Abstract
Object
Magnetic resonance imaging (MRI) is inadvisable for patients with pacemakers, as radiofrequency (RF) voltages induced in the pacemaker leads may cause the device to malfunction. Our goal is to develop a sensor to measure such RF-induced voltages during MRI safety tests.
Materials and methods
A sensor was designed (16.6 cm2) for measuring voltages at the connection between the pacemaker lead and its case. The induced voltage is demodulated, digitized, and transferred by optical fibres. The sensor was calibrated on the bench using RF pulses of known amplitude and duration. Then the sensor was tested during MRI scanning at 1.5 T in a saline gel filled phantom.
Results
Bench tests showed measurement errors below 5 % with a (−40 V; +40 V) range, a precision of 0.06 V, and a temporal resolution of 24.2 μs. In MRI tests, variability in the measured voltages was below 3.7 % for 996 measurements with different sensors and RF exposure. Coupling between the sensor and the MRI electromagnetic environment was estimated with a second sensor connected and was below 6.2 %. For a typical clinical MRI sequence, voltages around ten Vp were detected.
Conclusion
We have built an accurate and reproducible tool for measuring RF-induced voltages in pacemaker leads during MR safety investigations. The sensor might also be used with other conducting cables including those used for electrocardiography and neurostimulation .
Similar content being viewed by others
References
Helfer JL, Gray RW, Macdonald SG, Bibens TW (2006) Can pacemakers, neurostimulators, leads, or guide wires be MRI safe? Technological concerns and possible resolutions. Minim Invasive Ther Allied Technol 15:114–120
ISO/TS 10974 (2012) Assessment of the safety of magnetic resonance imaging for patients with an active implantable medical device. International Organization for Standardization, Geneva, Switzerland. http://www.iso.org/iso/catalogue_detail.htm?csnumber=46462. 20 May 2013
Shinbane JS, Colletti PM, Shellock FG (2011) Magnetic resonance imaging in patients with cardiac pacemakers: era of “MR Conditional” designs. J Cardiovasc Magn Reson J Soc Cardiovasc Magn Reson 13:63
Dempsey MF, Condon B, Hadley DM (2001) Investigation of the factors responsible for burns during MRI. J Magn Reson Imaging 13:627–631
Wright O (2004) Patient killed by heart blunder. The times (London). http://www.thetimes.co.uk/tto/news/uk/article1905003.ece
Fontaine JM, Mohamed FB, Gottlieb C, Callans DJ, Marchlinski FE (1998) Rapid ventricular pacing in a pacemaker patient undergoing magnetic resonance imaging. Pacing Clin Electrophysiol 21:1336–1339
Rozner MA, Burton AW, Kumar A (2005) Pacemaker complication during magnetic resonance imaging. J Am Coll Cardiol 45:161–162
Nordbeck P, Fidler F, Weiss I, Warmuth M, Friedrich MT, Ehses P, Geistert W, Ritter O, Jakob PM, Ladd ME, Quick HH, Bauer WR (2008) Spatial distribution of RF-induced E-fields and implant heating in MRI. Magn Reson Med 60:312–319
Zanchi MG, Venook R, Pauly JM, Scott GC (2010) An optically coupled system for quantitative monitoring of MRI-induced RF currents into long conductors. IEEE Trans Med Imaging 29:169–178
Nordbeck P, Weiss I, Ehses P, Ritter O, Warmuth M, Filder F, Herold V, Jakob PM, Ladd ME, Quick HH, Bauer WR (2009) Measuring RF-induced currents inside implants: impact of device configuration on MRI safety of cardiac pacemaker leads. Magn Reson Med 61:570–578
ASTM F 2182A (2011) Standard test method for measurement of radio frequency induced heating on or near passive implants during magnetic resonance imaging. http://www.astm.org/Standards/F2182.htm
Konings MK, Bartels LW, Smits HFM, Bakker CJG (2000) Heating around intravascular guidewires by resonating RF waves. J Magn Reson Imaging 12:79–85
Sacolick LI, Wiesinger F, Hancu I, Vogel MW (2010) B1 mapping by Bloch-Siegert shift. Magn Reson Med J Soc Magn Reson Med Soc Magn Reson Med 63:1315–1322. doi:10.1002/mrm.22357
Nehrke K, Börnert P (2012) DREAM: a novel approach for robust, ultrafast, multislice B1 mapping. Magn Reson Med 68:1517–1526
Clique H, Cheng H-LM, Marie P-Y, Felblinger J, Beaumont M (2014) 3D myocardial T1 mapping at 3T using variable flip angle method: pilot study. Magn Reson Med 71:823–829
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Barbier, T., Piumatti, R., Hecker, B. et al. An RF-induced voltage sensor for investigating pacemaker safety in MRI. Magn Reson Mater Phy 27, 539–549 (2014). https://doi.org/10.1007/s10334-014-0437-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10334-014-0437-4