Tissue warming and regulatory responses induced by radio frequency energy deposition on a whole-body 3-Tesla magnetic resonance imager.

PURPOSE: To quantify the B1-field induced tissue warming on a 3T-whole-body scanner, to test whether the patient is able to sense the temperature change, and to evaluate whether the imaging procedure constitutes a significant cardiovascular stress. MATERIALS AND METHODS: A total of 18 volunteers were divided into three equal groups for 3.0T MRI of the pelvis, the head, or the knee. An imaging protocol operating at first level mode was applied, allowing radio frequency (RF) irradiation up to the legal specific absorption rate (SAR) limits. An identical placebo protocol with active gradient switching but without RF transmission was used. Temperature changes were measured with a fiber-optic thermometer (FO) and an infrared camera (IR). RESULTS: Temperature differences to the placebo were highest for imaging of the pelvis (FO: DeltaT = 0.88 +/- 0.13 degrees C, IR: DeltaT = 1.01 +/- 0.15 degrees C) as compared to the head (FO: DeltaT = 0.46 +/- 0.12 degrees C, IR: DeltaT = 0.47 +/- 0.10 degrees C) and the knee (FO: DeltaT = 0.33 +/- 0.11 degrees C, IR: DeltaT = 0.37 +/- 0.09 degrees C). The volunteers were able to discriminate between imaging and placebo for pelvic (P < 0.0001) and head (P = 0.0005) imaging but not for knee imaging (P = 0.209). No changes in heart rate or blood pressure were detected. CONCLUSION: The 3.0T MRI in the first operational mode may lead to measurable and perceptible thermal energy deposition. However, it may be regarded as safe concerning the thermoregulatory cardiovascular stress.

Eddy-current induction in extended metallic parts as a source of considerable torsional moment.

PURPOSE: To examine eddy-current-provoked torque on conductive parts due to current induction from movement through the fringe field of the MR scanner and from gradient switching. MATERIALS AND METHODS: For both cases, torque was calculated for frames of copper, aluminum, and titanium, inclined to 45 degrees to B0 (maximum torque case). Conditions were analyzed in which torque from gravity (legal limit, ASTM F2213-02) was exceeded. Experiments were carried out on a 1.5 T and a 3 T scanner for copper and titanium frames and plates (approximately 50 x 50 mm2). Movement-induced torque was measured at patient table velocity (20 cm/second). Alternating torque from gradient switching was investigated by holding the specimens in different locations in the scanner while executing sequences that exploited the gradient capabilities (40 mT/m). RESULTS: The calculations predicted that movement-induced torque could exceed torque from gravity (depending on the part size, electric resistance, and velocity). Two experiments on moving conductive frames in the fringe fields of the scanners confirmed the calculations. For maximum torque case parameters, gradient-switching-induced torque was calculated to be nearly 100 times greater than the movement-induced torque. Well-conducting metal parts located off center vibrated significantly due to impulse-like fast alternating torque characteristics. CONCLUSION: Torque on metal parts from movement in the fringe field is weak under standard conditions, but for larger parts the acceptable limit can be reached with a high static field and increased velocity. Vibrations due to gradient switching were confirmed and may explain the sensations occasionally reported by patients with implants.

Effects on MRI due to altered rf polarization near conductive implants or instruments.

In magnetic resonance imaging near metal parts variations in radio frequency (rf)-amplitude and of receive sensitivity must be considered. For loop structures, e.g., vascular stents, B1 produces rf eddy currents in accordance to Faraday's law; the B1-related electrical rf field E1 injects directly to elongated structures (e.g., wires). Locally, the rf magnetic field Bl,ind (induced B1) is superimposed onto the rf field from the transmitter coil, which near the metal can dominate spin excitation. Geometry and arrangement of the parts determine the polarization of B(1,ind). Components parallel to B0 are of special interest. A copper sheet (100 mm x 15 mm, 3 mm thick) and a 27 cm long copper wire were examined in a water phantom using the spin-echo (SE) technique. In addition to rf-amplitude amplification, rf-phase shift due to z components of B(1,ind) could be detected near the metallic objects. Periodic rf-amplitude instabilities had an amplified effect for phase-shifted regions. Phase-encoding artifacts occurred as distinct ghosts (TR=200 ms) or band-like smearing (TR=201 ms) from affected spin ensembles. SE phase imaging can potentially be used in interventional magnetic resonance imaging for background-free localization of metallic markers.

