Assessment of MRI issues at 3-Tesla for metallic surgical implants: findings applied to 61 additional skin closure staples and vessel ligation clips

<p>Abstract</p> <p>Purpose</p> <p>Metallic skin closure staples and vessel ligation clips should be tested at 3-Tesla to characterize MRI issues in order to ensure patient safety. Therefore, metallic surgical implants were assessed at 3-Tesla for magnetic field interactions, MRI-related heating, and artifacts.</p> <p>Methods</p> <p>A skin closure staple (Visistat Skin Stapler, staple, Polytetrafluoroethylene, PTFE, coated 316L/316LVM stainless steel; Teleflex Medical, Durham, NC) and a vessel ligation clip (Hemoclip Traditional, stainless steel; Teleflex Medical, Durham, NC) that represented the largest metallic sizes made from materials with the highest magnetic susceptibilities (i.e., based on material information) among 61 other surgical implants (52 metallic implants, 9 nonmetallic implants) underwent evaluation for magnetic field interactions, MRI-related heating, and artifacts using standardized techniques. MRI-related heating was assessed by placing each implant in a gelled-saline-filled phantom with MRI performed using a transmit/receive RF body coil at an MR system reported, whole body averaged SAR of 2.9-W/kg for 15-min. Artifacts were characterized using T1-weighted, SE and GRE pulse sequences.</p> <p>Results</p> <p>Each surgical implant showed minor magnetic field interactions (20- and 27-degrees, which is acceptable from a safety consideration). Heating was not substantial (highest temperature change, ≤ 1.6°C). Artifacts may create issues if the area of interest is in the same area or close to the respective surgical implant.</p> <p>Conclusions</p> <p>The results demonstrated that it would be acceptable for patients with these metallic surgical implants to undergo MRI at 3-Tesla or less. Because of the materials and dimensions of the surgical implants that underwent testing, these findings pertain to 61 additional similar implants.</p

Reference measurement system for low electrolytic conductivity values with a flowing solution

In order to answer the needs of the industrial and the clinical sectors, INRiM has undertaken activities to extend the traceability of electrolytic conductivity measurements to pure water values. In this progress report, the new cell and the measurement system with flowing solution are described. Since international documents prescribe the use of a system with flowing solution to reduce CO2 contamination for solutions with conductivity lower than 50 μS cm−1, preliminary measurements were carried out on three solutions with conductivity values of 50, 30 and 10 μS cm−1. Moreover, a comparison between a system with static solution and one with flowing solution was executed

Report ANL/EES-TM-2

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Report ANL/EES-TM-2

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