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血管通路端口和导管:与磁共振成像相关的铁磁性、加热及伪影的体外测试

Vascular access ports and catheters: ex vivo testing of ferromagnetism, heating, and artifacts associated with MR imaging.

作者信息

Shellock F G, Shellock V J

机构信息

Future Diagnostics Inc, Los Angeles, CA, USA.

出版信息

Magn Reson Imaging. 1996;14(4):443-7. doi: 10.1016/0730-725x(95)02114-9.

Abstract

The purpose of this study was to evaluate ferromagnetic qualities, heating, and artifacts associated with MR imaging of implantable vascular access ports (IVAPs, N = 9) and catheters (N = 8). Ferromagnetism was determined using previously described techniques. Heating was assessed for the IVAPs by measuring temperature immediately before and after performing a 3D GRASS, MTC pulse sequence for 60 min at an SAR of 2.8 W/kg. Artifacts were evaluated in association with the use of a fast GRASS pulse sequence and graded according to the severity of image distortion. None of the IVAPs or catheters were attracted by the magnetic field of the MR system. The largest temperature change measured was -0.3 degree C. Artifacts varied, depending on the component materials used for the construction of the IVAPs and catheters. The lack of ferromagnetic qualities and negligible heating indicates that MR imaging performed at 1.5 T or less may be conducted safely in patients with each of the IVAPs and catheters tested. None of the artifacts produced by the presence of the IVAPs or catheters is considered to impair the diagnostic aspects of MR imaging, especially if the device is not positioned directly in the imaging area of interest.

摘要

本研究的目的是评估与可植入式血管通路端口(IVAPs,N = 9)和导管(N = 8)的磁共振成像相关的铁磁性、发热及伪影情况。使用先前描述的技术测定铁磁性。通过在2.8 W/kg的比吸收率(SAR)下对IVAPs执行60分钟的三维稳态进动快速成像(3D GRASS)、磁化传递对比(MTC)脉冲序列前后立即测量温度,来评估IVAPs的发热情况。结合使用快速GRASS脉冲序列评估伪影,并根据图像失真的严重程度进行分级。IVAPs或导管均未被磁共振系统的磁场吸引。测得的最大温度变化为-0.3摄氏度。伪影各不相同,这取决于用于构建IVAPs和导管的组件材料。缺乏铁磁性且发热可忽略不计,这表明在接受测试的使用每种IVAPs和导管的患者中,在1.5 T及以下场强进行磁共振成像可能是安全的。由IVAPs或导管的存在所产生的伪影均不被认为会损害磁共振成像的诊断效果,尤其是当设备未直接位于感兴趣的成像区域时。

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