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1.
Magn Reson Med ; 91(4): 1659-1675, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38031517

RESUMEN

PURPOSE: To investigate safety and performance aspects of parallel-transmit (pTx) RF control-modes for a body coil at B 0 ≤ 3 T $$ {B}_0\le 3\mathrm{T} $$ . METHODS: Electromagnetic simulations of 11 human voxel models in cardiac imaging position were conducted for B 0 = 0.5 T $$ {B}_0=0.5\mathrm{T} $$ , 1.5 T $$ 1.5\mathrm{T} $$ and 3 T $$ 3\mathrm{T} $$ and a body coil with a configurable number of transmit channels (1, 2, 4, 8, 16). Three safety modes were considered: the 'SAR-controlled mode' (SCM), where specific absorption rate (SAR) is limited directly, a 'phase agnostic SAR-controlled mode' (PASCM), where phase information is neglected, and a 'power-controlled mode' (PCM), where the voltage amplitude for each channel is limited. For either mode, safety limits were established based on a set of 'anchor' simulations and then evaluated in 'target' simulations on previously unseen models. The comparison allowed to derive safety factors accounting for varying patient anatomies. All control modes were compared in terms of the B 1 + $$ {B}_1^{+} $$ amplitude and homogeneity they permit under their respective safety requirements. RESULTS: Large safety factors (approximately five) are needed if only one or two anchor models are investigated but they shrink with increasing number of anchors. The achievable B 1 + $$ {B}_1^{+} $$ is highest for SCM but this advantage is reduced when the safety factor is included. PCM appears to be more robust against variations of subjects. PASCM performance is mostly in between SCM and PCM. Compared to standard circularly polarized (CP) excitation, pTx offers minor B 1 + $$ {B}_1^{+} $$ improvements if local SAR limits are always enforced. CONCLUSION: PTx body coils can safely be used at B 0 ≤ 3 T $$ {B}_0\le 3\mathrm{T} $$ . Uncertainties in patient anatomy must be accounted for, however, by simulating many models.


Asunto(s)
Corazón , Imagen por Resonancia Magnética , Humanos , Imagen por Resonancia Magnética/métodos , Simulación por Computador , Corazón/diagnóstico por imagen , Fantasmas de Imagen , Ondas de Radio
2.
Magn Reson Med ; 90(6): 2608-2626, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37533167

RESUMEN

PURPOSE: To investigate a novel reduced RF heating method for imaging in the presence of active implanted medical devices (AIMDs) which employs a sensor-equipped implant that provides wireless feedback. METHODS: The implant, consisting of a generator case and a lead, measures RF-induced E $$ E $$ -fields at the implant tip using a simple sensor in the generator case and transmits these values wirelessly to the MR scanner. Based on the sensor signal alone, parallel transmission (pTx) excitation vectors were calculated to suppress tip heating and maintain image quality. A sensor-based imaging metric was introduced to assess the image quality. The methodology was studied at 7T in testbed experiments, and at a 3T scanner in an ASTM phantom containing AIMDs instrumented with six realistic deep brain stimulation (DBS) lead configurations adapted from patients. RESULTS: The implant successfully measured RF-induced E $$ E $$ -fields (Pearson correlation coefficient squared [R2 ] = 0.93) and temperature rises (R2 = 0.95) at the implant tip. The implant acquired the relevant data needed to calculate the pTx excitation vectors and transmitted them wirelessly to the MR scanner within a single shot RF sequence (<60 ms). Temperature rises for six realistic DBS lead configurations were reduced to 0.03-0.14 K for heating suppression modes compared to 0.52-3.33 K for the worst-case heating, while imaging quality remained comparable (five of six lead imaging scores were ≥0.80/1.00) to conventional circular polarization (CP) images. CONCLUSION: Implants with sensors that can communicate with an MR scanner can substantially improve safety for patients in a fast and automated manner, easing the current burden for MR personnel.


