L Bardwell Speltz*, K Kirby, P Trester, I Langenfeld, M Bernstein, A Fagan, Mayo Clinic, Rochester, MN

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  L Bardwell Speltz

PO-GePV-I-42 (Sunday, 7/10/2022)   [Eastern Time (GMT-4)]

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Purpose: To compare magnetic displacement forces on 3T and 7T scanners for a range of implant devices at on-axis locations where the forces are greatest, and to extrapolate forces to the off-axis locations given precise knowledge of the magnetic fields of the scanners.

Methods: The displacement force for ten devices was measured on 3T (Prisma, Siemens) and 7T (Terra, Siemens) MRI scanners using the standardized ASTM set-up. Devices were suspended from a string of negligible weight. Deflection angles were measured on-axis at: (a) entrances to 3T and 7T bores, and (b) position of the maximum spatial field gradient (SFG). A 3-axis teslameter was used to map the static and SFG magnetic fields to determine the maximum values.

Results: Three devices tested herein deflected <45° at 3T, but at 7T deflection angles >45° were found, and hence these devices could be unsafe at 7T. Deflection angles were also found to be larger when extrapolated to the location of maximum SFG off-axis at 7T, and hence measurements made on-axis following the ASTM methodology could mislabel a device as having no dangerous displacement force if the 45° threshold lay between these on- and off-axis values.

Conclusion: Accurately measuring the deflection angles at these off-axis locations is extremely difficult and prone to substantial errors, but a knowledge of the field profile within the bore allows for extrapolation to worst-case locations. The MR community would benefit if more detailed field maps were made available by manufacturers. This would be useful in situations where a risk-benefit analysis for a patient were to make a difference to a scan/no scan scenario based on limiting exposure of the implanted device to a particular SFG.

Keywords

High-field NMR, MRI, Risk

Taxonomy

IM- MRI : Safety, Risk evaluation & control

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