A technique for the reduction of RF-induced heating of active implantable medical devices during MRI

Magn Reson Med. 2022 Jan;87(1):349-364. doi: 10.1002/mrm.28953. Epub 2021 Aug 10.

Abstract

Purpose: The paper presents a novel method to reduce the RF-induced heating of active implantable medical devices during MRI.

Methods: With the addition of an energy decoying and dissipating structure, RF energy can be redirected toward the dissipating rings through the decoying conductor. Three lead groups (45 cm-50 cm) and 4 (50 cm-100 cm) were studied in 1.5 Tesla MR systems by simulation and measurement, respectively. In vivo modeling was performed using human models to estimate the RF-induced heating of an active implantable medical device for spinal cord treatment.

Result: In the simulation study, it was shown that the peak 1g-averaged specific absorption rate near the lead-tips can be reduced by 70% to 80% compared to those from the control leads. In the experimental measurements during a 2-min exposure test in a 1.5 Telsa MR system, the temperature rises dropped from the original 18.3℃, 25.8℃, 8.1℃, and 16.1℃ (control leads 1-4) to 5.4℃, 6.9℃, 1.6℃, and 3.3℃ (leads 1-4 with the energy decoying and dissipation structure). The in vivo calculation results show that the maximum induced temperature rise among all cases can be substantially reduced (up to 80%) when the energy decoying and dissipating structures were used.

Conclusion: Our studies confirm the effectiveness of the novel technique for a variety of scanning scenarios. The results also indicate that the decoying conductor length, number of rings, and ring area must be carefully chosen and validated.

Keywords: MRI; RF-induced heating reduction; active implantable medical devices; decoying conductor; transfer function.

MeSH terms

  • Computer Simulation
  • Heating*
  • Hot Temperature
  • Humans
  • Magnetic Resonance Imaging
  • Phantoms, Imaging
  • Prostheses and Implants
  • Radio Waves*