Asunto(s)
Estimulación Encefálica Profunda , Imagen por Resonancia Magnética , Humanos , Imagen por Resonancia Magnética/métodos , Prótesis e Implantes , Fantasmas de Imagen , Calor , Ondas de Radio
3.
NMR Biomed ; 36(7): e4900, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-36624556

RESUMEN

To protect implant carriers in MRI from excessive radiofrequency (RF) heating it has previously been suggested to assess that hazard via sensors on the implant. Other work recommended parallel transmission (pTx) to actively mitigate implant-related heating. Here, both ideas are integrated into one comprehensive safety concept where native pTx safety (without implant) is ensured by state-of-the-art field simulations and the implant-specific hazard is quantified in situ using physical sensors. The concept is demonstrated by electromagnetic simulations performed on a human voxel model with a simplified spinal-cord implant in an eight-channel pTx body coil at 3 T . To integrate implant and native safety, the sensor signal must be calibrated in terms of an established safety metric (e.g., specific absorption rate [SAR]). Virtual experiments show that E -field and implant-current sensors are well suited for this purpose, while temperature sensors require some caution, and B 1 probes are inadequate. Based on an implant sensor matrix Q s , constructed in situ from sensor readings, and precomputed native SAR limits, a vector space of safe RF excitations is determined where both global (native) and local (implant-related) safety requirements are satisfied. Within this safe-excitation subspace, the solution with the best image quality in terms of B 1 + magnitude and homogeneity is then found by a straightforward optimization algorithm. In the investigated example, the optimized pTx shim provides a 3-fold higher mean B 1 + magnitude compared with circularly polarized excitation for a maximum implant-related temperature increase ∆ T imp ≤ 1 K . To date, sensor-equipped implants interfaced to a pTx scanner exist as demonstrator items in research labs, but commercial devices are not yet within sight. This paper aims to demonstrate the significant benefits of such an approach and how this could impact implant-related RF safety in MRI. Today, the responsibility for safe implant scanning lies with the implant manufacturer and the MRI operator; within the sensor concept, the MRI manufacturer would assume much of the operator's current responsibility.


Asunto(s)
Calor , Ondas de Radio , Humanos , Simulación por Computador , Fantasmas de Imagen , Imagen por Resonancia Magnética/métodos
4.
NMR Biomed ; : e5052, 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-37986655

RESUMEN

Open-source practices and resources in magnetic resonance imaging (MRI) have increased substantially in recent years. This trend started with software and data being published open-source and, more recently, open-source hardware designs have become increasingly available. These developments towards a culture of sharing and establishing nonexclusive global collaborations have already improved the reproducibility and reusability of code and designs, while providing a more inclusive approach, especially for low-income settings. Community-driven standardization and documentation efforts are further strengthening and expanding these milestones. The future of open-source MRI is bright and we have just started to discover its full collaborative potential. In this review we will give an overview of open-source software and open-source hardware projects in human MRI research.

5.
Magn Reson Med ; 87(1): 509-527, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34397114

RESUMEN

PURPOSE: Rapid detection and mitigation of radiofrequency (RF)-induced implant heating during MRI based on small and low-cost embedded sensors. THEORY AND METHODS: A diode and a thermistor are embedded at the tip of an elongated mock implant. RF-induced voltages or temperature change measured by these root mean square (RMS) sensors are used to construct the sensor Q-Matrix (QS ). Hazard prediction, monitoring and parallel transmit (pTx)-based mitigation using these sensors is demonstrated in benchtop measurements at 300 MHz and within a 3T MRI. RESULTS: QS acquisition and mitigation can be performed in <20 ms demonstrating real-time capability. The acquisitions can be performed using safe low powers (<3 W) due to the high reading precision of the diode (126 µV) and thermistor (26 µK). The orthogonal projection method used for pTx mitigation was able to reduce the induced signals and temperatures in all 155 investigated locations. Using the QS approach in a pTx capable 3T MRI with either a two-channel body coil or an eight-channel head coil, RF-induced heating was successfully assessed, monitored and mitigated while the image quality outside the implant region was preserved. CONCLUSION: Small (<1.5 mm3 ) and low-cost (<1 €) RMS sensors embedded in an implant can provide all relevant information to predict, monitor and mitigate RF-induced heating in implants, while preserving image quality. The proposed pTx-based QS approach is independent of simulations or in vitro testing and therefore complements these existing safety assessments.


