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

Parallel transmit pulse design for patients with deep brain stimulation implants

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Author(s)
Guerin, Bastien
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Akgun, Can
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Martin, Adrian
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Torrado-Carvajal, Angel
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Malpica, Norberto
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Hernandez-Tamames, Juan A.
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Schiavi, Emanuele
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Eryaman, Yigitcan
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Lopez Herraiz, Joaquin
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Adalsteinsson, Elfar
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Date Issued
April 2015
Journal
Magnetic Resonance in Medicine
Publisher
Wiley Blackwell
Citation
Eryaman, Yigitcan; Guerin, Bastien; Akgun, Can et al. “Parallel Transmit Pulse Design for Patients with Deep Brain Stimulation Implants.” Magnetic Resonance in Medicine 73, 5 (June 2014): 1896–1903 © 2014 Wiley Periodicals, Inc
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Author's final manuscript
Abstract
Purpose 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. Methods 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. Results 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%). Conclusion 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. Magn Reson Med 73:1896–1903, 2015.
MIT Department
Institute for Medical Engineering and Science
Harvard University--MIT Division of Health Sciences and Technology
Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science
Massachusetts Institute of Technology. Research Laboratory of Electronics
Terms of Use
Creative Commons Attribution-Noncommercial-Share Alike
http://creativecommons.org/licenses/by-nc-sa/4.0/
Persistent DSpace Link
http://hdl.handle.net/1721.1/110737
DOI of Published Version
https://doi.org/10.1002/mrm.25324
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