MRI instrumentation and MRI safety
After reading this chapter, you should be able:
- To present the different types of main magnet, their advantages and drawbacks
- Describe the role of liquid Helium and its safety implications (quench)
- Characterize a magnetic field gradient, its specifications and performance
- Describe the Eddy current effects
- Explain the origin of acoustic noise during MRI scanning
- Specify the components of the radiofrequency channel and the different types of antenna
- List the materials at risk and the precautions prior to an MRI examination
- Explain the origin of peripheral nerve stimulation during an MRI examination
- Present the factors affecting SAR and how to reduce it
In an MRI device at 1.5 T, the magnet is superconducting, cooled by liquid Helium. Quench corresponds to liquid Helium evaporation after heating. The large volume of gaseous Helium thus given off causes a risk of thermal burns and asphyxia. An adapted evacuation system and safety arrangements in the examination room should prevent such risks in any MRI installation.Gradients are characterized by amplitude, slew rate and linearity. Switching gradients cause induced currents (Eddy currents) and the acoustic noise of the MRI. They can provoke peripheral nerve stimulation, especially in echo-planar sequences.The quality of the radiofrequency system and coils is crucial. There are coils for each type of exploration and organ studied.Ferromagnetic materials carry a projectile risk effect inside the MR scanner.Intra-ocular metallic foreign bodies, intracranial aneurysm clips, cardiac pacemakers and cochlear implants are generally counter-indicated for MRI. It is advisable to check their MR compatibility and for any counter-indications prior to the examination.The SAR limit must not be exceeded, and sequences must be adapted accordingly (coil, TR, number of slices, flip angle, echo train).
- Elster. Questions and answers in magnetic resonance imaging. 1994:ix, 278 p.
- McRobbie. MRI from picture to proton. 2003:xi, 359 p.
- NessAiver. All you really need to know about MRI physics. 1997.
- Kastler. Comprendre l'IRM. 2006.
- Carpenter and Williams. MRI - from basic knowledge to advanced strategies: hardware. European radiology. 1999;9(6):1015-9.
- Ordidge, Kanal. special issue: MR safety. J Magn Reson Imaging. 2000;12(1):1-204.
- de Certaines and Cathelineau. Safety aspects and quality assessment in MRI and MRS: a challenge for health care systems in Europe. J Magn Reson Imaging. 2001 Apr;13(4):632-8.
- de Kerviler, de Bazelaire. . Journal de radiologie. 2005 May;86(5 Pt 2):573-8.
- Shellock. MRI safety, bioeffects and patient management. 2001(8/05/2007).
- Zhuo and Gullapalli. AAPM/RSNA physics tutorial for residents: MR artifacts, safety, and quality control. Radiographics. 2006 Jan-Feb;26(1):275-97.
Agfa HealthCare Special Report Dose Management: because life is precious.
Olea Medical® case report on early & late MR diffusion follow-up of a stroke using CT perfusion.
Ziehm Vision RFD Hybrid Edition: Mobility and flexibility – the difference in an emergency
Olea Medical® literature meta-analysis on CTP thresholds in acute stroke