Asunto(s)
Calefacción , Calor , Imagen por Resonancia Magnética , Fantasmas de Imagen , Prótesis e Implantes , Ondas de Radio
6.
Int J Hyperthermia ; 39(1): 504-516, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35296213

RESUMEN

OBJECTIVE: Hyperthermia as an enhancer of radio- and/or chemotherapy has been confirmed by various trials. Quite a few positive randomized trials have been carried out with capacitive hyperthermia systems (CHS), even though specific absorption rates (SAR) in deep regions are known to be inferior to the established annular-phased array techniques. Due to a lack of systematic SAR measurements for current capacitive technology, we performed phantom measurements in combination with simulation studies. MATERIALS AND METHODS: According to the current guidelines, homogeneous and inhomogeneous agarose phantoms were manufactured for the commercial CHS Celsius42. Temperature/time curves were registered, and specific absorption rate (SAR) profiles and distributions were derived using the temperature gradient method. We implemented models for electrodes and phantom setups for simulation studies using Sim4Life. RESULTS: For a standard total power of 200 W, we measured effective SAR until depths of 6-8 cm in a homogeneous phantom, which indicates fair heating conditions for tumor diseases in superficial and intermediate depths. A fat layer of 1 cm strongly weakens the SAR, but 10-20 W/kg are still achieved in intermediate to deep regions (2-10 cm). In the phantom setup with integrated bone, we measured low SAR of 5-10 W/kg in the cancellous bone. Our simulations could fairly describe the measured SAR distributions, but predict tendentially higher SAR than measured. Additional simulations suggest that we would achieve higher SAR with vital fatty tissue and bone metastases in clinical situations. CONCLUSION: Capacitive systems are suitable to heat superficial and medium-deep tumors as well as some bone metastases, and CHS application is feasible for a specific class of patients with pelvic and abdominal tumors. These findings are consistent with positive clinical studies.


Asunto(s)
Hipertermia Inducida , Neoplasias , Simulación por Computador , Humanos , Hipertermia , Hipertermia Inducida/métodos , Neoplasias/terapia , Fantasmas de Imagen
7.
J Magn Reson Imaging ; 53(6): 1646-1665, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-32458559

RESUMEN

During an MRI scan, the radiofrequency field from the scanner's transmit coil, but also the switched gradient fields, induce currents in any conductive object in the bore. This makes any metallic medical implant an additional risk for an MRI patient, because those currents can heat up the surrounding tissues to dangerous levels. This is one of the reasons why implants are, until today, considered a contraindication for MRI; for example, by scanner manufacturers. Due to the increasing prevalence of medical implants in our aging societies, such general exclusion is no longer acceptable. Also, it should be no longer needed, because of a much-improved safety-assessment methodology, in particular in the field of numerical simulations. The present article reviews existing literature on implant-related heating effects in MRI. Concepts for risk assessment and quantification are presented and also some first attempts towards an active safety management and risk mitigation. LEVEL OF EVIDENCE: 5 TECHNICAL EFFICACY: Stage 5.


Asunto(s)
Calefacción , Prótesis e Implantes , Humanos , Imagen por Resonancia Magnética , Fantasmas de Imagen , Ondas de Radio , Medición de Riesgo
8.
Magn Reson Med ; 84(6): 3468-3484, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32639681

RESUMEN

PURPOSE: To implement a modular, flexible, open-source hardware configuration for parallel transmission (pTx) experiments on medical implant safety and to demonstrate real-time mitigation strategies for radio frequency (RF) induced implant heating based on sensor measurements. METHODS: The hardware comprises a home-built 8-channel pTx system (scalable to 32-channels), wideband power amplifiers and a positioning system with submillimeter precision. The orthogonal projection (OP) method is used to mitigate RF induced tip heating and to maintain sufficient B1+ for imaging. Experiments are performed at 297MHz and inside a clinical 3T MRI using 8-channel pTx RF coils, a guidewire substitute inside a phantom with attached thermistor and time-domain E-field probes. RESULTS: Repeatability and precision are ~3% for E-field measurements including guidewire repositioning, ~3% for temperature slopes and an ~6% root-mean-square deviation between B1+ measurements and simulations. Real-time pTx mitigation with the OP mode reduces the E-fields everywhere within the investigated area with a maximum reduction factor of 26 compared to the circularly polarized mode. Tip heating was measured with ~100 µK resolution and ~14 Hz sampling frequency and showed substantial reduction for the OP vs CP mode. CONCLUSION: The pTx medical implant safety testbed presents a much-needed flexible and modular hardware configuration for the in-vitro assessment of implant safety, covering all field strengths from 0.5-7 T. Sensor based real-time mitigation strategies utilizing pTx and the OP method allow to substantially reduce RF induced implant heating while maintaining sufficient image quality without the need for a priori knowledge based on simulations or in-vitro testing.


