vendex and Intracranial-Aneurysm

To examine radiofrequency-induced tissue heating around intracranial aneurysm clips during a 7 Tesla (T) head MR examination.. Radiofrequency (RF), temperature simulations, and RF measurements were employed to investigate the effects of polarization and clip length on the electric field (E-field) and temperature. Heating in body models was studied using both a conservative approach and realistic exposure scenarios.. Worst-case orientation was found for clips aligned parallel to the E-field polarization. Absolute tissue temperature remained below International Electrotechnical Commission regulatory limits for 44 of 50 clinical scenarios. No significant effect on heating was determined for clip lengths below 18.8 mm, and worst-case heating was found for clip length 51.5 mm. The conservative approach led to a maximum permissible E-field of 72 V/m corresponding to B1+ of 1.2 µT, and an accepted power of 4.6 W for the considered RF head coil instead of 38.5 W without clip.. Safe scanning conditions with respect to RF-induced heating can be applied depending on the information about the clip gained during screening interviews. However, force and torque measurements in the MR system shall be conducted to give a final statement on the MR safety of aneurysm clips at 7T. Magn Reson Med 79:568-581, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

Topics: Computer Simulation; Hot Temperature; Humans; Hyperthermia, Induced; Infant; Intracranial Aneurysm; Magnetic Resonance Imaging; Phantoms, Imaging; Radio Waves; Stress, Mechanical; Surgical Instruments; Torque

Cerebral aneurysm clip blades crossing during surgery is well known as scissoring. Scissoring might cause rupture of the aneurysm due to laceration of its neck. Although aneurysm clip scissoring is well known, there have been few reports describing the details of this phenomenon. Quasi-scissoring phenomenon was introduced mechanically by rotating the clip head attached to a silicone sheet. The anti-scissoring torque during the twist of the blades was measured by changing the depth and the opening width. The closing force was also evaluated. Sugita straight clips of titanium alloy and cobalt alloy were used in the present study. In both materials, the anti-scissoring torque and the closing force were bigger 3 mm in thickness than 1 mm. The initial closing forces and the anti-scissoring torque values at each rotation angles were increased in proportion to depth. Closing forces of titanium alloy clip were slightly higher than those of cobalt alloy clip. By contrast, anti-scissoring torque values of cobalt alloy clip were bigger than those of titanium alloy clip in all conditions. In condition of 3 mm in thickness and 3 mm in depth, anti-scissoring torque vales of titanium alloy clip decreased suddenly when an angle surpassed 70 degrees. Aneurysm clip scissoring phenomenon tends to occur when clipping the aneurysm neck only with blade tips. Based on the results of this experiment, titanium alloy clip is more prone to scissoring than cobalt alloy clip under the condition that the wide blade separation distance and the shallow blade length.

Topics: Alloys; Biocompatible Materials; Biomechanical Phenomena; Cobalt; Equipment Design; Humans; Intracranial Aneurysm; Materials Testing; Mechanical Phenomena; Surgical Instruments; Titanium; Torque

We propose new electromagnetic actuation of a microrobot by utilizing geometric constraints in a blood vessel. In our concept, a microrobot travels in a vascular network while keeping the contact to the vascular wall. In the paper, forces working on the microrobot are modeled in two dimensions, and conditions to propel the microrobot while pushing it against the vascular wall are described. The design of the microrobot composed of three permanent magnets is also presented. The feasibility of the 2D actuation of the microrobot was confirmed using an experimental setup composed of four pairs of coils generating both uniform magnetic fields and uniform magnetic field gradients. Finally, the model was extended to 3D in order to investigate 3D actuation of the microrobot.

Topics: Algorithms; Biophysics; Blood Coagulation; Blood Vessels; Drug Delivery Systems; Electromagnetic Phenomena; Equipment Design; Fluoroscopy; Humans; Imaging, Three-Dimensional; Intracranial Aneurysm; Magnetic Fields; Magnetics; Miniaturization; Models, Statistical; Models, Theoretical; Robotics; Torque

Aneurysm clips need to be tested at 3T to characterize MR imaging concerns, including magnetic field interactions, MR imaging-related heating, and artifacts. Therefore, we evaluated these risks for aneurysm clips.. Three different MP35N aneurysm clips (Codman Slim-Line Aneurysm Clip, straight, blade length 25-mm; Codman Slim-Line Aneurysm Clip Graft, 5-mm diameter x 5-mm width; Codman Slim-Line Aneurysm Clip, reinforcing 30 degrees angle, 6-mm x 18-mm) that represented the largest mass for 155 additional clips made from MP35N were tested. The clips were evaluated at 3T for magnetic field interactions, heating, and artifacts. We studied MR imaging-related heating, placing the clip in a gelled-saline-filled phantom with MR imaging performed by using a transmit/receive radio-frequency body coil at a whole-body average SAR of 3 W/kg for 15 minutes. Artifacts were characterized by using T1-SE and GRE pulse sequences.. Each aneurysm clip showed relatively minor magnetic field interactions, which would not cause movement in situ. Heating was not excessive (highest temperature change, <1.8 degrees C). Artifacts may create problems if the area of interest is in the same area or close to the aneurysm clip.. The results of this investigation demonstrated that it would be acceptable (ie, "MR conditional" using current terminology) for patients with these aneurysm clips to undergo MR imaging at < or =3T. Notably, on the basis of the sizes of the clips that underwent testing, these findings pertain to 155 additional aneurysm clips made from the same material.

Topics: Alloys; Artifacts; Contraindications; Equipment Design; Equipment Failure Analysis; Humans; Image Processing, Computer-Assisted; Intracranial Aneurysm; Magnetic Resonance Imaging; Phantoms, Imaging; Surgical Instruments; Thermometers; Torque