 1.5‐T (64‐MHz) magnetic resonance (MR) system. None of the heart valve prostheses showed a measurable deflection in the 1.5‐T static magnetic field. Only minimal artifacts were produced during MR imaging with a fast spoiled GRASS (gradient‐recalled acquisition in the steady state) pulse sequence. The largest temperature changes measured during a “worst case” MR imaging sequence (estimated average specific absorption rate, 2.5 W/kg; estimated spatial peak specific absorption rate, 7.6 W/kg) were +0.2°C with the implant imaged “in air” and +0.3°C with the implant imaged in normal saline. Therefore, MR procedures performed with a 1.5‐T (64‐MHz) MR system may be performed safely in patients with any of the 13 different heart valve prostheses evaluated in this study.

[1]  W G Bradley,et al.  MR imaging artifacts, ferromagnetism, and magnetic torque of intravascular filters, stents, and coils. , 1988, Radiology.

[2]  T F Budinger,et al.  Magnetic resonance imaging of prosthetic heart valves. , 1985, Radiology.

[3]  E Kanal,et al.  MR procedures and biomedical implants, materials, and devices: 1993 update. , 1993, Radiology.

[4]  F G Shellock,et al.  High-field-strength MR imaging and metallic biomedical implants: an ex vivo evaluation of deflection forces. , 1988, AJR. American journal of roentgenology.

[5]  Frank G. Shellock,et al.  Magnetic Resonance: Bioeffects, Safety and Patient Management , 1994 .

[6]  F. Shellock,et al.  MR imaging and metallic implants for anterior cruciate ligament reconstruction: Assessment of ferromagnetism and artifact , 1992, Journal of magnetic resonance imaging : JMRI.

[7]  F. Shellock,et al.  Policies, guidelines, and recommendations for MR imaging safety and patient management , 1991, Journal of magnetic resonance imaging : JMRI.

[8]  F G Shellock,et al.  Ex vivo evaluation of ferromagnetism and artifacts of cardiac occluders exposed to a 1.5‐T MR system , 1994, Journal of magnetic resonance imaging : JMRI.

[9]  M Coulomb,et al.  [Effects of the magnetic field in magnetic resonance imaging on 15 tested cardiac valve prostheses]. , 1986, Journal de radiologie.

[10]  W N Hanafee,et al.  Magnetic resonance imaging artifacts: mechanism and clinical significance. , 1986, Radiographics : a review publication of the Radiological Society of North America, Inc.

[11]  F G Shellock,et al.  MR imaging and biomedical implants, materials, and devices: an updated review. , 1991, Radiology.

[12]  F. Shellock MR imaging of metallic implants and materials: a compilation of the literature. , 1988, AJR. American journal of roentgenology.

[13]  E. Scalzetti,et al.  Magnetic resonance imaging of prosthetic cardiac valves in vitro and in vivo. , 1988, The American journal of cardiology.

[14]  E Kanal,et al.  Safety considerations in MR imaging. , 1990, Radiology.

[15]  L. Kaufman,et al.  Potential hazards in NMR imaging: heating effects of changing magnetic fields and RF fields on small metallic implants. , 1981, AJR. American journal of roentgenology.

[16]  T. Berquist Magnetic resonance imaging: preliminary experience in orthopedic radiology. , 1984, Magnetic resonance imaging.

[17]  Important considerations in measurement of attractive force on metallic implants in MR imagers. , 1991, Radiology.