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Safety and imaging performance of 2-channel RF shimming for fetal MRI at 3T
Filiz Yetisir1, Esra Abaci Turk1,2, P. Ellen Grant1,2,3, Elfar Adalsteinsson4,5, and Lawrence L. Wald3,5,6
1Fetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Boston, MA, United States, 2Department of Pediatrics, Harvard Medical School, Boston, MA, United States, 3Department of Radiology, Harvard Medical School, Boston, MA, United States, 4Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 5Harvard-MIT Division of Health Science and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 6Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States
Two-channel RF shimming at 3T can be used to improve transmit field amplitude and uniformity for fetal MRI without increasing maternal or fetal SAR in some pregnant subjects. The biggest difference in imaging performance and SAR patterns is observed between left lateral and supine models. 
Figure 1: Numerical model of the 2-channel, 32-rung high pass birdcage coil (a) and the numerical pregnant body models (b) used in this study. Only the skin, uterus and fetus are shown in the body models for simplicity. GA: gestational age, w: weeks, BMI: body mass index.
Figure 3: Overall (maternal and fetal) peak local SAR, fetal peak local SAR and fetal average SAR for different RF shim settings where relative amplitude and phase of the two channels is varied from 0 to 2 (vertical axis) and from -90° to 270° (horizontal axis) respectively. All shim settings are normalized to maternal whole-body average SAR of 2 W/kg. CP mode: circularly polarized birdcage mode, improved imaging performance: both average B1+ and B1+ variation is improved compared to CP mode, no SAR increase: maternal or fetal SAR does not increase compared to CP mode.