Magnetic-resonance-induced heating of implantable leads.
نویسندگان
چکیده
In this study a methodological approach for measuring temperature and local absorption rate (SAR) on thin metallic structures, such as pacemaker (PM) leads, is provided. First preliminary experiments were performed to evaluate the error in temperature and SAR measurements made by fluoroptic temperature probes when the temperature probe is in different contact configuration with the PM lead tip. Our results show how the position of temperature probes affects the temperature and SAR value measured at the lead tip. The transversal contact between the thermal sensor and the lead tip is the configuration which leads to the highest values for temperature and SAR. In the second part of this paper we describe two physical models of a human trunk and an experimental set-up to investigate the influence of the implant geometry and of the lead path on the heating and the local SAR deposition. Experiments reveled that the implant location and configuration are crucial elements for the heat generation at the lead tip.
منابع مشابه
Cardiovascular Magnetic Resonance in Patients With Magnetic Resonance-Conditional Cardiac Implantable Electronic Devices: What Can We See?
Patients with pacemakers and implantable cardioverter defibrillators (ICDs) have been commonly withheld from magnetic resonance imaging (MRI) procedures because of magnetic resonance (MR) safety concerns. In response to this clinical need, MR-conditional pacemakers and ICDs have been developed to allow these patients access to MRI. The potential interactions between MRI and recently developed M...
متن کاملMRI compatibility and visibility assessment of implantable medical devices.
We have developed a protocol to evaluate the magnetic resonance (MR) compatibility of implantable medical devices. The testing protocol consists of the evaluation of magnetic field-induced movement, electric current, heating, image distortion, and device operation. In addition, current induction is evaluated with a finite element analysis simulation technique that models the effect of radiofreq...
متن کاملCardiac pacemakers and implantable cardioverter defibrillators: in vitro magnetic resonance imaging evaluation at 1.5-tesla.
RATIONALE AND OBJECTIVES To evaluate the effect of Magnetic Resonance Imaging (MRI) performed at 1.5-Tesla on current generation pacemakers and ICDs to identify safe parameters for MRI examinations. METHODS Pacemakers (Identity ADx XL DR+ 5386 and Identity ADx DR + 5380 generators; 1688T/52-cm atrial and ventricular leads) and ICDs (Atlas + V-243, Epic + V-236, and Epic + HF V-350 generators;...
متن کاملModeling of electrodes and implantable pulse generator cases for the analysis of implant tip heating under MR imaging.
PURPOSE The authors' purpose is to model the case of an implantable pulse generator (IPG) and the electrode of an active implantable medical device using lumped circuit elements in order to analyze their effect on radio frequency induced tissue heating problem during a magnetic resonance imaging (MRI) examination. METHODS In this study, IPG case and electrode are modeled with a voltage source...
متن کاملMeasuring RF-induced currents inside implants: Impact of device configuration on MRI safety of cardiac pacemaker leads.
Radiofrequency (RF)-related heating of cardiac pacemaker leads is a serious concern in magnetic resonance imaging (MRI). Recent investigations suggest such heating to be strongly dependent on an implant's position within the surrounding medium, but this issue is currently poorly understood. In this study, phantom measurements of the RF-induced electric currents inside a pacemaker lead were perf...
متن کاملMagnetic resonance imaging in patients with cardiac pacemakers: era of "MR Conditional" designs
Advances in cardiac device technology have led to the first generation of magnetic resonance imaging (MRI) conditional devices, providing more diagnostic imaging options for patients with these devices, but also new controversies. Prior studies of pacemakers in patients undergoing MRI procedures have provided groundwork for design improvements. Factors related to magnetic field interactions and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annali dell'Istituto superiore di sanita
دوره 43 3 شماره
صفحات -
تاریخ انتشار 2007