Skip to main content
Top
Published in: Abdominal Radiology 3/2016

01-03-2016

Magnetic resonance safety

Author: Steffen Sammet

Published in: Abdominal Radiology | Issue 3/2016

Login to get access

Abstract

Magnetic resonance imaging (MRI) has a superior soft-tissue contrast compared to other radiological imaging modalities and its physiological and functional applications have led to a significant increase in MRI scans worldwide. A comprehensive MRI safety training to protect patients and other healthcare workers from potential bio-effects and risks of the magnetic fields in an MRI suite is therefore essential. The knowledge of the purpose of safety zones in an MRI suite as well as MRI appropriateness criteria is important for all healthcare professionals who will work in the MRI environment or refer patients for MRI scans. The purpose of this article is to give an overview of current magnetic resonance safety guidelines and discuss the safety risks of magnetic fields in an MRI suite including forces and torque of ferromagnetic objects, tissue heating, peripheral nerve stimulation, and hearing damages. MRI safety and compatibility of implanted devices, MRI scans during pregnancy, and the potential risks of MRI contrast agents will also be discussed, and a comprehensive MRI safety training to avoid fatal accidents in an MRI suite will be presented.
Literature
3.
go back to reference Hipp E, Sammet S, Straus C (2012) MR safety standards for medical students nationwide. In: Proceedings of the 19th Annual Meeting of ISMRM, Melbourne, Australia (abstract 2731) Hipp E, Sammet S, Straus C (2012) MR safety standards for medical students nationwide. In: Proceedings of the 19th Annual Meeting of ISMRM, Melbourne, Australia (abstract 2731)
4.
go back to reference Shellock FG (2001) Magnetic resonance procedures: health effects and safety. Boca Raton: CRC Press Shellock FG (2001) Magnetic resonance procedures: health effects and safety. Boca Raton: CRC Press
5.
go back to reference Karpowicz J, Gryz K (2006) Health risk assessment of occupational exposure to a magnetic field from magnetic resonance imaging devices. Int J Occup Saf Ergon JOSE 12(2):155–167PubMedCrossRef Karpowicz J, Gryz K (2006) Health risk assessment of occupational exposure to a magnetic field from magnetic resonance imaging devices. Int J Occup Saf Ergon JOSE 12(2):155–167PubMedCrossRef
6.
go back to reference ASTM F2052-00 (2013) Standard Test Method for Measurement of Magnetically Induced Displacement Force on Passive Implants in the Magnetic Resonance Environment. West Conshohocken: ASTM International ASTM F2052-00 (2013) Standard Test Method for Measurement of Magnetically Induced Displacement Force on Passive Implants in the Magnetic Resonance Environment. West Conshohocken: ASTM International
9.
go back to reference Sammet S (2013) Implementation of a comprehensive MR safety course for medical students. In: Proceedings of the 20th Annual Meeting of ISMRM, Salt Lake City (abstract 4071) Sammet S (2013) Implementation of a comprehensive MR safety course for medical students. In: Proceedings of the 20th Annual Meeting of ISMRM, Salt Lake City (abstract 4071)
10.
go back to reference Shellock FG, Kanal E (1996) Magnetic resonance: bioeffects, safety, and patient management, 2nd edn. Philadelphia: Lippincott-Raven Shellock FG, Kanal E (1996) Magnetic resonance: bioeffects, safety, and patient management, 2nd edn. Philadelphia: Lippincott-Raven
17.
18.
go back to reference Heinrich A, Szostek A, Nees F, et al. (2011) Effects of static magnetic fields on cognition, vital signs, and sensory perception: a meta-analysis. J Magn Reson Imaging JMRI 34(4):758–763. doi:10.1002/jmri.22720 PubMedCrossRef Heinrich A, Szostek A, Nees F, et al. (2011) Effects of static magnetic fields on cognition, vital signs, and sensory perception: a meta-analysis. J Magn Reson Imaging JMRI 34(4):758–763. doi:10.​1002/​jmri.​22720 PubMedCrossRef
19.
go back to reference International Electrotechnical Commission (IEC) (2002) Medical electrical equipment, particular requirements for the safety of magnetic resonance equipment for medical diagnosis. International Standard IEC 60601-2-33. Accessed 1 Mar 2016 International Electrotechnical Commission (IEC) (2002) Medical electrical equipment, particular requirements for the safety of magnetic resonance equipment for medical diagnosis. International Standard IEC 60601-2-33. Accessed 1 Mar 2016
20.
go back to reference Atkinson IC, Renteria L, Burd H, Pliskin NH, Thulborn KR (2007) Safety of human MRI at static fields above the FDA 8 T guideline: sodium imaging at 9.4 T does not affect vital signs or cognitive ability. J Magn Reson Imaging JMRI 26(5):1222–1227. doi:10.1002/jmri.21150 PubMedCrossRef Atkinson IC, Renteria L, Burd H, Pliskin NH, Thulborn KR (2007) Safety of human MRI at static fields above the FDA 8 T guideline: sodium imaging at 9.4 T does not affect vital signs or cognitive ability. J Magn Reson Imaging JMRI 26(5):1222–1227. doi:10.​1002/​jmri.​21150 PubMedCrossRef
21.
go back to reference Atkinson IC, Sonstegaard R, Pliskin NH, Thulborn KR (2010) Vital signs and cognitive function are not affected by 23-sodium and 17-oxygen magnetic resonance imaging of the human brain at 9.4 T. J Magn Reson Imaging JMRI 32(1):82–87. doi:10.1002/jmri.22221 PubMedCrossRef Atkinson IC, Sonstegaard R, Pliskin NH, Thulborn KR (2010) Vital signs and cognitive function are not affected by 23-sodium and 17-oxygen magnetic resonance imaging of the human brain at 9.4 T. J Magn Reson Imaging JMRI 32(1):82–87. doi:10.​1002/​jmri.​22221 PubMedCrossRef
22.
