Global Specific Absorption Rate Research Articles

The restricted SAR protocol: A method to assess MRI coil prototypes in an unconditionally safe manner.

Testing an RF coil prototype on subjects involves laborious verifications to ensure its safety. In particular, it requires preliminary electromagnetic simulations and their validations on phantoms to accurately predict the specific absorption rate (SAR). For coil design validation with a simpler safety procedure, the restricted SAR (rS) mode is proposed, enabling representative first experiments in vivo. The goal of the developed approach is to accelerate the transition of a custom coil system from prototype to clinical use. The restricted specific absorption rate (SAR) (rS) mode imposes a radical limitation on the transmitted RF power based on a worst-case scenario of local RF power absorption. The limitations used are independent of the SAR spatial distribution, making this approach unconditionally safe. The developed rS protocol contains the sequences required for coil evaluation and satisfies the imposed rS conditions. It provides a quantitative characterization of the coil transmission and reception profiles and a qualitative evaluation of the anatomical images. Protocol validation was performed on commercial and pre-industrial prototype coils on a small cohort of healthy volunteers. The proposed rS protocol enables coil evaluation within an acquisition time compatible with common clinical protocol duration. The total time of all evaluation steps does not exceed 17 min. At the same time, the global SAR remains 100 times less than the International Electrotechnical Commission safety limit for played sequences. The rS protocol allows characterizing and comparing coil prototypes on volunteers without extensive electromagnetic calculations and phantom validations in an unconditionally safe way.

Effect of field strength on RF power deposition near conductive leads: A simulation study of SAR in DBS lead models during MRI at 1.5 T-10.5 T.

Since the advent of magnetic resonance imaging (MRI) nearly four decades ago, there has been a quest for ever-higher magnetic field strengths. Strong incentives exist to do so, as increasing the magnetic field strength increases the signal-to-noise ratio of images. However, ensuring patient safety becomes more challenging at high and ultrahigh field MRI (i.e., ≥3 T) compared to lower fields. The problem is exacerbated for patients with conductive implants, such as those with deep brain stimulation (DBS) devices, as excessive local heating can occur around implanted lead tips. Despite extensive effort to assess radio frequency (RF) heating of implants during MRI at 1.5 T, a comparative study that systematically examines the effects of field strength and various exposure limits on RF heating is missing. This study aims to perform numerical simulations that systematically compare RF power deposition near DBS lead models during MRI at common clinical and ultra-high field strengths, namely 1.5, 3, 7, and 10.5 T. Furthermore, we assess the effects of different exposure constraints on RF power deposition by imposing limits on either the B1+ or global head specific absorption rate (SAR) as these two exposure limits commonly appear in MRI guidelines. We created 33 unique DBS lead models based on postoperative computed tomography (CT) images of patients with implanted DBS devices and performed electromagnetic simulations to evaluate the SAR of RF energy in the tissue surrounding lead tips during RF exposure at frequencies ranging from 64 MHz (1.5 T) to 447 MHz (10.5 T). The RF exposure was implemented via realistic MRI RF coil models created based on physical prototypes built in our institutions. We systematically examined the distribution of local SAR at different frequencies with the input coil power adjusted to either limit the B1+ or the global head SAR. The MRI RF coils at higher resonant frequencies generated lower SARs around the lead tips when the global head SAR was constrained. The trend was reversed when the constraint was imposed on B1+. At higher static fields, MRI is not necessarily more dangerous than at lower fields for patients with conductive leads. Specifically, when a conservative safety criterion, such as constraints on the global SAR, is imposed, coils at a higher resonant frequency tend to generate a lower local SAR around implanted leads due to the decreased B1+ and, by proxy, E field levels.

