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Orthopedic implants affect the electric field induced by switching gradients in MRI.

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Title: Orthopedic implants affect the electric field induced by switching gradients in MRI.
Authors: Zilberti, Luca1 (AUTHOR) l.zilberti@inrim.it, Arduino, Alessandro1 (AUTHOR), Torchio, Riccardo2 (AUTHOR), Zanovello, Umberto1 (AUTHOR), Baruffaldi, Fabio3 (AUTHOR), Sanchez‐Lopez, Hector4 (AUTHOR), Bettini, Paolo2 (AUTHOR), Alotto, Piergiorgio2 (AUTHOR), Chiampi, Mario1 (AUTHOR), Bottauscio, Oriano1 (AUTHOR)
Source: Magnetic Resonance in Medicine. Jan2024, Vol. 91 Issue 1, p398-412. 15p.
Subjects: Orthopedic implants, Electric fields, Total shoulder replacement, Magnetic resonance imaging, Human anatomical models, Neural stimulation
Abstract: Purpose: To investigate whether the risk of peripheral nerve stimulation increases in the presence of bulky metallic prostheses implanted in a patient's body. Methods: A computational tool was used to calculate the electric field (E‐field) induced in a realistic human model due to the action of gradient fields. The calculations were performed both on the original version of the anatomical model and on a version modified through "virtual surgery" to incorporate knee, hip, and shoulder prostheses. Five exam positions within a body gradient coil and one position using a head gradient coil were simulated, subjecting the human model to the readout gradient from an EPI sequence. The induced E‐field in models with and without prostheses was compared, focusing on the nerves and all other tissues (both including and excluding the bones from the analysis). Results: In the nerves, the most pronounced increase in the E‐field (+24%) was observed around the knee implant during an abdominal MRI (Y axis readout). When extending the analysis to encompass all tissues (excluding bones), the greatest amplification (+360%) occurred around the knee implant during pelvic MRI (Z axis readout). Notable increases in E‐field peaks were also identified around the shoulder and hip implants in multiple scenarios. Conclusion: Based on the presented results, further investigations aimed at quantifying the threshold of nerve stimulation in the presence of bulky implants are desirable. [ABSTRACT FROM AUTHOR]
Copyright of Magnetic Resonance in Medicine is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Orthopedic implants affect the electric field induced by switching gradients in MRI.
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  Data: <searchLink fieldCode="AR" term="%22Zilberti%2C+Luca%22">Zilberti, Luca</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> l.zilberti@inrim.it</i><br /><searchLink fieldCode="AR" term="%22Arduino%2C+Alessandro%22">Arduino, Alessandro</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torchio%2C+Riccardo%22">Torchio, Riccardo</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zanovello%2C+Umberto%22">Zanovello, Umberto</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baruffaldi%2C+Fabio%22">Baruffaldi, Fabio</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sanchez‐Lopez%2C+Hector%22">Sanchez‐Lopez, Hector</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bettini%2C+Paolo%22">Bettini, Paolo</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alotto%2C+Piergiorgio%22">Alotto, Piergiorgio</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chiampi%2C+Mario%22">Chiampi, Mario</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bottauscio%2C+Oriano%22">Bottauscio, Oriano</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Magnetic+Resonance+in+Medicine%22">Magnetic Resonance in Medicine</searchLink>. Jan2024, Vol. 91 Issue 1, p398-412. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Orthopedic+implants%22">Orthopedic implants</searchLink><br /><searchLink fieldCode="DE" term="%22Electric+fields%22">Electric fields</searchLink><br /><searchLink fieldCode="DE" term="%22Total+shoulder+replacement%22">Total shoulder replacement</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Human+anatomical+models%22">Human anatomical models</searchLink><br /><searchLink fieldCode="DE" term="%22Neural+stimulation%22">Neural stimulation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To investigate whether the risk of peripheral nerve stimulation increases in the presence of bulky metallic prostheses implanted in a patient's body. Methods: A computational tool was used to calculate the electric field (E‐field) induced in a realistic human model due to the action of gradient fields. The calculations were performed both on the original version of the anatomical model and on a version modified through "virtual surgery" to incorporate knee, hip, and shoulder prostheses. Five exam positions within a body gradient coil and one position using a head gradient coil were simulated, subjecting the human model to the readout gradient from an EPI sequence. The induced E‐field in models with and without prostheses was compared, focusing on the nerves and all other tissues (both including and excluding the bones from the analysis). Results: In the nerves, the most pronounced increase in the E‐field (+24%) was observed around the knee implant during an abdominal MRI (Y axis readout). When extending the analysis to encompass all tissues (excluding bones), the greatest amplification (+360%) occurred around the knee implant during pelvic MRI (Z axis readout). Notable increases in E‐field peaks were also identified around the shoulder and hip implants in multiple scenarios. Conclusion: Based on the presented results, further investigations aimed at quantifying the threshold of nerve stimulation in the presence of bulky implants are desirable. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Magnetic Resonance in Medicine is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/mrm.29861
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        Text: English
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      – SubjectFull: Orthopedic implants
        Type: general
      – SubjectFull: Electric fields
        Type: general
      – SubjectFull: Total shoulder replacement
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      – SubjectFull: Magnetic resonance imaging
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      – SubjectFull: Human anatomical models
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      – SubjectFull: Neural stimulation
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      – TitleFull: Orthopedic implants affect the electric field induced by switching gradients in MRI.
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              M: 01
              Text: Jan2024
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