Asunto(s)
Calefacción , Calor , Imagen por Resonancia Magnética , Fantasmas de Imagen , Prótesis e Implantes , Ondas de Radio
9.
NMR Biomed ; 33(5): e4274, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32078208

RESUMEN

The objective of this study was the design, implementation, evaluation and application of a compact wideband self-grounded bow-tie (SGBT) radiofrequency (RF) antenna building block that supports anatomical proton (1 H) MRI, fluorine (19 F) MRI, MR thermometry and broadband thermal intervention integrated in a whole-body 7.0 T system. Design considerations and optimizations were conducted with numerical electromagnetic field (EMF) simulations to facilitate a broadband thermal intervention frequency of the RF antenna building block. RF transmission (B1+ ) field efficiency and specific absorption rate (SAR) were obtained in a phantom, and the thigh of human voxel models (Ella, Duke) for 1 H and 19 F MRI at 7.0 T. B1+ efficiency simulations were validated with actual flip-angle imaging measurements. The feasibility of thermal intervention was examined by temperature simulations (f = 300, 400 and 500 MHz) in a phantom. The RF heating intervention (Pin = 100 W, t = 120 seconds) was validated experimentally using the proton resonance shift method and fiberoptic probes for temperature monitoring. The applicability of the SGBT RF antenna building block for in vivo 1 H and 19 F MRI was demonstrated for the thigh and forearm of a healthy volunteer. The SGBT RF antenna building block facilitated 19 F and 1 H MRI at 7.0 T as well as broadband thermal intervention (234-561 MHz). For the thigh of the human voxel models, a B1+ efficiency ≥11.8 µT/√kW was achieved at a depth of 50 mm. Temperature simulations and heating experiments in a phantom demonstrated a temperature increase ΔT >7 K at a depth of 10 mm. The compact SGBT antenna building block provides technology for the design of integrated high-density RF applicators and for the study of the role of temperature in (patho-) physiological processes by adding a thermal intervention dimension to an MRI device (Thermal MR).


Asunto(s)
Imagen por Resonancia Magnética , Termometría , Simulación por Computador , Campos Electromagnéticos , Humanos , Fantasmas de Imagen , Protones , Ondas de Radio
10.
Int J Hyperthermia ; 37(1): 549-563, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32484019

RESUMEN

Purpose: Thermal intervention is a potent sensitizer of cells to chemo- and radiotherapy in cancer treatment. Glioblastoma multiforme (GBM) is a potential clinical target, given the cancer's aggressive nature and resistance to current treatment options. The annular phased array (APA) technique employing electromagnetic waves in the radiofrequency (RF) range allows for localized temperature increase in deep seated target volumes (TVs). Reports on clinical applications of the APA technique in the brain are still missing. Ultrahigh field magnetic resonance (MR) employs higher frequencies than conventional MR and has potential to provide focal temperature manipulation, high resolution imaging and noninvasive temperature monitoring using an integrated RF applicator (ThermalMR). This work examines the applicability of RF applicator concepts for ThermalMR of brain tumors at 297 MHz (7.0 Tesla).Methods: Electromagnetic field (EMF) simulations are performed for clinically realistic data based on GBM patients. Two algorithms are used for specific RF energy absorption rate based thermal intervention planning for small and large TVs in the brain, aiming at maximum RF power deposition or RF power uniformity in the TV for 10 RF applicator designs.Results: For both TVs , the power optimization outperformed the uniformity optimization. The best results for the small TV are obtained for the 16 element interleaved RF applicator using an elliptical antenna arrangement with water bolus. The two row elliptical RF applicator yielded the best result for the large TV.Discussion: This work investigates the capacity of ThermalMR to achieve targeted thermal interventions in model systems resembling human brain tissue and brain tumors.


