Abstract
Introduction
Magnetic resonance navigation (MRN) uses MRI gradients to steer magnetic drug-eluting beads (MDEBs) across vascular bifurcations. We aim to experimentally verify our theoretical forces balance model (gravitational, thrust, friction, buoyant and gradient steering forces) to improve the MRN targeted success rate.
Method
A single-bifurcation phantom (3 mm inner diameter) made of poly-vinyl alcohol was connected to a cardiac pump at 0.8 mL/s, 60 beats/minutes with a glycerol solution to reproduce the viscosity of blood. MDEB aggregates (25 ± 6 particles, 200 \(\mu {\text{m}}\)) were released into the main branch through a 5F catheter. The phantom was tilted horizontally from − 10° to +25° to evaluate the MRN performance.
Results
The gravitational force was equivalent to 71.85 mT/m in a 3T MRI. The gradient duration and amplitude had a power relationship (amplitude=78.717 \({(duration)}^{-0.525}\)). It was possible, in 15° elevated vascular branches, to steer 87% of injected aggregates if two MRI gradients are simultaneously activated (\({G}_{x}\) = +26.5 mT/m, \({G}_{y}\)= +18 mT/m for 57% duty cycle), the flow velocity was minimized to 8 cm/s and a residual pulsatile flow to minimize the force of friction.
Conclusion
Our experimental model can determine the maximum elevation angle MRN can perform in a single-bifurcation phantom simulating in vivo conditions.
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Data and Materials Availability
All data needed to evaluate the conclusions in the paper are present in the paper or the Supplementary Materials.
Abbreviations
- \(\overrightarrow{B0}\) :
-
Main MRI magnetic field strength
- EPI:
-
Echo planar readout
- MDEBs:
-
Magnetic drug-eluting beads
- MRN:
-
Magnetic resonance navigation
- MRI:
-
Magnetic resonance imaging
- PLGA:
-
Poly-lactic-co-glycolic acid
- PVA:
-
Poly-vinyl alcohol
- T2:
-
Relaxation time of the transverse magnetization
- TE:
-
Echo time
- TR:
-
Repetition time
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Acknowledgments
This work was supported by a grant from the Natural Sciences and Engineering Research Council of Canada (NSERC), Operating Grant - CHRP (CIHR Partnered) (CHRP 478474-15), Canadian Institutes of Health Research (CIHR), Operating Grant - CHRP (NSERC Partnered) (CPG-140179), Fonds de recherche du Québec en Santé (FRQS) and Fondation de l'association des radiologistes du Québec (FARQ) Clinical Research Scholarship (34939), Transmedtech and Siemens Healthineers. We also acknowledge support by the Lundbeck Foundation of Denmark (UBC-SUND Lundbeck Foundation Professorship to UOH, No. 2014-4176).
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GS and SL supervised the studies. CT and NL implemented the methods and analysis. All authors edited the manuscript.
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C.T is currently supported by Transmedtech and Siemens Healthineers, Canada. G.M and M.J.C work at Siemens Healthineers. The other authors declare that they have no competing financial interests.
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Tous, C., Li, N., Dimov, I.P. et al. Navigation of Microrobots by MRI: Impact of Gravitational, Friction and Thrust Forces on Steering Success. Ann Biomed Eng 49, 3724–3736 (2021). https://doi.org/10.1007/s10439-021-02865-1
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DOI: https://doi.org/10.1007/s10439-021-02865-1