go back to reference Besson JA, Foreman EI, Eastwood LM, Smith FW, Ashcroft GW (1984) Cognitive evaluation following NMR imaging of the brain. J Neurol Neurosurg Psychiatry 47(3):314–316PubMedPubMedCentralCrossRef Besson JA, Foreman EI, Eastwood LM, Smith FW, Ashcroft GW (1984) Cognitive evaluation following NMR imaging of the brain. J Neurol Neurosurg Psychiatry 47(3):314–316PubMedPubMedCentralCrossRef
23.
go back to reference Brockway JP, Bream PR Jr (1992) Does memory loss occur after MR imaging? J Magn Reson Imaging JMRI 2(6):721–728PubMedCrossRef Brockway JP, Bream PR Jr (1992) Does memory loss occur after MR imaging? J Magn Reson Imaging JMRI 2(6):721–728PubMedCrossRef
25.
go back to reference Brody AS, Sorette MP, Gooding CA, et al. (1985) AUR memorial Award. Induced alignment of flowing sickle erythrocytes in a magnetic field. A preliminary report. Invest Radiol 20(6):560–566PubMedCrossRef Brody AS, Sorette MP, Gooding CA, et al. (1985) AUR memorial Award. Induced alignment of flowing sickle erythrocytes in a magnetic field. A preliminary report. Invest Radiol 20(6):560–566PubMedCrossRef
27.
go back to reference de Vocht F, Stevens T, Glover P, et al. (2007) Cognitive effects of head-movements in stray fields generated by a 7 Tesla whole-body MRI magnet. Bioelectromagnetics 28(4):247–255. doi:10.1002/bem.20311 PubMedCrossRef de Vocht F, Stevens T, Glover P, et al. (2007) Cognitive effects of head-movements in stray fields generated by a 7 Tesla whole-body MRI magnet. Bioelectromagnetics 28(4):247–255. doi:10.​1002/​bem.​20311 PubMedCrossRef
28.
go back to reference de Vocht F, Stevens T, van Wendel-de-Joode B, Engels H, Kromhout H (2006) Acute neurobehavioral effects of exposure to static magnetic fields: analyses of exposure-response relations. J Magn Reson Imaging JMRI 23(3):291–297. doi:10.1002/jmri.20510 PubMedCrossRef de Vocht F, Stevens T, van Wendel-de-Joode B, Engels H, Kromhout H (2006) Acute neurobehavioral effects of exposure to static magnetic fields: analyses of exposure-response relations. J Magn Reson Imaging JMRI 23(3):291–297. doi:10.​1002/​jmri.​20510 PubMedCrossRef
32.
33.
go back to reference Hong CZ, Shellock FG (1990) Short-term exposure to a 1.5 tesla static magnetic field does not affect somato-sensory-evoked potentials in man. Magn Reson Imaging 8(1):65–69PubMedCrossRef Hong CZ, Shellock FG (1990) Short-term exposure to a 1.5 tesla static magnetic field does not affect somato-sensory-evoked potentials in man. Magn Reson Imaging 8(1):65–69PubMedCrossRef
35.
go back to reference Innis NK, Ossenkopp KP, Prato FS, Sestini E (1986) Behavioral effects of exposure to nuclear magnetic resonance imaging: II. Spatial memory tests. Magn Reson Imaging 4(4):281–284PubMedCrossRef Innis NK, Ossenkopp KP, Prato FS, Sestini E (1986) Behavioral effects of exposure to nuclear magnetic resonance imaging: II. Spatial memory tests. Magn Reson Imaging 4(4):281–284PubMedCrossRef
36.
go back to reference Kangarlu A, Burgess RE, Zhu H, et al. (1999) Cognitive, cardiac, and physiological safety studies in ultra high field magnetic resonance imaging. Magn Reson Imaging 17(10):1407–1416PubMedCrossRef Kangarlu A, Burgess RE, Zhu H, et al. (1999) Cognitive, cardiac, and physiological safety studies in ultra high field magnetic resonance imaging. Magn Reson Imaging 17(10):1407–1416PubMedCrossRef
38.
go back to reference Karpowicz J, Gryz K, Politanski P, Zmyslony M (2011) Exposure to static magnetic field and health hazards during the operation of magnetic resonance scanners. Med Pr 62(3):309–321PubMed Karpowicz J, Gryz K, Politanski P, Zmyslony M (2011) Exposure to static magnetic field and health hazards during the operation of magnetic resonance scanners. Med Pr 62(3):309–321PubMed
39.
go back to reference Karpowicz J, Zradzinski P, Gryz K (2012) Measures of occupational exposure to time-varying low frequency magnetic fields of non-uniform spatial distribution in the light of international guidelines and electrodynamic exposure effects in the human body. Med Pr 63(3):317–328PubMed Karpowicz J, Zradzinski P, Gryz K (2012) Measures of occupational exposure to time-varying low frequency magnetic fields of non-uniform spatial distribution in the light of international guidelines and electrodynamic exposure effects in the human body. Med Pr 63(3):317–328PubMed
40.
go back to reference Kay HH, Herfkens RJ, Kay BK (1988) Effect of magnetic resonance imaging on Xenopus laevis embryogenesis. Magn Reson Imaging 6(5):501–506PubMedCrossRef Kay HH, Herfkens RJ, Kay BK (1988) Effect of magnetic resonance imaging on Xenopus laevis embryogenesis. Magn Reson Imaging 6(5):501–506PubMedCrossRef
43.
