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Abstract #0173

Cerebral Tissue Contrast is Mostly Preserved in Low SAR Inversion Recovery MRI for Parkinsons Patients with Deep Brain Stimulators

Subhendra N Sarkar 1 , Ron L Alterman 2 , Efstathios Papavassiliou 2 , Douglas L Teich 1 , Rafael Rojas 1 , Rafeeque A Bhadelia 1 , Jeremy Stormann 1 , Ines Cabral-Goncalves 1 , and David B Hackney 1

1 Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, BOSTON, MA, United States, 2 Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, BOSTON, MA, United States

Treatment efficacy for deep brain stimulators (DBS) in medically refractory Parkinsons is high when surgical planning and further assessments are done by high quality MRI with adequate RF power although there exist severe SAR restrictions for that. Sentinel events after MRI seems rare but neurologic deficits previously attributed to surgery could have been from routine MRI. We have developed and tested the utility of a modified FSTIR sequence within low SAR guidelines on patients with DBS and observed similar tissue contrasts from the low and high SAR sequences with low SAR images being equally useful for diagnosis and neurosurgical planning.

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