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Heating Induced near Deep Brain Stimulation Lead Electrodes during Magnetic Resonance Imaging with a 3T Transceive Volume Head Coil

Identifieur interne : 000303 ( Pmc/Curation ); précédent : 000302; suivant : 000304

Heating Induced near Deep Brain Stimulation Lead Electrodes during Magnetic Resonance Imaging with a 3T Transceive Volume Head Coil

Auteurs : Devashish Shrivastava ; Aviva Abosch ; John Hughes ; Ute Goerke ; Lance Delabarre ; Rachana Visaria ; Noam Harel ; J. Thomas Vaughan

Source :

RBID : PMC:3469254

Abstract

Heating induced near deep brain stimulation (DBS) lead electrodes during MRI with a 3T transceive head coil was measured, modeled, and imaged in three cadaveric porcine heads (mean body weight = 85.47±3.19 kg, mean head weight = 5.78±0.32 kg). The effect of the placement of the extra-cranial portion of the DBS lead on the heating was investigated by looping the extra-cranial lead on the top, side, and back of the head; and placing it parallel to the coil’s longitudinal axial direction. The heating was induced using a 641 s long turbo spin echo sequence with the mean whole head average SAR of 3.16 W/kg. Temperatures were measured using fluoroptic probes at the scalp, first and second electrodes from the distal lead tip, and 6 mm distal from electrode 1 (T6mm). The heating was modeled using the maximum T6mm and imaged using a proton resonance frequency shift based MR thermometry method. Results showed that the heating was significantly reduced when the extra-cranial lead was placed in the longitudinal direction compared to the other placements (peak temperature change = 1.5–3.2 °C vs 5.1–24.7 °C). Thermal modeling and MR thermometry may be used together to determine the heating and improve patient safety online.


Url:
DOI: 10.1088/0031-9155/57/17/5651
PubMed: 22892760
PubMed Central: 3469254

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PMC:3469254

Le document en format XML

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<p id="P1">Heating induced near deep brain stimulation (DBS) lead electrodes during MRI with a 3T transceive head coil was measured, modeled, and imaged in three cadaveric porcine heads (mean body weight = 85.47±3.19 kg, mean head weight = 5.78±0.32 kg). The effect of the placement of the extra-cranial portion of the DBS lead on the heating was investigated by looping the extra-cranial lead on the top, side, and back of the head; and placing it parallel to the coil’s longitudinal axial direction. The heating was induced using a 641 s long turbo spin echo sequence with the mean whole head average SAR of 3.16 W/kg. Temperatures were measured using fluoroptic probes at the scalp, first and second electrodes from the distal lead tip, and 6 mm distal from electrode 1 (T
<sub>6mm</sub>
). The heating was modeled using the maximum T
<sub>6mm</sub>
and imaged using a proton resonance frequency shift based MR thermometry method. Results showed that the heating was significantly reduced when the extra-cranial lead was placed in the longitudinal direction compared to the other placements (peak temperature change = 1.5–3.2 °C vs 5.1–24.7 °C). Thermal modeling and MR thermometry may be used together to determine the heating and improve patient safety online.</p>
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St SE, Minneapolis, MN 55455</aff>
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St SE, Minneapolis, MN 55455</aff>
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St SE, Minneapolis, MN 55455</aff>
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St SE, Minneapolis, MN 55455</aff>
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St. SE, Minneapolis, MN 55455, USA</aff>
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<author-notes>
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<bold>Corresponding Author:</bold>
Devashish Shrivastava, Center for Magnetic Resonance Research, University of Minnesota, 2021, 6
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St. SE, Minneapolis, MN 55455, USA, Phone: 612 626 2001, FAX: 612 626 2004,
<email>dev@cmrr.umn.edu</email>
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<abstract>
<p id="P1">Heating induced near deep brain stimulation (DBS) lead electrodes during MRI with a 3T transceive head coil was measured, modeled, and imaged in three cadaveric porcine heads (mean body weight = 85.47±3.19 kg, mean head weight = 5.78±0.32 kg). The effect of the placement of the extra-cranial portion of the DBS lead on the heating was investigated by looping the extra-cranial lead on the top, side, and back of the head; and placing it parallel to the coil’s longitudinal axial direction. The heating was induced using a 641 s long turbo spin echo sequence with the mean whole head average SAR of 3.16 W/kg. Temperatures were measured using fluoroptic probes at the scalp, first and second electrodes from the distal lead tip, and 6 mm distal from electrode 1 (T
<sub>6mm</sub>
). The heating was modeled using the maximum T
<sub>6mm</sub>
and imaged using a proton resonance frequency shift based MR thermometry method. Results showed that the heating was significantly reduced when the extra-cranial lead was placed in the longitudinal direction compared to the other placements (peak temperature change = 1.5–3.2 °C vs 5.1–24.7 °C). Thermal modeling and MR thermometry may be used together to determine the heating and improve patient safety online.</p>
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<kwd-group>
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