Asunto(s)
Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/terapia , Glioblastoma/diagnóstico por imagen , Glioblastoma/terapia , Imagen por Resonancia Magnética/métodos , Ablación por Radiofrecuencia/métodos , Humanos
11.
Environ Res ; 171: 247-259, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30690271

RESUMEN

BACKGROUND: Many novel technologies, including induction cookers or wireless power transfer, produce electric fields (EF), magnetic fields (MF) or electromagnetic fields (EMF) in the intermediate frequency (IF) range. The effects of such fields on biological systems, however, have been poorly investigated. The aim of this systematic review was to provide an update of the state of research and to evaluate the potential for adverse effects of EF, MF and EMF in the IF range (300 Hz to 1 MHz) on biological systems. METHODS: The review was prepared in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Methodical limitations in individual studies were assessed using the Office of Health Assessment and Translation (OHAT) Risk of Bias Rating Tool for Human and Animal Studies. RESULTS: Fifty-six studies exposing humans, animals or in vitro systems were eligible for this review. In these studies, many different endpoints were examined and most of the findings were obtained in studies with exposure to MF. For most endpoints, however, the reviewed studies yielded inconsistent results, with some studies indicating no effect and some linking IF exposure with adverse effects. In the majority of the included studies, the applied field strengths were above the International Commission on Non-Ionizing Radiation Protection (ICNIRP) reference levels for the general public and the applied frequencies were mainly below 100 kHz. Furthermore, many of the reviewed studies suffered from methodical limitations which lowered the credibility of the reported results. CONCLUSION: Due to the large heterogeneity in study designs, endpoints and exposed systems, as well as the inconsistent results and methodical limitations in many studies, the quality of evidence for adverse effects remains inadequate for drawing a conclusion on investigated biological effects of IF fields for most endpoints. We recommend that in future studies, effects of EF, MF and EMF in the IF range should be investigated more systematically, i.e., studies should consider various frequencies to identify potential frequency-dependent effects and apply different field strengths, especially if threshold-dependent effects are expected. Priority should be given to the investigation of acute effects, like induction of phosphenes, perception, excitation of nerves or muscles and thermal effects. This would be an important step towards the validation of the reference levels recommended by ICNIRP. Furthermore, we recommend that any new studies aim at implementing high quality dosimetry and minimizing sources of risk of bias.


Asunto(s)
Campos Electromagnéticos , Exposición a Riesgos Ambientales/estadística & datos numéricos , Protección Radiológica , Animales , Electricidad , Humanos , Campos Magnéticos , Radiometría
12.
Int J Hyperthermia ; 36(1): 1246-1254, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31818170

RESUMEN

Purpose: Preclinical studies and clinical observations suggest that amplitude modulation (AM) below 100 kHz may enhance the intratumoral power absorption of radiofrequency hyperthermia at 13.56 MHz; however, it remains unclear whether AM induces temperature-dependent effects.Methods: We established tumor models assuming typical tumor architectures or cell suspensions to analyze the effects of additional power dissipation. The preconditions for demodulation at cell membranes in situ were outlined. The bioheat transfer equation was solved analytically for the selected models and the possibility of circumscribed temperature increases (point heating) with dependency on the specific absorption rate (SAR) peaks was estimated for centimeter down to nanometer scales.Results: Very-low-frequency (VLF) AM radiofrequency can increase the SAR in the extracellular space or necrosis of tumors as compared to radiofrequencies alone. Such modulation-derived SAR peaks can induce higher temperatures (hot spots) in tumors with necrotic areas of millimeter to centimeter size. However, for lesions <1 cm, excessive (unrealistic) SAR > 1000, 10,000 and 1014 W/kg for diameters of ∼5 mm, ∼1 mm and ∼10 nm (nanoheating), respectively, would be required to explain the cell kill observed in pre-clinical and clinical data, even with VLF modulation.Conclusion: Our analysis suggests that VLF AM of radiofrequency hyperthermia for a theoretical tumor model cannot induce relevant temperature-dependent effects, as the associated temperature increases caused by the resultant SAR peaks are too small. Further investigation of possible non-temperature-dependent effects is recommended.


Asunto(s)
Fenómenos Electromagnéticos , Hipertermia Inducida/métodos , Ondas de Radio , Humanos , Temperatura
13.
Magn Reson Med ; 80(5): 2246-2255, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-29607551

