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Abstract #0792

Subject-specific PNS prediction using a localizer and fast E-field calculation

Koray Ertan1, Trevor Wade2, Peter Roemer3, and Brian Brian Rutt Rutt1
1Radiology, Stanford University, Stanford, CA, United States, 2Robarts Research Institute, University of Western Ontario, London, ON, Canada, 3Roemer Consulting, Lutz, FL, United States

Synopsis

Keywords: Gradients, Gradients, peripheral nerve stimulation, subject-specific PNS prediction, electric field calculation

Motivation: Given the large population variability in PNS thresholds (~3-fold), rapid and accurately prediction of PNS thresholds for individual subjects would be valuable.

Goal(s): To apply our E-field-based PNS prediction method to individual subjects, and to test the hypothesis that we can predict an individual subject’s PNS threshold with reasonable accuracy.

Approach: Subject-specific body models were fit to an individual’s anatomy based on a localizer. E-field calculations yielded Emax and therefore PNS threshold. We compared to measured PNS thresholds using 3 different head gradient coils and 7 different gradient directions.

Results: Individual subject PNS thresholds values can be predicted to an accuracy of ~35%.

Impact: There would be significant advantages in being able to predict PNS thresholds rapidly and accurately for individual subjects. This would allow much more effective use of high-performance gradient hardware, benefitting the subset of the population with high PNS thresholds.

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Keywords