The AAPM/RSNA physics tutorial for residents. MR imaging safety considerations. Radiological Society of North America.

Experience and research over the past decade have demonstrated that diagnostic magnetic resonance (MR) imaging is a biologically safe imaging modality. Specifically, there is currently no convincing evidence that there is any long-term or irreversible biologic effects associated with the radiation and magnetic fields used in MR imaging, specifically radio-frequency (RF) radiation, static magnetic fields, and time-varying gradient fields. However, numerous hazards of MR imaging do exist that can cause severe injuries or even death. These hazards are primarily the result of (a) strong magnetic fields and the strong force that they exert on ferromagnetic objects brought into their influence, including interference with electronic devices such as pacemakers and other implanted electronic devices, and (b) RF burns resulting from inadvertently induced currents in conductive loops placed on the patient's skin surface (eg, electrocardiographic leads and other monitoring devices). Other potential concerns are peripheral nerve stimulation resulting from rapidly switched gradients and auditory noise levels. Establishing a complete and coordinated educational program for all MR imaging facility personnel and conducting effective screening and preparation of patients scheduled for MR imaging procedures are essential to avoid accidents and RF burns and to maintain a safe MR imaging facility.

[1]  A. Kangarlu,et al.  Human magnetic resonance imaging at 8 T , 1998, NMR in biomedicine.

[2]  G. Misson,et al.  Magnetic resonance imaging and the dangers of orbital foreign bodies , 1995, The British journal of ophthalmology.

[3]  J Debus,et al.  Unusual burns of the lower extremities caused by a closed conducting loop in a patient at MR imaging. , 1996, Radiology.

[4]  J. Ehrhardt,et al.  Extrusion of Eye socket magnetic implant after MR imaging: Potential hazard to patient with eye prosthesis , 1991, Journal of magnetic resonance imaging : JMRI.

[5]  F G Shellock,et al.  Biological effects and safety aspects of magnetic resonance imaging. , 1989, Magnetic resonance quarterly.

[6]  Increased rf power absorption in MR imaging due to rf coupling between body coil and surface coil , 1989, Magnetic resonance in medicine.

[7]  R M Weisskoff,et al.  Sensory stimulation by time‐varying magnetic fields , 1990, Magnetic resonance in medicine.

[8]  K. Taber,et al.  Bio-effects of high magnetic fields: a study using a simple animal model. , 1992, Magnetic resonance imaging.

[9]  O P Gandhi,et al.  Spatial Distribution of RF Power in Critical Organs during Magnetic Resonance Imaging , 1992, Annals of the New York Academy of Sciences.

[10]  B. Hart,et al.  Metallic foreign bodies in the orbits of patients undergoing MR imaging: prevalence and value of radiography and CT before MR. , 1994, AJR. American journal of roentgenology.

[11]  R E Brummett,et al.  Potential hearing loss resulting from MR imaging. , 1988, Radiology.

[12]  F G Shellock,et al.  Vascular access ports and catheters: ex vivo testing of ferromagnetism, heating, and artifacts associated with MR imaging. , 1996, Magnetic resonance imaging.

[13]  F. Shellock,et al.  Corneal temperature changes induced by high-field-strength MR imaging with a head coil. , 1988, Radiology.

[14]  Emanuel Kanal,et al.  Guidelines and recommendations for MR imaging safety and patient management III. Questionnaire for screening patients before MR procedures , 1994, Journal of magnetic resonance imaging : JMRI.

[15]  J. Carr Danger in performing MR imaging on women who have tattooed eyeliner or similar types of permanent cosmetic injections. , 1995, AJR. American journal of roentgenology.

[16]  F G Shellock,et al.  Severe burn of the finger caused by using a pulse oximeter during MR imaging. , 1989, AJR. American journal of roentgenology.

[17]  H. Hricak,et al.  The Effect of Magnetic Resonance Imagers on Implanted Neurostimulators , 1992, Pacing and clinical electrophysiology : PACE.

[18]  C L Dumoulin,et al.  Human exposure to 4.0-Tesla magnetic fields in a whole-body scanner. , 1992, Medical physics.

[19]  N Westerhof,et al.  Transesophageal cardiac pacing during magnetic resonance imaging: Feasibility and safety considerations , 1996, Magnetic resonance in medicine.

[20]  M. Dujovny,et al.  Aneurysm clips: magnetic quantification and magnetic resonance imaging safety. Technical note. , 1997, Journal of neurosurgery.

[21]  R. Boutin,et al.  Injuries associated with MR imaging: survey of safety records and methods used to screen patients for metallic foreign bodies before imaging. , 1994, AJR. American journal of roentgenology.

[22]  J. Leonetti,et al.  Effect of Magnetic Resonance Imaging on Implantable Eyelid Weights , 1995, The Annals of otology, rhinology, and laryngology.

[23]  R. Klucznik,et al.  Placement of a ferromagnetic intracerebral aneurysm clip in a magnetic field with a fatal outcome. , 1993, Radiology.