RESUMEN

PURPOSE: To study the role of temperature in biological systems, diagnostic contrasts and thermal therapies, RF pulses for MR spin excitation can be deliberately used to apply a thermal stimulus. This application requires dedicated transmit/receive (Tx/Rx) switches that support high peak powers for MRI and high average powers for RF heating. To meet this goal, we propose a high-performance Tx/Rx switch based on positive-intrinsic-negative diodes and quarter-wavelength (λ/4) stubs. METHODS: The λ/4 stubs in the proposed Tx/Rx switch design route the transmitted RF signal directly to the RF coil/antenna without passing through any electronic components (e.g., positive-intrinsic-negative diodes). Bench measurements, MRI, MR thermometry, and RF heating experiments were performed at f = 297 MHz (B0 = 7 T) to examine the characteristics and applicability of the switch. RESULTS: The proposed design provided an isolation of -35.7dB/-41.5dB during transmission/reception. The insertion loss was -0.41dB/-0.27dB during transmission/reception. The switch supports high peak (3.9 kW) and high average (120 W) RF powers for MRI and RF heating at f = 297 MHz. High-resolution MRI of the wrist yielded image quality competitive with that obtained with a conventional Tx/Rx switch. Radiofrequency heating in phantom monitored by MR thermometry demonstrated the switch applicability for thermal modulation. Upon these findings, thermally activated release of a model drug attached to thermoresponsive polymers was demonstrated. CONCLUSION: The high-power Tx/Rx switch enables thermal MR applications at 7 T, contributing to the study of the role of temperature in biological systems and diseases. All design files of the switch will be made available open source at www.opensourceimaging.org.


Asunto(s)
Imagen por Resonancia Magnética/instrumentación , Termometría/instrumentación , Diseño de Equipo , Calor , Humanos , Fantasmas de Imagen , Ondas de Radio , Relación Señal-Ruido , Muñeca/diagnóstico por imagen
14.
Magn Reson Med ; 78(4): 1533-1546, 2017 10.
Artículo en Inglés | MEDLINE | ID: mdl-27851881

RESUMEN

PURPOSE: Proton radiation therapy (PRT) is a standard treatment of uveal melanoma. PRT patients undergo implantation of ocular tantalum markers (OTMs) for treatment planning. Ultra-high-field MRI is a promising technique for 3D tumor visualization and PRT planning. This work examines MR safety and compatibility of OTMs at 7.0 Tesla. METHODS: MR safety assessment included deflection angle measurements (DAMs), electromagnetic field (EMF) simulations for specific absorption rate (SAR) estimation, and temperature simulations for examining radiofrequency heating using a bow-tie dipole antenna for transmission. MR compatibility was assessed by susceptibility artifacts in agarose, ex vivo pig eyes, and in an ex vivo tumor eye using gradient echo and fast spin-echo imaging. RESULTS: DAM (α < 1 °) demonstrated no risk attributed to magnetically induced OTM deflection. EMF simulations showed that an OTM can be approximated by a disk, demonstrated the need for averaging masses of mave = 0.01 g to accommodate the OTM, and provided SAR0.01g,maximum = 2.64 W/kg (Pin = 1W) in OTM presence. A transfer function was derived, enabling SAR0.01g estimation for individual patient scenarios without the OTM being integrated. Thermal simulations revealed minor OTM-related temperature increase (δT < 15 mK). Susceptibility artifact size (<8 mm) and location suggest no restrictions for MRI of the nervus opticus. CONCLUSION: OTMs are not a per se contraindication for MRI. Magn Reson Med 78:1533-1546, 2017. © 2016 International Society for Magnetic Resonance in Medicine.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Melanoma/diagnóstico por imagen , Melanoma/radioterapia , Terapia de Protones/normas , Tantalio/análisis , Neoplasias de la Úvea/diagnóstico por imagen , Neoplasias de la Úvea/radioterapia , Animales , Calor , Humanos , Seguridad del Paciente , Fantasmas de Imagen , Terapia de Protones/métodos , Porcinos , Tantalio/química
15.
Magn Reson Med ; 75(6): 2553-65, 2016 06.
Artículo en Inglés | MEDLINE | ID: mdl-26183320

RESUMEN

PURPOSE: To design, evaluate, and apply a bow tie antenna transceiver radiofrequency (RF) coil array tailored for cardiac MRI at 7.0 Tesla (T). METHODS: The radiofrequency (RF) coil array comprises 16 building blocks each containing a bow tie shaped λ/2-dipole antenna. Numerical simulations were used for transmission field homogenization and RF safety validation. RF characteristics were examined in a phantom study. The array's suitability for high spatial resolution two-dimensional (2D) CINE imaging and for real time imaging of the heart was examined in a volunteer study. RESULTS: The arrays transmission fields and RF characteristics are suitable for cardiac MRI at 7.0T. The coil performance afforded a spatial resolution as good as (0.8 × 0.8 × 2.5) mm(3) for segmented 2D CINE MRI at 7.0T which is by a factor of 12 superior versus standardized protocols used in clinical practice at 1.5T. The proposed transceiver array supports 1D acceleration factors of up to R = 6 without impairing image quality significantly. CONCLUSION: The 16-channel bow tie antenna transceiver array supports accelerated and high spatial resolution cardiac MRI. The array is compatible with multichannel transmission and provides a technological basis for future clinical assessment of parallel transmission techniques at 7.0 Tesla. Magn Reson Med 75:2553-2565, 2016. © 2015 Wiley Periodicals, Inc.


