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Purpose: The purpose of this study is to present a workflow for predicting the radiofrequency (RF) heating around the contacts of a deep brain stimulation (DBS) lead during an MRI scan. Methods: The induced RF current on the DBS lead accumulates electric charge on the metallic contacts, which may cause a high local specific absorption rate (SAR), and therefore, heating. The accumulated charge was modeled by imposing a voltage boundary condition on the contacts in a quasi-static electromagnetic (EM) simulation allowing thermal simulations to be performed with the resulting SAR distributions. Estimating SAR and temperature increases from a lead in vivo through EM simulation is not practical given anatomic differences and variations in lead geometry. To overcome this limitation, a new parameter, transimpedance, was defined to characterize a given lead. By combining the transimpedance, which can be measured in a single calibration scan, along with MR-based current measurements of the lead in a unique orientation and anatomy, local heating can be estimated. Heating determined with this approach was compared with results from heating studies of a commercial DBS electrode in a gel phantom with different lead configurations to validate the proposed method. Results: Using data from a single calibration experiment, the transimpedance of a commercial DBS electrode (directional lead, Infinity DBS system, Abbott Laboratories, Chicago, IL) was determined to be 88 Ω. Heating predictions using the DBS transimpedance and rapidly acquired MR-based current measurements in 26 different lead configurations resulted in a

BackgroundSince 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.PurposeThis 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.MethodsWe 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.ResultsThe 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+.ConclusionAt 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,Efield levels.

Purpose: The purpose of this study is to introduce a new antenna element with improved transmit performance, named the nonuniform dielectric substrate (NODES) antenna, for building transmit arrays at ultrahigh-field. Methods: We optimized a dipole antenna at 10.5 Tesla by maximizing the (Formula presented.) -SAR efficiency in a phantom for a human spine target. The optimization parameters included permittivity variation in the substrate, substrate thickness, antenna length, and conductor geometry. We conducted electromagnetic simulations as well as phantom experiments to compare the transmit/receive performance of the proposed NODES antenna design with existing coil elements from the literature. Results: Single NODES element showed up to 18% and 30% higher (Formula presented.) -SAR efficiency than the fractionated dipole and loop elements, respectively. The new element is substantially shorter than a commonly used dipole, which enables z-stacked array formation; it is additionally capable of providing a relatively uniform current distribution along its conductors. The nine-channel transmit/receive NODES array achieved 7.5% higher (Formula presented.) homogeneity than a loop array with the same number of elements. Excitation with the NODES array resulted in 33% lower peak 10g-averaged SAR and required 34% lower input power than the loop array for the target anatomy of the spine. Conclusion: In this study, we introduced a new RF coil element: the NODES antenna. NODES antenna outperformed the widely used loop and dipole elements and may provide improved transmit/receive performance for future ultrahigh field MRI applications.

Purpose In simultaneous transmission and reception (STAR) MRI, along with the coupling of the excitation pulse to the received signal, noise, and undesired distortions (spurs) coming from the transmit chain also leak into the acquired signal and degrade image quality. Here, properties of this coupled noise and its relationship with the transmit amplifier gain, transmit chain noise density, isolation performance, and imaging bandwidth are analyzed. It is demonstrated that by utilizing a recently proposed STAR technique, the transmit noise can be reduced. The importance of achieving high isolation and careful selection of the corresponding parameters are demonstrated. Theory and Methods A cancellation algorithm, together with a vector modulator, is used for transmit-receive isolation. The scanner is modeled as a pipeline of blocks to demonstrate the noise contribution from each block. With higher isolation, coupled transmit noise can be reduced to the point that the dominant noise source becomes acquisition noise, as in the case for pulsed MRI. Amplifiers with different gain and noise properties are used in the experiments to verify the derived noise-transmit parameter relation. Results With the proposed technique, more than 80 dB isolation in the analog domain is achieved. The leakage noise and the spurs coupled from the transmit chain, are reduced. It is shown that the transmit gain plays the most critical role in determining sufficient isolation, whereas the amplifier noise figure does not contribute as much. Conclusion The transmit noise and the spurs in STAR imaging are analyzed and mitigated by using a vector modulator.

Purpose: An array-based z-gradient coil with a set of programmable power amplifiers can outperform a conventional z-gradient coil and make it highly customizable with a broader range of tunable features. Methods: A dynamically adjustable imaging volume can be achieved using a pair of independent arrays and a modified optimization procedure based on analytic equations. Two modes of operation are provided: (a) standard mode that resembles a conventional coil; (b) advanced mode, where all performance parameters can be adjusted employing a controllable feeding mechanism. Commercial software is used to demonstrate the validity and feasibility of the proposed coil. Results: Primary and shield array diameters are 24 and 30 cm, both of which comprise 12 bundles of 10 turns copper wires. Maximum feeding voltage/current is 250 V/100 A for all array elements. Four distinct magnetic profiles are provided: (a) conventional profile with 140 mm diameter spherical region of interest, 120 mT/m gradient, and up to 4500 T/m/s slew rate; (b) profile of 200 mT/m, 70 mm region of interest, and up to 6900 T/m/s slew rate; (c) 60 mm axially shifted 70 mm region of interest with 120 mT/m strength and 3600 T/m/s slew rate; and (d) profile of 370 mT/m, 120 mm region of interest, and 3700 T/m/s slew rate when the active shield is reverse fed. Conclusion: By using an active-shielded gradient array coil, the magnetic field profile of the imaging volume can be adjusted dynamically, and it can provide new features and a wide range of field profiles for diverse applications in MRI.

