Abstract
PurposePatients who have medical metallic implants, e.g. orthopaedic implants and pacemakers, often cannot undergo an MRI exam. One of the largest risks is tissue heating due to the radio frequency (RF) fields. The RF safety assessment of implants is computationally demanding. This is due to the large dimensions of the transmit coil compared to the very detailed geometry of an implant.MethodsIn this work, we explore a faster computational method for the RF safety assessment of implants that exploits the small geometry. The method requires the RF field without an implant as a basis and calculates the perturbation that the implant induces. The inputs for this method are the incident fields and a library matrix that contains the RF field response of every edge an implant can occupy. Through a low‐rank inverse update, using the Sherman–Woodbury–Morrison matrix identity, the EM response of arbitrary implants can be computed within seconds. We compare the solution from full‐wave simulations with the results from the presented method, for two implant geometries.ResultsFrom the comparison, we found that the resulting electric and magnetic fields are numerically equivalent (maximum error of 1.35%). However, the computation was between 171 to 2478 times faster than the corresponding GPU accelerated full‐wave simulation.ConclusionsThe presented method enables for rapid and efficient evaluation of the RF fields near implants and might enable situation‐specific scanning conditions.
Highlights
The group of patients with medical implants that require an MRI scan is constantly growing
To validate the presented method, we compare the results from Equation 15 with the simulation from the finite‐difference time‐domain (FDTD) solver when the implant is present
To demonstrate the validity of the method, the method is tested for a screw and a deep brain stimulator lead where the input fields are determined by FDTD simulations
Summary
The group of patients with medical implants that require an MRI scan is constantly growing. MRI scanning of a patient with metallic implants bears a potentially severe safety risk. The electromagnetic (EM) fields produced by an MRI scanner can couple to the metallic implant resulting in image degradation and serious health hazards. The largest risk is tissue heating due to the radio frequency (RF) fields. The implant can locally enhance the RF fields causing temperature hotspots[1,2] with potentially severe consequences.[3,4] people with an implant are either exempted from MRI scanning or scanned with very conservative RF power limitations degrading the achievable image quality severely
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