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The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds.

The concept of magnetic susceptibility is central to many current research and development activities in magnetic resonance imaging (MRI); for example, the development of MR-guided surgery has created a need for surgical instruments and other devices with susceptibility tailored to the MR environment; susceptibility effects can lead to position errors of up to several millimeters in MR-guided stereotactic surgery; and the variation of magnetic susceptibility on a microscopic scale within tissues contributes to MR contrast and is the basis of functional MRI. The magnetic aspects of MR compatibility are discussed in terms of two levels of acceptability: Materials with the first kind of magnetic field compatibility are such that magnetic forces and torques do not interfere significantly when the materials are used within the magnetic field of the scanner; materials with the second kind of magnetic field compatibility meet the more demanding requirement that they produce only negligible artifacts within the MR image and their effect on the positional accuracy of features within the image is negligible or can readily be corrected. Several materials exhibiting magnetic field compatibility of the second kind have been studied and a group of materials that produce essentially no image distortion, even when located directly within the imaging field of view, is identified. Because of demagnetizing effects, the shape and orientation, as well as the susceptibility, of objects within and adjacent to the imaging region is important in MRI. The quantitative use of susceptibility data is important to MRI, but the use of literature values for the susceptibility of materials is often difficult because of inconsistent traditions in the definitions and units used for magnetic parameters-particularly susceptibility. The uniform use of SI units for magnetic susceptibility and related quantities would help to achieve consistency and avoid confusion in MRI.

Biophysical Phenomena

Biomedical applications of magnetic fluids II. 1) preparation and magnetic guidance of magnetic albumin microsphere for site specific drug delivery in vivo.

Magnetic guidance of magnetic albumin microsphere for site specific delivery was investigated in mice and rats. After intravenous injection in mice, magnetic microspheres with 1 and 3 micrometer diameter size were localized and retained in the target-site (lung) by application of two permanent magnets to the lungs. Injection into the renal artery in rats also indicated that the 1-micrometer microspheres were concentrated in the kidney by a magnetic field. When the magnets were not applied, however, the microspheres following intravascular injection were concentrated mainly in the liver, regardless of the route of administration. Such preferential localization by magnetic means suggested that magnetic albumin microspheres could become effective drug carriers with site specificity for the delivery of chemotherapeutic agents in cancer therapy.

Animals

[ECG changes caused by the effect of static magnetic fields of nuclear magnetic resonance tomography using magnets with a field power of 0.5 to 4.0 Telsa].

ECG-alterations under the influence of static magnetic fields were investigated in phantoms (1.5 Tesla), animals and volunteers (4.0 Tesla), as well as in 12 patients (0.5, 1.0, and 1.5 Tesla). Under the influence of static magnetic fields high- and low-frequency voltages are superimposed on the ECG. Motions of the electrical leads induce high-frequency waves, which can alter the ECG to the extent that only the QRS-complex can be recognized. Electrolytes moved by the blood stream in static magnetic fields also induce voltages (Hall-effect) which, according to the patient's position, result in ST-segment- and partial T-wave-elevations or depressions. All ECG-alterations are reversible after exposition to the static magnetic field. Rhythm disturbances do not occur. The results indicate that static magnetic fields up to 4.0 Tesla do not have permanent adverse effects on the human ECG.

Adult

Magnetic resonance imaging: biophysical basis for the proton magnetic resonance appearance of normal cartilage; other magnetic resonance techniques.

Various attempts to explain the proton magnetic resonance imaging (MRI) appearance of cartilage at the histochemical level are presented, with a discussion of their supporting experimental evidence. Other MR techniques that have been applied to cartilage are presented and their potential for the evaluation of cartilage structure is discussed.

Animals

[Sandwich type dental magnetic devices of Nd-Fe-B magnet and permendur].