go back to reference Muller S, Hotz M (1990) Human brainstem auditory evoked potentials (BAEP) before and after MR examinations. Magn Reson Med 16(3):476–480PubMedCrossRef Muller S, Hotz M (1990) Human brainstem auditory evoked potentials (BAEP) before and after MR examinations. Magn Reson Med 16(3):476–480PubMedCrossRef
44.
go back to reference Ossenkopp KP, Innis NK, Prato FS, Sestini E (1986) Behavioral effects of exposure to nuclear magnetic resonance imaging: I. Open-field behavior and passive avoidance learning in rats. Magn Reson Imaging 4(4):275–280PubMedCrossRef Ossenkopp KP, Innis NK, Prato FS, Sestini E (1986) Behavioral effects of exposure to nuclear magnetic resonance imaging: I. Open-field behavior and passive avoidance learning in rats. Magn Reson Imaging 4(4):275–280PubMedCrossRef
47.
go back to reference Sakurai T, Terashima S, Miyakoshi J (2009) Effects of strong static magnetic fields used in magnetic resonance imaging on insulin-secreting cells. Bioelectromagnetics 30(1):1–8. doi:10.1002/bem.20433 PubMedCrossRef Sakurai T, Terashima S, Miyakoshi J (2009) Effects of strong static magnetic fields used in magnetic resonance imaging on insulin-secreting cells. Bioelectromagnetics 30(1):1–8. doi:10.​1002/​bem.​20433 PubMedCrossRef
49.
go back to reference Schenck JF (1992) Health and physiological effects of human exposure to whole-body four-tesla magnetic fields during MRI. Ann N Y Acad Sci 649:285–301PubMedCrossRef Schenck JF (1992) Health and physiological effects of human exposure to whole-body four-tesla magnetic fields during MRI. Ann N Y Acad Sci 649:285–301PubMedCrossRef
50.
go back to reference Schenck JF (1998) MR safety at high magnetic fields. Magn Reson Imaging Clin N Am 6(4):715–730PubMed Schenck JF (1998) MR safety at high magnetic fields. Magn Reson Imaging Clin N Am 6(4):715–730PubMed
51.
52.
go back to reference Schenck JF, Dumoulin CL, Redington RW, et al. (1992) Human exposure to 4.0-Tesla magnetic fields in a whole-body scanner. Med Phys 19(4):1089–1098PubMedCrossRef Schenck JF, Dumoulin CL, Redington RW, et al. (1992) Human exposure to 4.0-Tesla magnetic fields in a whole-body scanner. Med Phys 19(4):1089–1098PubMedCrossRef
57.
go back to reference Schwenzer NF, Bantleon R, Maurer B, et al. (2007) Do static or time-varying magnetic fields in magnetic resonance imaging (3.0 T) alter protein-gene expression?-A study on human embryonic lung fibroblasts. J Magn Reson Imaging JMRI 26(5):1210–1215. doi:10.1002/jmri.21145 PubMedCrossRef Schwenzer NF, Bantleon R, Maurer B, et al. (2007) Do static or time-varying magnetic fields in magnetic resonance imaging (3.0 T) alter protein-gene expression?-A study on human embryonic lung fibroblasts. J Magn Reson Imaging JMRI 26(5):1210–1215. doi:10.​1002/​jmri.​21145 PubMedCrossRef
59.
go back to reference Shellock FG, Schaefer DJ, Crues JV (1989) Exposure to a 1.5-T static magnetic field does not alter body and skin temperatures in man. Magn Reson Med 11(3):371–375PubMedCrossRef Shellock FG, Schaefer DJ, Crues JV (1989) Exposure to a 1.5-T static magnetic field does not alter body and skin temperatures in man. Magn Reson Med 11(3):371–375PubMedCrossRef
60.
go back to reference Shellock FG, Schaefer DJ, Gordon CJ (1986) Effect of a 1.5 T static magnetic field on body temperature of man. Magn Reson Med 3(4):644–647PubMedCrossRef Shellock FG, Schaefer DJ, Gordon CJ (1986) Effect of a 1.5 T static magnetic field on body temperature of man. Magn Reson Med 3(4):644–647PubMedCrossRef
61.
go back to reference Short WO, Goodwill L, Taylor CW, et al. (1992) Alteration of human tumor cell adhesion by high-strength static magnetic fields. Invest Radiol 27(10):836–840PubMedCrossRef Short WO, Goodwill L, Taylor CW, et al. (1992) Alteration of human tumor cell adhesion by high-strength static magnetic fields. Invest Radiol 27(10):836–840PubMedCrossRef
66.
go back to reference van Nierop LE, Slottje P, van Zandvoort MJ, de Vocht F, Kromhout H (2012) Effects of magnetic stray fields from a 7 tesla MRI scanner on neurocognition: a double-blind randomised crossover study. Occup Environ Med 69(10):759–766. doi:10.1136/oemed-2011-100468 PubMedCrossRef van Nierop LE, Slottje P, van Zandvoort MJ, de Vocht F, Kromhout H (2012) Effects of magnetic stray fields from a 7 tesla MRI scanner on neurocognition: a double-blind randomised crossover study. Occup Environ Med 69(10):759–766. doi:10.​1136/​oemed-2011-100468 PubMedCrossRef
68.
go back to reference Vogl TJ, Paulus W, Fuchs A, Krafczyk S, Lissner J (1991) Influence of magnetic resonance imaging on evoked potentials and nerve conduction velocities in humans. Invest Radiol 26(5):432–437PubMedCrossRef Vogl TJ, Paulus W, Fuchs A, Krafczyk S, Lissner J (1991) Influence of magnetic resonance imaging on evoked potentials and nerve conduction velocities in humans. Invest Radiol 26(5):432–437PubMedCrossRef
70.