Purpose: Providing accurate gradient currents is challenging due to the gradient chain nonlinearities, arising from gradient power amplifiers and power supply stages. This work introduces a new characterization approach that takes the amplifier and power supply into account, resulting in a nonlinear model that compensates for the current droop. Methods: The gradient power amplifier and power supply stage were characterized by a modified state-space averaging technique. The resulting nonlinear model was inverted and used in feedforward to control the gradient coil current. A custom-built two-channel z-gradient coil was driven by high-switching (1 MHz), low-cost amplifiers (

Objective: Accelerating the co-simulation method for the design of transmit array (TxArray) coils is studied using equivalent circuit models. Materials and methods: Although the co-simulation method dramatically reduces the complexity of the design of TxArray coils, finding the optimum solution is not trivial since there exist many local minima in the optimization problem. We propose to utilize an equivalent circuit model of the TxArray coil to obtain a proper initial guess for the optimization process of the co-simulation method. To prove the concept, six different TxArray coils (i.e., three degenerate birdcage coils (DBC), two dual-row head coils, and one elliptical body TxArray coil) with two different loading strategies (cylindrical phantom and human head/body model) at 3 T field strength are investigated theoretically; as an example study, an eight-channel head-DBC is constructed using the obtained values. Results: This approach accelerates the design process more than 20-fold for the coils that are investigated in this manuscript. Conclusion: A fast and accurate method for tuning and decoupling of a TxArray coil can be achieved using its equivalent circuit model combined with the co-simulation method.

Purpose To dynamically minimize radiofrequency (RF)-induced heating of an active catheter through an automatic change of the termination impedance. Methods A prototype wireless module was designed that modifies the input impedance of an active catheter to keep the temperature rise during MRI below a threshold, ΔTmax . The wireless module (MR safety watchdog; MRsWD) measures the local temperature at the catheter tip using either a built-in thermistor or external data from a fiber-optical thermometer. It automatically changes the catheter input impedance until the temperature rise during MRI is minimized. If ΔTmax is exceeded, RF transmission is blocked by a feedback system. Results The thermistor and fiber-optical thermometer provided consistent temperature data in a phantom experiment. During MRI, the MRsWD was able to reduce the maximum temperature rise by 25% when operated in real-time feedback mode. Conclusion This study demonstrates the technical feasibility of an MRsWD as an alternative or complementary approach to reduce RF-induced heating of active interventional devices. The automatic MRsWD can reduce heating using direct temperature measurements at the tip of the catheter. Given that temperature measurements are intrinsically slow, for a clinical implementation, a faster feedback parameter would be required such as the RF currents along the catheter or scattered electric fields at the tip.

Purpose To introduce a prototype active implantable medical device (AIMD) for which the induced radiofrequency currents can be controlled wirelessly. Methods The modified transmission line method is used to formulate how the lead-case impedance of an AIMD affects the temperature rise around the electrode. A prototype AIMD is designed with the aim of controlling the unwanted temperature rise around its electrode during an MRI examination by altering the impedance between the lead and the case of the implant. MRI experiments were conducted with this prototype implant, which also has a built-in temperature sensor at its electrode. During the experiment, the implant's lead-case impedance was controlled using Bluetooth communication with a remote computer, and the lead tip temperature was recorded. Results Ten different lead-case impedance values and their corresponding tip temperature rises were examined during MRI experiments. The experimental results confirmed that the tip temperature rise can be controlled by varying the lead-case impedance wirelessly. Conclusion The feedback from the temperature at the AIMD tip, together with variable lead-case impedance, enables control of the safety profile of the AIMD during an MRI examination.

Purpose Patients with deep brain stimulation (DBS) implants benefit highly from MRI, however, access to MRI is restricted for these patients because of safety hazards associated with RF heating of the implant. To date, all MRI studies on RF heating of medical implants have been performed in horizontal closed‐bore systems. Vertical MRI scanners have a fundamentally different distribution of electric and magnetic fields and are now available at 1.2T, capable of high‐resolution structural and functional MRI. This work presents the first simulation study of RF heating of DBS implants in high‐field vertical scanners. Methods We performed finite element electromagnetic simulations to calculate specific absorption rate (SAR) at tips of DBS leads during MRI in a commercially available 1.2T vertical coil compared to a 1.5T horizontal scanner. Both isolated leads and fully implanted systems were included. Results We found 10‐ to 30‐fold reduction in SAR implication at tips of isolated DBS leads, and up to 19‐fold SAR reduction at tips of leads in fully implanted systems in vertical coils compared to horizontal birdcage coils. Conclusions If confirmed in larger patient cohorts and verified experimentally, this result can open the door to plethora of structural and functional MRI applications to guide, interpret, and advance DBS therapy. National Institutes of Health. Grant Numbers: R00EB021320, R03EB024705, R03EB025344

In tomoelastography, to achieve a final wave speed map by combining reconstructions obtained from all spatial directions and excitation frequencies, the use of weights is inevitable. Here, a new weighting scheme, which maximizes the signal-to-noise ratio (SNR) of the final wave speed map, has been proposed. To maximize the SNR of the final wave speed map, the use of squares of estimated SNR values of reconstructed individual maps has been proposed. Therefore, derivations of the SNR of the reconstructed wave speed maps have become necessary. Considering the noise on the complex MRI signal, the SNR of the reconstructed wave speed map was formulated by an analytical approach assuming a high SNR, and the results were verified using Monte Carlo simulations (MCSs). It has been assumed that the noise remains approximately Gaussian when the image SNR is high enough, despite the nonlinear operations in tomoelastography inversion. Hence, the SNR threshold was determined by comparing the SNR computed by MCSs and analytical approximations. The weighting scheme was evaluated for accuracy, spatial resolution and SNR performances on simulated phantoms. MR elastography (MRE) experiments on two different phantoms were conducted. Wave speed maps were generated for simulated 3D human abdomen MRE data and experimental human abdomen MRE data. The simulation results demonstrated that the SNR-weighted inversion improved the SNR performance of the wave speed map by a factor of two compared to the performance of the original (i.e., amplitude-weighted) reconstruction. In the case of a low SNR, no bias occurred in the wave speed map when SNR weighting was used, whereas 10% bias occurred when the original weighting (i.e., amplitude weighting) was used. Thus, while not altering the accuracy or spatial resolution of the wave speed map with the proposed weighting method, the SNR of the wave speed map has been significantly improved.