Volumetric wireless coil for wrist MRI at 1.5 T as a practical alternative to Tx/Rx extremity coil: a comparative study

This work performs a detailed assessment of radiofrequency (RF) safety and imaging performance of a volumetric wireless coil based on periodically coupled split-loop resonators (SLRs) for 1.5 T wrist MRI versus a commercially available transceive extremity coil. In particular, we evaluated the transmit efficiency and RF safety for three setups: a whole-body birdcage coil, a transceive extremity birdcage coil, and a volumetric wireless coil inductively coupled to the whole-body birdcage coil. The imaging performance of the two latter setups was studied experimentally for nine subjects. The signal-to-noise ratio (SNR) of the images acquired with several standard pulse sequences for osteoarthritis wrist imaging was assessed. Application of the wireless coil significantly improved the specific absorption rate (SAR) efficiency of the whole-body birdcage coil, with at least 4.3-fold and 7.6-fold improvement of local and global SAR efficiencies, respectively. This setup also outperformed the transceive extremity coil in terms of SNR (up to 1.40-fold gain) with a moderate (11%) reduction of the local SAR efficiency.

Global and peak local specific absorption rate control on parallel transmit systems using k-means SAR compression model.

To improve the specific absorption rate (SAR) compression model capability in parallel transmission (pTx) MRI systems. A k-means clustering method is proposed to group voxels with similar SAR behaviors in the scanned object, providing a controlled upper-bounded estimation of peak local SARs. This k-means compression model and the conventional virtual observation point (VOP) model were tested in a pTx MRI framework. The pTx pulse design with different SAR controlling schemes was simulated using a numerical human head model and an eight-channel 7T coil array. Multiple criteria (including RF power, global and peak local SARs, and excitation accuracy) were compared for the performance testing. The k-means compression model generated a narrower overestimation bound, leading to a more accurate local SAR estimation. Among different pTx pulse design approaches, the k-means compression model showed the best trade-off between the SAR and excitation accuracy. The developed SAR compression model is advantageous for pTx framework given the narrower overestimation bound and control over the compression ratio. Results also illustrate that a moderate increase of maximum RF power can be useful for reducing the maximum local SAR deposition.

Individualized SAR calculations using computer vision-based MR segmentation and a fast electromagnetic solver.

We propose a fast, patient-specific workflow for on-line specific absorption rate (SAR) supervision. An individualized electromagnetic model is created while the subject is on the table, followed by rapid SAR estimates for that individual. Our goal is an improved correspondence between the patient and model, reducing reliance on general anatomical body models. A 3D fat-water 3T acquisition (~2minutes) is automatically segmented using a computer vision algorithm (~1minute) into what we found to be the most important electromagnetic tissue classes: air, bone, fat, and soft tissues. We then compute the individual's EM field exposure and global and local SAR matrices using a fast electromagnetic integral equation solver. We assess the approach in 10 volunteers and compare to the SAR seen in a standard generic body model (Duke). The on-the-table workflow averaged 7'44″. Simulation of the simplified Duke models confirmed that only air, bone, fat, and soft tissue classes are needed to estimate global and local SAR with an error of 6.7% and 2.7%, respectively, compared to the full model. In contrast, our volunteers showed a 16.0% and 20.3% population variability in global and local SAR, respectively, which was mostly underestimated by the Duke model. Timely construction and deployment of a patient-specific model is computationally feasible. The benefit of resolving the population heterogeneity compared favorably to the modest modeling error incurred. This suggests that individualized SAR estimates can improve electromagnetic safety in MRI and possibly reduce conservative safety margins that account for patient-model mismatch, especially in non-standard patients.

Global head SAR assessment of MRI-induced temperature change

Purpose: Underestimation of SAR (Specific Absorption Rate) in MRI poses potential risks to patients and in particular individuals with compromised thermoregulation. EU standards imposes a head SAR limit of 3.2 W/kg as SAR effects are negligible at up to 3 W/kg. We developed a phantom and protocol where heating due the RF pulse is measured and verified against scanner displayed SAR.

Parallel transmission to reduce absorbed power around deep brain stimulation devices in MRI: Impact of number and arrangement of transmit channels.

To assess the mean and variance performance of parallel transmission (pTx) coils for reduction of the absorbed power around electrodes (APAE) in patients implanted with deep brain stimulation (DBS) devices. We simulated 4 pTx coils (8 and 16 channels, head and body coils) and a birdcage body coil. We characterized the RF safety risk using the APAE, which is the integral of the deposited power (in Watts) in a small cylindrical volume of brain tissue surrounding the electrode tips. We assessed the APAE mean and variance by simulation of 5 realistic DBS patient models that include the full DBS implant length, extracranial loops, and implanted pulse generator. PTx coils with 8 (16) channels were able to reduce the APAE by >18× (>169×) compared to the birdcage coil in average for all patient models, at no cost in term of flip angle uniformity or global specific absorption rate (SAR). Moreover, local pTx coils performed significantly better than body arrays. PTx is a possible solution to the problem of RF heating of DBS patients when performing MRI, but the large interpatient variability of the APAE indicates that patient-specific safety monitoring may be needed.

