Evidence map›Paper›PMID 30935911›Full record

ArticleNeuroImage2019

It's the little things: On the complexity of planar electrode heating in MRI.

Johannes B Erhardt, Thomas Lottner, Jessica Martinez, Ali C Özen, Martin Schuettler, Thomas Stieglitz, Daniel B Ennis, Michael Bock

Abstract read
In one paragraph

Article in NeuroImage, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Johannes B ErhardtDepartment of Microsystems Engineering-IMTEK, University of Freiburg, Freiburg, Germany; Department of Radiology, University of California, Los Angeles, CA, USA; BrainLinks-BrainTools, Freiburg, Germany.
Thomas LottnerDepartment of Radiology - Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Jessica MartinezDepartment of Radiology, University of California, Los Angeles, CA, USA; Department of Bioengineering, University of California, Los Angeles, CA, USA.
Ali C ÖzenDepartment of Radiology - Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; German Cancer Consortium Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Martin SchuettlerCorTec GmbH, Freiburg, Germany.
Thomas StieglitzDepartment of Microsystems Engineering-IMTEK, University of Freiburg, Freiburg, Germany; Bernstein Center Freiburg, Freiburg, Germany; BrainLinks-BrainTools, Freiburg, Germany.
Daniel B EnnisDepartment of Radiology, Stanford University, Stanford, CA, USA.
Michael BockDepartment of Radiology - Medical Physics, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. Electronic address: michael.bock@uniklinik-freiburg.de.

Funding

Are 3T MRI Exams Safe For Patients with Pacemakers and ICDs?R21HL127433 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ENNIS, DANIEL B · 2015 to 2016
$424k
NHLBI NIH HHS R21 HL127433
6 · The paper itself

Abstract

Neurological disorders are increasingly analysed and treated with implantable electrodes, and patients with such electrodes are studied with MRI despite the risk of radio-frequency (RF) induced heating during the MRI exam. Recent clinical research suggests that electrodes with smaller diameters of the electrical interface between implant and tissue are beneficial; however, the influence of this electrode contact diameter on RF-induced heating has not been investigated. In this work, electrode contact diameters between 0.3 and 4 mm of implantable electrodes appropriate for stimulation and electrocorticography were evaluated in a 1.5 T MRI system. In situ temperature measurements adapted from the ASTM standard test method were performed and complemented by simulations of the specific absorption rate (SAR) to assess local SAR values, temperature increase and the distribution of dissipated power. Measurements showed temperature changes between 0.8 K and 53 K for different electrode contact diameters, which is well above the legal limit of 1 K. Systematic errors in the temperature measurements are to be expected, as the temperature sensors may disturb the heating pattern near small electrodes. Compared to large electrodes, simulations suggest that small electrodes are subject to less dissipated power, but more localized power density. Thus, smaller electrodes might be classified as safe in current certification procedures but may be more likely to burn adjacent tissue. To assess these local heating phenomena, smaller temperature sensors or new non-invasive temperature sensing methods are needed.

Indexed as

Electrodes, ImplantedHot TemperatureMagnetic Resonance ImagingHumansECoGImplantsMagnetic resonance imagingMR safetyPlanar electrodesRF heating

Identifiers

PMID30935911
PMCPMC6536374

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.