Date of Conference: 20-24 July 2020 Conference Name: 42nd Annual International Conferences of the IEEE Engineering in Medicine and Biology Society, EMBC 2020 Patients with deep brain stimulation (DBS) implants are often denied access to magnetic resonance imaging (MRI) due to safety concerns associated with RF heating of implants. Although MR-conditional DBS devices are available, complying with manufacturer guidelines has proved to be difficult as pulse sequences that optimally visualize DBS target structures tend to have much higher specific absorption rate (SAR) of radiofrequency energy than current guidelines allow. The MR-labeling of DBS devices, as well as the majority of studies on RF heating of conductive implants have been limited to horizontal close-bore MRI scanners. Vertical MRI scanners, originally introduced as open low-field MRI systems, are now available at 1.2 T field strength, capable of high-resolution structural and functional imaging. No literature exists on DBS SAR in this class of scanners which have a 90° rotated transmit coil and thus, generate a fundamentally different electric and magnetic field distributions. Here we present a simulation study of RF heating in a cohort of forty patient-derived DBS lead models during MRI in a commercially available vertical openbore MRI system (1.2 T OASIS, Hitachi) and a standard horizontal 1.5 T birdcage coil. Simulations were performed at two major imaging landmarks representing head and chest imaging. We calculated the maximum of 0.1g-averaged SAR (0.1g-SAR Max ) around DBS lead tips when a B 1 + = 4 μT was generated on an axial plane passing through patients body. For head landmark, 0.1g-SAR Max reached 220±188 W/kg in the 1.5 T birdcage coil, but only 14±11 W/kg in the OASIS coil. For chest landmark, 0.1g-SAR Max was 24±17 W/kg in the 1.5 T birdcage coil and 3±2 W/kg in the OASIS coil. A paired two-tail t-test revealed a significant reduction in SAR with a large effect-size during head MRI (p

PURPOSE To obtain efficient operation modes of transmit array (TxArray) coils using a general design technique based on the eigenmode analysis of the scattering matrix. METHODS We introduce the concept of modal reflected power and excitation eigenmodes, which are calculated as the eigenvalues and eigenvectors of SH S, where the superscript H denotes the Hermitian transpose. We formulate the normalized reflected power, which is the ratio of the total reflected power to the total incident power of TxArray coils for a given excitation signal as the weighted sum of the modal reflected power. By minimizing the modal reflected power of TxArray coils, we increase the excitation space with a low total reflection. The algorithm was tested on 4 dual-row TxArray coils with 8 to 32 channels. RESULTS By minimizing the modal reflected power, we designed an 8-element TxArray coil to have a low reflection for 7 out of 8 dimensions of the excitation space. Similarly, the minimization of the modal reflected power of a 16-element TxArray coil enabled us to enlarge the dimension of the excitation space by 50% compared with commonly employed design techniques. Moreover, we demonstrated that the low total reflected power for some critical excitation modes, such as the circularly polarized mode, can be achieved for all TxArray coils even with a high level of coupling. CONCLUSION Eigenmode analysis is an efficient method that intuitively provides a quantitative and compact representation of the coil's power transmission capabilities. This method also provides insight into the excitation modes with low reflection.

Purpose: The purpose of this study is to safely acquire the first human head images at 10.5T.Methods: To ensure safety of subjects, we validated the electromagnetic simula-tion model of our coil. We obtained quantitative agreement between simulated and experimental B+1 and specific absorption rate (SAR). Using the validated coil model, we calculated radiofrequency power levels to safely image human subjects. We con-ducted all experiments and imaging sessions in a controlled radiofrequency safety lab and the whole-body 10.5T scanner in the Center for Magnetic Resonance Research.Results: Quantitative agreement between the simulated and experimental results was obtained including S-parameters, B+1 maps, and SAR. We calculated peak 10 g average SAR using 4 different realistic human body models for a quadrature excita-tion and demonstrated that the peak 10 g SAR variation between subjects was less than 30%. We calculated safe power limits based on this set and used those limits to acquire T2- and T∗2-weighted images of human subjects at 10.5T.Conclusions: In this study, we acquired the first in vivo human head images at 10.5T using an 8-channel transmit/receive coil. We implemented and expanded a previ-ously proposed workflow to validate the electromagnetic simulation model of the 8-channel transmit/receive coil. Using the validated coil model, we calculated radi-ofrequency power levels to safely image human subjects. National Institutes of Health. Grant Number: P41 RR008079 National Institute of Biomedical Imaging and Bioengineering. Grant Number: P41 EB027061

Purpose In this study, we investigate a strategy to reduce the local specific absorption rate (SAR) while keeping B 1 + constant inside the region of interest (ROI) at the ultra-high field (B0 ≥ 7T) MRI. Methods Locally raising the resonance structure under the discontinuity (i.e., creating a bump) increases the distance between the accumulated charges and the tissue. As a result, it reduces the electric field and local SAR generated by these charges inside the tissue. The B 1 + at a point that is sufficiently far from the coil, however, is not affected by this modification. In this study, three different resonant elements (i.e., loop coil, snake antenna, and fractionated dipole [FD]) are investigated. For experimental validation, a bumped FD is further investigated at 10.5T. After the validation, the transmit performances of eight-channel arrays of each element are compared through electromagnetic (EM) simulations. Results Introducing a bump reduced the peak 10g-averaged SAR by 21, 26, 23% for the loop and snake antenna at 7T, and FD at 10.5T, respectively. In addition, eight-channel bumped FD array at 10.5T had a 27% lower peak 10g-averaged SAR in a realistic human body simulation (i.e., prostate imaging) compared to an eight-channel FD array. Conclusion In this study, we investigated a simple design strategy based on adding bumps to a resonant element to reduce the local SAR while maintaining B 1 + inside an ROI. As an example, we modified an FD and performed EM simulations and phantom experiments with a 10.5T scanner. Results show that the peak 10g-averaged SAR can be reduced more than 25%.

