Rapid safety assessment and mitigation of radiofrequency induced implant heating using small root mean square sensors and the sensor matrix Qs

link to paper

Rapid safety assessment and mitigation of radiofrequency induced implant heating using small root mean square sensors and the sensor matrix Qs

Berk Silemek, Frank Seifert, Johannes Petzold, Werner Hoffmann, Harald Pfeiffer, Oliver Speck, Georg Rose, Bernd Ittermann, Lukas Winter

Abstract

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.

Dear authors,
You present a very interesting approach to monitoring device heating in situ. I’m wondering what the next steps in your research are. Do you plan to embed the newly developed sensor in an implant to measure in the relevant environment, or would you develop the methodology further for rapid pre-clinical assessment of RF-induced heating during MRI?
Best regards,
Guy

Dear Guy,

thank you for your question and interest and sorry for the late reply, I just learned about this new format for discussions around papers, which I think is fantastic.

We are working at the moment on embedding the methodology in realistic implant settings and so far have very convincing results that this actually works really well and is relatively easy to implement for an implant manufacturer. In fact, these “sensors” do already exist in current implants and would just need to be used for this purpose. In the end we do see the strengths and promise of the approach to be applied in situ to provide not only monitoring but also mitigation in a patient specific setting, updated rapidly during the actual MR scan. This would not only have advantages for the patient, but also for the radiologist, since in our future vision where an implant communicates with an MRI, the roles and responsibilites for implant safety would be well distributed between implant manufacturer and MR vendor.

So as I understood your question correctly, we do aim for the relevant enviornment, even though rapid pre-clinical assessment would be also feasible.

Kind regards,
Lukas