Asunto(s)
Procesamiento de Imagen Asistido por Computador/métodos , Imagen por Resonancia Cinemagnética/instrumentación , Imagen por Resonancia Cinemagnética/métodos , Procesamiento de Señales Asistido por Computador/instrumentación , Adulto , Diseño de Equipo , Femenino , Corazón/diagnóstico por imagen , Humanos , Masculino , Fantasmas de Imagen , Relación Señal-Ruido , Transductores , Adulto Joven
16.
NMR Biomed ; 29(9): 1173-97, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-25706103

RESUMEN

The objective of this study was to document and review advances and groundbreaking progress in cardiac and body MR at ultrahigh fields (UHF, B0 ≥ 7.0 T) with the goal to attract talent, clinical adopters, collaborations and resources to the biomedical and diagnostic imaging communities. This review surveys traits, advantages and challenges of cardiac and body MR at 7.0 T. The considerations run the gamut from technical advances to clinical opportunities. Key concepts, emerging technologies, practical considerations, frontier applications and future directions of UHF body and cardiac MR are provided. Examples of UHF cardiac and body imaging strategies are demonstrated. Their added value over the kindred counterparts at lower fields is explored along with an outline of research promises. The achievements of cardiac and body UHF-MR are powerful motivators and enablers, since extra speed, signal and imaging capabilities may be invested to overcome the fundamental constraints that continue to hamper traditional cardiac and body MR applications. If practical obstacles, concomitant physics effects and technical impediments can be overcome in equal measure, sophisticated cardiac and body UHF-MR will help to open the door to new MRI and MRS approaches for basic research and clinical science, with the lessons learned at 7.0 T being transferred into broad clinical use including diagnostics and therapy guiding at lower fields. Copyright © 2015 John Wiley & Sons, Ltd.


Asunto(s)
Técnicas de Imagen Cardíaca/instrumentación , Aumento de la Imagen/instrumentación , Interpretación de Imagen Asistida por Computador/instrumentación , Imagen por Resonancia Magnética/instrumentación , Procesamiento de Señales Asistido por Computador/instrumentación , Imagen de Cuerpo Entero/instrumentación , Algoritmos , Técnicas de Imagen Cardíaca/métodos , Diseño de Equipo , Análisis de Falla de Equipo , Humanos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Campos Magnéticos , Imagen por Resonancia Magnética/métodos , Dosis de Radiación , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Imagen de Cuerpo Entero/métodos
17.
Int J Hyperthermia ; 32(1): 63-75, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26708630

RESUMEN

Clinically established thermal therapies such as thermoablative approaches or adjuvant hyperthermia treatment rely on accurate thermal dose information for the evaluation and adaptation of the thermal therapy. Intratumoural temperature measurements have been correlated successfully with clinical end points. Magnetic resonance imaging is the most suitable technique for non-invasive thermometry avoiding complications related to invasive temperature measurements. Since the advent of MR thermometry two decades ago, numerous MR thermometry techniques have been developed, continuously increasing accuracy and robustness for in vivo applications. While this progress was primarily focused on relative temperature mapping, current and future efforts will likely close the gap towards quantitative temperature readings. These efforts are essential to benchmark thermal therapy efficiency, to understand temperature-related biophysical and physiological processes and to use these insights to set new landmarks for diagnostic and therapeutic applications. With that in mind, this review summarises and discusses advances in MR thermometry, providing practical considerations, pitfalls and technical obstacles constraining temperature measurement accuracy, spatial and temporal resolution in vivo. Established approaches and current trends in thermal therapy hardware are surveyed with respect to potential benefits for MR thermometry.


