Assessment of Heating on Titanium Alloy Cerebral Aneurysm Clips during 7T MRI

• Published in: American journal of neuroradiology : AJNR 2022-07, Vol.43 (7), p.972-977
• Main Authors: Tsutsui, S, Matsuda, T, Takeda, K, Sasaki, M, Kubo, Y, Setta, K, Fujiwara, S, Chida, K, Ogasawara, K
• Format: Article
• Language: English
• Subjects: Adult Brain; Alloys; Fellows' Journal Club; Heating; Humans; Intracranial Aneurysm - diagnostic imaging; Intracranial Aneurysm - surgery; Magnetic Resonance Imaging; Surgical Instruments; Titanium
• ISSN: 0195-6108; 1936-959X
• DOI: 10.3174/ajnr.a7561

Patients with cerebral aneurysms often undergo MR imaging after microsurgical clipping. Ultra-high-field MR imaging at 7T may provide high diagnostic capability in such clinical situations. However, titanium alloy clips have safety issues such as adverse interactions with static magnetic fields and radiofrequency-induced heating during 7T MR imaging. The purpose of this study was to quantitatively assess temperature increases on various types of titanium alloy aneurysm clips during 7T MR imaging. Five types of titanium alloy aneurysm clips were tested, including combinations of short, long, straight, angled, and fenestrated types. Each clip was set in a phantom filled with gelled saline mixed with polyacrylic acid and underwent 7T MR imaging with 3D T1WI with a spoiled gradient recalled acquisition in the steady-state technique. Temperature was chronologically measured at the tips of the clip blade and head, angled part of the clip, and 5 mm from the tip of the clip head using MR imaging-compatible fiber-optic thermometers. Temperature increases at all locations for right-angled and short straight clips were 1°C. Temperature increases at all locations for the long straight clip were >2°C. Temperature increases on the right-angled and short straight clips remained below the regulatory limit during 7T MR imaging, but temperature increases on the 45° angled, straight fenestrated, and long straight clips exceeded this limit.