go back to reference Weiss J, Herrick RC, Taber KH, Contant C, Plishker GA (1992) Bio-effects of high magnetic fields: a study using a simple animal model. Magn Reson Imaging 10(4):689–694PubMedCrossRef Weiss J, Herrick RC, Taber KH, Contant C, Plishker GA (1992) Bio-effects of high magnetic fields: a study using a simple animal model. Magn Reson Imaging 10(4):689–694PubMedCrossRef
71.
go back to reference Yamaguchi-Sekino S, Nakai T, Imai S, Izawa S, Okuno T (2013) Occupational exposure levels of static magnetic field during routine MRI examination in 3 T MR system. Bioelectromagnetics . doi:10.1002/bem.21817 PubMed Yamaguchi-Sekino S, Nakai T, Imai S, Izawa S, Okuno T (2013) Occupational exposure levels of static magnetic field during routine MRI examination in 3 T MR system. Bioelectromagnetics . doi:10.​1002/​bem.​21817 PubMed
72.
go back to reference Yamaguchi-Sekino S, Sekino M, Ueno S (2011) Biological effects of electromagnetic fields and recently updated safety guidelines for strong static magnetic fields. Magn Reson Med Sci 10(1):1–10PubMedCrossRef Yamaguchi-Sekino S, Sekino M, Ueno S (2011) Biological effects of electromagnetic fields and recently updated safety guidelines for strong static magnetic fields. Magn Reson Med Sci 10(1):1–10PubMedCrossRef
73.
go back to reference Yuh WT, Fisher DJ, Shields RK, Ehrhardt JC, Shellock FG (1992) Phantom limb pain induced in amputee by strong magnetic fields. J Magn Reson Imaging JMRI 2(2):221–223PubMedCrossRef Yuh WT, Fisher DJ, Shields RK, Ehrhardt JC, Shellock FG (1992) Phantom limb pain induced in amputee by strong magnetic fields. J Magn Reson Imaging JMRI 2(2):221–223PubMedCrossRef
74.
go back to reference Abart J, Eberhardt K, Fischer H, et al. (1997) Peripheral nerve stimulation by time-varying magnetic fields. J Comput Assist Tomogr 21(4):532–538PubMedCrossRef Abart J, Eberhardt K, Fischer H, et al. (1997) Peripheral nerve stimulation by time-varying magnetic fields. J Comput Assist Tomogr 21(4):532–538PubMedCrossRef
77.
go back to reference Boss A, Graf H, Berger A, et al. (2007) Tissue warming and regulatory responses induced by radio frequency energy deposition on a whole-body 3-Tesla magnetic resonance imager. J Magn Reson Imaging JMRI 26(5):1334–1339. doi:10.1002/jmri.21156 PubMedCrossRef Boss A, Graf H, Berger A, et al. (2007) Tissue warming and regulatory responses induced by radio frequency energy deposition on a whole-body 3-Tesla magnetic resonance imager. J Magn Reson Imaging JMRI 26(5):1334–1339. doi:10.​1002/​jmri.​21156 PubMedCrossRef
79.
go back to reference Bottomley PA, Edelstein WA (1981) Power deposition in whole-body NMR imaging. Med Phys 8(4):510–512PubMedCrossRef Bottomley PA, Edelstein WA (1981) Power deposition in whole-body NMR imaging. Med Phys 8(4):510–512PubMedCrossRef
80.
go back to reference Budinger TF (1981) Nuclear magnetic resonance (NMR) in vivo studies: known thresholds for health effects. J Comput Assist Tomogr 5(6):800–811PubMedCrossRef Budinger TF (1981) Nuclear magnetic resonance (NMR) in vivo studies: known thresholds for health effects. J Comput Assist Tomogr 5(6):800–811PubMedCrossRef
82.
go back to reference de Greef M, Ipek O, Raaijmakers AJ, Crezee J, van den Berg CA (2013) Specific absorption rate intersubject variability in 7T parallel transmit MRI of the head. Magn Reson Med 69(5):1476–1485. doi:10.1002/mrm.24378 PubMedCrossRef de Greef M, Ipek O, Raaijmakers AJ, Crezee J, van den Berg CA (2013) Specific absorption rate intersubject variability in 7T parallel transmit MRI of the head. Magn Reson Med 69(5):1476–1485. doi:10.​1002/​mrm.​24378 PubMedCrossRef
83.
go back to reference Drinkwater BL, Horvath SM (1979) Heat tolerance and aging. Med Sci Sports 11(1):49–55PubMed Drinkwater BL, Horvath SM (1979) Heat tolerance and aging. Med Sci Sports 11(1):49–55PubMed
89.
go back to reference Hand JW, Li Y, Thomas EL, Rutherford MA, Hajnal JV (2006) Prediction of specific absorption rate in mother and fetus associated with MRI examinations during pregnancy. Magn Reson Med 55(4):883–893. doi:10.1002/mrm.20824 PubMedCrossRef Hand JW, Li Y, Thomas EL, Rutherford MA, Hajnal JV (2006) Prediction of specific absorption rate in mother and fetus associated with MRI examinations during pregnancy. Magn Reson Med 55(4):883–893. doi:10.​1002/​mrm.​20824 PubMedCrossRef
90.
go back to reference International Commission on Non-Ionizing Radiation P (2004) Medical magnetic resonance (MR) procedures: protection of patients. Health Phys 87(2):197–216CrossRef International Commission on Non-Ionizing Radiation P (2004) Medical magnetic resonance (MR) procedures: protection of patients. Health Phys 87(2):197–216CrossRef
92.
go back to reference Jauchem JR (1985) Effects of drugs on thermal responses to microwaves. Gen Pharmacol 16(4):307–310PubMedCrossRef Jauchem JR (1985) Effects of drugs on thermal responses to microwaves. Gen Pharmacol 16(4):307–310PubMedCrossRef
93.
