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Biomechanical influences of magnetic resonance imaging on the SOUNDTEC Direct System implant
Robert Kent Dyer1, Kennet J Dormer, J V D Hough
1Hough Ear Institute, University of Oklahoma Health Sciences Center, 3400 NW 56th Street, Oklahoma City, OK 73112-4466, USA. kentdyer@swbell.net
Objective:
The purpose of this study was to measure the forces experienced by the SOUNDTEC Direct System magnetic implant during 0.3-T MRI.
Study Design:
Torsional and linear forces imposed on 8 implants were measured by using calibrated neurologic Von Frey hairs and were compared with finite-element analysis predictions and the forces required to separate the incudostapedial joints of unpreserved temporal bones. An implanted embalmed autopsy specimen was also examined before and after 1.5-T MRI.
Results:
Peak linear force at the orifice of the MRI core measured 0.51g (+/-0.2 SD). Maximum torque occurred at the MRI core center and measured 11.4g-cm (+/-1.2 SD). The mean torque required to separate the incudostapedial joints of 12 unpreserved temporal bones was 33.8g-cm (+/-20.4 SD). The autopsy specimen sustained a 1.5-T MRI scan without disruption of the ossicular chain or explantation.
Conclusions:
Physical and mechanical testing of the SOUNDTEC implant indicates that the structural integrity of the ossicles will be maintained during 0.3-T MRI of the human head.