MR Safety of Inductively Coupled and Conventional Intraoral Coils

Purpose Intraoral coils (IOCs) in magnetic resonance imaging (MRI) significantly improve the signal-to-noise ratio compared with conventional extraoral coils. To assess the safety of IOCs, we propose a 2-step procedure to evaluate radiofrequency-induced heating of IOCs and compare maximum temperature increases in 3 different types of IOCs. Methods The 2-step safety assessment consists of electric field measurements and simulations to identify local hotspots followed by temperature measurements during MRI. With this method, 3 different coil types (inductively coupled IFC, transmit/receive tLoop, and receive-only tLoopRx) were tested at 1.5 T and 3 T for both tuned and detuned coil states. High SAR and regular MRI protocols were applied for 2 coil positions. Results The measured E field maps display distinct hotspots for all tuned IOCs, which were reduced by at least 40-fold when the IOCs were detuned. Maximum temperature rise was higher when the coils were positioned at the periphery of the phantom with the coil planes parallel to B 0 . When neither active nor passive detuning was applied, maximum temperature increase of ΔT = 1.3/0.5/1.8 K was found for IFC/tLoop/tLoopRx coils. Hotspots detected by E field measurements, and simulations were consistent. In the simulations, the results were different for homogeneous phantoms compared with full anatomical models. The 2-step test procedure is applicable to different coil types. Conclusions The results indicate that a risk for radiofrequency-induced heating exists for tuned IOCs, so that adequate detuning circuits need to be integrated in the coils to ensure safe operation.