IEEE Trans Biomed Eng. 2020 Mar;67(3):915-923. doi: 10.1109/TBME.2019.2923693. Epub 2019 Jun 19.
Resonant vibrations of implanted structures during a magnetic resonance imaging (MRI) procedure pose a risk to the patient in the form of soft tissue irritation and degradation of the implant. In this paper, the mechanical behavior of implant structures in air, water, and viscoelastic materials was explored.
The static and dynamic transfer functions of various test samples in air and immersed in both water and hydrogels were analyzed. The laser-based acquisition method allowed for high-angular-resolution (10 μDeg) and high-dynamic-range (0-6 kHz) measurements. Additional MRI experiments were conducted to investigate the dependence of vibration strength on magnetic resonance (MR) sequence parameters in combination with the obtained transfer functions.
The largest forces were found to be in the micronewton to millinewton range, which is comparable to forces applied during implantation. Of additional concern was the damping introduced by viscoelastic tissue, which was less than expected, leading to an underdamped system. In contrast to current wisdom, the imaging experiments demonstrated drastically different vibration amplitudes for identical gradient slew rates, but different timing parameters TR, mainly due to resonant amplification.
The results showed that a safe force-free MR procedure depends not only on the gradient slew rate, but also and more drastically on the choice of secure timing parameters.
These findings delineate design improvements to achieve longevity of implants and will lead to increased patient safety during MRI. A prudent choice of mechanical characteristics of implanted structures is sufficient to avoid resonant excitation due to mismatched MR sequence parameters.
在磁共振成像(MRI)过程中,植入物结构的共振振动会以软组织刺激和植入物降解的形式对患者造成风险。本文探讨了植入物结构在空气、水和粘弹性材料中的力学行为。
分析了空气中和浸入水和水凝胶中的各种测试样本的静态和动态传递函数。基于激光的采集方法允许进行高角度分辨率(10 μDeg)和高动态范围(0-6 kHz)的测量。进行了额外的 MRI 实验,以结合获得的传递函数研究振动强度对磁共振(MR)序列参数的依赖性。
发现最大力在微牛顿到毫牛顿之间,这与植入过程中施加的力相当。另一个令人担忧的问题是粘弹性组织引入的阻尼小于预期,导致系统欠阻尼。与当前的认识相反,成像实验表明相同梯度上升率的振动幅度明显不同,但由于共振放大,定时参数 TR 不同。
结果表明,安全无作用力的 MRI 程序不仅取决于梯度上升率,而且更取决于安全定时参数的选择。
这些发现描绘了设计改进,以实现植入物的长期使用,并将提高患者在 MRI 期间的安全性。谨慎选择植入结构的机械特性足以避免由于不匹配的 MR 序列参数引起的共振激励。