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The subacute risks and side effects of magnetic and RF fields (for patients and staff) have been intensively examined for a long time, but there have been no long-term studies following persons who have been exposed to the static magnetic fields used in MRI. However, no permanent hazardous effects of a static magnetic field exposure upon human beings have yet been demonstrated.
Temporary possible side effects of high magnetic and RF fields:
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Varying magnetic fields can induce so-called magnetic phosphenes that occur when an individual is subject to rapid changes of 2-5 T/s, which can produce a flashing sensation in the eyes. This temporary side effect does not seem to damage the eyes. Static field strengths used for clinical MRI examinations vary between 0.2 and 3.0 tesla;; field changes during the MRI scan vary in the dimension of mT/s. Experimental imaging units can use higher field strengths of up to 14.0 T, which are not approved for human use.
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The Radio frequency pulses mainly produce heat, which is absorbed by the body tissue. If the power of the RF radiation is very high, the patient may be heated too much. To avoid this heating, the limit of RF exposure in MRI is up to the maximum specific absorption rate (SAR) of 4 W/kg whole body weight (can be different from country to country). For MRI safety reasons, the MRI machine starts no sequence, if the SAR limit is exceeded.
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Very high static magnetic fields are needed to reduce the conductivity of nerves perceptibly. Augmentation of T waves is observed at fields used in standard imaging but this side effect in MRI is completely reversible upon removal from the magnet. Cardiac arrhythmia threshold is typically set to 7-10 tesla. The magnetohydrodynamic effect, which results from a voltage occurring across a vessel in a magnetic field and percolated by a saline solution such as blood, is irrelevant at the field strengths used.
The results of some animal and cellular studies suggest the possibility that electromagnetic fields may act as co-carcinogens or tumor promoters, but the data are inconclusive.
Up to 45 tesla, no important effects on enzyme systems have been observed. Neither changes in enzyme kinetics, nor orientation changes in macromolecules have been conclusively demonstrated.
There are some publications associating an increase in the incidence of leukemia with the location of buildings close to high-current power lines with extremely low-frequency (ELF) electromagnetic radiation of 50-60 Hz, and industrial exposure to electric and magnetic fields but a transposition of such effects to MRI or MRS seems unlikely.
Under consideration of the MRI safety guidelines, real dangers or risks of an exposure with common MRI field strengths up to 3 tesla as well as the RF exposure during the MRI scan, are not to be expected.
For more MRI safety information see also Nerve Conductivity,
Contraindications, Pregnancy
and Specific Absorption Rate.
See also the related poll result: ' In 2010 your scanner will probably work with a field strength of' | | | | • 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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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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Manufactured by Esaote S.p.A.;
a low field open MRI scanner with permanent magnet for orthopedic use. The outstanding feature of this MRI system is a patient friendly design with 24 cm diameter, which allows the imaging of extremities and small body parts like shoulder MRI. The power consumption is around 1.3 kW and the needed minimum floor space is an area of 16 sq m.
At RSNA 2006 Hologic Inc. introduced a new dedicated extremity MRI scanner, the Opera. Manufactured by Esaote is the Opera a redesign of Esaote's 0.2 Tesla E-Scan XQ platform, which now enables complete imaging of all extremities, including hip and shoulder applications. 'Real-time positioning' reportedly speeds patient setup and reduces exam times.
Esaote North America and Hologic Inc are the U.S. distributors of this MRI device.
Device Information and Specification CLINICAL APPLICATION Dedicated extremity
SE, GE, IR, STIR, FSE, 3D CE, GE-STIR, 3D GE, ME, TME, HSE IMAGING MODES Single, multislice, volume study, fast scan, multi slab2D: 2 mm - 10 mm;
3D: 0.6 mm - 10 mm 4096 gray lvls, 256 lvls in 3D POWER REQUIREMENTS 2,0 kW; 110/220 V single phase | | | | • View the DATABASE results for 'Opera (E-SCAN™ XQ)' (2).
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Silicon Graphics workstations are used in products from many other industry-leading medical manufacturers including:
The CT and MR products from General Electric Medical Systems uses Silicon Graphics® O2 and OCTANE workstation.
From Siemens Medical Systems, Inc., the postprocessing CT and MR workstations use Silicon Graphics O2 workstations.
Toshiba America MRI Inc. uses Silicon Graphics O2 workstations in its MRI scanners.
Bruker uses Silicon Graphics O2 workstations in its MRI scanners. | | | | | |
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| | | | | | | | | • View the DATABASE results for 'Adverse Reaction' (8).
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