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Purpose Radiofrequency field inhomogeneity is a significant issue in imaging large fields of view in high- and ultrahigh-field MRI. Passive shimming with coupled coils or dielectric pads is the most common approach at 3 T. We introduce and test light and compact metasurface, providing the same homogeneity improvement in clinical abdominal imaging at 3 T as a conventional dielectric pad. Methods The metasurface comprising a periodic structure of copper strips and parallel-plate capacitive elements printed on a flexible polyimide substrate supports propagation of slow electromagnetic waves similar to a high-permittivity slab. We compare the metasurface operating inside a transmit body birdcage coil to the state-of-the-art pad by numerical simulations and in vivo study on healthy volunteers. Results Numerical simulations with different body models show that the local minimum of B 1 + causing a dark void in the abdominal domain is removed by the metasurface with comparable resulting homogeneity as for the pad with decreasing maximum and whole-body SAR values. In vivo results confirm similar homogeneity improvement and demonstrate the stability to body mass index. Conclusion The light, flexible, and inexpensive metasurface can replace a relatively heavy and expensive pad based on the aqueous suspension of barium titanate in abdominal imaging at 3 T.

High-permittivity dielectric pads, i.e., thin, flexible slabs, usually consisting of mixed ceramic powders and liquids, have been previously shown to increase the magnetic field at high and ultra high-fields in regions of low efficiency of transmit coils, thus improving the homogeneity of images. However, their material parameters can change with time, and some materials they contain are bio incompatible. This article presents an alternative approach replacing ceramic mixtures with a low-cost and stable artificial dielectric slab. The latter comprises a stack of capacitive grids realized using multiple printed-circuit boards. Results in this article show that the proposed artificial dielectric structure can obtain the same increase in the local transmit radiofrequency magnetic field distribution in a head phantom at 7 T as the conventional dielectric pad. (C) 2020 The Authors. Published by Elsevier Inc.