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Abstract #0596

Vertical MRI systems may offer a safer platform with substantially reduced RF heating in adult and pediatric patients with CIEDs

Jasmine Vu1,2, Fuchang Jiang1, Bhumi Bhusal2, Pia Sanpitak2, Gregory Webster3, Giorgio Bonmassar4, and Laleh Golestanirad1,2
1Biomedical Engineering, Northwestern University, Evanston, IL, United States, 2Radiology, Northwestern University, Chicago, IL, United States, 3Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, United States, 4Athinoula A. Martinos Center for Biomedical Engineering, Charlestown, MA, United States

Synopsis

Keywords: Safety, Cardiovascular, ImplantsMRI is restricted for patients with cardiac implantable electronic devices (CIEDs)—especially children with epicardial systems—due to potential radiofrequency (RF) heating of the tissue around the lead. Here, we present the first assessment of RF heating of epicardial and endocardial CIEDs with varying lead lengths in a vertical MRI system, where we found up to a 78-fold reduction in the simulated maximum specific absorption rate (SAR) compared to a horizontal coil. Reduction in the maximum 0.1g-averaged SAR in the vertical coil was consistent for leads with various internal wire geometries and electrical lengths.

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Keywords