Magnetic resonance imaging (MRI) provides excellent cross-sectional images of the soft tissues in patients. Unfortunately, MRI is intrinsically slow, it exposes patients to severe acoustic noise levels, and is limited in the visualization of certain tissues such as bone. These limitations are partly caused by the timing structure of the MRI exam which first generates the MR signal by a strong radio-frequency excitation and later acquires the weak MRI signal. Concurrent excitation and acquisition (CEA) can overcome these limitations, but is extremely challenging due to the huge intensity difference between transmit and receive signal (up to 100 dB). To suppress the strong transmit signals during signal reception, a fully automated analog cancellation unit was designed. On a 3 Tesla clinical MRI system we achieved an on-resonance analog isolation of 90 dB between the transmit and receive path, so that CEA images of the head and the extremities could be acquired with an acquisition efficiency of higher than 90% at sound pressure levels close to background noise. CEA with analog cancellation might provide new opportunities for MRI in tissues with very short T2 relaxation times, and it offers a silent and time-efficient MRI acquisition.

Purpose Multi-slice radiofrequency (RF) pulses have higher specific absorption rates, more peak RF power, and longer pulse durations than single-slice RF pulses. Gradient field design techniques using a z-gradient array are investigated for exciting multiple slices with a single-band RF pulse. Theory and methods Two different field design methods are formulated to solve for the required current values of the gradient array elements for the given slice locations. The method requirements are specified, optimization problems are formulated for the minimum current norm and an analytical solution is provided. A 9-channel z-gradient coil array driven by independent, custom-designed gradient amplifiers is used to validate the theory. Results Performance measures such as normalized slice thickness error, gradient strength per unit norm current, power dissipation, and maximum amplitude of the magnetic field are provided for various slice locations and numbers of slices. Two and 3 slices are excited by a single-band RF pulse in simulations and phantom experiments. Conclusion The possibility of multi-slice excitation with a single-band RF pulse using a z-gradient array is validated in simulations and phantom experiments. Magn Reson Med 80:400-412, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

PURPOSE The purpose of this study is to develop a wireless, flexible, ultra-thin, and passive radiofrequency-based MRI resonant fiducial marker, and to validate its feasibility in a phantom model and several body regions. METHODS Standard microfabrication processing was used to fabricate the resonant marker. The proposed marker consists of two metal traces in the shape of a square with an edge length of 8 mm, with upper and lower traces connected to each other by a metalized via. A 3T MRI fiducial marking procedure was tested in phantom and ex vivo, and then the marker's performance was evaluated in an MRI experiment using humans. The radiofrequency safety was also tested using temperature sensors in the proximity of the resonator. RESULTS A flexible resonator with a thickness of 115 μm and a dimension of 8 × 8 mm was obtained. The experimental results in the phantom show that at low background flip angles (6-18°), the resonant marker enables precise and rapid visibility, with high marker-to-background contrast and signal-to-noise ratio improvement of greater than 10 in the vicinity of the marker. Temperature analysis showed a specific absorption ratio gain of 1.3. Clinical studies further showed a successful biopsy procedure using the fiducial marking functionality of our device. CONCLUSIONS The ultra-thin and flexible structure of this wireless flexible radiofrequency resonant marker offers effective and safe MR visualization with high feasibility for anatomic marking and guiding at various regions of the body. Magn Reson Med 80:361-370, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

This paper reports a wireless passive resonator architecture that is used as a fiducial electronic marker (e-marker) intended for internal marking purposes in magnetic resonance imaging (MRI). As a proof-of-concept demonstration, a class of double-layer, sub-cm helical resonators were microfabricated and tuned to the operating frequency of 123 MHz for a three T MRI system. Effects of various geometrical parameters on the resonance frequency of the e-marker were studied, and the resulting specific absorption rate (SAR) increase was analyzed using a full-wave microwave solver. The B1+ field distribution was calculated, and experimental results were compared. As an exemplary application to locate subdural electrodes, these markers were paired with subdural electrodes. It was shown that such sub-cm self-resonant e-markers with biocompatible constituents can be designed and used for implant marking, with sub-mm positioning accuracy, in MRI. In this application, a free-space quality factor (Q-factor) of approximately 50 was achieved for the proposed resonator architecture. However, this structure caused an SAR increase in certain cases, which limits its usage for in vivo imaging practices. The findings indicate that these implantable resonators hold great promise for wireless fiducial e-marking in MRI as an alternative to multimodal imaging.