go back to reference Kangarlu A, Shellock FG, Chakeres DW (2003) 8.0-Tesla human MR system: temperature changes associated with radiofrequency-induced heating of a head phantom. J Magn Reson Imaging JMRI 17(2):220–226. doi:10.1002/jmri.10236 PubMedCrossRef Kangarlu A, Shellock FG, Chakeres DW (2003) 8.0-Tesla human MR system: temperature changes associated with radiofrequency-induced heating of a head phantom. J Magn Reson Imaging JMRI 17(2):220–226. doi:10.​1002/​jmri.​10236 PubMedCrossRef
95.
go back to reference Murbach M, Neufeld E, Kainz W, Pruessmann KP, Kuster N (2013) Whole-body and local RF absorption in human models as a function of anatomy and position within 1.5T MR body coil. Magn Reson Med . doi:10.1002/mrm.24690 PubMed Murbach M, Neufeld E, Kainz W, Pruessmann KP, Kuster N (2013) Whole-body and local RF absorption in human models as a function of anatomy and position within 1.5T MR body coil. Magn Reson Med . doi:10.​1002/​mrm.​24690 PubMed
97.
go back to reference Oh S, Webb AG, Neuberger T, Park B, Collins CM (2010) Experimental and numerical assessment of MRI-induced temperature change and SAR distributions in phantoms and in vivo. Magn Reson Med 63(1):218–223. doi:10.1002/mrm.22174 PubMedPubMedCentral Oh S, Webb AG, Neuberger T, Park B, Collins CM (2010) Experimental and numerical assessment of MRI-induced temperature change and SAR distributions in phantoms and in vivo. Magn Reson Med 63(1):218–223. doi:10.​1002/​mrm.​22174 PubMedPubMedCentral
98.
99.
go back to reference Schaefer DJ (1998) Safety aspects of radiofrequency power deposition in magnetic resonance. Magn Reson Imaging Clin N Am 6(4):775–789PubMed Schaefer DJ (1998) Safety aspects of radiofrequency power deposition in magnetic resonance. Magn Reson Imaging Clin N Am 6(4):775–789PubMed
100.
go back to reference Shellock FG (2000) Radiofrequency energy-induced heating during MR procedures: a review. J Magn Reson Imaging JMRI 12(1):30–36PubMedCrossRef Shellock FG (2000) Radiofrequency energy-induced heating during MR procedures: a review. J Magn Reson Imaging JMRI 12(1):30–36PubMedCrossRef
103.
go back to reference Shellock FG, Crues JV (1988) Temperature changes caused by MR imaging of the brain with a head coil. AJNR Am J Neuroradiol 9(2):287–291PubMed Shellock FG, Crues JV (1988) Temperature changes caused by MR imaging of the brain with a head coil. AJNR Am J Neuroradiol 9(2):287–291PubMed
105.
go back to reference Shellock FG, Schaefer DJ, Crues JV (1989) Alterations in body and skin temperatures caused by magnetic resonance imaging: is the recommended exposure for radiofrequency radiation too conservative? Br J Radiol 62(742):904–909PubMedCrossRef Shellock FG, Schaefer DJ, Crues JV (1989) Alterations in body and skin temperatures caused by magnetic resonance imaging: is the recommended exposure for radiofrequency radiation too conservative? Br J Radiol 62(742):904–909PubMedCrossRef
112.
go back to reference Stuchly MA, Abrishamkar H, Strydom ML (2006) Numerical evaluation of radio frequency power deposition in human models during MRI. In: Annual international conference of the IEEE engineering in medicine and biology society, vol 1, pp 272–275. doi:10.1109/IEMBS.2006.259880 Stuchly MA, Abrishamkar H, Strydom ML (2006) Numerical evaluation of radio frequency power deposition in human models during MRI. In: Annual international conference of the IEEE engineering in medicine and biology society, vol 1, pp 272–275. doi:10.​1109/​IEMBS.​2006.​259880
113.
go back to reference van Lier AL, Kotte AN, Raaymakers BW, Lagendijk JJ, van den Berg CA (2012) Radiofrequency heating induced by 7T head MRI: thermal assessment using discrete vasculature or Pennes’ bioheat equation. J Magn Reson Imaging JMRI 35(4):795–803. doi:10.1002/jmri.22878 PubMedCrossRef van Lier AL, Kotte AN, Raaymakers BW, Lagendijk JJ, van den Berg CA (2012) Radiofrequency heating induced by 7T head MRI: thermal assessment using discrete vasculature or Pennes’ bioheat equation. J Magn Reson Imaging JMRI 35(4):795–803. doi:10.​1002/​jmri.​22878 PubMedCrossRef
115.
116.
go back to reference Wang Z, Lin JC, Vaughan JT, Collins CM (2008) Consideration of physiological response in numerical models of temperature during MRI of the human head. J Magn Reson Imaging JMRI 28(5):1303–1308. doi:10.1002/jmri.21556 PubMedCrossRef Wang Z, Lin JC, Vaughan JT, Collins CM (2008) Consideration of physiological response in numerical models of temperature during MRI of the human head. J Magn Reson Imaging JMRI 28(5):1303–1308. doi:10.​1002/​jmri.​21556 PubMedCrossRef
117.
