Measurement of magnetostimulation thresholds in the porcine heart.

PURPOSE: Powerful MRI gradient systems can surpass the International Electrotechnical Commission (IEC) 60601-2-33 limit for cardiac stimulation (CS), which was determined by simple electromagnetic simulations and electrode stimulation experiments. Only a few canine studies measured magnetically induced CS thresholds in vivo and extrapolating them to human safety limits can be challenging. METHODS: We measured cardiac magnetostimulation thresholds in 10 healthy, anesthetized pigs using capacitors discharged into a flat spiral coil to produce damped sinusoidal waveforms with effective stimulus duration ts,eff  = 0.45 ms. Electrocardiography (ECG), blood pressure, and peripheral oximetry signals were recorded to determine threshold coil currents yielding cardiac capture. Dixon and CINE MR volumes from each animal were segmented to generate porcine-specific electromagnetic models to calculate dB/dt and E-field values in the porcine heart at threshold. For comparison, we also simulated maximum dB/dt and E-field values created by three MRI gradient systems in the heart of a human body model. RESULTS: The average dB/dt threshold estimated in the porcine heart was 1.66 ± 0.23 kT/s, which is 11-fold greater than the IEC dB/dt limit at ts,eff  = 0.45 ms, and 31-fold greater than the maximum value created by the investigated MRI gradients in the human heart. The average E-field threshold estimated in the porcine heart was 92.9 ± 13.5 V/m, which is 6-fold greater than the IEC E-field limit at ts,eff  = 0.45 ms and 37-fold greater than the maximum gradient-induced E-field in the human heart. CONCLUSION: This first measurement of cardiac magnetostimulation thresholds in pigs indicates that the IEC cardiac safety limit is conservative for the investigated stimulus duration (ts,eff  = 0.45 ms).

VARIATION IN DEVELOPMENTAL CONSTRAINTS IN SIGMODON.

Developmental constraints can be interpreted as factors of developmental origin responsible for covariation among measured variables. Several hypotheses have been proposed to link the possession of such constraints to subsequent evolution. Using confirmatory factor analysis, we compare developmental factors across selected taxa of cotton rats, genus Sigmodon. Three factors explain well the covariation among orofacial measurements: (1) responses to body size variation, (1) coordinated growth of traits of the occluding-tooth complex, and (3) responses to musculoskeletal interactions. Sigmodon taxa share these factors, but differ in the variance-covariance matrix of factors, and the unique variances of individual traits. Patterns of covariation among measurements of the neurocranial complex reflect responses to body size variation, and perhaps also responses to fetal brain growth. While there are no significant differences across taxa in factorpattern, variance-covariance matrix of factors, or unique variance of measured neurocranial variables, the neurocranium is only weakly constrained. We doubt that even the relatively stronger developmental constraints on the orofacial complex would prevent evolutionary divergence because differences in the variances and covariances of factors, and in levels of unique variance of individual traits can provide different opportunities for selection to act in different Sigmodon taxa.