Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Magn Reson Imaging. 2013 Jun;31(5):783-8. doi: 10.1016/j.mri.2012.11.005. Epub 2012 Dec 7.
To present preliminary, in vivo temperature measurements during MRI of a pig implanted with a deep brain stimulation (DBS) system.
DBS system (Medtronic Inc., Minneapolis, MN) was implanted in the brain of an anesthetized pig. 3.0-T MRI was performed with a T/R head coil using the low-SAR GRE EPI and IR-prepped GRE sequences (SAR: 0.42 and 0.39 W/kg, respectively), and the high-SAR 4-echo RF spin echo (SAR: 2.9 W/kg). Fluoroptic thermometry was used to directly measure RF-related heating at the DBS electrodes, and at the implantable pulse generator (IPG). For reference the measurements were repeated in the same pig at 1.5 T and, at both field strengths, in a phantom.
At 3.0T, the maximal temperature elevations at DBS electrodes were 0.46 °C and 2.3 °C, for the low- and high-SAR sequences, respectively. No heating was observed on the implanted IPG during any of the measurements. Measurements of in vivo heating differed from those obtained in the phantom.
The 3.0-T MRI using GRE EPI and IR-prepped GRE sequences resulted in local temperature elevations at DBS electrodes of no more than 0.46 °C. Although no extrapolation should be made to human exams and much further study will be needed, these preliminary data are encouraging for the future use 3.0-T MRI in patients with DBS.
介绍在植入深部脑刺激 (DBS) 系统的猪的 MRI 中进行的初步体内温度测量。
将 DBS 系统(美敦力公司,明尼苏达州明尼阿波利斯)植入麻醉猪的大脑中。使用 T/R 头部线圈进行 3.0-T MRI,使用低 SAR GRE EPI 和 IR-prepped GRE 序列(SAR:分别为 0.42 和 0.39 W/kg),以及高 SAR 4 回波 RF 自旋回波(SAR:2.9 W/kg)。荧光温度测量用于直接测量 DBS 电极处的射频相关加热,以及可植入脉冲发生器 (IPG) 处的加热。作为参考,在同一只猪中在 1.5 T 下以及在两个场强下在体模中重复了这些测量。
在 3.0T 下,低 SAR 和高 SAR 序列下 DBS 电极的最大温度升高分别为 0.46°C 和 2.3°C。在任何测量中,植入的 IPG 都没有观察到加热。体内加热的测量结果与体模中的测量结果不同。
使用 GRE EPI 和 IR-prepped GRE 序列的 3.0-T MRI 导致 DBS 电极处的局部温度升高不超过 0.46°C。尽管不应将这些结果外推到人体检查中,并且还需要进行更多的研究,但这些初步数据为未来在接受 DBS 治疗的患者中使用 3.0-T MRI 提供了令人鼓舞的结果。