118.
go back to reference Budinger TF, Fischer H, Hentschel D, Reinfelder HE, Schmitt F (1991) Physiological effects of fast oscillating magnetic field gradients. J Comput Assist Tomogr 15(6):909–914PubMedCrossRef Budinger TF, Fischer H, Hentschel D, Reinfelder HE, Schmitt F (1991) Physiological effects of fast oscillating magnetic field gradients. J Comput Assist Tomogr 15(6):909–914PubMedCrossRef
119.
go back to reference Andreuccetti D, Contessa GM, Falsaperla R, et al. (2013) Weighted-peak assessment of occupational exposure due to MRI gradient fields and movements in a nonhomogeneous static magnetic field. Med Phys 40(1):011910. doi:10.1118/1.4771933 PubMedCrossRef Andreuccetti D, Contessa GM, Falsaperla R, et al. (2013) Weighted-peak assessment of occupational exposure due to MRI gradient fields and movements in a nonhomogeneous static magnetic field. Med Phys 40(1):011910. doi:10.​1118/​1.​4771933 PubMedCrossRef
121.
go back to reference Bourland JD, Nyenhuis JA, Schaefer DJ (1999) Physiologic effects of intense MR imaging gradient fields. Neuroimaging Clin N Am 9(2):363–377PubMed Bourland JD, Nyenhuis JA, Schaefer DJ (1999) Physiologic effects of intense MR imaging gradient fields. Neuroimaging Clin N Am 9(2):363–377PubMed
122.
go back to reference Cohen MS, Weisskoff RM, Rzedzian RR, Kantor HL (1990) Sensory stimulation by time-varying magnetic fields. Magn Reson Med 14(2):409–414PubMedCrossRef Cohen MS, Weisskoff RM, Rzedzian RR, Kantor HL (1990) Sensory stimulation by time-varying magnetic fields. Magn Reson Med 14(2):409–414PubMedCrossRef
124.
go back to reference Doherty JU, Whitman GJ, Robinson MD, et al. (1985) Changes in cardiac excitability and vulnerability in NMR fields. Invest Radiol 20(2):129–135PubMedCrossRef Doherty JU, Whitman GJ, Robinson MD, et al. (1985) Changes in cardiac excitability and vulnerability in NMR fields. Invest Radiol 20(2):129–135PubMedCrossRef
125.
go back to reference Ehrhardt JC, Lin CS, Magnotta VA, Fisher DJ, Yuh WT (1997) Peripheral nerve stimulation in a whole-body echo-planar imaging system. J Magn Reson Imaging JMRI 7(2):405–409PubMedCrossRef Ehrhardt JC, Lin CS, Magnotta VA, Fisher DJ, Yuh WT (1997) Peripheral nerve stimulation in a whole-body echo-planar imaging system. J Magn Reson Imaging JMRI 7(2):405–409PubMedCrossRef
126.
go back to reference Feldman RE, Hardy CJ, Aksel B, Schenck J, Chronik BA (2009) Experimental determination of human peripheral nerve stimulation thresholds in a 3-axis planar gradient system. Magn Reson Med 62(3):763–770. doi:10.1002/mrm.22050 PubMedCrossRef Feldman RE, Hardy CJ, Aksel B, Schenck J, Chronik BA (2009) Experimental determination of human peripheral nerve stimulation thresholds in a 3-axis planar gradient system. Magn Reson Med 62(3):763–770. doi:10.​1002/​mrm.​22050 PubMedCrossRef
127.
go back to reference Glover PM, Eldeghaidy S, Mistry TR, Gowland PA (2007) Measurement of visual evoked potential during and after periods of pulsed magnetic field exposure. J Magn Reson Imaging JMRI 26(5):1353–1356. doi:10.1002/jmri.21155 PubMedCrossRef Glover PM, Eldeghaidy S, Mistry TR, Gowland PA (2007) Measurement of visual evoked potential during and after periods of pulsed magnetic field exposure. J Magn Reson Imaging JMRI 26(5):1353–1356. doi:10.​1002/​jmri.​21155 PubMedCrossRef
128.
go back to reference Ham CL, Engels JM, van de Wiel GT, Machielsen A (1997) Peripheral nerve stimulation during MRI: effects of high gradient amplitudes and switching rates. J Magn Reson Imaging JMRI 7(5):933–937PubMedCrossRef Ham CL, Engels JM, van de Wiel GT, Machielsen A (1997) Peripheral nerve stimulation during MRI: effects of high gradient amplitudes and switching rates. J Magn Reson Imaging JMRI 7(5):933–937PubMedCrossRef
130.
go back to reference King KF, Schaefer DJ (2000) Spiral scan peripheral nerve stimulation. J Magn Reson Imaging JMRI 12(1):164–170PubMedCrossRef King KF, Schaefer DJ (2000) Spiral scan peripheral nerve stimulation. J Magn Reson Imaging JMRI 12(1):164–170PubMedCrossRef
131.
go back to reference Li Y, Hand JW, Wills T, Hajnal JV (2007) Numerically-simulated induced electric field and current density within a human model located close to a z-gradient coil. J Magn Reson Imaging JMRI 26(5):1286–1295. doi:10.1002/jmri.21137 PubMedCrossRef Li Y, Hand JW, Wills T, Hajnal JV (2007) Numerically-simulated induced electric field and current density within a human model located close to a z-gradient coil. J Magn Reson Imaging JMRI 26(5):1286–1295. doi:10.​1002/​jmri.​21137 PubMedCrossRef
132.
go back to reference Mansfield P, Harvey PR (1993) Limits to neural stimulation in echo-planar imaging. Magn Reson Med 29(6):746–758PubMedCrossRef Mansfield P, Harvey PR (1993) Limits to neural stimulation in echo-planar imaging. Magn Reson Med 29(6):746–758PubMedCrossRef
133.
go back to reference Schaefer DJ, Bourland JD, Nyenhuis JA (2000) Review of patient safety in time-varying gradient fields. J Magn Reson Imaging JMRI 12(1):20–29PubMedCrossRef Schaefer DJ, Bourland JD, Nyenhuis JA (2000) Review of patient safety in time-varying gradient fields. J Magn Reson Imaging JMRI 12(1):20–29PubMedCrossRef
135.