Nd-Fe-B magnets have a very high maximum energy product (BH max), which is defined as the attractive strength between a magnet and opposing magnetic materials. Permendur (Fe-49 Co-2 V) has the greatest magnetic saturation (Bs), which makes it strongly magnetized. If magnetic retainers were made with Nd-Fe-B magnets and a permendur yoke, they would be small and have strong retention. The purpose of this investigation was to develop small dental magnetic devices with Nd-Fe-B magnets and permendur yokes. The magnetic devices form sandwich-type magnetic circuits with magnetic stainless steel keepers. A 4 x 3 x 2 mm rectangular prism Nd-Fe-B magnet was used. The magnet was sandwitched between the semi-columnar yokes. To protect the magnet from corrosion, the devices were encapsulated with 304 stainless steel by silver brazing and adhesion bonding of a stainless steel tube and foil. The optimum cross-sectional area of the yoke was determined experimentally. The dimensions of the devices were phi 5 x 3.5 mm for 4 x 3 x 2 magnet. The breakaway retention for a keeper of magnetic stainless steel (Type XM 27) was 852 g on average. This breakaway retention is sufficient for dental prosthetic applications.

Beryllium

Extent and flux density of static magnetic fields generated by orthodontic samarium-cobalt magnets.

The aim of this study was to measure and to analyze the extent and flux density of static magnetic fields generated by commercially available samarium-cobalt magnets used in orthodontics. The flux density was measured with a gaussmeter and a Hall probe with the magnets mounted in clinically relevant positions, i.e., in attractive and in repelling positions and also in the single position. Furthermore, the flux density between new and clinically used and recycled magnets was compared. It was found that the maximum flux density was generated at the pole faces and that magnets in attractive positions produced the highest flux density (2.2 kG), followed by the single magnet (2.0 kG) and the repelling magnets (1.7 kG). The flux density decreased rapidly (exponentially) with increased distance from the magnets. The flux density was approximately the same or less than the flux density of the earth magnetism (0.3 to 0.7 G) 60 mm from the attractive magnets, 50 mm from the single magnets, and 35 mm from the repelling magnets. The difference in flux density between new and clinically used and recycled samarium-cobalt magnets was negligible. Thus, the static magnetic field exposure of surrounding tissues can be assumed to be low, and the conceivable risk of harmful biologic effects must be regarded as small and limited when the tested orthodontic magnets are used clinically.

Cobalt

[Clinical investigation of transcranial magnetic stimulation of the facial nerve--an early prognostic diagnosis of patients with peripheral facial palsy and the facial nerve magnetic stimulation site].

To obtain an early prognostic diagnosis of patients with peripheral facial palsy, a magnetic stimulator (Dantec Mag 2) was used to directly stimulate the intracranial portion of the facial nerve in 15 normal subjects and 108 patients with peripheral facial palsy. In normal subjects and patients with facial palsy, compound muscle action potentials (CMAPs) of the orbicularis oris muscle elicited by transcranial magnetic stimulation were compared with CMAPs elicited by electrical stimulation at a peripheral site of the stylomastoid foramen. This technique is similar to electroneurography (ENoG) and is regularly used in our department. In normal subjects, the latency of magnetically evoked CMAPs was longer (1.0ms, SD 0.39ms) than that of CMAPs evoked by electrical stimulation. There were two categories of patients; the first group consisted of patients who visited our hospital within 2 weeks after palsy onset with a record of electrically evoked CMAPs (ENoG) and magnetically evoked CMAPs, the second group consisted of all others. The first group was then divided into four subgroups based on minimal ENoG values obtained within 2 weeks after the onset of palsy. In patients, ENoG values declined until the seventh day after palsy onset, and then plateaued. However, the amplitude ratio of magnetically evoked CMAPs between the affected side and normal side showed no tendency to deline until the seventh day after palsy onset. Thus, whether magnetically evoked CMAPs could be recorded must be discussed in relation to the prognosis of facial palsy. The patients in whom magnetically evoked CMAPs could be recorded within the seven days after the onset of palsy were classified into a group in which the minimal ENoG value was greater than 20%. These patients recovered almost 2 months after the onset of palsy, and were significantly better than the recovery rates of those patients in whom magnetically evoked CMAPs could not be recorded. The site at which the facial nerve is magnetically stimulated remains controversial. In patients with peripheral facial palsy, recovery of the stapedial reflex, blink reflex and magnetically evoked CMAPs were examined to investigate the site of magnetic stimulation. From the clinical perspective, the facial nerve is thought to be magnetically stimulated near the meatal foramen that Fisch reported the site of damage in Bell's palsy. This stimulation site was almost the same point as that calculated from the mean latency difference between magnetically evoked CMAPs and ENoG in normal controls.

