Safety of Active Implantable Devices During MRI Examinations: A Finite Element Analysis of an Implantable Pump

The goal of this study was to propose a general numerical analysis methodology to evaluate the magnetic resonance imaging (MRI)-safety of active implants. Numerical models based on the finite element (FE) technique were used to estimate if the normal operation of an active device was altered during MRI imaging. An active implanted pump was chosen to illustrate the method. A set of controlled experiments were proposed and performed to validate the numerical model. The calculated induced voltages in the important electronic components of the device showed dependence with the MRI field strength. For the MRI radiofrequency fields, significant induced voltages of up to 20 V were calculated for a 0.3T field-strength MRI. For the 1.5 and 3.0T MRIs, the calculated voltages were insignificant. On the other hand, induced voltages up to 11 V were calculated in the critical electronic components for the 3.0T MRI due to the gradient fields. Values obtained in this work reflect to the worst case situation which is virtually impossible to achieve in normal scanning situations. Since the calculated voltages may be removed by appropriate protection circuits, no critical problems affecting the normal operation of the pump were identified. This study showed that the proposed methodology helps the identification of the possible incompatibilities between active implants and MR imaging, and can be used to aid the design of critical electronic systems to ensure MRI-safety

[1]  K. Uğurbil,et al.  Temperature and SAR calculations for a human head within volume and surface coils at 64 and 300 MHz , 2004, Journal of magnetic resonance imaging : JMRI.

[2]  Reinhard Von Roemeling,et al.  MR imaging of patients with implanted drug infusion pumps , 1991, Journal of magnetic resonance imaging : JMRI.

[3]  Erik Kongsgaard,et al.  Implantable Cardioverter Defibrillator Dysfunction During and After Magnetic Resonance Imaging , 2002, Pacing and clinical electrophysiology : PACE.

[4]  Werner Irnich,et al.  Do we need pacemakers resistant to magnetic resonance imaging? , 2005, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[5]  P Boesiger,et al.  Force and Torque Effects of a 1.5‐Tesla MRI Scanner on Cardiac Pacemakers and ICDs , 2001, Pacing and clinical electrophysiology : PACE.

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

[7]  H. Ho,et al.  Safety of metallic implants in magnetic resonance imaging , 2001, Journal of magnetic resonance imaging : JMRI.

[8]  V. Tronnier,et al.  Magnetic resonance imaging with implanted neurostimulators: an in vitro and in vivo study. , 1999, Neurosurgery.

[9]  Peter Boesiger,et al.  In vivo heating of pacemaker leads during magnetic resonance imaging. , 2005, European heart journal.

[10]  L. Wetzel,et al.  Effect of distance and infusion rate on operation of Medfusion 2010 infusion pump during magnetic resonance imaging. , 2002, Journal of clinical anesthesia.

[11]  J M Hutchison,et al.  Concomitant magnetic field gradients and their effects on imaging at low magnetic field strengths. , 1990, Magnetic resonance imaging.

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

[13]  Ashwini Sharan,et al.  Neurostimulation systems for deep brain stimulation: In vitro evaluation of magnetic resonance imaging–related heating at 1.5 tesla , 2002, Journal of magnetic resonance imaging : JMRI.

[14]  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.

[15]  B. Schueler,et al.  MRI compatibility and visibility assessment of implantable medical devices , 1999, Journal of magnetic resonance imaging : JMRI.

[16]  J. Belliveau,et al.  Metallic electrodes and leads in simultaneous EEG‐MRI: Specific absorption rate (SAR) simulation studies , 2004, Bioelectromagnetics.

[17]  F G Shellock,et al.  Ex vivo evaluation of ferromagnetism, heating, and artifacts produced by heart valve prostheses exposed to a 1.5‐T MR system , 1994, Journal of magnetic resonance imaging : JMRI.

[18]  R. Stollberger,et al.  Spatial distribution of high-frequency electromagnetic energy in human head during MRI: numerical results and measurements , 1996, IEEE Transactions on Biomedical Engineering.