136.
go back to reference U.S. Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health, Guidance for Industry and FDA Staff (2003) Criteria for significant risk investigations of magnetic resonance diagnostic devices. U.S. Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health, Guidance for Industry and FDA Staff (2003) Criteria for significant risk investigations of magnetic resonance diagnostic devices.
137.
go back to reference U.S. Department of Health and Human Services, FDA, CDRH, Guidance for Industry and FDA Staff (2003) Criteria for significant risk investigations of magnetic resonance diagnostic devices. U.S. Department of Health and Human Services, FDA, CDRH, Guidance for Industry and FDA Staff (2003) Criteria for significant risk investigations of magnetic resonance diagnostic devices.
139.
go back to reference Sammet S, Koch RM, Aguila F, Knopp MV (2010) Residual magnetism in an MRI suite after field-rampdown: what are the issues and experiences? J Magn Reson Imaging JMRI 31(5):1272–1276. doi:10.1002/jmri.22141 PubMedCrossRef Sammet S, Koch RM, Aguila F, Knopp MV (2010) Residual magnetism in an MRI suite after field-rampdown: what are the issues and experiences? J Magn Reson Imaging JMRI 31(5):1272–1276. doi:10.​1002/​jmri.​22141 PubMedCrossRef
141.
go back to reference Machata AM, Willschke H, Kabon B, Prayer D, Marhofer P (2009) Effect of brain magnetic resonance imaging on body core temperature in sedated infants and children. Br J Anaesth 102(3):385–389. doi:10.1093/bja/aen388 PubMedCrossRef Machata AM, Willschke H, Kabon B, Prayer D, Marhofer P (2009) Effect of brain magnetic resonance imaging on body core temperature in sedated infants and children. Br J Anaesth 102(3):385–389. doi:10.​1093/​bja/​aen388 PubMedCrossRef
143.
go back to reference ASTM F2119-07 (2013) Standard Test Method for Evaluation of MR Image Artifacts from Passive Implants. West Conshohocken: ASTM International ASTM F2119-07 (2013) Standard Test Method for Evaluation of MR Image Artifacts from Passive Implants. West Conshohocken: ASTM International
145.
go back to reference IEC 60 601-2-33 (2015) Medical electrical equipment—Part 2: Particular requirements for the basic safety and essential performance of magnetic resonance equipment for medical diagnosis IEC 60 601-2-33 (2015) Medical electrical equipment—Part 2: Particular requirements for the basic safety and essential performance of magnetic resonance equipment for medical diagnosis
146.
go back to reference International Electrotechnical Commission (IEC), Medical Electrical Equipment (2002) Particular requirements for the safety of magnetic resonance equipment for medical diagnosis, International Standard IEC 60601-2-33 International Electrotechnical Commission (IEC), Medical Electrical Equipment (2002) Particular requirements for the safety of magnetic resonance equipment for medical diagnosis, International Standard IEC 60601-2-33
149.
151.
go back to reference Baker PN, Johnson IR, Harvey PR, Gowland PA, Mansfield P (1994) A three-year follow-up of children imaged in utero with echo-planar magnetic resonance. Am J Obstet Gynecol 170(1 Pt 1):32–33PubMedCrossRef Baker PN, Johnson IR, Harvey PR, Gowland PA, Mansfield P (1994) A three-year follow-up of children imaged in utero with echo-planar magnetic resonance. Am J Obstet Gynecol 170(1 Pt 1):32–33PubMedCrossRef
152.
go back to reference Chew S, Ahmadi A, Goh PS, Foong LC (2001) The effects of 1.5T magnetic resonance imaging on early murine in vitro embryo development. J Magn Reson Imaging JMRI 13(3):417–420PubMedCrossRef Chew S, Ahmadi A, Goh PS, Foong LC (2001) The effects of 1.5T magnetic resonance imaging on early murine in vitro embryo development. J Magn Reson Imaging JMRI 13(3):417–420PubMedCrossRef
155.
go back to reference Gilk T, Kanal E (2013) Interrelating sentinel event alert #38 with the ACR guidance document on MR safe practices: 2013. An MRI accreditation safety review tool. J Magn Reson Imaging JMRI 37(3):531–543. doi:10.1002/jmri.24027 PubMedCrossRef Gilk T, Kanal E (2013) Interrelating sentinel event alert #38 with the ACR guidance document on MR safe practices: 2013. An MRI accreditation safety review tool. J Magn Reson Imaging JMRI 37(3):531–543. doi:10.​1002/​jmri.​24027 PubMedCrossRef
156.
go back to reference Thomsen HS (2006) Contrast media: safety issues and ESUR guidelines. Medical radiology. Berlin: SpringerCrossRef Thomsen HS (2006) Contrast media: safety issues and ESUR guidelines. Medical radiology. Berlin: SpringerCrossRef
157.
go back to reference Behra-Miellet J, Gressier B, Brunet C, et al. (1996) Free gadolinium and gadodiamide, a gadolinium chelate used in magnetic resonance imaging: evaluation of their in vitro effects on human neutrophil viability. Methods Find Exp Clin Pharmacol 18(7):437–442PubMed Behra-Miellet J, Gressier B, Brunet C, et al. (1996) Free gadolinium and gadodiamide, a gadolinium chelate used in magnetic resonance imaging: evaluation of their in vitro effects on human neutrophil viability. Methods Find Exp Clin Pharmacol 18(7):437–442PubMed
161.