Adolescent

[A functional orthodontic magnetic appliance (FOMA) after Vardimon. 1. A three-dimensional analysis of the force system of the attractive magnets].

The functional magnetic system (FMS) is a removable functional appliance which induces mandibular advance by means of mandibular and maxillary magnets in an attracting configuration. The maxillary and mandibular plates are each equipped with 2 cylindrically shaped cobalt-samarium magnets, 4 mm in diameter and 3 mm in height, which are welded into stainless steel housings. The force system of this magnetic configuration was analyzed using the orthodontic measurement and simulation system (OMSS). OMSS simulated the mandibular jaw movements by separating the installed magnets vertically, corresponding to a mouth opening of X = -10 mm, transversally (right excursion, +/left excursion, -) at Y = +/- 10 mm and sagittally (anterior displacement, +/posterior displacement, -) at Z = +/- 10 mm. The resulting 2D and 3D force/displacement diagrams elucidate the outstanding centripetal-spatial orientation characteristics of the functional magnetic appliance in reference to the full overlap brought about by the attraction of the mandibular magnet by the maxillary magnet. The maximum centripetal forces reached a value of approximately FY, max = 0.65 N for the vertical attracting force at full overlap of the mandibular and maxillary magnets (X = 0.55 mm, Y = Z = 0 mm), a value of FY, max = 0.65 N for the medial shearing force at a partial transversal overlap Z = 0, Y = +/- 2 mm and Y = +/- 6 mm), and for the sagittal shearing force a value of FZ, max = 1.2 N at a partial sagittal overlap of the magnets (Y = 0 mm, Z = +/- 2 mm).(ABSTRACT TRUNCATED AT 250 WORDS)

Cobalt

[Use of permanent magnets and magnetic fluids in experimental oncology].

The use of permanent magnets and magnetic fields (magnetic fluids and magnetic suspensions) alone or in complex with the antitumour compounds for the treatment of malignancies of various localizations is considered. Methods and forms of the use of permanent magnets are discussed. It is concluded that permanent magnets (as magnetic suspensions and magnetic fluids) used alone, in complex with chemical substances or in combination with other affecting factors (the temperature rise) induce a considerable regression of the tumour. Besides, permanent magnets may promote an increase of the antitumour drug concentration in the tissue of the diseased organ.

Albumins

Hydrogen magnetic resonance spectroscopy follow-up after radiation therapy of human brain cancer. Unexpected inverse correlation between the changes in tumor choline level and post-gadolinium magnetic resonance imaging contrast.

RATIONALE AND OBJECTIVES: The anatomic and metabolic changes in human brain tumors treated by radiation therapy were compared using gadolinium-enhanced magnetic resonance imaging and hydrogen (1H) magnetic resonance spectroscopy. The study was intended to assess the potential of 1H magnetic resonance spectroscopy in monitoring response to therapy. METHODS: Thirteen cases of brain cancer treated by radiation therapy were examined by 1H magnetic resonance spectroscopy and gadolinium-enhanced T1-weighted magnetic resonance imaging and reexamined at 2-month intervals. RESULTS: Follow-up after radiation therapy showed changes in post-gadolinium magnetic resonance imaging contrast that are inversely correlated with the changes in choline level (r = -0.69, P < 0.00001) and in tumor volume (r = -0.35, P < 0.05). CONCLUSIONS: The choline loss in tumors gaining post-gadolinium magnetic resonance imaging contrast after therapy is unexpected in view of previously reported correlation between the two in untreated metastatic brain tumors. Indicated is the use of 1H magnetic resonance spectroscopy to discriminate enhancing brain tumors with a high content of vital tumor cells (high choline) from tumors, combining decreased cell density with increased interstitial space (low choline).

