Off-label use of MRI in patients with DBS implants has been reported at 3T, relying only on safety tests in ASTM phantoms and with limited configurations. We constructed a multi-compartment anthropomorphic phantom consisting of brain, skull and body tissue, and measured RF heating of a fully implanted DBS system with various configurations during MRI at 1.5T. We found an 89-fold variation in RF heating depending on DBS device configuration. Simulating subcutaneous fat (as happens in obese patients) by adding a thin layer of oil to cover the upper face of the IPG increased RF heating by 3-fold in some configurations.
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