Evaluating Accuracy of Numerical Simulations in Predicting Heating of Wire Implants During MRI at 1.5 T

摘要

Patients with long conductive implants such as deep brain stimulation (DBS) leads are often denied access to magnetic resonance imaging (MRI) exams due to safety concerns associated with radiofrequency (RF) heating of implants. Experimental temperature measurements in tissue-mimicking gel phantoms under MRI RF exposure conditions are common practices to predict in-vivo heating in the tissue surrounding wire implants. Such experiments are both expensive—as they require access to MRI units—and time-consuming due to complex implant setups. Recently, full-wave numerical simulations, which include realistic MRI RF coil models and human phantoms, are suggested as an alternative to experiments. There is however, little literature available on the accuracy of such numerical models against direct thermal measurements. This study aimed to evaluate the agreement between simulations and measurements of temperature rise at the tips of wire implants exposed to RF exposure at 64 MHz (1.5 T) for different implant trajectories typically encountered in patients with DBS leads. Heating was assessed in seven patient-derived lead configurations using both simulations and RF heating measurements during imaging of an anthropomorphic head phantom with implanted wires. We found substantial variation in RF heating as a function of lead trajectory; there was a 9.5-fold and 9-fold increase in temperature rise from ID1 to ID7 during simulations and experimental measurements, respectively. There was a strong correlation (r² = 0.74) between simulated and measured temperatures for different lead trajectories. The maximum difference between simulated and measured temperature was 0.26 °C with simulations overestimating the temperature rise.