On the thermoregulatory consequences of NMR imaging

A simple model of physiological thermoregulation has been adapted to predict the thermoregulatory consequences of exposure to the nuclear magnetic resonance (NMR) imaging environment. Based on our knowledge of thermoregulatory processes and how heat is exchanged between a person and the environment, the model can predict physiological heat loss responses in real time as a function of selected ambient temperature (Ta), air movement (v), and rate of whole-body radiofrequency (RF) energy deposition (SAR). Assuming a criterion elevation in deep body temperature (delta Tco) of 0.6 degree C, Ta = 20 degrees C and v = 0.8 m/sec, a 70 kg patient could undergo an NMR exposure of infinite duration at SAR less than or equal to 5 W/kg. Lowering Ta or increasing v permits a rise in permissible SAR for a given delta Tco. More restrictive delta Tco criteria result in lower permissible SARs and shorter exposure durations. The limiting response under all conditions tested was found to be the rate of peripheral blood flow, although sweating played a significant role in preventing excessive delta Tco. Some guidance for the clinical application of the predictions is offered.