Aspartic Acid

Effects of magnetic resonance imaging on implantable permanent magnets.

Implantable permanent magnets are increasingly used in devices for otolaryngologic applications. It is likely that at least some of the patients with implanted magnets will be in need of magnetic resonance imaging (MRI). The effect of an MRI scan on the magnetic properties of implanted permanent magnets has not been previously demonstrated. Some of the basic concepts and descriptive terminology used in industry regarding permanent magnets are reviewed. Experiments presented show that the MRI scan is capable of demagnetizing permanent magnets. A case history is also presented that demonstrates demagnetizing of an implanted Audiant magnet by an MRI scan.

Hearing Aids

Growth of human cultured cells exposed to a non-homogeneous static magnetic field generated by Sm-Co magnets.

A static magnetic field, with a strong spatial gradient, was established on the surface of cell culture dishes by use of a gilded iron needle set vertically above an Sm-Co magnet. The calculated magnetic flux density was more than 1.5 T at the center of the needle tip, and the products of the flux density and its gradient were about 200 and 60 T2/m at distances of 0.1 and 0.3 mm, respectively, from the center. The DNA content, DNA synthesis and labeling index of cultured cells located within 0.1 mm from the center of the needle, and the growth rate of cells located within 0.3 mm from the center, were measured. HeLa cells grew at a normal rate for 96 h in the magnetic field and showed no significant change in shape, detectable by scanning electron microscopy. The growth of HeLa cells was not influenced by exposure to the magnetic field. Similarly, exposure for 48 h to the magnetic field had no effect on growth of normal human gingival fibroblasts (Gin-1). The DNA content, assayed by microfluorometry of the nuclei of both types of cells stained by the Feulgen reaction, was not significantly different from that of controls. Moreover, exposure to the magnetic field had no effect on DNA synthesis or the labeling index of HeLa cells assayed by autoradiography of incorporated [3H]thymidine. It is concluded that a non-homogeneous magnetic field of the intensity and the gradient used in this study does not significantly influence the growth of HeLa cells or Gin-1 cells.

Cells, Cultured

Biomedical applications of magnetic fluids. i. Magnetic guidance of ferro-colloid-entrapped albumin microsphere for site specific drug delivery in vivo.

Magnetic guidance of magnetic albumin microsphere for site specific drug delivery was investigated in vivo. After intravenous injection in mice, magnetic microspheres localized in the site (lung) at which two permanent magnets were placed. Injection into the renal artery in rats also indicated that the microspheres were concentrated at the kidney by a magnetic field. When magnet was not applied, however, the microspheres were concentrated mainly in the liver. Such preferential localization by magnetic means suggested that magnetic albumin microspheres could become effective drug carriers with site specificity for the delivery of chemotherapeutic agents in cancer therapy.

Albumins

[Studies on magnetic responsiveness and renal embolization with magnetic microspheres in dogs].

The responsiveness and transcatheter embolization with magnetic gelatin microspheres (MG-ms) in dog kidney were reported. In experiments with magnet using a constant flow apparatus such as roller pump, the percent retention was determined by counting the carrier retained by the magnetic field and divided by the total starting counts. Factors influencing the percent retention of MG-ms include: velocity of medium flow, magnetic field intensity, alpha-Fe2O3 content in the MG-ms, viscosity of the medium and so on. Transcatheter embolization with MG-ms (10-30 microns) was performed under external magnet control in dog kidney. The result of angiogram and histological section showed that the MG-ms were in the arteries, arterioles, and glomerular capillaries with no adverse reactions. The embolized effect with magnet field was more prominent than the group without magnet field. These results show that the MG-ms is a promising embolic agent for treatment of renal cancer under external magnet control.

Animals

[Magnet systems for magnetic resonance tomography].

In the past fifteen years, Magnetic Resonance Tomography (MRT) has become a valuable tool for medical diagnostics. At the same time, Magnetic Resonance Spectroscopy (MRS) has attracted more and more attention in medical and other related areas of investigations. For both methods it is necessary to provide a magnetic field, which can be generated by resistive magnets, by permanent magnets as well as by superconducting magnets. These three concepts are described and compared together with the advantages of each design and the considerations that must be addressed regarding the planned use and the availability of a suitable site. In addition to the main magnet important additions like gradient and shim coils, aspects of site planning and future problems are discussed.

Equipment Design

Temporally incoherent magnetic fields mitigate the response of biological systems to temporally coherent magnetic fields.

We have previously demonstrated that a weak, extremely-low-frequency magnetic field must be coherent for some minimum length of time (approximately 10 s) in order to affect the specific activity of ornithine decarboxylase (ODC) in L929 mouse cells. In this study we explore whether or not the superposition of an incoherent (noise) magnetic field can block the bioeffect of a coherent 60 Hz magnetic field, since the sum of the two fields is incoherent. An experimental test of this idea was conducted using as a biological marker the twofold enhancement of ODC activity found in L929 murine cells after exposure to a 60 Hz, 10 microT rms magnetic field. We superimposed an incoherent magnetic noise field, containing frequencies from 30 to 90 Hz, whose rms amplitude was comparable to that of the 60 Hz field. Under these conditions the ODC activity observed after exposure was equal to control levels. It is concluded that the superposition of incoherent magnetic fields can block the enhancement of ODC activity by a coherent magnetic field if the strength of the incoherent field is equal to or greater than that of the coherent field. When the superimposed, incoherent noise field was reduced in strength, the enhancement of ODC activity by the coherent field increased. Full ODC enhancement was obtained when the rms value of the applied EM noise was less than one-tenth that of the coherent field. These results are discussed in relation to the question of cellular detection of weak EM fields in the presence of endogenous thermal noise fields.

Animals

A cylindrically symmetric magnetic shield for a large-bore 3.0 Tesla magnet.

A 3.0 Tesla, 0.80-m bore magnet replaced our previous 1.9 Tesla, 0.76-m magnet. The 3.0 Tesla replacement magnet had a dipole moment of 1.7 with respect to that of the 1.9 Tesla magnet. The pre-existing cylindrically symmetric passive steel shielding was modified to confine the fringe fields of the replacement magnet to match those of the previous magnet. A cylindrically symmetric inner shield insert of about 20,000 kg was designed, fabricated, and installed. Upon energization of the magnet, the combined shielding met all design criteria. Alternative designs, optimization of cylindrically symmetric designs, and costs of fabrication, are presented herein.

Carbon

Effective targeting of magnetic radioactive 90Y-microspheres to tumor cells by an externally applied magnetic field. Preliminary in vitro and in vivo results.

Magnetic biodegradable poly(lactic acid) microspheres that incorporate both magnetite and the beta-emitter 90Y were prepared. By applying a directional external magnetic field gradient in excess of 0.02 Tesla/cm across a 96-well plate containing neuroblastoma cells incubated with the 90Y magnetite loaded microspheres, the radiation dose to the cells could be enhanced or reduced relative to the dose from a uniform loading of the well with 90Y-DTPA. Using the MTT assay, cell survival was measured for the magnetic field directed from above (cell sparing) and from below (cell targeting) the well plate, resulting in 65 +/- 8% or 18 +/- 5% survival respectively. This method was then applied to an in vivo murine tumor model. The biodistribution of intraperitoneally injected magnetic radioactive microspheres, after 24 h in mice, showed that 73 +/- 32% of the radioactivity was found on the subcutaneous tumor that had a rare earth magnet fixed above it. In contrast, the tumor radioactivity with no attached magnet was 6 +/- 4%. Magnetically targeted radiopolymers such as 90Y-microspheres show great promise for regional or intracavitary radiotherapy.

Animals