Volume 91, Issue 3 pp. 1165-1178
RESEARCH ARTICLE

Local SAR management strategies to use two-channel RF shimming for fetal MRI at 3 T

Filiz Yetisir

Corresponding Author

Filiz Yetisir

Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Boston, Massachusetts, USA

Correspondence

Filiz Yetisir, Boston Children's Hospital, Fetal-Neonatal Neuroimaging and Developmental Science Center, 300 Longwood Ave. BCH 3181 Boston, MA 02115, USA.

Email: [email protected]

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Esra Abaci Turk

Esra Abaci Turk

Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Boston, Massachusetts, USA

Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA

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Elfar Adalsteinsson

Elfar Adalsteinsson

Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

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Lawrence Leroy Wald

Lawrence Leroy Wald

Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA

Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts, USA

Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA

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Patricia Ellen Grant

Patricia Ellen Grant

Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Boston, Massachusetts, USA

Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA

Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA

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First published: 06 November 2023
Citations: 2

Abstract

Purpose

This study evaluates the imaging performance of two-channel RF-shimming for fetal MRI at 3 T using four different local specific absorption rate (SAR) management strategies.

Methods

Due to the ambiguity of safe local SAR levels for fetal MRI, local SAR limits for RF shimming were determined based on either each individual's own SAR levels in standard imaging mode (CP mode) or the maximum SAR level observed across seven pregnant body models in CP mode. Local SAR was constrained either indirectly by further constraining the whole-body SAR (wbSAR) or directly by using subject-specific local SAR models. Each strategy was evaluated by the improvement of the transmit field efficiency (average |B1+|) and nonuniformity (|B1+| variation) inside the fetus compared with CP mode for the same wbSAR.

Results

Constraining wbSAR when using RF shimming decreases B1+ efficiency inside the fetus compared with CP mode (by 12%–30% on average), making it inefficient for SAR management. Using subject-specific models with SAR limits based on each individual's own CP mode SAR value, B1+ efficiency and nonuniformity are improved on average by 6% and 13% across seven pregnant models. In contrast, using SAR limits based on maximum CP mode SAR values across seven models, B1+ efficiency and nonuniformity are improved by 13% and 25%, compared with the best achievable improvement without SAR constraints: 15% and 26%.

Conclusion

Two-channel RF-shimming can safely and significantly improve the transmit field inside the fetus when subject-specific models are used with local SAR limits based on maximum CP mode SAR levels in the pregnant population.

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