PubMed · 10755986
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P M Brodrick. 2000. A cautionary tale.. https://doi.org/10.1046/j.1365-2044.2000.055002200.x
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With the rapid growth of interventional MRI, radiofrequency (RF) heating at the tips of guidewires, catheters, and other wire-shaped devices has become an important safety issue. Previous studies have identified some of the variables that affect the relative magnitude of this heating but none could predict the absolute amount of heating to formulate safety margins. This study presents the first theoretical model of wire tip heating that can accurately predict its absolute value, assuming a straight wire, a homogeneous RF coil, and a wire that does not extend out of the tissue. The local specific absorption rate (SAR) amplification from induced currents on insulated and bare wires was calculated using the method of moments. This SAR gain was combined with a semianalytic solution to the bioheat transfer equation to generate a safety index. The safety index ( degrees C/(W/kg)) is a measure of the in vivo temperature change that can occur with the wire in place, normalized to the SAR of the pulse sequence. This index can be used to set limits on the spatial peak SAR of pulse sequences that are used with the interventional wire. For the case of a straight resonant wire in a tissue with very low perfusion, only about 100 mW/kg/ degrees C spatial peak SAR may be used at 1.5 T. But for < or =10-cm wires with an insulation thickness > or =30% of the wire radius that are placed in well-perfused tissues, normal operating conditions of 4 W/kg spatial peak SAR are possible at 1.5 T. Further model development to include the influence of inhomogeneous RF, curved wires, and wires that extend out of the sample are required to generate safety indices that are applicable to common clinical situations. We propose a simple way to ensure safety when using an interventional wire: set a limit on the SAR of allowable pulse sequences that is a factor of a safety index below the tolerable temperature increase.
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For some years, the Italian Regional Agencies for Environmental Protection (ARPA) have been engaged in the evaluation of long-term exposure to 50 Hz magnetic fields for receptors close to power lines. In this study, experiences and procedures are suggested in order to estimate long-term exposure levels in the case of magnetic induction produced contemporaneously by different power lines. In the simplest cases, the influence of a single line is evaluated by verifying the correlation factor between the variation of the current in each line and the measured magnetic induction. When the prevalence of a single line is not clear and systematic, much additional data (voltage, current, phases and geometrical configuration) have to be considered. The case of a school in Livomo near two lines. placed on the same supports, is described and a range of the most probable exposure values is given, corresponding to the phase change of the two current fluxes.