Metal artifacts caused by gradient switching.

In metal parts, e.g., implants or instruments, eddy currents can be induced from gradient switching if positioned off-center inside the MR scanner. For the first time, a systematic analysis of related artifacts was performed. Current strength increases in conjunction with increasing size of the part, increasing electrical conductivity, distance from isocenter, and increasing gradient strengths. A xy-plane oriented copper ring (d(o) = 20 mm, d(i) = 15 mm, 2 mm thick) was examined at isocenter and at x = 15 cm, y = z = 0. Comparisons of xy-, xz-, and yz-slices, recorded for both possibilities to select encoding directions, revealed effects from ramp-down of the slice-selection and ramp-up of the read-out gradient. Near the metal part, temporary inhomogeneities were superimposed to the static field and spin-dephasing signal loss resulted, despite using spin-echo technique. Artifacts depended on excitation and read-out bandwidth. For an equivalent titanium ring, conductivity related effects could not be ascertained but distinct susceptibility effects occurred. MR compatibility of implants/instruments therefore requires both low susceptibility and low conductivity.

Radio frequency versus susceptibility effects of small conductive implants--a systematic MRI study on aneurysm clips at 1.5 and 3 T.

PURPOSE: Metallic implants cause enlarged artifacts in magnetic resonance (MR) images at higher magnetic fields, B0, due to their magnetic susceptibility. Interactions of conductive material with radio frequency (RF) pulses also change for higher field strengths, B0, due to the frequency dependence of resonance conditions. Systematic measurements on commercial aneurysm clips and simplified copper models were performed in order to investigate both phenomena at 1.5 and 3 T. MATERIALS AND METHODS: Six different commercial aneurysm clips made of titanium, straight copper wires and bent copper models were examined in Gd-DTPA-doped water. RF-related effects were measured by adapted 2D and 3D spin-echo sequences. For reliable differentiation from susceptibility-related effects, variable transmitter voltages were applied. In addition, RF-induced heating was controlled by an infrared (IR) camera. RESULTS: At 3 T, a significant RF-induced electric response could be demonstrated for the copper samples and more moderate for one of the commercial clips, dependent on the geometrical structure determining possible resonant RF coupling. Related RF effects could be distinguished from susceptibility artifacts: a signal enhancement at reduced transmitter voltages indicated locally amplified B1-field amplitudes. No significant heating effect could be measured by IR measurements. CONCLUSION: MR imaging was used to analyze possible RF-induced effects. At 3 T, resonant RF coupling even of small metallic implants has to be considered carefully. Despite a local enhancement of the RF amplitude, no significant RF-induced heating inside the surrounding fluid was found. A direct thermal endangering of patients seems to be unlikely, but extremely high B1-field amplitudes might occur adjacent to the metallic surface with potential nonthermal affection of tissue.

RF artifacts caused by metallic implants or instruments which get more prominent at 3 T: an in vitro study.

Metallic devices with high electrical conductivity inside or adjacent to the body might lead to marked alterations of the RF amplitude B1 in the tissue under investigation, especially at increased RF frequency, and if specific conditions for electromagnetic resonance are fulfilled. RF-metal interaction effects were investigated systematically at B0=0.2, 1.5 and 3 T analyzing correlated image artifacts for copper wires (d=1 mm, L=53 and 27 cm), and for following instruments and implants made of titanium or nitinol: biopsy needles, hip prostheses, vascular stents and aneurysm clips. The samples were examined in Gd-DTPA-doped 140 mM NaCl solution using spin-echo (SE) sequences with high readout bandwidth. Automatic transmitter adjustment V(T,auto) and manually reduced transmitter voltage VT were applied in order to detect B1 enhancement. At 0.2 T, beyond the shielding of the luminal region of the stents, no RF effects were observed. At 1.5 T, the copper wires caused distinct RF artifacts. At 3 T, RF artifacts also appeared for the hip prostheses and the biopsy needles. Stents with pronounced luminal shielding at lower field strength revealed marked B1 enhancement close to their outer surface.

rf enhancement and shielding in MRI caused by conductive implants: dependence on electrical parameters for a tube model.

Radio frequency (rf) eddy-currents induced in implants made of conductive material might cause significant image artifacts in magnetic resonance imaging (MRI) such as shielding of the lumen of vascular stents. rf alteration near metal parts was assessed theoretically in the approximation of alternating current electrodynamics: The implant was modeled as tube with diameter d(o), resistance R, and reactance Y, constituting the secondary winding of a transformer. The transmitter coil of the scanner acted as primary winding and generated the linearly polarized rf field B1,app. Tube axis was assumed parallel to B1,app. The results of the calculations were as follows: Ninety percent of the applied rf-field amplitude is reached in the lumen at a ratio chi=R/Y approximately 2. A rapid drop occurs with the reduction of chi, whereas a further increase of chi causes only a small effect. With chi approximately 1/d(o)(Y approximately d2o,R approximately d(o)), conditions for rf alteration clearly depend on the diameter of the tube. Inside tubes with smaller diameter, rf shielding is less pronounced. rf alteration increases in good approximation with the square root of the strength of the static field B0. The following experiments were carried out: Tubes of similar diameter (d(o) approximately 8 mm) made of material of different conductivity (Cu, Nitinol, carbon fiber reinforced plastic with three different fiber structures) were examined at B0=0.2 and 1.5 T in water phantoms. Tube axis was aligned perpendicular to B0 and spin-echo technique was applied. Local rf enhancement near the outer surface of the metal tubes was detected applying manual reduction of the transmitter amplitude. Shielding inside a carbon fiber tube with d(o) approximately 8 mm and inside a smaller tube with d(o)=3.3 mm was compared. Both tubes showed the same wall structure and thickness (d(w)=0.4 mm). All measurements confirmed the theoretical results. Consequences for the construction of vascular stents are discussed, as well as problems with image artifacts due to rf enhancement near solid conductive implants.

Bifunctional chimeric SuperCD suicide gene -YCD: YUPRT fusion is highly effective in a rat hepatoma model.

AIM: To investigate the effects of catalytically superior gene-directed enzyme prodrug therapy systems on a rat hepatoma model. METHODS: To increase hepatoma cell chemosensitivity for the prodrug 5-fluorocytosine (5-FC), we generated a chimeric bifunctional SuperCD suicide gene, a fusion of the yeast cytosine deaminase (YCD) and the yeast uracil phosphoribosyltransferase (YUPRT) gene. RESULTS: In vitro stably transduced Morris rat hepatoma cells (MH) expressing the bifunctional SuperCD suicide gene (MH SuperCD) showed a clearly marked enhancement in cell killing when incubated with 5-FC as compared with MH cells stably expressing YCD solely (MH YCD) or the cytosine deaminase gene of bacterial origin (MH BCD), respectively. In vivo, MH SuperCD tumors implanted both subcutaneously as well as orthotopically into the livers of syngeneic ACI rats demonstrated significant tumor regressions (P<0.01) under both high dose as well as low dose systemic 5-FC application, whereas MH tumors without transgene expression (MH naive) showed rapid progression. For the first time, an order of in vivo suicide gene effectiveness (SuperCD>> YCD>>BCD>>>negative control) was defined as a result of a direct in vivo comparison of all three suicide genes. CONCLUSION: Bifunctional SuperCD suicide gene expression is highly effective in a rat hepatoma model, thereby significantly improving both the therapeutic index and the efficacy of hepatocellular carcinoma killing by fluorocytosine.

[Artifacts in MRT caused by instruments and implants]. / Artefakte in der MRT durch Instrumente und Implantate.

Metallic instruments and implants can cause severe image artifacts in magnetic resonance imaging (MRI). Besides the properties of the materials and the geometrical arrangement of the devices, the applied MRI sequence type and its parameters (echo time, voxel size, read-out bandwidth, orientations of encoding directions, etc.) play also an important role. These interactions are presented in a systematic survey. A detailed description of the basic physical mechanisms underlying the generation of artifacts is also provided.