Background To compare image quality, lesion detection and patient comfort of 3T prostate MRI using a combined rigid two-channel phased-array endorectal coil and an external phased-array coil (ERC-PAC) compared to external PAC acquisition in the same patients. Methods Thirty three men (mean age 65.3y) with suspected (n = 15) or biopsy-proven prostate cancer (PCa, n = 18) were prospectively enrolled in this exploratory study. 3T prostate MRI including T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI) was performed using an ERC-PAC versus PAC alone, in random order. Image quality, lesion detection and characterization (biparametric PI-RADSv2.1) were evaluated by 2 independent observers. Estimated signal-to-noise ratio (eSNR) was measured in identified lesions and the peripheral zone (PZ). Patient comfort was assessed using a questionnaire. Data were compared between sequences and acquisitions. Inter/intra-observer agreement for PI-RADS scores was evaluated. Results Twenty four prostate lesions (22 PCa) were identified in 20/33 men. Superior image quality was found for ERC-PAC compared to PAC for T2WI for one observer (Obs.1, p < 0.03) and high b-value DWI for both observers (p < 0.05). The sensitivity of PI-RADS for lesion detection for ERC-PAC and PAC acquisitions was 79.2 and 75% for Obs.1, and 79.1 and 66.7%, for Obs.2, without significant difference for each observer (McNemar p-values ≥0.08). Inter−/intra-observer agreement for PI-RADS scores was moderate-to-substantial (kappa = 0.52–0.84). Higher eSNR was observed for lesions and PZ for T2WI and PZ for DWI using ERC-PAC (p < 0.013). Most patients (21/33) reported discomfort at ERC insertion. Conclusion Despite improved image quality and eSNR using the rigid ERC-PAC combination, no significant improvement in lesion detection was observed, therefore not supporting the routine use of ERC for prostate MRI.

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Radiofrequency surface coils used as receivers in magnetic resonance imaging (MRI) rely on cables for communication and power from the MRI system. Complex surface coil arrays are being designed for improving acquisition speed and signal-to-noise ratio. This, in-turn makes the cables bulky, expensive, and the currents induced on cables by time-varying magnetic fields of the MRI system may cause patient harm. Though wireless power transfer (WPT) can eliminate cables and make surface coils safer, MRI poses a challenging electromagnetic environment for WPT antennas because the antennas made using long conductors interact with the static and dynamic fields of the MRI system. This paper analyses the electromagnetic compatibility of WPT antennas and reveals that commercially available antennas are not compatible with MRI systems, presenting a safety risk for patients. Even when the risk is minimized, the antennas couple with surface coils leading to misdiagnosis. This paper presents an approach to eliminate safety risks and minimize coupling using a filter named “floating filter.” A WPT antenna without a filter has a distortion of 27%, and floating filters reduce the distortion to 2.3%. Secondly, the floating filter does not affect the power transfer efficiency, and the transfer efficiency of 60% is measured with and without filters.

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