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A psychological reaction to being confined in a relatively small area.
This is a very real psychological danger for some individuals during the MRI procedure. A small percentage of patients is claustrophobic and cannot tolerate the confined space within a closed MRI magnet. Claustrophobia, panic attacks and other psychological stress situations have been reported in about 1-4% of cases as a reason to interrupt the MRI examination. Principally short and wide open MRI devices are advantageous because the percentage of claustrophobic incidents drops significantly.
Detailed explanation of the MRI procedure, careful attention and special equipment (mirrors to look outside the machine, emergency bells) help to reduce claustrophobia significantly. The majority of claustrophobic patients will be sufficiently relaxed with orally or intravenous sedatives. See also Open MRI. | | | | • For this and other aspects of MRI safety see our InfoSheet about MRI Safety. | | | • Patient-related information is collected in our MRI Patient Information.
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| | | | | MRI Safety Resources | | | | |
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The principal contraindications of the MRI procedure are mostly related to the presence of metallic implants in a patient. The risks of MRI scans increase with the used field strength. In general, implants are becoming increasingly MR safe and an individual evaluation is carried out for each case.
Some patients should not be examined in MRI machines, or come closer than the 5 Gauss line to the system.
Absolute Contraindications for the MRI scan:
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electronically, magnetically, and mechanically activated implants
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metallic splinters in the eye
Patients with absolute contraindications should not be examined or only with special MRI safety precautions. Patients with an implanted cardiac pacemaker have been scanned on rare occasions, but pacemakers are generally considered an absolute contraindication. Relative contraindications may pose a relative hazard, and the type and location of an implant should be assessed prior to the MRI examination.
Relative Contraindications for the MRI scan:
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other pacemakers, e.g. for the carotid sinus
Osteosynthesis material is usually anchored so well in the patients that no untoward effect will result. Another effect on metal parts in the patient's body is the heating of these parts through induction. In addition, image quality may be severely degraded. The presence of other metallic implants such as surgical clips etc. should be made known to the MRI operators. Most of these materials are non-magnetic, but if magnetic, they can pose a hazard.
See also MRI safety, Pregnancy, Claustrophobia and Tattoos. | | | | | | | | | • View the DATABASE results for 'Contraindications' (11).
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The magnetic memory of credit and similar cards, as well as magnetic devices such as tapes, will be erased by MR magnets. | | | | • View the DATABASE results for 'Credit Cards' (2).
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Cryostats are devices for maintaining a constant low temperature (as by means of liquid helium used in MRI). They require vacuum chambers with thermal isolation.
See also Dewar, Cryoshielding and Boil off Rate. | | | | • View the DATABASE results for 'Cryostat' (6).
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