Objective: The purpose of this work is to investigate the use of ceramic materials (based on BaTiO3 with ZrO2 and CeO2-additives) with very high relative permittivity (epsilon(r) similar to 4500)... Show moreObjective: The purpose of this work is to investigate the use of ceramic materials (based on BaTiO3 with ZrO2 and CeO2-additives) with very high relative permittivity (epsilon(r) similar to 4500) to increase the local transmit field and signal-to-noise ratio (SNR) for commercial extremity coils on a clinical 1.5 T MRI system.Methods: Electromagnetic simulations of transmit efficiency and specific absorption rate (SAR) were performed using four ferroelectric ceramic blocks placed around a cylindrical phantom, as well as placing these ceramics around the wrist of a human body model. Results were compared with experimental scans using the transmit body coil of the 1.5 T MRI system and an eight-element extremity receive array designed for the wrist. SNR measurements were also performed for both phantom and in vivo scans.Results: Electromagnetic simulations and phantom/in vivo experiments showed an increased in the local transmit efficiency from the body coil of similar to 20-30%, resulting in an similar to 50% lower transmit power level and a significant reduction in local and global SAR throughout the body. For in vivo wrist experiments, the SNR of a commercial eight-channel receive array, integrated over the entire volume, was improved by similar to 45% with the ceramic.Conclusion: The local transmit efficiency as well as the SNR can be increased for 1.5 T extremity MRI with commercial array coils by using materials with very high permittivity. (C) 2018 The Authors. Published by Elsevier Inc. Show less