PurposePatients with deep brain stimulation (DBS) implants highly benefit from MRI, however access to MRI is restricted for these patients due to safety hazards associated with RF heating of the implant. To date, all MRI studies on RF heating of medical implants have been performed in horizontal closed-bore systems. Vertical MRI scanners have a fundamentally different distribution of electric and magnetic fields and are now available at 1.2T, capable of high-resolution structural and functional MRI. This work presents the first simulation study of RF heating of DBS implants in high-field vertical scanners.MethodsWe performed finite element electromagnetic simulations to calculate SAR at tips of DBS leads during MRI in a commercially available 1.2 T vertical coil compared to a 1.5 T horizontal scanner. Both isolated leads and fully implanted systems were included.ResultsWe found 10-30-fold reduction in SAR implication at tips of isolated DBS leads, and up to 19-fold SAR reduction at tips of leads in fully implanted systems in vertical coils compared to horizontal birdcage coils.ConclusionsIf confirmed in larger patient cohorts and verified experimentally, this result can open the door to plethora of structural and functional MRI applications to guide, interpret, and advance DBS therapy.

Patients with deep brain stimulation devices highly benefit from postoperative MRI exams, however MRI is not readily accessible to these patients due to safety risks associated with RF heating of the implants. Recently we introduced a patient-adjustable reconfigurable coil technology that substantially reduced local SAR at tips of single isolated DBS leads during MRI at 1.5 T in 9 realistic patient models. This contribution extends our work to higher fields by demonstrating the feasibility of scaling the technology to 3T and assessing its performance in patients with bilateral leads as well as fully implanted systems. We developed patient-derived models of bilateral DBS leads and fully implanted DBS systems from postoperative CT images of 13 patients and performed finite element simulations to calculate SAR amplification at electrode contacts during MRI with a reconfigurable rotating coil at 3T. Compared to a conventional quadrature body coil, the reconfigurable coil system reduced the SAR on average by 83% for unilateral leads and by 59% for bilateral leads. A simple surgical modification in trajectory of implanted leads was demonstrated to increase the SAR reduction efficiency of the rotating coil to >90% in a patient with a fully implanted bilateral DBS system. Thermal analysis of temperature-rise around electrode contacts during typical brain exams showed a 15-fold heating reduction using the rotating coil, generating ° C temperature rise during ∼4-min imaging with high-SAR sequences where a conventional CP coil generated >10 ° C temperature rise in the tissue for the same flip angle.

Purpose In contrast to conventional linear gradients, gradient coil arrays with arbitrary spatial dependency might experience strong mutual coupling. Although conventional gradient power amplifiers with feedback loop might compensate the effect of coupling, required voltages for the compensation are generally unknown and has to be considered beforehand to ensure that amplifier voltage limits are not exceeded. A first‐order circuit model is proposed to be used as a feedforward model which enables analytical formulas of required voltages to drive the mutually coupled gradient coil arrays. Theory and Methods A first‐order circuit model including the mutual couplings is provided to analytically calculate the input voltages and minimum achievable rise times for a given set of gradient array currents and amplifier limitations. Previously designed 9‐channel Z‐gradient coil array and home‐built gradient amplifiers (50 V and 20 A) are used in the experiments. Three sets of currents optimized for linear Z‐gradient, second‐order Z2, and third‐order Z3 fields are used in the bench‐top experiments. The current weightings for the linear Z‐gradient are also used as the readout gradient in the 3T MRI experiments. Results Current measurements for the example magnetic field profiles with minimum rise times are demonstrated for the simultaneous use of 9‐channel gradient coils and amplifiers. MRI experiments verify that a linear Z‐gradient field with a desired time waveform can be generated using a mutually coupled array coils. Conclusion Bench‐top and MRI experiments demonstrate the feasibility of the proposed circuit model and analytical formulas to drive the mutually coupled gradient coils.

PURPOSE To introduce a temperature sensor implant (TSI) that mimics an active implantable medical device (AIMD) for animal testing of MRI heating. Computer simulations and phantom experiments poorly represent potential temperature increases. Animal experiments could be a better model, but heating experiments conducted immediately after the surgery suffer from alterations of the thermoregulatory and tissue properties during acute testing conditions. Therefore, the aim of this study was to introduce a temperature sensor implant that mimics an AIMD and capable of measuring the electrode temperature after implantation of the device without any further intervention at any time after the surgery in an animal model. METHODS A battery-operated TSI, which resembled an AIMD, was used to measure the lead temperature and impedance and the case temperature. The measured values were transmitted to an external computer via a low-power Bluetooth communication protocol. In addition to validation experiments on the phantom, a sheep experiment was conducted to test the feasibility of the system in subacute conditions. RESULTS The measurements had a maximum of 0.5°C difference compared to fiber-optic temperature probes. In vivo animal experiments demonstrated feasibility of the system. CONCLUSION An active implant, which can measure its own temperature, was proposed to investigate implant heating during MRI examinations. Magn Reson Med 79:2824-2832, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

A wireless deep-subwavelength metamaterial architecture is proposed, modeled and demonstrated for a high-resolution magnetic resonance imaging (HR-MRI) application that is miniaturized to be resonant at approximately λ0/1500 dimensions. The proposed structure has the adjustable resonance frequency from 65 MHz to 5.5 GHz for the sub-cm footprint area (8 mm × 8 mm for this study) and provides a quality factor (Q-factor) of approximately 80 in free space for 123 MHz of operation. This structure consists of a cross-via metallized partial-double-layer metamaterial, sandwiching a dielectric thin film; this structure strongly localizes the electric field in this film and has a highly capacitive metal overlay that allows for a wide range of frequency adjustment. Although the achieved resonance frequencies enable a large number of applications, as a proof-of-concept demonstration, we experimentally showed the operation of this wireless metastructure in HR-MRI to highlight its precise frequency adjustment and signal-to-noise-ratio (SNR) improvement capabilities. The proposed metamaterial was found to maintains high Q-factors despite loading with a body-mimicking lossy phantom. The experimental results indicated that the proposed metastructure can be used as an SNR-enhancing device offering 15-fold SNR enhancements that allows for imaging of objects as small as 200 μm in diameter in its vicinity, at an unprecedented level of resolution at the given DC field using standard head coils. As a result of its deep-subwavelength miniaturization accompanied by reasonable Q-factor with outstanding resonance frequency adjustment capability, this class of metastructure is proved to be an excellent candidate for in vivo medical applications. HVD gratefully acknowledges support from TÜBA . This work is partially supported by Turkish National Scientific and Technological Research Institute TÜBİTAK-BİDEB . Authors of this work gratefully acknowledge the support of UNAM-National Nanotechnology Research Center and Institute of Materials Science and Nanotechnology.

