骨科植入物会影响MRI中切换梯度诱导的电场
Luca Zilberti1, Alessandro Arduino1, Riccardo Torchio2
1Istituto Nazionale di Ricerca Metrologica (INRIM), Torino, Italy.
Magnetic resonance in medicine
|September 29, 2023
概括
大量的金属植入物可能会增加MRI扫描期间外围神经刺激的风险. 计算模型显示膝盖,部和肩部假肢附近的电场升高,需要进一步调查刺激值.
科学领域:
- 医疗成像医学成像
- 生物物理学的生物物理.
- 计算机建模 计算建模
背景情况:
- 金属植入物在接受磁共振成像 (MRI) 的患者中很常见.
- 人们担心植入植入物患者的外周神经刺激 (PNS) 等潜在的安全风险.
研究的目的:
- 评估大型金属假肢在MRI过程中对诱导的电场 (E场) 的影响.
- 为了确定金属植入物是否会增加外围神经刺激的风险.
主要方法:
- 一个计算型的人类模型被用来模拟MRI期间从梯度场的E场感应.
- 该模型与或没有虚拟膝盖,部和肩部假肢进行了分析.
- 模拟包括各种MRI扫描器位置和梯度线圈类型,重点关注神经和组织E场.
主要成果:
- 在腹部MRI过程中,在膝关节植入物附近观察到神经E场的+24%增加.
- 在盆腔MRI期间,膝盖植入物附近发生了组织E场 (不包括骨) 的+360%放大.
- 在肩膀和部植入物周围也注意到了显著的E场增加.
结论:
- 大量的金属植入物可以在MRI过程中显著放大周围组织和神经中的E场.
- 这些发现表明,金属假肢患者的PNS风险可能会增加.
- 需要进一步的研究来量化神经刺激值在存在这种植入物.
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