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磁共振成像中带医疗器械患者的曝光优化试验:完备性与效率的平衡

Exposure Optimization Trial for Patients With Medical Implants During MRI Exposure: Balance Between the Completeness and Efficiency.

机构信息

Department of Information Science and Engineering, Lanzhou University, Lanzhou, China.

Centre for Medical Device Evaluation, National Medical Products Administration, Beijing, China.

出版信息

Front Public Health. 2021 Dec 13;9:793418. doi: 10.3389/fpubh.2021.793418. eCollection 2021.

DOI:10.3389/fpubh.2021.793418
PMID:34966716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8710503/
Abstract

Elongated conductors, such as pacemaker leads, can couple to the MRI radio-frequency (RF) field during MRI scan and cause dangerous tissue heating. By selecting proper RF exposure conditions, the RF-induced power deposition can be suppressed. As the RF-induced power deposition is a complex function of multiple clinical factors, the problem remains how to perform the exposure selection in a comprehensive and efficient way. The purpose of this work is to demonstrate an exposure optimization trail that allows a comprehensive optimization in an efficient and traceable manner. The proposed workflow is demonstrated with a generic 40 cm long cardio pacemaker, major components of the clinical factors are decoupled from the redundant data set using principle component analysis, the optimized exposure condition can not only reduce the power deposition but also maintain good image quality.

摘要

在 MRI 扫描期间,诸如心脏起搏器导联等细长导体可能会与 MRI 射频 (RF) 场耦合,并导致危险的组织加热。通过选择适当的 RF 暴露条件,可以抑制 RF 诱导的功率沉积。由于 RF 诱导的功率沉积是多个临床因素的复杂函数,问题仍然是如何以全面和有效的方式进行暴露选择。本工作旨在演示一种暴露优化试验,该试验允许以有效且可追溯的方式进行全面优化。所提出的工作流程使用通用的 40cm 长心脏起搏器进行演示,使用主成分分析从冗余数据集分离出临床因素的主要成分,优化后的暴露条件不仅可以降低功率沉积,还可以保持良好的图像质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/437c72ac31cf/fpubh-09-793418-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/05c155377492/fpubh-09-793418-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/2e3f5b925964/fpubh-09-793418-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/7965d357553a/fpubh-09-793418-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/f83ac97e4bfc/fpubh-09-793418-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/8a24c95c1e0f/fpubh-09-793418-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/ea99859ef942/fpubh-09-793418-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/437c72ac31cf/fpubh-09-793418-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/05c155377492/fpubh-09-793418-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/2e3f5b925964/fpubh-09-793418-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/7965d357553a/fpubh-09-793418-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/f83ac97e4bfc/fpubh-09-793418-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/8a24c95c1e0f/fpubh-09-793418-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/ea99859ef942/fpubh-09-793418-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e4/8710503/437c72ac31cf/fpubh-09-793418-g0007.jpg

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本文引用的文献

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Bioelectromagnetics. 2019 Oct;40(7):458-471. doi: 10.1002/bem.22206. Epub 2019 Aug 8.
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Statistical Evaluation of Radiofrequency Exposure during Magnetic Resonant Imaging: Application of Whole-Body Individual Human Model and Body Motion in the Coil.磁共振成像中射频辐射的统计评估:全身个体人体模型和线圈中人体运动的应用。
Int J Environ Res Public Health. 2019 Mar 25;16(6):1069. doi: 10.3390/ijerph16061069.
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Assessing the Electromagnetic Fields Generated By a Radiofrequency MRI Body Coil at 64 MHz: Defeaturing Versus Accuracy.
评估64兆赫兹射频磁共振成像体线圈产生的电磁场:去除特征与准确性
IEEE Trans Biomed Eng. 2016 Aug;63(8):1591-1601. doi: 10.1109/TBME.2015.2506680. Epub 2015 Dec 17.
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Magnetic resonance imaging safety in pacemaker and implantable cardioverter defibrillator patients: how far have we come?起搏器和植入式心脏复律除颤器患者的磁共振成像安全性:我们取得了多大进展?
Eur Heart J. 2015 Jun 21;36(24):1505-11. doi: 10.1093/eurheartj/ehv086. Epub 2015 Mar 21.
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Parallel transmit excitation at 1.5 T based on the minimization of a driving function for device heating.基于使设备发热的驱动函数最小化的1.5T并行发射激励
Med Phys. 2015 Jan;42(1):359-71. doi: 10.1118/1.4903894.
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Controlling radiofrequency-induced currents in guidewires using parallel transmit.使用并行发射控制导丝中射频感应电流。
Magn Reson Med. 2015 Dec;74(6):1790-802. doi: 10.1002/mrm.25543. Epub 2014 Dec 17.
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Development of a new generation of high-resolution anatomical models for medical device evaluation: the Virtual Population 3.0.用于医疗器械评估的新一代高分辨率解剖模型的开发:虚拟人群3.0
Phys Med Biol. 2014 Sep 21;59(18):5287-303. doi: 10.1088/0031-9155/59/18/5287. Epub 2014 Aug 21.
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Reduction of the radiofrequency heating of metallic devices using a dual-drive birdcage coil.使用双驱动鸟笼线圈降低金属器件的射频加热。
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