Evaluation of a compact 3 T MRI scanner for patients with implanted devices

• Published in: Magnetic resonance imaging Vol. 103; pp. 109 - 118
• Main Authors: Bardwell Speltz, Lydia J., Shu, Yunhong, Watson, Robert E., Trzasko, Joshua D., In, Myung-Ho, Gray, Erin M., Halverson, Maria A., Tarasek, Matthew R., Hua, Yihe, Huston, John, Cogswell, Petrice M., Foo, Thomas K.F., Bernstein, Matt A.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.11.2023
• Subjects: Abandoned lead; Compact 3T; Implanted device; MR safety; Sacral stimulator; Spinal stimulator; Abandoned lead; Compact 3T; Spinal stimulator; MR safety; Implanted device; Sacral stimulator
• ISSN: 0730-725X; 1873-5894; 1873-5894
• DOI: 10.1016/j.mri.2023.07.009

Access to high-quality MR exams is severely limited for patients with some implanted devices due to labeled MR safety conditions, but small-bore systems can overcome this limitation. For example, a compact 3 T MR scanner (C3T) with high-performance gradients can acquire exams of the head, extremities, and infants. Because of its reduced bore size and the patient being advanced only partially into the bore, the associated electromagnetic (EM) fields drop off rapidly caudal to the head, compared to whole-body systems. Therefore, some patients with MR conditional implanted devices can safely receive 3 T brain exams on the C3T using its strong gradients and a multiple-channel receive coil, while a corresponding exam on whole-body MR is precluded. The purpose of this study is to evaluate the performance of a small-bore scanner for subjects with MR conditional spinal or sacral nerve stimulators, or abandoned cardiac implantable electronic device (CIED) leads. The spatial dependence of specific absorption rate (SAR) on the C3T was compared to whole-body scanners. A device assessment tool was developed and applied to evaluate MR safety individually on the C3T for 12 subjects with implanted devices or abandoned CIED leads. Once MR safety was established, the subjects received a C3T brain exam along with their clinical, 1.5 T exam. The resulting images were graded by three board-certified neuroradiologists. The C3T exams were well-tolerated with no adverse events, and significantly outperformed the whole-body 1.5 T exams in terms of overall image quality. •Small-bore systems offer significant advantages for subjects with devices.•A compact 3T system has reduced head and body SAR compared to whole body 3T.•Devices limited to 1.5T can be safely scanned on compact 3 T with improved IQ.