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If a device is to be labeled MR Safe, the following information should be provided:
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Data demonstrating that when the device is introduced or used in the MRI environment (i.e. the MRI scan room) it does not pose an increased safety risk to the patient or other personnel,
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a scientifically-based rationale for why data are not necessary to prove the safety of the device in the MR environment (for example, a passive device made entirely of a polymer known to be nonreactive in strong magnetic fields).
If a device is to be labeled MR Compatible, the following information should be provided:
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Data demonstrating that when the device is introduced or used in the MRI environment, it is MR safe that it performs its intended function without performance degradation, and that it does not adversely affect the function of the MRI scanner (e.g. no significant image artifacts or noise). Any image artifact or noise due to the medical device should be quantified (e.g., % volume affected, signal to noise ratio),
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a scientifically-based rationale for why data are not necessary to prove the compatibility of the device in the MRI environment.
Test Conditions:
The static magnetic field strength ( Gauss (G) or Tesla (T)) to which the device was tested and demonstrated to be MRI 'safe', 'compatible', or 'intended for use in' should be related to typical machine ratings (e.g. 0.5 T, 1.5 T, 2.0 T, and shielded or unshielded magnet, etc).
The same conditions should be used for the spatial gradient ( field strength per unit distance (i.e., G/cm)) in which the device was tested and demonstrated to be 'safe', 'compatible', or 'intended for use in'.
Also the RF transmitter power used during testing of the device, should be related to this typical machine ratings. | | | | • For this and other aspects of MRI safety see our InfoSheet about MRI Safety. | | | • Patient-related information is collected in our MRI Patient Information.
| | | • View the NEWS results for 'MR Compatibility' (2).
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The definition of imaging is the visual representation of an object. Medical imaging began after the discovery of x-rays by Konrad Roentgen 1896. The first fifty years of radiological imaging, pictures have been created by focusing x-rays on the examined body part and direct depiction onto a single piece of film inside a special cassette. The next development involved the use of fluorescent screens and special glasses to see x-ray images in real time.
A major development was the application of contrast agents for a better image contrast and organ visualization. In the 1950s, first nuclear medicine studies showed the up-take of very low-level radioactive chemicals in organs, using special gamma cameras. This medical imaging technology allows information of biologic processes in vivo. Today, PET and SPECT play an important role in both clinical research and diagnosis of biochemical and physiologic processes. In 1955, the first x-ray image intensifier allowed the pick up and display of x-ray movies.
In the 1960s, the principals of sonar were applied to diagnostic imaging. Ultrasonic waves generated by a quartz crystal are reflected at the interfaces between different tissues, received by the ultrasound machine, and turned into pictures with the use of computers and reconstruction software. Ultrasound imaging is an important diagnostic tool, and there are great opportunities for its further development. Looking into the
future, the grand challenges include targeted contrast agents, real-time 3D ultrasound imaging, and molecular imaging.
Digital imaging techniques were implemented in the 1970s into conventional fluoroscopic image intensifier and by Godfrey Hounsfield with the first computed tomography. Digital images are electronic snapshots sampled and mapped as a grid of dots or pixels. The introduction of x-ray CT revolutionised medical imaging with cross sectional images of the human body and high contrast between different types of soft tissue. These developments were made possible by analog to digital converters and computers. The multislice spiral CT technology has expands the clinical applications dramatically.
The first MRI devices were tested on clinical patients in 1980. The spread of CT machines is the spur to the rapid development of MRI imaging and the introduction of tomographic imaging techniques into diagnostic nuclear medicine. With technological improvements including higher field strength, more open MRI magnets, faster gradient systems, and novel data-acquisition techniques, MRI is a real-time interactive imaging modality that provides both detailed structural and functional information of the body.
Today, imaging in medicine has advanced to a stage that was inconceivable 100 years ago, with growing medical imaging modalities:
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Single photon emission computed tomography (SPECT)
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Positron emission tomography (PET)
All this type of scans are an integral part of modern healthcare.
Because of the rapid development of digital imaging modalities, the increasing need for an efficient management leads to the widening of radiology information systems (RIS) and archival of images in digital form in picture archiving and communication systems (PACS).
In telemedicine, healthcare professionals are linked over a computer network. Using cutting-edge computing and communications technologies, in videoconferences, where audio and visual images are transmitted in real time, medical images of MRI scans, x-ray examinations, CT scans and other pictures are shareable.
See also Hybrid Imaging.
See also the related poll results: ' In 2010 your scanner will probably work with a field strength of', ' MRI will have replaced 50% of x-ray exams by' | | | | | | | | | • View the DATABASE results for 'Medical Imaging' (20).
| | | • View the NEWS results for 'Medical Imaging' (81).
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Rapid echo planar imaging and high-performance MRI gradient systems create fast-switching magnetic fields that can stimulate muscle and nerve tissues produced by either changing the electrical resistance or the potential of the excitation. There are apparently no effects on the conduction of impulses in the nerve fiber up to field strength of 0.1 T. A preliminary study has indicated neurological effects by exposition to a whole body imager at 4.0 T. Theoretical examinations argue that field strengths of 24 T are required to produce a 10% reduction of nerve impulse conduction velocity.
Nerve stimulations during MRI scans can be induced by very rapid changes of the magnetic field. This stimulation may occur for example during diffusion weighted sequences or diffusion tensor imaging and can result in muscle contractions caused by effecting motor nerves. The so-called magnetic phosphenes are attributed to magnetic field variations and may occur in a threshold field change of between 2 and 5 T/s. Phosphenes are stimulations of the optic nerve or the retina, producing a flashing light sensation in the eyes. They seem not to cause any damage in the eye or the nerve.
Varying magnetic fields are also used to stimulate bone-healing in non-unions and pseudarthroses. The reasons why pulsed magnetic fields support bone-healing are not completely understood. The mean threshold levels for various stimulations are 3600 T/s for the heart, 900 T/s for the respiratory system, and 60 T/s for the peripheral nerves.
Guidelines in the United States limit switching rates at a factor of three below the mean threshold for peripheral nerve stimulation. In the event that changes in nerve conductivity happens, the MRI scan parameters should be adjusted to reduce dB/dt for nerve stimulation. | | | | • View the DATABASE results for 'Nerve Conductivity' (2).
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From Philips Medical Systems;
this active shielded member of the Panorama product line combines the advantages of one 1.0 T system's with the possibilities of an open MRI system. The open design helps ease anxiety for claustrophobic patients and increased patient comfort whereby the field strength provides spectacular image quality and fast patient throughput.
Device Information and Specification CLINICAL APPLICATION Whole body Vertically opposed solenoids, head, head-neck, extremity, neck, body/ spine M-XL, shoulder, bilateral breast, wrist, TMJ, flex XS-S-M-L-XL-XXL SE, FE, IR, STIR, FFE, DEFFE, DESE, TSE, DETSE, Single shot SE, DRIVE, Balanced FFE, MRCP, FLAIR, Turbo FLAIR, IR-TSE, T1-STIR TSE, T2-STIR TSE, Diffusion Imaging, 3D SE, 3D FFE, Contrast Perfusion Analysis, MTC;; Angiography: CE-ANGIO, MRA 2D, 3D TOFOpen x 47 cm x infinite (side-first patient entry) POWER REQUIREMENTS 400/480 V | | | | • View the DATABASE results for 'Panorama 1.0T™' (2).
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| | | | • View the DATABASE results for 'Precess' (57).
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