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在7.0特斯拉磁场下对39个医用植入物进行评估。

Evaluation of 39 medical implants at 7.0 T.

作者信息

Feng David X, McCauley Joseph P, Morgan-Curtis Fea K, Salam Redoan A, Pennell David R, Loveless Mary E, Dula Adrienne N

机构信息

1 School for Science and Math at Vanderbilt University, Vanderbilt University, Nashville, TN, USA.

2 Vanderbilt University Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Br J Radiol. 2015;88(1056):20150633. doi: 10.1259/bjr.20150633. Epub 2015 Oct 20.

Abstract

OBJECTIVE

With increased signal to noise ratios, 7.0-T MRI has the potential to contribute unique information regarding anatomy and pathophysiology of a disease. However, concerns for the safety of subjects with metallic medical implants have hindered advancement in this field. The purpose of the present research was to evaluate the MRI safety for 39 commonly used medical implants at 7.0 T.

METHODS

Selected metallic implants were tested for magnetic field interactions, radiofrequency-induced heating and artefacts using standardized testing techniques.

RESULTS

5 of the 39 implants tested may be unsafe for subjects undergoing MRI at 7.0 T.

CONCLUSION

Implants were deemed either "MR Conditional" or "MR Unsafe" for the 7.0-T MRI environment. Further research is needed to expand the existing database categorizing implants that are acceptable for patients referred for MRI examinations at 7.0 T.

ADVANCES IN KNOWLEDGE

Lack of MRI testing for common metallic medical implants limits the translational potential of 7.0-T MRI. For safety reasons, patients with metallic implants are not allowed to undergo a 7.0-T MRI scan, precluding part of the population that can benefit from the detailed resolution of ultra-high-field MRIs. This investigation provides necessary MRI testing of common medical implants at 7.0 T.

摘要

目的

随着信噪比的提高,7.0-T磁共振成像(MRI)有潜力提供有关疾病解剖学和病理生理学的独特信息。然而,对金属医疗植入物受试者安全性的担忧阻碍了该领域的发展。本研究的目的是评估39种常用医疗植入物在7.0 T场强下的MRI安全性。

方法

使用标准化测试技术对选定的金属植入物进行磁场相互作用、射频感应加热和伪影测试。

结果

在测试的39种植入物中,有5种对于接受7.0 T场强MRI检查的受试者可能不安全。

结论

对于7.0-T MRI环境,植入物被判定为“MR条件合格”或“MR不安全”。需要进一步研究以扩展现有的数据库,对适合7.0 T场强MRI检查患者的可接受植入物进行分类。

知识进展

缺乏对常见金属医疗植入物的MRI测试限制了7.0-T MRI的转化潜力。出于安全考虑,金属植入物患者不允许进行7.0-T MRI扫描,这排除了一部分可从超高场MRI的高分辨率中受益的人群。本研究提供了7.0 T场强下常见医疗植入物的必要MRI测试。

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