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一种降低 MRI 期间有源植入式医疗器械中射频致热的技术。

A technique for the reduction of RF-induced heating of active implantable medical devices during MRI.

机构信息

Department of Electrical and Computer Engineering, University of Houston, Houston, Texas, USA.

Center for Devices and Radiological Health, Food and Drug Administration, Silver Spring, Maryland, USA.

出版信息

Magn Reson Med. 2022 Jan;87(1):349-364. doi: 10.1002/mrm.28953. Epub 2021 Aug 10.

Abstract

PURPOSE

The paper presents a novel method to reduce the RF-induced heating of active implantable medical devices during MRI.

METHODS

With the addition of an energy decoying and dissipating structure, RF energy can be redirected toward the dissipating rings through the decoying conductor. Three lead groups (45 cm-50 cm) and 4 (50 cm-100 cm) were studied in 1.5 Tesla MR systems by simulation and measurement, respectively. In vivo modeling was performed using human models to estimate the RF-induced heating of an active implantable medical device for spinal cord treatment.

RESULT

In the simulation study, it was shown that the peak 1g-averaged specific absorption rate near the lead-tips can be reduced by 70% to 80% compared to those from the control leads. In the experimental measurements during a 2-min exposure test in a 1.5 Telsa MR system, the temperature rises dropped from the original 18.3℃, 25.8℃, 8.1℃, and 16.1℃ (control leads 1-4) to 5.4℃, 6.9℃, 1.6℃, and 3.3℃ (leads 1-4 with the energy decoying and dissipation structure). The in vivo calculation results show that the maximum induced temperature rise among all cases can be substantially reduced (up to 80%) when the energy decoying and dissipating structures were used.

CONCLUSION

Our studies confirm the effectiveness of the novel technique for a variety of scanning scenarios. The results also indicate that the decoying conductor length, number of rings, and ring area must be carefully chosen and validated.

摘要

目的

本文提出了一种新的方法,可降低磁共振成像(MRI)期间有源植入式医疗器械的射频(RF)诱导加热。

方法

通过增加能量诱饵和耗散结构,RF 能量可以通过诱饵导体重新引导到耗散环。在 1.5T 磁共振系统中,通过模拟和测量分别研究了三组(45-50cm)和四组(50-100cm)引线。使用人体模型进行体内建模,以估计用于脊髓治疗的有源植入式医疗器械的 RF 诱导加热。

结果

在模拟研究中,与对照引线相比,靠近引线尖端的 1g 平均比吸收率峰值可以降低 70%至 80%。在 1.5T 磁共振系统中进行的 2 分钟暴露测试的实验测量中,温度升高从原始的 18.3°C、25.8°C、8.1°C 和 16.1°C(对照引线 1-4)降至 5.4°C、6.9°C、1.6°C 和 3.3°C(带有能量诱饵和耗散结构的引线 1-4)。体内计算结果表明,当使用能量诱饵和耗散结构时,所有情况下的最大感应温升都可以大大降低(最高可达 80%)。

结论

我们的研究证实了该新技术在各种扫描情况下的有效性。结果还表明,诱饵导体的长度、环的数量和环的面积必须仔细选择和验证。

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