评估磁共振成像过程中双胎胎儿暴露于射频场的情况。

Pub Date : 2024-06-03 DOI:10.1093/rpd/ncae119
Nan Zhong, Qunzheng Mi, Meng Lu, Haoyu Jiang, Yi Zhang
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引用次数: 0

摘要

胎儿发育对人类的寿命至关重要。随着近来越来越多的多胎妊娠报道,使用磁共振成像(MRI)进行的临床诊断引入了射频(RF)暴露,引起了公众的关注。本研究建立了两个分别为 31 和 32 孕周(GWs)的双胎全身妊娠模型,并通过 1.5 和 3.0 T 磁共振成像探究了射频暴露。胎儿相对位置的差异和胎儿体重的变化会导致胎儿平均 10 克组织的局部比吸收率峰值(pSAR10g)的差异。不同胎位导致的 pSAR10g 差异可达约 35%。从数值上看,双胎和单胎的 pSAR10g 结果差异不大,但在某些情况下(如 1.5 T 下 31 GW 的胎儿),双胎的 pSAR10g 结果超过了限值,这表明有必要采用来自不同 GW 和特定序列的解剖学上正确的双胎模型进行进一步研究。
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Evaluation of twin fetal exposure to radiofrequency field during magnetic resonance imaging.

Fetal development is essential to the human lifespan. As more and more multifetal gestations have been reported recently, clinical diagnosis using magnetic resonance imaging (MRI), which introduced radiofrequency (RF) exposure, raised public concerns. The present study developed two whole-body pregnant models of 31 and 32 gestational weeks (GWs) with twin fetuses and explored RF exposure by 1.5 and 3.0 T MRI. Differences in the relative position of the fetus and changes in fetal weight can cause differences in fetal peak local specific absorption rate averaged over 10 g tissue (pSAR10g). Variation of pSAR10g due to different fetal positions can be ~35%. Numerically, twin and singleton fetal pSAR10g results were not significantly different, however twin results exceeded the limit in some cases (e.g. fetuses of 31 GW at 1.5 T), which indicated the necessity for further research employing anatomically correct twin-fetal models coming from various GWs and particular sequence to be applied.

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