Thermo-acoustic ultrasound for noninvasive temperature monitoring at lead tips during MRI.

MAGNETIC RESONANCE IN MEDICINE(2020)

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摘要
Purpose We explore the use of thermo-acoustic ultrasound (TAUS) to monitor temperature at the tips of conductive device leads during MRI. Theory In TAUS, rapid radiofrequency (RF) power deposition excites an acoustic signal via thermoelastic expansion. Coupling of the MRI RF transmit to device leads causes SAR amplification at lead tips, allowing MRI RF transmitters to excite significant lead tip TAUS signals. Because the amplitude of the TAUS signal depends on temperature, it becomes feasible to monitor the lead tip temperature during MRI by tracking the TAUS amplitude. Methods The TAUS temperature dependence was characterized in a phantom and in tissue. To perform TAUS acquisitions in an MRI scanner, amplitude modulated RF chirps were transmitted by the body coil, and the lead tip TAUS signal was detected by an ultrasonic transducer. The TAUS signal level was correlated with the RF current induced on the lead and the associated B1 artifacts in MRI. TAUS signals acquired during RF-induced heating were used to estimate the lead tip temperature. Results The TAUS signal exhibited strong dependence on temperature, increasing over 30% with 10 circle C of heating both in the phantom and in tissue. A lead tip TAUS signal was observed for a 100 mA rms current induced on a lead. During RF-induced heating, the TAUS signal appeared to accurately approximate the peak lead tip temperature. Conclusions TAUS allows for noninvasive monitoring of lead tip temperature in an MRI environment. With further development, TAUS opens new avenues to improve RF device safety during MRI scans.
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关键词
Active implantable medical devices,Implant heating,Interventional MRI,MRI engineering,RF safety,Thermo-acoustics
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