Dataset Information

Local SAR near deep brain stimulation (DBS) electrodes at 64 and 127 MHz: A simulation study of the effect of extracranial loops.

ABSTRACT: PURPOSE:MRI may cause brain tissue around deep brain stimulation (DBS) electrodes to become excessively hot, causing lesions. The presence of extracranial loops in the DBS lead trajectory has been shown to affect the specific absorption rate (SAR) of the radiofrequency energy at the electrode tip, but experimental studies have reported controversial results. The goal of this study was to perform a systematic numerical study to provide a better understanding of the effects of extracranial loops in DBS leads on the local SAR during MRI at 64 and 127 MHz. METHODS:A total of 160 numerical simulations were performed on patient-derived data, in which relevant factors including lead length and trajectory, loop location and topology, and frequency of MRI radiofrequency (RF) transmitter were assessed. RESULTS:Overall, the presence of extracranial loops reduced the local SAR in the tissue around the DBS tip compared with straight trajectories with the same length. SAR reduction was significantly larger at 127 MHz compared with 64 MHz. SAR reduction was significantly more sensitive to variable loop parameters (eg, topology and location) at 127 MHz compared with 64 MHz. CONCLUSION:Lead management strategies could exist that significantly reduce the risks of 3 Tesla (T) MRI for DBS patients. Magn Reson Med 78:1558-1565, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

SUBMITTER: Golestanirad L

PROVIDER: S-EPMC5411348 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Local SAR near deep brain stimulation (DBS) electrodes at 64 and 127 MHz: A simulation study of the effect of extracranial loops.

Golestanirad Laleh L Angelone Leonardo M LM Iacono Maria Ida MI Katnani Husam H Wald Lawrence L LL Bonmassar Giorgio G

Magnetic resonance in medicine 20161031 4

<h4>Purpose</h4>MRI may cause brain tissue around deep brain stimulation (DBS) electrodes to become excessively hot, causing lesions. The presence of extracranial loops in the DBS lead trajectory has been shown to affect the specific absorption rate (SAR) of the radiofrequency energy at the electrode tip, but experimental studies have reported controversial results. The goal of this study was to perform a systematic numerical study to provide a better understanding of the effects of extracranial ...[more]

PMID: 27797157

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Project description: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, E field levels.

Project description:BackgroundDeep brain stimulation (DBS) of the subthalamic nucleus produces variable effects in Parkinson disease. Variation may result from different electrode positions relative to target. Thus, precise electrode localization is crucial when investigating DBS effects.New methodWe developed a semi-automated method, Electrode Shaft Modeling in CT images (ESM-CT) to reconstruct DBS lead trajectories and contact locations. We evaluated methodological sensitivity to operator-dependent steps, robustness to image resampling, and test-retest replicability. ESM-CT was applied in 56 patients to study electrode position change (and relation to time between scans, postoperative subdural air volume, and head tilt during acquisition) between images acquired immediately post-implantation (DBS-CT) and months later (DEL-CT).ResultsElectrode tip localization was robust to image resampling and replicable to within ∼ 0.2 mm on test-retest comparisons. Systematic electrode displacement occurred rostral-ventral-lateral between DBS-CT and DEL-CT scans. Head angle was a major explanatory factor (p < 0.001,Pearson's r = 0.46, both sides) and volume of subdural air weakly predicted electrode displacement (p = 0.02,r = 0.29:p = 0.1,r = 0.25 for left:right). Modeled shaft curvature was slightly greater in DEL-CT. Magnitude of displacement and degree of curvature were independent of elapsed time between scans.Comparison with existing methodsComparison of ESM-CT against two existing methods revealed systematic differences in one coordinate (1 ± 0.3 mm,p < 0.001) for one method and in three coordinates for another method (x:0.1 ± 0.1 mm, y:0.4 ± 0.2 mm, z:0.4 ± 0.2 mm, p < 10-10). Within-method coordinate variability across participants is similar.ConclusionWe describe a robust and precise method for CT DBS contact localization. Application revealed that acquisition head angle significantly impacts electrode position. DBS localization schemes should account for head angle.

Project description:The onset of electroconvective instability in an aqueous binary electrolyte under external oscillatory electric fields at a single constant frequency is investigated in a 2D parallel flat electrode setup. Direct numerical simulations (DNS) of the Poisson⁻Nernst⁻Planck equations coupled with the Navier⁻Stokes equations at a low Reynolds number are carried out. Previous studies show that direct current (DC) electric field can create electroconvection near ion-selecting membranes in microfluidic devices. In this study, we show that electroconvection can be generated near flat inert electrodes when the applied electric field is oscillatory in time. A range of applied voltage, the oscillation frequency and the ratio of ionic diffusivities is examined to characterize the regime in which electroconvection takes place. Similar to electroconvection under DC voltages, AC electroconvection occurs at sufficiently high applied voltages in units of thermal volts and is characterized by transverse instabilities, physically manifested by an array of counter-rotating vortices near the electrode surfaces. The oscillating external electric field periodically generate and destroy such unsteady vortical structures. As the oscillation frequency is reduced to O ( 10 - 1 ) of the intrinsic resistor⁻capacitor (RC) frequency of electrolyte, electroconvective instability is considerably amplified. This is accompanied by severe depletion of ionic species outside the thin electric double layer and by vigorous convective transport involving a wide range of scales including those comparable to the distance L between the parallel electrodes. The underlying mechanisms are distinctly nonlinear and multi-dimensional. However, at higher frequencies of order of the RC frequency, the electrolyte response becomes linear, and the present DNS prediction closely resembles those explained by 1D asymptotic studies. Electroconvective instability supports increased electric current across the system. Increasing anion diffusivity results in stronger amplification of electroconvection over all oscillation frequencies examined in this study. Such asymmetry in ionic diffusivity, however, does not yield consistent changes in statistics and energy spectrum at all wall-normal locations and frequencies, implying more complex dynamics and different scaling for electrolytes with unequal diffusivities. Electric current is substantially amplified beyond the ohmic current at high oscillation frequencies. Also, it is found that anion diffusivity higher than cation has stronger impact on smaller-scale motions (≲ 0.1 L).

Dataset Information

Local SAR near deep brain stimulation (DBS) electrodes at 64 and 127 MHz: A simulation study of the effect of extracranial loops.

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Local SAR near deep brain stimulation (DBS) electrodes at 64 and 127 MHz: A simulation study of the effect of extracranial loops.

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