Movement Disorders (revue)

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Three-dimensional brain MRI for DBS patients within ultra-low radiofrequency power limits.

Identifieur interne : 000604 ( PubMed/Corpus ); précédent : 000603; suivant : 000605

Three-dimensional brain MRI for DBS patients within ultra-low radiofrequency power limits.

Auteurs : Subhendra N. Sarkar ; Efstathios Papavassiliou ; David B. Hackney ; David C. Alsop ; Ludy C. Shih ; Ananth J. Madhuranthakam ; Reed F. Busse ; Susan La Ruche ; Rafeeque A. Bhadelia

Source :

RBID : pubmed:24442797

English descriptors

Abstract

For patients with deep brain stimulators (DBS), local absorbed radiofrequency (RF) power is unknown and is much higher than what the system estimates. We developed a comprehensive, high-quality brain magnetic resonance imaging (MRI) protocol for DBS patients utilizing three-dimensional (3D) magnetic resonance sequences at very low RF power.

DOI: 10.1002/mds.25808
PubMed: 24442797

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pubmed:24442797

Le document en format XML

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<title xml:lang="en">Three-dimensional brain MRI for DBS patients within ultra-low radiofrequency power limits.</title>
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<name sortKey="Sarkar, Subhendra N" sort="Sarkar, Subhendra N" uniqKey="Sarkar S" first="Subhendra N" last="Sarkar">Subhendra N. Sarkar</name>
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<nlm:affiliation>Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
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<name sortKey="Papavassiliou, Efstathios" sort="Papavassiliou, Efstathios" uniqKey="Papavassiliou E" first="Efstathios" last="Papavassiliou">Efstathios Papavassiliou</name>
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<name sortKey="Hackney, David B" sort="Hackney, David B" uniqKey="Hackney D" first="David B" last="Hackney">David B. Hackney</name>
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<name sortKey="Alsop, David C" sort="Alsop, David C" uniqKey="Alsop D" first="David C" last="Alsop">David C. Alsop</name>
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<name sortKey="Shih, Ludy C" sort="Shih, Ludy C" uniqKey="Shih L" first="Ludy C" last="Shih">Ludy C. Shih</name>
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<name sortKey="Madhuranthakam, Ananth J" sort="Madhuranthakam, Ananth J" uniqKey="Madhuranthakam A" first="Ananth J" last="Madhuranthakam">Ananth J. Madhuranthakam</name>
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<name sortKey="Busse, Reed F" sort="Busse, Reed F" uniqKey="Busse R" first="Reed F" last="Busse">Reed F. Busse</name>
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<name sortKey="La Ruche, Susan" sort="La Ruche, Susan" uniqKey="La Ruche S" first="Susan" last="La Ruche">Susan La Ruche</name>
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<name sortKey="Bhadelia, Rafeeque A" sort="Bhadelia, Rafeeque A" uniqKey="Bhadelia R" first="Rafeeque A" last="Bhadelia">Rafeeque A. Bhadelia</name>
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<name sortKey="Madhuranthakam, Ananth J" sort="Madhuranthakam, Ananth J" uniqKey="Madhuranthakam A" first="Ananth J" last="Madhuranthakam">Ananth J. Madhuranthakam</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="eISSN">1531-8257</idno>
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<term>Adult</term>
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<term>Brain (pathology)</term>
<term>Deep Brain Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Essential Tremor (pathology)</term>
<term>Essential Tremor (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (therapy)</term>
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<term>Magnetic Resonance Imaging</term>
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<term>Brain</term>
<term>Essential Tremor</term>
<term>Parkinson Disease</term>
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<term>Essential Tremor</term>
<term>Parkinson Disease</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Deep Brain Stimulation</term>
<term>Electrodes, Implanted</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">For patients with deep brain stimulators (DBS), local absorbed radiofrequency (RF) power is unknown and is much higher than what the system estimates. We developed a comprehensive, high-quality brain magnetic resonance imaging (MRI) protocol for DBS patients utilizing three-dimensional (3D) magnetic resonance sequences at very low RF power.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Three-dimensional brain MRI for DBS patients within ultra-low radiofrequency power limits.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">For patients with deep brain stimulators (DBS), local absorbed radiofrequency (RF) power is unknown and is much higher than what the system estimates. We developed a comprehensive, high-quality brain magnetic resonance imaging (MRI) protocol for DBS patients utilizing three-dimensional (3D) magnetic resonance sequences at very low RF power.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six patients with DBS were imaged (10 sessions) using a transmit/receive head coil at 1.5 Tesla with modified 3D sequences within ultra-low specific absorption rate (SAR) limits (0.1 W/kg) using T2 , fast fluid-attenuated inversion recovery (FLAIR) and T1 -weighted image contrast. Tissue signal and tissue contrast from the low-SAR images were subjectively and objectively compared with routine clinical images of six age-matched controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Low-SAR images of DBS patients demonstrated tissue contrast comparable to high-SAR images and were of diagnostic quality except for slightly reduced signal.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Although preliminary, we demonstrated diagnostic quality brain MRI with optimized, volumetric sequences in DBS patients within very conservative RF safety guidelines offering a greater safety margin.</AbstractText>
<CopyrightInformation>© 2014 International Parkinson and Movement Disorder Society.</CopyrightInformation>
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