Multi-slice radiofrequency (RF) pulses have higher specific absorption rates, more peak RF power, and longer pulse durations than single-slice RF pulses. Gradient field design techniques using a z-gradient array are investigated for exciting multiple slices with a single-band RF pulse.Two different field design methods are formulated to solve for the required current values of the gradient array elements for the given slice locations. The method requirements are specified, optimization problems are formulated for the minimum current norm and an analytical solution is provided. A 9-channel z-gradient coil array driven by independent, custom-designed gradient amplifiers is used to validate the theory.Performance measures such as normalized slice thickness error, gradient strength per unit norm current, power dissipation, and maximum amplitude of the magnetic field are provided for various slice locations and numbers of slices. Two and 3 slices are excited by a single-band RF pulse in simulations and phantom experiments.The possibility of multi-slice excitation with a single-band RF pulse using a z-gradient array is validated in simulations and phantom experiments. Magn Reson Med 80:400-412, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

The purpose of this study is to develop a wireless, flexible, ultra-thin, and passive radiofrequency-based MRI resonant fiducial marker, and to validate its feasibility in a phantom model and several body regions.Standard microfabrication processing was used to fabricate the resonant marker. The proposed marker consists of two metal traces in the shape of a square with an edge length of 8 mm, with upper and lower traces connected to each other by a metalized via. A 3T MRI fiducial marking procedure was tested in phantom and ex vivo, and then the marker's performance was evaluated in an MRI experiment using humans. The radiofrequency safety was also tested using temperature sensors in the proximity of the resonator.A flexible resonator with a thickness of 115 μm and a dimension of 8 × 8 mm was obtained. The experimental results in the phantom show that at low background flip angles (6-18°), the resonant marker enables precise and rapid visibility, with high marker-to-background contrast and signal-to-noise ratio improvement of greater than 10 in the vicinity of the marker. Temperature analysis showed a specific absorption ratio gain of 1.3. Clinical studies further showed a successful biopsy procedure using the fiducial marking functionality of our device.The ultra-thin and flexible structure of this wireless flexible radiofrequency resonant marker offers effective and safe MR visualization with high feasibility for anatomic marking and guiding at various regions of the body. Magn Reson Med 80:361-370, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

The simultaneous use of linear spatial encoding magnetic fields (L-SEMs) and nonlinear spatial encoding magnetic fields (N-SEMs) in B-1(+) inhomogeneity problems is formulated and demonstrated with both simulations and experiments. Independent excitation k-space variables for N-SEMs are formulated for the simultaneous use of L-SEMs and N-SEMs by assuming a small tip angle. The formulation shows that, when N-SEMs are considered as an independent excitation k-space variable, numerous different k-space trajectories and frequency weightings differing in dimension, length, and energy can be designed for a given target transverse magnetization distribution. The advantage of simultaneous use of L-SEMs and N-SEMs is demonstrated by B-1(+) inhomogeneity correction with spoke excitation. To fully utilize the independent k-space formulations, global optimizations are performed for 1D, 2D RF power limited, and 2D RF power unlimited simulations and experiments. Three different cases are compared: L-SEMs alone, N-SEMs alone, and both used simultaneously. In all cases, the simultaneous use of L-SEMs and N-SEMs leads to a decreased standard deviation in the ROI compared with using only L-SEMs or N-SEMs. The simultaneous use of L-SEMs and N-SEMs results in better B-1(+) inhomogeneity correction than using only L-SEMs or N-SEMs due to the increased number of degrees of freedom.

Purpose In this study, a new simple Fourier domain-based analytical expression for the Bloch–Siegert (BS) shift-based B1 mapping method is proposed to obtain more accurately while using short BS pulse durations and small off-resonance frequencies. Theory and Methods A new simple analytical expression for the BS shift is derived by simplifying the Bloch equations. In this expression, the phase is calculated in terms of the Fourier transform of the radiofrequency pulse envelope, and thus making the off- and on-resonance effects more easily understandable. To verify the accuracy of the proposed expression, Bloch simulations and MR experiments are performed for the hard, Fermi, and Shinner–Le Roux pulse shapes. Results Analyses of the BS phase shift-based B1 mapping method in terms of radiofrequency pulse shape, pulse duration, and off-resonance frequency show that can be obtained more accurately with the aid of this new expression. Conclusions In this study, a new simple frequency domain analytical expression is proposed for the BS shift. Using this expression, values can be predicted from the phase data using the frequency spectrum of the radiofrequency pulse. This method works well even for short pulse durations and small offset frequencies. Magn Reson Med 73:117–125, 2015. © 2014 Wiley Periodicals, Inc.

