RF Heating of Bipolar Epicardial Implants during MRI at 0.55 T and 1.5T: Effect of Device Length and Termination Conditions

Pediatric patients with epicardial cardiac implantable electronic devices (CIEDs) are frequently excluded from the Magnetic Resonance Imaging (MRI) primarily due to RF heating safety concerns. In this study we evaluate RF heating of two bipolar epicardial leads during MRI at 0.55 T and 1.5 T under different termination conditions. Our findings showed that the mean RF heating was significantly reduced at 0.55 T MRI compared to that at 1.5 T. Similarly, the RF heating at 0.55 T MRI was highest for full system whereas, during MRI at 1.5 T, the RF heating was highest for the capped abandoned lead, showing dependence of RF heating pattern on MRI field strength. While RF heating at both fields surpassed the safety limit, the capped abandoned leads at 1.5 T MRI showed significantly higher RF heating with temperature rise surpassing 50{degrees}C in some of the cases. These results highlight the difference in RF heating of bipolar epicardial leads compared to the previously reported findings for monopolar epicardial lead which showed smallest heating for capped abandoned lead at both field strengths. These findings emphasize the necessity of device-specific evaluations at each field-strength to inform clinical decision-making and expand MRI access for this vulnerable population.