High permittivity ceramics improve the transmit field and receive efficiency of a commercial extremity coil at 1.5 Tesla.

The purpose of this work is to investigate the use of ceramic materials (based on BaTiO3 with ZrO2 and CeO2-additives) with very high relative permittivity (εr ∼ 4500) to increase the local transmit field and signal-to-noise ratio (SNR) for commercial extremity coils on a clinical 1.5 T MRI system. Electromagnetic simulations of transmit efficiency and specific absorption rate (SAR) were performed using four ferroelectric ceramic blocks placed around a cylindrical phantom, as well as placing these ceramics around the wrist of a human body model. Results were compared with experimental scans using the transmit body coil of the 1.5 T MRI system and an eight-element extremity receive array designed for the wrist. SNR measurements were also performed for both phantom and in vivo scans. Electromagnetic simulations and phantom/in vivo experiments showed an increased in the local transmit efficiency from the body coil of ∼20-30%, resulting in an ∼50% lower transmit power level and a significant reduction in local and global SAR throughout the body. For in vivo wrist experiments, the SNR of a commercial eight-channel receive array, integrated over the entire volume, was improved by ∼45% with the ceramic. The local transmit efficiency as well as the SNR can be increased for 1.5 T extremity MRI with commercial array coils by using materials with very high permittivity.

IMPULSE: A scalable algorithm for design of minimum specific absorption rate parallel transmit RF pulses.

Managing local specific absorption rate (SAR) in parallel transmission requires ensuring that the peak SAR over a large number of voxels (> ) is below the regulatory limit. The safety risk to the patient depends on cumulative (not instantaneous) SAR thus making a joint design of all RF pulses in a sequence desirable. We propose the Iterative Minimization Procedure with Uncompressed Local SAR Estimate (IMPULSE), an efficient optimization formulation and algorithm that can handle uncompressed SAR matrices and optimize pulses for all slices jointly within a practical time frame. IMPULSE optimizes parallel transmit pulses for small-tip-angle slice selective excitation to minimize a single cost function incorporating multiple quantities (local SAR, global SAR, and per-channel power) averaged over the entire multislice scan subject to a strict constraint on excitation accuracy. Pulses for an 8-channel 7T head coil were designed with IMPULSE and compared with pulses designed using generic optimization algorithms and VOPs to assess the computation time and SAR performance benefits. IMPULSE achieves lower SAR and shorter computation time compared with a VOP approach. Compared with the generic sequential quadratic programming algorithm, computation time is reduced by a factor of 5-6 by using IMPULSE. Using as many as 6 million local SAR terms, up to 120 slices can be designed jointly with IMPULSE within 45 s. IMPULSE can handle significantly larger number of SAR matrices and slices than conventional optimization algorithms, enabling the use of uncompressed or partially compressed SAR matrices to design pulses for a multislice scan in a practical time frame.

Approaching ultimate intrinsic specific absorption rate in radiofrequency shimming using high-permittivity materials at 7 Tesla.

The aim of this study was to evaluate the effect of integrated high-permittivity materials (HPMs) on excitation homogeneity and global specific absorption rate (SAR) for transmit arrays at 7T. A rapid electrodynamic simulation framework was used to calculate L-curves associated with excitation of a uniform 2D profile in a dielectric sphere. We used ultimate intrinsic SAR as an absolute performance reference to compare different transmit arrays in the presence and absence of a layer of HPM. We investigated the optimal permittivity for the HPM as a function of its thickness, the sample size, and the number of array elements. Adding a layer of HPM can improve the performance of a 24-element array to match that of a 48-element array without HPM, whereas a 48-element array with HPM can perform as well as a 64-element array without HPM. Optimal relative permittivity values changed based on sample and coil geometry, but were always within a range obtainable with readily available materials (εr = 100-200). Integration of HPMs could be a practical method to improve RF shimming performance, alternative to increasing the number of coils. The proposed simulation framework could be used to explore the design of novel transmit arrays for head imaging at ultra-high field strength. Magn Reson Med 80:391-399, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

