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技术说明:用于磁共振成像安全性研究的植入神经刺激器的人体模型

Technical Note: An anthropomorphic phantom with implanted neurostimulator for investigation of MRI safety.

作者信息

Yang Benson, Tam Fred, Davidson Benjamin, Wei Pei-Shan, Hamani Clement, Lipsman Nir, Chen Chih-Hung, Graham Simon J

机构信息

Physical Sciences Platform, Sunnybrook Research Institute, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.

Department of Electrical and Computer Engineering, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, Canada.

出版信息

Med Phys. 2020 Aug;47(8):3745-3751. doi: 10.1002/mp.14214. Epub 2020 May 25.

Abstract

PURPOSE

The objective of this work was to design and construct an improved anthropomorphic phantom for use in studying magnetic resonance imaging (MRI) radiofrequency (RF) safety at 3 T related to deep brain stimulation (DBS), and especially the role of DBS lead trajectories.

METHOD

Based on a computer-aided design including reasonable representation of human features, the phantom was fabricated by three-dimensional (3D) printing and then fully assembled with a human skull, a commercial DBS device implanted using the surgical standard at our institution, and fiber-optic temperature sensors embedded in two tissue mimicking solutions (e.g., the heterogeneous setup). Preliminary MRI safety experiments were conducted using turbo spin-echo (TSE) imaging with the device powered on and powered off. These results were then compared to analogous results for a homogeneous phantom setup that filled the structure with a standard body average solution.

RESULT

Both phantom setups produced temperature increases of ~1.0°C, with a maximum increase of 1.1 ± 0.2°C recorded during imaging of the heterogeneous phantom setup. The preliminary experimental results suggest that improved phantom structures capable of replicating actual DBS lead trajectories may be advisable when conducting DBS-related MRI safety studies.

CONCLUSION

An anthropomorphic phantom was constructed with promising initial results indicating different DBS lead trajectories and phantom setups may impact temperature elevations along an implanted DBS lead. Although additional work will be necessary to validate its efficacy over conventional phantoms, the anthropomorphic phantom can likely be used in the future to assess different procedures for DBS lead placement, the RF power deposition of MRI protocols applicable to DBS patients, and to validate novel methods to reduce localized heating effects associated with DBS devices, such as parallel RF transmission.

摘要

目的

本研究的目的是设计并构建一种改进的拟人化体模,用于研究3T场强下与深部脑刺激(DBS)相关的磁共振成像(MRI)射频(RF)安全性,特别是DBS电极轨迹的作用。

方法

基于包含合理人体特征表示的计算机辅助设计,通过三维(3D)打印制造体模,然后将其与人类头骨、按照本机构手术标准植入的商用DBS设备以及嵌入两种组织模拟溶液(如异质设置)中的光纤温度传感器进行完全组装。在设备开启和关闭的情况下,使用涡轮自旋回波(TSE)成像进行初步的MRI安全性实验。然后将这些结果与用标准体平均溶液填充结构的均质体模设置的类似结果进行比较。

结果

两种体模设置均使温度升高约1.0°C,在异质体模设置成像期间记录到的最大升高为1.1±0.2°C。初步实验结果表明,在进行与DBS相关的MRI安全性研究时,采用能够复制实际DBS电极轨迹的改进体模结构可能是可取的。

结论

构建了一种拟人化体模,初步结果表明不同的DBS电极轨迹和体模设置可能会影响植入DBS电极沿线的温度升高。尽管需要额外的工作来验证其相对于传统体模的有效性,但该拟人化体模未来可能用于评估DBS电极放置的不同程序、适用于DBS患者的MRI协议的RF功率沉积,以及验证减少与DBS设备相关的局部热效应的新方法,如并行RF传输。

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