Volume 81, Issue 1 pp. 686-701
FULL PAPER

Prediction of peripheral nerve stimulation thresholds of MRI gradient coils using coupled electromagnetic and neurodynamic simulations

Mathias Davids

Corresponding Author

Mathias Davids

Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, BW, Germany

Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts

Correspondence

Mathias Davids, Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany. Email: [email protected]

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Bastien Guérin

Bastien Guérin

Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts

Harvard Medical School, Boston, Massachusetts

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Axel vom Endt

Axel vom Endt

Siemens Healthcare, Erlangen, Germany

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Lothar R. Schad

Lothar R. Schad

Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, BW, Germany

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Lawrence L. Wald

Lawrence L. Wald

Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Massachusetts

Harvard Medical School, Boston, Massachusetts

Harvard-MIT Division of Health Sciences Technology, Cambridge, Massachusetts

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First published: 09 August 2018
Citations: 61

Funding information: National Institute of Biomedical Imaging and Bioengineering; National Institute for Mental Health of the National Institutes of Health, Grant/award numbers: R24MH106053, R00EB019482, U01EB025121, and U01EB025162

Abstract

Purpose

As gradient performance increases, peripheral nerve stimulation (PNS) is becoming a significant constraint for fast MRI. Despite its impact, PNS is not directly included in the coil design process. Instead, the PNS characteristics of a gradient are assessed on healthy subjects after prototype construction. We attempt to develop a tool to inform coil design by predicting the PNS thresholds and activation locations in the human body using electromagnetic field simulations coupled to a neurodynamic model. We validate the approach by comparing simulated and experimentally determined thresholds for 3 gradient coils.

Methods

We first compute the electric field induced by the switching fields within a detailed electromagnetic body model, which includes a detailed atlas of peripheral nerves. We then calculate potential changes along the nerves and evaluate their response using a neurodynamic model. Both a male and female body model are used to study 2 body gradients and 1 head gradient.

Results

There was good agreement between the average simulated thresholds of the male and female models with the experimental average (normalized root-mean-square error: <10% and <5% in most cases). The simulation could also interrogate thresholds above those accessible by the experimental setup and allowed identification of the site of stimulation.

Conclusions

Our simulation framework allows accurate prediction of gradient coil PNS thresholds and provides detailed information on location and “next nerve” thresholds that are not available experimentally. As such, we hope that PNS simulations can have a potential role in the design phase of high performance MRI gradient coils.

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