Safety and Image Quality of 1.5-T Endorectal Coil Multiparametric MRI of the Prostate or Prostatectomy Fossa for

Takashi Tanaka1,2, Adam T Froemming3, Anshuman Panda1

  • 11 Department of Radiology, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259.

Abstract

Insights

Prostate multiparametric 1.5-T MRI is safe for patients with cardiac implantable electronic devices (CIEDs). Image quality is maintained, with no serious adverse effects and acceptable signal-to-noise ratio.

Area of Science:

  • Radiology
  • Medical Imaging
  • Cardiovascular Devices

Background:

  • Cardiac implantable electronic devices (CIEDs) can pose safety and image quality challenges during MRI.
  • Multiparametric MRI (mpMRI) is crucial for prostate cancer diagnosis and management.

Purpose of the Study:

  • To evaluate the patient safety and diagnostic image quality of 1.5-T prostate mpMRI in patients with CIEDs.

Main Methods:

  • Retrospective analysis of 1.5-T prostate mpMRI in patients with CIEDs (study group) and without (control group).
  • Assessed clinical safety, specific absorption rate (SAR), signal-to-noise ratio (SNR), and image quality/artifacts.
  • Two independent readers rated image quality on a 5-point scale.

Main Results:

  • No serious device-related adverse events occurred in the CIED group (0/28 examinations).
  • Whole-body SAR remained below 1.5 W/kg.
  • While SNR was slightly lower in the CIED group, image quality and artifact perception were not significantly different from controls (rated above average).

Conclusions:

  • 1.5-T prostate mpMRI can be safely performed in selected patients with CIEDs under controlled conditions.
  • Applicable image quality is achievable, maintaining safety and diagnostic utility.
  • Adherence to SAR limits (<1.5 W/kg) is essential for safe scanning.

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