Electro‐optic probe for real‐time assessments of RF electric field produced in an MRI scanner: Feasibility tests at 3 and 4.7 T

During magnetic resonance imaging (MRI) examinations, the average specific absorption rate (SAR) of the whole body is calculated as an index of global energy deposition in biological tissue without taking into account the presence of metallic implants or conductive materials. However, this global SAR calculation is not sufficient to ensure patient safety and a local SAR measurement should be carried out. Several measurement techniques have already been used to evaluate the local SAR, in particular electric field (E-field) probes, but the accuracy of the measurements and the resolutions (spatial and temporal) depend strongly on the measurement method/probe. This work presents an MR-compatible, subcentimeter probe based on an electro-optic (EO) principle enabling a real-time measurement of the local E-field during MRI scans. The experiments using these probes were performed on two different MR systems (preclinical and clinical) having different static magnetic field strengths and with different volume coil geometries. The E-field was measured with unloaded (in air) and loaded volume coils in order to assess the sensing characteristics of the optical probe. The results show an excellent linearity between the measured E-field and the radiofrequency (RF) magnetic field in both experimental conditions. Moreover, the distribution of the E-field throughout the volume coil was experimentally determined and was in good agreement with numerical simulations. Finally, we demonstrate through our measurements that the E-field depends strongly on the dielectric properties of the medium.

Risks related to RF fields

One of the main safety concerns in MRI is the interaction between the electric field produced by the RF coil and conductive tissue and any implants within the patient. This results in power deposition and potential heating. International safety guidelines are formulated in terms of specific absorption rate (SAR) rather than rises in temperature, although there are strong indications that future regulations will concentrate on direct thermal effects. The effects of implants can be studied via electromagnetic simulations and phantom experiments. As MRI static magnetic fields increase local and global SAR values also become higher, and asymmetry in their spatial distribution also increases. This talk will concentrate on methods to simulate and measure RF heating, both using MRI and MRI-compatible optical techniques, and suggest some methods for potentially reducing heating using targeted RF fields.

SAR prediction in adults and children by combining measured B1+ maps and simulations at 7.0 Tesla.

To predict local and global specific absorption rate (SAR) in individual subjects. SAR was simulated for a head volume coil for two imaging sequences: axial T1-weighted "zero" time-of-echo (ZTE) sequence, sagittal T2-weighted fluid attenuated inversion recovery (FLAIR). Two head models (one adult, one child) were simulated inside the coil. For 19 adults and 27 children, measured B1 (+) maps were acquired, and global (head) SAR estimated by the system was recorded. We performed t-test between the B1 (+) in models and human subjects. The B1 (+) maps of individual subjects were used to scale the SAR simulated on the models, to predict local and global (head) SAR. A phantom experiment was performed to validate SAR prediction, using a fiberoptic temperature probe to measure the temperature rise due to ZTE scanning. The normalized B1 (+) standard deviation in subjects was not significantly different from that of the models (P > 0.68 and P > 0.54). The rise in temperature generated in the phantom by ZTE was 0.3°C; from the heat equation it followed that the temperature-based measured SAR was 2.74 W/kg, while the predicted value was 3.1 W/kg. For ZTE and FLAIR, limits on maximum local and global SAR were met in all subjects, both adults and children. To enhance safety in adults and children with 7.0 Tesla MR systems, we suggest the possibility of using SAR prediction. J. MAGN. RESON. IMAGING 2016;44:1048-1055.

