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Decibel
 
(dB) A customary logarithmic measure most commonly used (in various ways) for measuring sound. If one sound is 1 bel (10 decibel) 'louder' than another, this means the louder sound is 10 times louder than the fainter one. A difference of 20 decibel corresponds to an increase of 10 x 10 or 100 times in intensity.
For sound pressure (the pressure exerted by the sound waves) 0 decibel equals 20 micropascal (μPa), and for sound power 0 decibel sometimes equals 1 picowatt.

See also Phon and Acoustic Noise.
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Specific Absorption Rate
 
(SAR) The Specific Absorption Rate is defined as the RF power absorbed per unit of mass of an object, and is measured in watts per kilogram (W/kg).
The SAR describes the potential for heating of the patient's tissue due to the application of the RF energy necessary to produce the MR signal. Inhomogeneity of the RF field leads to a local exposure where most of the absorbed energy is applied to one body region rather than the entire person, leading to the concept of a local SAR. Hot spots may occur in the exposed tissue, to avoid or at least minimize effects of such theoretical complications, the frequency and the power of the radio frequency irradiation should be kept at the lowest possible level. Averaging over the whole body leads to the global SAR.
It increases with field strength, radio frequency power and duty cycle, transmitter-coil type and body size. The doubling of the field strength from 1.5 Tesla (1.5T) to 3 Tesla (3T) leads to a quadrupling of SAR. In high and ultrahigh fields, some of the multiple echo, multiple-slice pulse sequences may create a higher SAR than recommended by the agencies. SAR can be reduced by lower flip angle and longer repetition times, which could potentially affect image contrast.
Normally no threatening increase in temperature could be shown. Even in high magnetic fields, the local temperature increases not more than 1°C. 2.1°C is the highest measured increase in skin temperature. Eddy currents may heat up implants and thus may cause local heating.

FDA SAR limits:
•
Whole body: 4W/kg/15-minute exposure averaged;
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Head: 3W/kg/10-minute exposure averaged;
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Head or torso: 8W/kg/5 minute exposure per gram of tissue;
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Extremities: 12W/kg/5 minute exposure per gram of tissue.

IEC (International Electrotechnical Commission) SAR limits of some European countries:
All limits are averaged over 6 minutes.
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Level 0 (normal operating mode): Whole body 2W/kg; Head 3.2W/kg; Head or Torso (local) 10W/kg; Extremities (local) 20W/kg;
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Level I (first level controlled operating mode): Whole body 4W/kg; Head 3.2W/kg; Head or Torso (local) 10W/kg; Extremities (local) 20W/kg;
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Level II (second level controlled operating mode): All values are over Level I values.
(For more details: IEC 60601-2-33 (2002))

In most countries standard MRI systems are limited to a maximum SAR of 4 W/kg, so most scanning in level II is impossible.
For Level I, in addition to routine monitoring, particular caution must be exercised for patients who are sensitive to temperature increases or to RF energy.
For Japan different SAR limits are valid.
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Further Reading:
  Basics:
SED Guidance
Saturday, 1 January 2022   by www.mriphysics.scot.nhs.uk    
On the estimation of the worst-case implant-induced RF-heating in multi-channel MRI.
Thursday, 2 March 2017   by www.ncbi.nlm.nih.gov    
What MRI Sequences Produce the Highest Specific Absorption Rate (SAR), and Is There Something We Should Be Doing to Reduce the SAR During Standard Examinations?
Thursday, 16 April 2015   by www.ajronline.org    
Evaluation of Specific Absorption Rate as a Dosimeter of MRI-Related Implant Heating
2004   by www.imrser.org    
  News & More:
Specific Absorption Rate and Specific Energy Dose: Comparison of 1.5-T versus 3.0-T Fetal MRI
Tuesday, 7 April 2020   by pubs.rsna.org    
MRI in Patients with Implanted Devices: Current Controversies
Monday, 1 August 2016   by www.acc.org    
Commission delays electromagnetic fields legislation
Monday, 29 October 2007   by cordis.europa.eu:80    
Accounting for biological aggregation in heating and imaging of magnetic nanoparticles
Tuesday, 2 September 2014   by www.ecnmag.com    
Guidance for Industry and FDA Staff, Criteria for Significant Risk Investigations of Magnetic Resonance Diagnostic Devices
Monday, 14 July 2003   by www.fda.gov    
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