Asunto(s)
Hipertermia Inducida , Espectroscopía de Resonancia Magnética , Termometría/métodos , Humanos , Neoplasias/terapia , Termometría/instrumentación
18.
MAGMA ; 29(3): 641-56, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27097905

RESUMEN

OBJECTIVE: This work investigates electrodynamic constraints, explores RF antenna concepts and examines the transmission fields (B 1 (+) ) and RF power deposition of dipole antenna arrays for (1)H magnetic resonance of the human brain at 1 GHz (23.5 T). MATERIALS AND METHODS: Electromagnetic field (EMF) simulations are performed in phantoms with average tissue simulants for dipole antennae using discrete frequencies [300 MHz (7.0 T) to 3 GHz (70.0 T)]. To advance to a human setup EMF simulations are conducted in anatomical human voxel models of the human head using a 20-element dipole array operating at 1 GHz. RESULTS: Our results demonstrate that transmission fields suitable for (1)H MR of the human brain can be achieved at 1 GHz. An increase in transmit channel density around the human head helps to enhance B 1 (+) in the center of the brain. The calculated relative increase in specific absorption rate at 23.5 versus 7.0 T was below 1.4 (in-phase phase setting) and 2.7 (circular polarized phase setting) for the dipole antennae array. CONCLUSION: The benefits of multi-channel dipole antennae at higher frequencies render MR at 23.5 T feasible from an electrodynamic standpoint. This very preliminary finding opens the door on further explorations that might be catalyzed into a 20-T class human MR system.


Asunto(s)
Encéfalo/diagnóstico por imagen , Campos Electromagnéticos , Cabeza/anatomía & histología , Imagen por Resonancia Magnética/métodos , Encéfalo/patología , Mapeo Encefálico/métodos , Simulación por Computador , Espectroscopía de Resonancia por Spin del Electrón , Estudios de Factibilidad , Humanos , Modelos Estadísticos , Fantasmas de Imagen , Ondas de Radio
19.
J Biol Chem ; 289(35): 24611-6, 2014 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-25016015

RESUMEN

While engaged in protein transport, the bacterial translocon SecYEG must maintain the membrane barrier to small ions. The preservation of the proton motif force was attributed to (i) cation exclusion, (ii) engulfment of the nascent chain by the hydrophobic pore ring, and (iii) a half-helix partly plugging the channel. In contrast, we show here that preservation of the proton motif force is due to a voltage-driven conformational change. Preprotein or signal peptide binding to the purified and reconstituted SecYEG results in large cation and anion conductivities only when the membrane potential is small. Physiological values of membrane potential close the activated channel. This voltage-dependent closure is not dependent on the presence of the plug domain and is not affected by mutation of 3 of the 6 constriction residues to glycines. Cellular ion homeostasis is not challenged by the small remaining leak conductance.


Asunto(s)
Proteínas de Escherichia coli/metabolismo , Escherichia coli/metabolismo , Membrana Dobles de Lípidos , Transporte de Proteínas , Canales de Translocación SEC
20.
Magn Reson Med ; 74(4): 999-1010, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25293952

RESUMEN

PURPOSE: Examine radiofrequency (RF) induced heating of coronary stents at 7.0 Tesla (T) to derive an analytical approach which supports RF heating assessment of arbitrary stent geometries and RF coils. METHODS: Simulations are performed to detail electromagnetic fields (EMF), local specific absorption rates (SAR) and temperature changes. For validation E-field measurements and RF heating experiments are conducted. To progress to clinical setups RF coils tailored for cardiac MRI at 7.0T and coronary stents are incorporated into EMF simulations using a human voxel model. RESULTS: Our simulations of coronary stents at 297 MHz were confirmed by E-field and temperature measurements. An analytical solution which describes SAR(1g tissue voxel) induced by an arbitrary coronary stent interfering with E-fields generated by an arbitrary RF coil was derived. The analytical approach yielded a conservative estimation of induced SAR(1g tissue voxel) maxima without the need for integrating the stent into EMF simulations of the human voxel model. CONCLUSION: The proposed analytical approach can be applied for any patient, coronary stent type, RF coil configuration and RF transmission regime. The generalized approach is of value for RF heating assessment of other passive electrically conductive implants and provides a novel design criterion for RF coils.


Asunto(s)
Calor , Imagen por Resonancia Magnética/efectos adversos , Modelos Teóricos , Stents , Campos Electromagnéticos , Humanos , Fantasmas de Imagen , Ondas de Radio , Termometría
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