The simultaneous use of linear spatial encoding magnetic fields (L-SEMs) and nonlinear spatial encoding magnetic fields (N-SEMs) in B

Cataloged from PDF version of article. During magnetic resonance imaging, there is an interaction between the time-varying magnetic fields and the active implantable medical devices (AIMD). In this study, in order to express the nature of this interaction, simplified analytical expressions for the electric fields induced by time-varying magnetic fields are derived inside a homogeneous cylindrical volume. With these analytical expressions, the gradient induced potential on the electrodes of the AIMD can be approximately calculated if the position of the lead inside the body is known. By utilizing the fact that gradient coils produce linear magnetic field in a volume of interest, the simplified closed form electric field expressions are defined. Using these simplified expressions, the induced potential on an implant electrode has been computed approximately for various lead positions on a cylindrical phantom and verified by comparing with the measured potentials for these sample conditions. In addition, the validity of the method was tested with isolated frog leg stimulation experiments. As a result, these simplified expressions may help in assessing the gradient-induced stimulation risk to the patients with implants.

The specific absorption rate is used as one of the main safety parameters in magnetic resonance imaging. The performance of imaging sequences is frequently hampered by the limitations imposed on the specific absorption rate that increase in severity at higher field strengths. The most well-known approach to reducing the specific absorption rate is presumably the variable rate selective excitation technique, which modifies the gradient waveforms in time. In this article, an alternative approach is introduced that uses gradient fields with nonlinear variations in space to reduce the specific absorption rate. The effect of such gradient fields on the relationship between the desired excitation profile and the corresponding radiofrequency pulse is shown. The feasibility of the method is demonstrated using three examples of radiofrequency pulse design. Finally, the proposed method is compared with and combined with the variable rate selective excitation technique.

In this work, it is demonstrated that a dual-drive birdcage coil can be used to reduce the radiofrequency heating of metallic devices during magnetic resonance imaging. By controlling the excitation currents of the two channels of a birdcage coil, the radiofrequency current that is induced near the lead tip could be set to zero. To monitor the current, the image artifacts near the lead tips were measured. The electric field distribution was controlled using a dual-drive birdcage coil. With this method, the lead currents and the lead tip temperatures were reduced substantially [ 4.9°C using quadrature excitation], as demonstrated by phantom and animal experiments. The homogeneity of the flip angle distribution was preserved, as shown by volunteer experiments. The normalized root-mean-square error of the flip angle distribution was less than 10% for all excitations. The average specific absorption rate increased as a trade-off for using different excitation patterns. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.

Methods: In this study, a lumped element model of the transmission line was modified to model leads of implants inside the body. Using this model, leads are defined using two parameters: impedance per unit length, Z, and effective wavenumber along the lead, kt. These two parameters were obtained by using methods that are similar to the transmission line theory. As long as these parameters are known for a lead, currents induced in the lead can be obtained no matter how complex the lead geometry is. The currents induced in bare wire, lossy wire, and insulated wire were calculated using this new method which is called the modified transmission line method or MoTLiM. First, the calculated induced currents under uniform electric field distribution were solved and compared with method-of-moments (MoM) calculations. In addition, MoTLiM results were compared with those of phantom experiments. For experimental verification, the flip angle distortion due to the induced currents was used. The flip angle distribution around a wire was both measured by using flip angle imaging methods and calculated using current distribution obtained from the MoTLiM. Finally, these results were compared and an error analysis was carried out. Results: Bare perfect electric, bare lossy, and insulated perfect electric conductor wires under uniform and linearly varying electric field exposure were solved, both for 1.5 T and 3 T scanners, using both the MoTLiM and MoM. The results are in agreement within 10% mean-square error. The flip angle distribution that was obtained from experiments was compared along the azimuthal paths with different distances from the wire. The highest mean-square error was 20% among compared cases. Conclusions: A novel method was developed to define the RF heating properties of implant leads with two parameters and analyze the induced currents on implant leads that are exposed to electromagnetic fields in a lossy medium during a magnetic resonance imaging (MRI) scan. Some simple cases are examined to explain the MoTLiM and a basis is formed for the analysis of complex cases. The method presented shows the direct relationship between the incident RF field and the induced currents. In addition, the MoTLiM reveals the RF heating properties of the implant leads in terms of the physical features of the lead and electrical properties of the medium. V C 2011 American Association of Physicists in Medicine. [DOI: 10.1118/1.3662865]

The biological basis for the development of the cerebro-cerebellar structures required for posture and gait in humans is poorly understood. We investigated a large consanguineous family from Turkey exhibiting an extremely rare phenotype associated with quadrupedal locomotion, mental retardation, and cerebro-cerebellar hypoplasia, linked to a 7.1-Mb region of homozygosity on chromosome 17p13.1–13.3. Diffusion weighted imaging and fiber tractography of the patients' brains revealed morphological abnormalities in the cerebellum and corpus callosum, in particular atrophy of superior, middle, and inferior peduncles of the cerebellum. Structural magnetic resonance imaging showed additional morphometric abnormalities in several cortical areas, including the corpus callosum, precentral gyrus, and Brodmann areas BA6, BA44, and BA45. Targeted sequencing of the entire homozygous region in three affected individuals and two obligate carriers uncovered a private missense mutation, WDR81 p.P856L, which cosegregated with the condition in the extended family. The mutation lies in a highly conserved region of WDR81, flanked by an N-terminal BEACH domain and C-terminal WD40 beta-propeller domains. WDR81 is predicted to be a transmembrane protein. It is highly expressed in the cerebellum and corpus callosum, in particular in the Purkinje cell layer of the cerebellum. WDR81 represents the third gene, after VLDLR and CA8, implicated in quadrupedal locomotion in humans.

In this study, the reverse polarization method is implemented using transmit and receive arrays to improve the visibility of the interventional devices. Linearly polarized signal sources— inductively and receptively coupled radiofrequency coils—are used in the experimental setups to demonstrate the ability of the method to separate these sources from a forward polarized anatomy signal. Two different applications of the reverse polarization method are presented here: (a) catheter tracking and (b) fiducial marker visualization, in both of which transmit and receive arrays are used. The performance of the reverse polarization method was further tested with phantom and volunteer studies, and the results proved the feasibility of this method with transmit and receive arrays. Magn Reson Med 67:446–456, 2012. V C 2011 Wiley Periodicals, Inc.