Mean Squared Error (MSE)-Based Excitation Pattern Design for Parallel Transmit and Receive SENSE MRI Image Reconstruction

Parallel coils at both the transmitter and receiver can be used to offer more control over the magnetic resonance imaging (MRI) system, and this implementation has potential to improve the performance in high-field MRI. A new MSE-based EXcitation Pattern (MSE-EXP) design for image reconstruction in parallel transmit and receive SENSitivity Encoding (pTxRx SENSE) MRI is presented in this paper to maximize the performance of an MRI using an array of transmit and receive coils. In the the small-tip-angle regime, we derive theoretically effective excitation patterns for fully-sampled k -space data (with no SNR assumption) and for under-sampled k -space data under both low and high SNR assumptions. The proposed MSE-EXP-encoded pTxRx SENSE MRI has two main advantages for high-field MRI, one is the specific absorption rate (SAR) management through prespecification of the global SAR regulatory limit in the excitation pattern design weight constraint and an another is the imaging acceleration by effective reduction of aliasing artifacts, particularly for advanced image reconstruction in highly under-sampled pTxRx SENSE MRI in the high-SNR regime. Numerical experiments demonstrate that reconstruction accuracy in pTxRx SENSE MRI is significantly improved by the proposed MSE-EXP design, but our study also identifies several practical challenges associated with generation of the proposed MSE-EXP.

Local SAR, global SAR, and power-constrained large-flip-angle pulses with optimal control and virtual observation points.

To present a constrained optimal-control (OC) framework for designing large-flip-angle parallel-transmit (pTx) pulses satisfying hardware peak-power as well as regulatory local and global specific-absorption-rate (SAR) limits. The application is 2D and 3D spatial-selective 90° and 180° pulses. The OC gradient-ascent-pulse-engineering method with exact gradients and the limited-memory Broyden-Fletcher-Goldfarb-Shanno method is proposed. Local SAR is constrained by the virtual-observation-points method. Two numerical models facilitated the optimizations, a torso at 3 T and a head at 7 T, both in eight-channel pTx coils and acceleration-factors up to 4. The proposed approach yielded excellent flip-angle distributions. Enforcing the local-SAR constraint, as opposed to peak power alone, reduced the local SAR 7 and 5-fold with the 2D torso excitation and inversion pulse, respectively. The root-mean-square errors of the magnetization profiles increased less than 5% with the acceleration factor of 4. A local and global SAR, and peak-power constrained OC large-flip-angle pTx pulse design was presented, and numerically validated for 2D and 3D spatial-selective 90° and 180° pulses at 3 T and 7 T. Magn Reson Med 77:374-384, 2017. © 2015 Wiley Periodicals, Inc.

Subject- and resource-specific monitoring and proactive management of parallel radiofrequency transmission.

Develop a practical comprehensive package for proactive management of parallel radiofrequency (RF) transmission. With a constrained optimization framework and predictive models from a prescan based multichannel calibration, we presented a method supporting design and optimization of parallel RF excitation pulses that accurately obey the forward/reflected peak and average power limits of the RF power amplifiers in parallel transmit imaging experiments and Bloch simulations. Moreover, local SAR limits were incorporated into the parallel RF excitation pulses using electromagnetic field simulations. Virtual transmit coils concept for minimization of reflected power (effecting subject-specific matching) was additionally demonstrated by leveraging experimentally calibrated power models. Incorporation of experimentally calibrated power prediction models resulted in accurate compliance with prescribed hardware and global specific absorption rate (SAR) limits. Incorporation of spatial average 10 g SAR models, facilitated by simplifying numerical approximations, provided assurance of patient safety. RF pulses designed with various constraints demonstrated excellent excitation fidelity-the normalized root-mean-square error of the simulated excitation profiles was 2.6% for the fully constrained pulses, comparable to that of the unconstrained pulses. An RF shimming example showed a reduction of the reflected-to-forward power ratio to 1.7% from a conventional approach's 8.1%. Using the presented RF pulse design method, effective proactive management of the multifaceted power and SAR limits was demonstrated in experimental and simulation studies. Magn Reson Med 76:20-31, 2016. © 2015 Wiley Periodicals, Inc.

Parallel transmission pulse design with explicit control for the specific absorption rate in the presence of radiofrequency errors.

