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7KH 5HODWLRQVKLS %HWZHHQ $WWHQXDWLRQ &XUYH RI 5DGLR )UHTXHQF\ :DYH 5) DQG 2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH 3URWHFWLYH &ORWKLQJ IRU &DSVXOH (QGRVFRSH Tatsuya Kuwagaki , Masanari Taniguchi , Toshihiko Nishida Hidekazu Niikawa , Daichi Shimokawa , Akira Tamada Sumitomo Hospital Dept. of radiologic technology Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT

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Page 1: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Tatsuya Kuwagaki , Masanari Taniguchi , Toshihiko NishidaHidekazu Niikawa , Daichi Shimokawa , Akira Tamada

Sumitomo Hospital Dept. of radiologic technology

Hideki Matsui

MEDICAL-AID CO.,LTD

Saturday , Apr 15 , 2017The 73rd Annual Meeting of the JSRT

Page 2: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Disclosure of conflict of interest

Author Mr. Hideki Matsui is an employee of MEDICAL-AID CO., LTD , Osaka, Japan.

Devices (the electromagnetic wave protective clothing) used in this study was provided by MEDICAL-AID CO., LTD , Osaka, Japan.

The 73rd Annual Meeting of the JSRTJapanese Society of Radiological Technology

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Page 3: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Magnetic resonance imaging (MRI) examinations are problem of metal devices heat generation by radio frequency waves (RF waves).

Using electromagnetic waves protective clothing for capsule endoscope (protective clothing) prevent risk of heat generation.

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Background

Sumitomo Hospital

Page 4: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Characteristics of protective clothingRF waves reflection and shield effect.( Area : Neck, Upper limbs, Trunk)The opening sections can be opened and closed.[Opening sections : Collar, Sleeves, Hem]

http://www.medical-aid.co.jp/company/gaiyo.html

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Characteristic of protective clothing

RF wave

Reflection

Double MG net

Sumitomo Hospital

Page 5: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

ProblemDifficult to shield RF waves as opening sectionsbecomes wider.When is metal devices in the opening sections, possibility that RF waves reaches metal devices and generates heat.

It is necessary to know how much RF waves penetrates into the body from opening sectionsof protective clothing.

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Characteristics of protective clothing

Sumitomo Hospital

Page 6: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

In this study, correlation between circumference of opening sections and RF waves attenuation curve was measured.

An effective shield distance that can be inspected safely we examined from RF waves attenuation curve.

Purpose 6

Distance that average signal values in RF waves attenuation curve decreases to 10%.

Definition of effective shield distance

Sumitomo Hospital

Page 7: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Materials 7

Sumitomo Hospital

Page 8: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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Sumitomo Hospital

Page 9: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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Sumitomo Hospital

Page 10: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Methods 10

1 The landmark of each phantoms made position of 115mm from upper end of phantom.

4 Analyzed images and made RF waves attenuation curves.

3 Each phantom images (Control, Protect) were acquired three times using T1-weighted (T1W) sequence.

2 Used 1.5T MRI unit and 3.0T MRI unit withdifferent resonance frequencies.

Sumitomo Hospital

Page 11: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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Phantom4(760mm)

20mm

Control Protect

20mm

Sumitomo Hospital

Page 12: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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MRI Unit 3.0T GE Signa HDxt1.5T Coil SIEMENS Co.Body 18ch Coil,Spine32 GE Co.HD Body Array 12ch CoilPulse Sequence T1_2D-quiet TSE T1_2D-FSE XL Scanning Orientation Sag Cor Sag CorFOV(mm) 480 480 480 480FOV Phase(%) 100 100 100 100Matrix Repetition Time(TR:ms) 500 500 600 600Echo Time(TE:ms) 16 16 24 24Phase enc.dir F >> H R >> L F >> H R >> LPAT Mode GRAPPA 2.0 ASSET2.0 TSE Factor 3 3 2 2Averages 4 4 2 2Band Width 300(Hz/Px) 300(Hz/Px) 83.3(KHz) 83.3(KHz)Filter Prescan normalize(Normal) PURE Coil Elements Body123,Spine123 HD/Body Full

Sumitomo Hospital

Page 13: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

1 Analyzed images (coronal, sagittal) of each MRI units (1.5T, 3.0T) and made RF waves attenuation curves.

2 The analysis result of each phantoms were (additive) averaged.

3 RF waves attenuation curve of protect images were normalized.

4 Found effective shield distance from RF waves attenuation curves.

Analysis 13

Sumitomo Hospital

Page 14: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Phantom 1(320mm)

Phantom 2(430mm)

Phantom 3(600mm)

Phantom 4(760mm)

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3.0T Control1.5T Control 1.5T Protect 3.0T Protect

Results

Sumitomo Hospital

Coronal images

Page 15: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Phantom 1(320mm)

Phantom 2(430mm)

Phantom 3(600mm)

Phantom 4(760mm)

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3.0T Control1.5T Control 1.5T Protect 3.0T Protect

Sumitomo Hospital

Sagittal images

Page 16: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

1.5T MRI unit

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10%

Attenuation curve of RF waves

10%

(430mm)

(320mm)

(600mm)

(760mm)

(600mm)

3.0T MRI unitSumitomo Hospital

(430mm)

(760mm)

Sagittal images

Page 17: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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Values in effective shield distance due to various opening size

760600430320

Sumitomo Hospital

Sagittal images

Page 18: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Discussion 18

In the 3.0T MRI unit,“ irradiation non-uniformityof RF waves tends to occur.

Sumitomo Hospital

Page 19: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Since the phantom has electrical characteristics, period of RF waves that interferes with phantom in 3.0T MRI unit apparatus is about 300mm.

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Irradiation non-uniformity depends on periodhttp://www.innervision.co.jp/ad/suite/technical_notes/140982

Sumitomo Hospital

(600mm) (300mm)

Irradiation non-uniformity of the RF wave

Page 20: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

Conclusion

The most effective shield distance was found to be “141 mm or more”.

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Sumitomo Hospital

Page 21: :DYH 5) DQG2SHQLQJ 6L]H RI (OHFWURPDJQHWLF :DYH … · Hideki Matsui MEDICAL-AID CO.,LTD Saturday , Apr 15 , 2017 The 73rd Annual Meeting of the JSRT. Disclosure of conflict of interest

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Thank you for your attention

Sumitomo Hospital