The ultimate intrinsic signal-to-noise ratio is the highest possible signal-to-noise ratio, and the ultimate intrinsic specific absorption rate provides the lowest limit of the specific absorption rate for a given flip angle distribution. Analytic expressions for ultimate intrinsic signal-to-noise ratio and ultimate intrinsic specific absorption rate are obtained for arbitrary sample geometries. These expressions are valid when the distance between the point of interest and the sample surface is smaller than the wavelength, and the sample is homogeneous. The dependence on the sample permittivity, conductivity, temperature, size, and the static magnetic field strength is given in analytic form, which enables the easy evaluation of the change in signal-to-noise ratio and specific absorption rate when the sample is scaled in size or when any of its geometrical or electrical parameters is altered. Furthermore, it is shown that signal-tonoise ratio and specific absorption rate are independent of the permeability of the sample. As a practical case and a solution example, a uniform, circular cylindrically shaped sample is studied. Magn Reson Med 66:846–858, 2011. © 2011 Wiley-Liss, Inc.

In this work, we demonstrate the possibility to modify the electric-field distribution of a radio frequency (RF) coil to generate electric field-free zones in the body without significantly altering the transmit sensitivity. Because implant heating is directly related to the electric-field distribution, implantfriendly RF transmit coils can be obtained by this approach. We propose a linear birdcage transmit coil with a zero electric-field plane as an example of such implant-friendly coils. When the zero electric-field plane coincides with the implant position, implant heating is reduced, as we demonstrated by the phantom experiments. By feeding RF pulses with identical phases and shapes but different amplitudes to the two orthogonal ports of the coil, the position of the zero electricfield plane can also be adjusted. Although implant heating is reduced with this method, a linear birdcage coil results in a whole-volume average specific absorption rate that is twice that of a quadrature birdcage coil. To solve this issue, we propose alternative methods to design implant-friendly RF coils with optimized electromagnetic fields and reduced whole-volume average specific absorption rate. With these methods, the transmit field was modified to reduce RF heating of implants and obtain uniform transmit sensitivity. Magn Reson Med 65:1305–1313, 2011. V C 2010 Wiley-Liss, Inc.

The ‘‘loopless antenna’’ is an interventional MRI detector consisting of a tuned coaxial cable and an extended inner conductor or ‘‘whip’’. A limitation is the poor sensitivity afforded at, and immediately proximal to, its distal end, which is exacerbated by the extended whip length when the whip is uniformly insulated. It is shown here that tapered insulation dramatically improves the distal sensitivity of the loopless antenna by pushing the current sensitivity toward the tip. The absolute signal-to-noise ratio is numerically computed by the electromagnetic method-of-moments for three resonant 3-T antennae with no insulation, uniform insulation, and with linearly tapered insulation. The analysis shows that tapered insulation provides an ~400% increase in signal-to-noise ratio in trans-axial planes 1 cm from the tip and a 16-fold increase in the sensitive area as compared to an equivalent, uniformly insulated antenna. These findings are directly confirmed by phantom experiments and by MRI of an aorta specimen. The results demonstrate that numerical electromagnetic signal-tonoise ratio analysis can accurately predict the loopless detector’s signal-to-noise ratio and play a central role in optimizing its design. The manifold improvement in distal signal-to-noise ratio afforded by redistributing the insulation should improve the loopless antenna’s utility for interventional MRI. Magn Reson Med 63:797–802, 2010. V C 2010 Wiley-Liss, Inc.

Heat therapies such as hyperthermia and thermoablation are very promising approaches in the treatment of cancer. Compared with available hyperthermia modalities, magnetic fluid hyperthermia (MFH) yields better results in uniform heating of the deeply situated tumors. In this approach, fluid consisting of superparamagnetic particles (magnetic fluid) is delivered to the tumor. An alternating (ac) magnetic field is then used to heat the particles and the corresponding tumor, thereby ablating it. However, one of the most serious shortcomings of this technique is the unwanted heating of the healthy tissues. This results from the magnetic fluid diffusion from the tumor to the surrounding tissues or from incorrect localization of the fluids in the target tumor area. In this study, the authors demonstrated that by depositing appropriate static (dc) magnetic field gradients on the alternating (ac) magnetic fields, focused heating of the magnetic particles can be achieved. A focused hyperthermia system was implemented by using two types of coils: dc and ac coils. The ac coil generated the alternating magnetic field responsible for the heating of the magnetic particles; the dc coil was used to superimpose a static magnetic field gradient on the alternating magnetic field. In this way, focused heating of the particles was obtained in the regions where the static field was dominated by the alternating magnetic field. In vitro experiments showed that as the magnitude of the dc solenoid currents was increased from 0 to 1.8 A, the specific absorption rate (SAR) of the superparamagnetic particles 2 cm apart from the ac solenoid center decreased by a factor of 4.5, while the SAR of the particles at the center was unchanged. This demonstrates that the hyperthermia system is capable of precisely focusing the heat at the center. Additionally, with this approach, shifting of the heat focus can be achieved by applying different amounts of currents to individual dc solenoids. In vivo experiments were performed with adult rats, where magnetic fluids were injected percutaneously into the tails (with homogeneous fluid distribution inside the tails). Histological examination showed that, as we increased the dc solenoid current from 0.5 to 1.8 A, the total burned volume decreased from 1.6 to 0.2 cm3 verifying the focusing capability of the system. The authors believe that the studies conducted in this work show that MFH can be a much more effective method with better heat localization and focusing abilities.