A new framework for the design of parallel transmit (pTx) pulses is presented introducing constraints for local and global specific absorption rate (SAR) in the presence of errors in the radiofrequency (RF) transmit chain. The first step is the design of a pTx RF pulse with explicit constraints for global and local SAR. Then, the worst possible SAR associated with that pulse due to RF transmission errors ("worst-case SAR") is calculated. Finally, this information is used to re-calculate the pulse with lower SAR constraints, iterating this procedure until its worst-case SAR is within safety limits. Analysis of an actual pTx RF transmit chain revealed amplitude errors as high as 8% (20%) and phase errors above 3° (15°) for spokes (spiral) pulses. Simulations show that using the proposed framework, pulses can be designed with controlled "worst-case SAR" in the presence of errors of this magnitude at minor cost of the excitation profile quality. Our worst-case SAR-constrained pTx design strategy yields pulses with local and global SAR within the safety limits even in the presence of RF transmission errors. This strategy is a natural way to incorporate SAR safety factors in the design of pTx pulses. Magn Reson Med 75:2493-2504, 2016. © 2015 Wiley Periodicals, Inc.

Radiofrequency energy deposition and radiofrequency power requirements in parallel transmission with increasing distance from the coil to the sample.

We investigated global specific absorption rate (SAR) and radiofrequency (RF) power requirements in parallel transmission as the distance between the transmit coils and the sample was increased. We calculated ultimate intrinsic SAR (UISAR), which depends on object geometry and electrical properties but not on coil design, and we used it as the reference to compare the performance of various transmit arrays. We investigated the case of fixing coil size and increasing the number of coils while moving the array away from the sample, as well as the case of fixing coil number and scaling coil dimensions. We also investigated RF power requirements as a function of lift-off, and tracked local SAR distributions associated with global SAR optima. In all cases, the target excitation profile was achieved and global SAR (as well as associated maximum local SAR) decreased with lift-off, approaching UISAR, which was constant for all lift-offs. We observed a lift-off value that optimizes the balance between global SAR and power losses in coil conductors. We showed that, using parallel transmission, global SAR can decrease at ultra high fields for finite arrays with a sufficient number of transmit elements. For parallel transmission, the distance between coils and object can be optimized to reduce SAR and minimize RF power requirements associated with homogeneous excitation.

Comprehensive RF safety concept for parallel transmission MR.

The goal of this study is to increase patient safety in parallel transmission (pTx) MRI systems. A major concern in these systems is radiofrequency-induced tissue heating, which can be avoided by specific absorption rate (SAR) prediction and SAR monitoring before and during the scan. In this novel comprehensive safety concept, the SAR is predicted prior to the scan based on precalculated fields obtained from electromagnetic simulations on different body models. The radiofrequency fields and the global and local SAR are supervised in real time during the scan. This concept is integrated into a 3 T pTx MR scanner and validated experimentally. Phantom and in vivo experiments successfully validated the basic feasibility of the real-time SAR supervision concept. Supervising the SAR minimizes SAR overestimation. Monitoring the radiofrequency fields allows the detection of unsafe radiofrequency situations for the patient, which a SAR supervision system alone cannot detect. This study demonstrates safe scanning in a pTx system. This new safety concept is also applicable for field strengths above 3 T and represents an important step toward safe operation of pTx systems.

Parallel transmit pulse design for patients with deep brain stimulation implants.

Specific absorption rate (SAR) amplification around active implantable medical devices during diagnostic MRI procedures poses a potential risk for patient safety. In this study, we present a parallel transmit (pTx) strategy that can be used to safely scan patients with deep brain stimulation (DBS) implants. We performed electromagnetic simulations at 3T using a uniform phantom and a multitissue realistic head model with a generic DBS implant. Our strategy is based on using implant-friendly modes, which are defined as the modes of an array that reduce the local SAR around the DBS lead tip. These modes are used in a spokes pulse design algorithm in order to produce highly uniform magnitude least-squares flip angle excitations. Local SAR (1 g) at the lead tip is reduced below 0.1 W/kg compared with 31.2 W/kg, which is obtained by a simple quadrature birdcage excitation without any sort of SAR mitigation. For the multitissue realistic head model, peak 10 g local SAR and global SAR are obtained as 4.52 W/kg and 0.48 W/kg, respectively. A uniform axial flip angle is also obtained (NRMSE <3%). Parallel transmit arrays can be used to generate implant-friendly modes and to reduce SAR around DBS implants while constraining peak local SAR and global SAR and maximizing flip angle homogeneity.