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PurposeThe Radiofrequency (RF)‐induced heating for an active implantable medical device (AIMD) with dual parallel leads is evaluated in this paper. The coupling effects between dual parallel leads are studied via simulations and experiments methods. The global transfer function technique is used to assess the RF‐induced heating for dual‐lead AIMDs inside four human body models. MethodsRF‐induced heating for spinal cord stimulator systems with 60 and 90 cm length leads are studied at three parallel dual‐lead configurations (closely spaced, 8 mm spaced, and 40 mm spaced) and a single‐lead configuration. The global transfer function method is used to develop the AIMD models of different configurations and is used for lead‐tip heating assessments inside human body models. ResultsIn simulation studies, the peak 1g specific absorption rate/temperatrue rises of dual parallel leads systems is lower than those from the single‐lead system. In experimental American Society for Testing and Materials phantom studies, the temperature rises for the single‐lead AIMD system can be 2.4 times higher than that from dual‐lead AIMD systems. For the spinal cord stimulator systems used in the study, the statistical analysis shows the RF‐induced heating of dual‐lead configurations are also lower than those from the single‐lead configuration inside all four human body models. ConclusionFor the AIMD system in this study, it shows that the coupling effects between the dual parallel leads of AIMD systems can reduce RF‐induced heating. The global transfer function for different spatial distance dual‐lead configurations can potentially provide a method for the RF‐induced heating evaluation for dual‐lead AIMD systems.
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Magnetic resonance conditionality of abandoned leads from active implantable medical devices at 1.5 T
PurposeDuring MR scans, abandoned leads from active implantable medical devices (AIMDs) can experience excessive heating at the lead tip, depending on the type of termination applied to the proximal contacts (proximal end treatment). The influence of different proximal end treatments (ie, [1] freely exposed in the tissue, [2] terminated with metal in contact with the tissue, or [3] capped with plastic, and thereby fully insulated, on the RF‐induced lead‐tip heating) are studied. A technique to ensure that MR Conditional AIMD leads remain MR Conditional even when abandoned is recommended. MethodsAbandoned leads from three MR Conditional AIMDs ([1] a sacral neuromodulation system, [2] a cardiac rhythm management pacemaker system, and [3] a deep brain stimulator system) were investigated in this study. The computational lead models (ie, the transfer functions) for different proximal end treatments were measured and used to assess the in vivo lead‐tip heating for four virtual human models (FATS, Duke, Ella, and Billie) and compared with the lead‐tip heating of the complete MR Conditional AIMD system. ResultThe average and maximum lead‐tip heating for abandoned leads proximally capped with metal is always lower than that from the complete AIMD system. Abandoned leads proximally insulated could lead to an average in vivo temperature rise up to 3.5 times higher than that from the complete AIMD system. ConclusionFor the three investigated AIMDs under 1.5T MR scanning, our results indicate that RF‐induced lead‐tip heating of abandoned leads strongly depends on the proximal lead termination. A metallic cap applied to the proximal termination of the tested leads could significantly reduce the RF‐induced lead‐tip heating.
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- Award ID(s):
- 1922389
- PAR ID:
- 10370307
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- Magnetic Resonance in Medicine
- Volume:
- 87
- Issue:
- 1
- ISSN:
- 0740-3194
- Page Range / eLocation ID:
- p. 394-408
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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