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在植入深部脑刺激器的猪进行 3.0-T MRI 时的射频加热测量。

Measurements of RF heating during 3.0-T MRI of a pig implanted with deep brain stimulator.

机构信息

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

出版信息

Magn Reson Imaging. 2013 Jun;31(5):783-8. doi: 10.1016/j.mri.2012.11.005. Epub 2012 Dec 7.

Abstract

PURPOSE

To present preliminary, in vivo temperature measurements during MRI of a pig implanted with a deep brain stimulation (DBS) system.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

材料和方法

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。

结果

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。

结论

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。

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