go back to reference Brown JJ, Hynes MR, Wible JH Jr (2007) Measurement of serum calcium concentration after administration of four gadolinium-based contrast agents to human volunteers. AJR Am J Roentgenol 189(6):1539–1544. doi:10.2214/AJR.07.2464 PubMedCrossRef Brown JJ, Hynes MR, Wible JH Jr (2007) Measurement of serum calcium concentration after administration of four gadolinium-based contrast agents to human volunteers. AJR Am J Roentgenol 189(6):1539–1544. doi:10.​2214/​AJR.​07.​2464 PubMedCrossRef
163.
go back to reference Evenepoel P, Zeegers M, Segaert S, et al. (2004) Nephrogenic fibrosing dermopathy: a novel, disabling disorder in patients with renal failure. Nephrol Dial Transplant 19(2):469–473PubMedCrossRef Evenepoel P, Zeegers M, Segaert S, et al. (2004) Nephrogenic fibrosing dermopathy: a novel, disabling disorder in patients with renal failure. Nephrol Dial Transplant 19(2):469–473PubMedCrossRef
164.
165.
go back to reference Kanal E (1992) An overview of electromagnetic safety considerations associated with magnetic resonance imaging. Ann N Y Acad Sci 649:204–224PubMedCrossRef Kanal E (1992) An overview of electromagnetic safety considerations associated with magnetic resonance imaging. Ann N Y Acad Sci 649:204–224PubMedCrossRef
166.
go back to reference Marckmann P, Skov L, Rossen K, et al. (2006) Nephrogenic systemic fibrosis: suspected causative role of gadodiamide used for contrast-enhanced magnetic resonance imaging. J Am Soc Nephrol JASN 17(9):2359–2362. doi:10.1681/ASN.2006060601 PubMedCrossRef Marckmann P, Skov L, Rossen K, et al. (2006) Nephrogenic systemic fibrosis: suspected causative role of gadodiamide used for contrast-enhanced magnetic resonance imaging. J Am Soc Nephrol JASN 17(9):2359–2362. doi:10.​1681/​ASN.​2006060601 PubMedCrossRef
167.
go back to reference Marckmann P, Skov L, Rossen K, Heaf JG, Thomsen HS (2007) Case-control study of gadodiamide-related nephrogenic systemic fibrosis. Nephrol Dial Transpl 22(11):3174–3178. doi:10.1093/ndt/gfm261 CrossRef Marckmann P, Skov L, Rossen K, Heaf JG, Thomsen HS (2007) Case-control study of gadodiamide-related nephrogenic systemic fibrosis. Nephrol Dial Transpl 22(11):3174–3178. doi:10.​1093/​ndt/​gfm261 CrossRef
168.
go back to reference Umans H, Haramati N, Flusser G (2000) The diagnostic role of gadolinium enhanced MRI in distinguishing between acute medullary bone infarct and osteomyelitis. Magn Reson Imaging 18(3):255–262PubMedCrossRef Umans H, Haramati N, Flusser G (2000) The diagnostic role of gadolinium enhanced MRI in distinguishing between acute medullary bone infarct and osteomyelitis. Magn Reson Imaging 18(3):255–262PubMedCrossRef
169.
go back to reference Westwood MA, Shah F, Anderson LJ, et al. (2007) Myocardial tissue characterization and the role of chronic anemia in sickle cell cardiomyopathy. J Magn Reson Imaging JMRI 26(3):564–568. doi:10.1002/jmri.21018 PubMedCrossRef Westwood MA, Shah F, Anderson LJ, et al. (2007) Myocardial tissue characterization and the role of chronic anemia in sickle cell cardiomyopathy. J Magn Reson Imaging JMRI 26(3):564–568. doi:10.​1002/​jmri.​21018 PubMedCrossRef
172.
go back to reference Conquering claustrophobia during your MRI (2002) Johns Hopkins Med Lett Health After 50 14(9):3 Conquering claustrophobia during your MRI (2002) Johns Hopkins Med Lett Health After 50 14(9):3
173.
go back to reference Dantendorfer K, Wimberger D, Katschnig H, Imhoff H (1991) Claustrophobia in MRI scanners. Lancet 338(8769):761–762PubMedCrossRef Dantendorfer K, Wimberger D, Katschnig H, Imhoff H (1991) Claustrophobia in MRI scanners. Lancet 338(8769):761–762PubMedCrossRef
174.
go back to reference Murphy KJ, Brunberg JA (1997) Adult claustrophobia, anxiety and sedation in MRI. Magn Reson Imaging 15(1):51–54PubMedCrossRef Murphy KJ, Brunberg JA (1997) Adult claustrophobia, anxiety and sedation in MRI. Magn Reson Imaging 15(1):51–54PubMedCrossRef
175.
go back to reference Phelps LA (1990) MRI and claustrophobia. Am Fam Physician 42(4):930PubMed Phelps LA (1990) MRI and claustrophobia. Am Fam Physician 42(4):930PubMed
176.
go back to reference Wahba H (1995) Minimizing claustrophobia in an MRI scanner. Nursing 25(7):32C–32DPubMed Wahba H (1995) Minimizing claustrophobia in an MRI scanner. Nursing 25(7):32C–32DPubMed
177.
go back to reference Serafini G, Ongaro L, Mori A, et al. (2005) Anesthesia for MRI in the paediatric patient. Minerva Anestesiol 71(6):361–366PubMed Serafini G, Ongaro L, Mori A, et al. (2005) Anesthesia for MRI in the paediatric patient. Minerva Anestesiol 71(6):361–366PubMed
Metadata
Title
Magnetic resonance safety
Author
Steffen Sammet
Publication date
01-03-2016
Publisher
Springer US
Published in
Abdominal Radiology / Issue 3/2016
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-0680-4

Other articles of this Issue 3/2016

Abdominal Radiology 3/2016 Go to the issue

Classics in Abdominal Imaging

The “winking owl” sign