title: MRI induced heating of pacemaker leads: effect of temperature probe positioning and pacemaker placement on lead tip heating and local SAR.
abstract: The radio frequency field used in magnetic resonance imaging (MRI) procedures leads to temperature and local absorption rate (SAR) increase for patients with implanted pacemakers (PM). In this work a methodological approach for temperature and SAR measurements using fluoroptic probes is presented. Experimental measures show how the position of temperature probes affects the temperature and SAR value measured at the lead tip. The transversal contact between the active portion of the probe and the lead tip is the configuration associated with the highest values for temperature and SAR, whereas other configurations may lead to an underestimation close to 11% and 70% for temperature and SAR, respectively. In addition measurements were performed on a human-shaped phantom inside a real MRI system, in order to investigate the effect of the PM placement and of the lead geometry on heating and local SAR.
authors.affiliation: Dept. of Technol. & Health, Italian Nat. Inst. of Health, Roma, Italy. eugenio.mattei@studio.unibo.it
authors.forename: E
authors.initials: E
authors.lastname: Mattei
authors.forename: G
authors.initials: G
authors.lastname: Calcagnini
authors.forename: M
authors.initials: M
authors.lastname: Triventi
authors.forename: F
authors.initials: F
authors.lastname: Censi
authors.forename: P
authors.initials: P
authors.lastname: Bartolini
authors.forename: W
authors.initials: W
authors.lastname: Kainz
authors.forename: H
authors.initials: H
authors.lastname: Bassen
mesh_terms: D004567:Electrodes, Implanted; D004867:Equipment Design; D019544:Equipment Failure Analysis / Q000295:instrumentation* / Q000379:methods*; D006358:Hot Temperature; D008279:Magnetic Resonance Imaging; D010138:Pacemaker, Artificial; D019736:Prostheses and Implants; D011829:Radiation Dosage; D011874:Radiometry / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity