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(IR) Inversion recovery is an MRI technique, which can be incorporated into MR imaging, wherein the nuclear magnetization is inverted at a time on the order of T1 before the regular imaging pulse-gradient sequences. The resulting partial relaxation of the spins in the different structures being imaged can be used to produce an image that depends strongly on T1. T his may bring out differences in the appearance of structures with different T1 relaxation times. Note that t his does not directly produce an image of T1. T1 in a given region can be calculated from the change in the MR signal from the region due to the inversion pulse compared to the signal with no inversion pulse or an inversion pulse with a different inversion time. T his sequence involves successive 180° and 90° pulses. The inversion recovery sequence is specified in terms of three parameters, inversion time (TI), repetition time (TR) and echo time (TE). See also Inversion Recovery Sequence and FLAIR. | | | | | | | | | | | Further Reading: | | Basics:
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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. T his 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 t his 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 t his 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' | | | | • View the DATABASE results for 'MRI Risks' (9).
| | | • View the NEWS results for 'MRI Risks' (3).
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T his effect is an additional electrical charge generated by ions in blood (loaded particles) moving perpendicular to the magnetic field.
At 1.5 T, no significant changes are expected; at 6.0 T a 10% blood pressure change is expected.
A blood pressure increase is predicted theoretically for a field of 10 T. T his is claimed to be caused by interaction of induced electrical potentials and currents within a solution, e.g. blood, and an electrical volume force causing a retardation in the direction opposite to the fluid flow. T his decrease in blood flow-velocity must be compensated for by an elevation in pressure.
Static magnetic field gradients of 0.01 T/cm (100 G/cm) make no significant difference in the membrane transport processes. The influence of a static magnetic field upon erythrocytes is not sufficient to provoke sedimentation, as long as there is a normal blood circulation.
The magnetohydrodynamic effect which results from a voltage occurring across a vessel in a magnetic field, is irrelevant at the field strengths used. | | | | • View the DATABASE results for 'Magnetohydrodynamic Effect' (3).
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Porphyrins occur naturally in plants and animals. All porphyrin molecules feature an aromatic macrocycle ring with a central binding site. T his site accommodates transition metals, which are held in place by inward-facing nitrogen atoms. Metalloporphyrins have usually a low toxicity and a potential of a selective uptake in tumors or necrosis. These properties are advantageous for a use as MRI tumor specific agents with positive enhancement. These contrast agents enhance tumors on T1 weighted sequences, which are isointense to surrounding tissues. Porphyrin-based compounds have also necrosis avid properties; they can depict the extent of myocardial infarction as defined by histopathology.
Metalloporphyrins are also used in photodynamic therapy of tumors. The compounds contain a 'lone star' metal atom at the center of the ring and are 'bigger than the average porphyrin'. They contain five N atoms in the central chelating core and t his allows them to form complexes with large trivalent lanthanide metals, which have useful cancer therapy properties.
See also Classifications, Characteristics, etc., Gadophrin, MnIIITPPS4, Necrosis Avid Contrast Agent. | | | | • View the DATABASE results for 'Metalloporphyrins' (6).
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(NSF) Nephrogenic systemic fibrosis is a rare and highly debilitating disorder that involves extensive thickening and hardening of the skin with fibrotic nodules and plaques.
MRI contrast media have very low side effects, but accumulating data indicate that gadolinium-based contrast agents increase the risk for the development of NSF among patients with severe renal insufficiency or renal dysfunction due to the hepato-renal syndrome or in the perioperative liver transplantation period.
Due to t his reason, gadolinium contrast agents are now considered contraindicated in patients with an estimated glomerular filtration rate fewer than 30 mL/min/1.73m 2.
In these patients, avoid use of gadolinium-based contrast agents unless the diagnostic information is essential and not available with non-contrast enhanced magnetic resonance imaging ( MRI).
Recognized or possibly associated factors for NSF:
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high dose of erythropoietin;
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high serum phosphate levels;
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high serum calcium levels;
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major surgery, infection, vascular event;
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history of hypothyroidism;
When administering a gadolinium-based contrast agent, do not exceed the recommended dose and allow a sufficient period of time for elimination of the contrast medium from the body prior to any readminstration. Screen all patients for renal dysfunction by obtaining a history and/or laboratory tests.
See also Contrast Medium, Adverse Reaction, MRI Risks, MRI Safety, Ionic Intravenous Contrast Agents, Nonionic Intravenous Contrast Agents, and Contraindications.
| | | | • View the DATABASE results for 'Nephrogenic Systemic Fibrosis' (13).
| | | • View the NEWS results for 'Nephrogenic Systemic Fibrosis' (8).
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